ML20079B934
| ML20079B934 | |
| Person / Time | |
|---|---|
| Site: | North Anna  |
| Issue date: | 12/29/1994 |
| From: | VIRGINIA POWER (VIRGINIA ELECTRIC & POWER CO.) |
| To: | |
| Shared Package | |
| ML20079B900 | List: |
| References | |
| NUDOCS 9501090171 | |
| Download: ML20079B934 (180) | |
Text
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ATTACHMENT 1 1994 UNIT 1 REFUEUNG OUTAGE INSEfMCE INSPECDON
SUMMARY
REPORT e
I OWNER'S REPORT FOR INSERVICE INSPECDONS NORTH ANNA POWER STATION - UNIT 1 P.O. BOX 402 MINERAI., VA 23117 COMMERCIAL SERVICE DATE IH5-78 DECEMBER 29,1994 l
VIRGINIA El.ECTRIC AND POWER COMPANY 5000 DOMINION BOULEVARD GLEN ALLEN, VA 23060 f!kI0 BOCK 05 338 Q
PDR m____
Docket Numbers 50-338 t
Serici Number 94-688 i
Attcchment 1
' FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS Page 1 of 11 As required by the Provisions of the ASME Code Rules l
t
.1. owner Virginia Electric and Power Co., 5000' Dominion Blvd., Glen Allen VA
- (Name and Address of Owner) 23060
- 2. Plant North Anna Power Station, P.O. Box 402 Mineral, VA 23117 (Name and Address of Plant) i i
- 3. Plant Unit Unit 1
- 4. Owner Certificate of Authorization (if required)
N/A
- 5. Commercial Service Date 6/6/78
- 6. National Board Number for Unit N/A i
- 7. Components inspected Manufacturer Component or Manufacturer or Installer State or National Appurtenance or installer Serial No.
Province No.
Board No.
CLASS 1 PIPING SOUT M ST FABRICATING 252 N/A N/A CLASS 1 PIPING SOUT M ST FABRICATING 258 N/A N/A CLASS 1 PIPING SOUT M ST FA8RICATING 261 N/A N/A CLASS 1 PIPING SOUT M ST FABRICATING 266 N/A N/A CLASS 1 PIP!NG SOUT M ST FAaRICATING 927 N/A N/A CLASS 1 PIPING SOUT M ST FABRICATING 928 N/A N/A i
CLASS 1 PIPING SOUT M ST FASRICATING 950 N/A N/A CLA5s 1 PIPING 90U1 M ET FA8RICATING 900 N/A N/A t
CLASS 1 PIPING SOUT M ST FABRICATING 1082 N/A N/A CLASS 1 PIPING SOUT M ST FABRICATING 1090 N/A N/A CLASS 1 PIPING SOUT M ST FAaRICATING 1266 N/A N/A CLASS 1 PIPING SOUT M ST FABRICATING 1702 N/A N/A CLASS 1 PIPING SOUT M ST FABRICATING 1704 N/A N/A CLASS 1 PIP!NG 50UT M ST FABRICATING 1760 N/A N/A CLASS 1 PIPING SOUT M ST FABRICATING 2741 N/A N/A CLASS 1 PIPING SOUT M ST FABRICATING 4534 N/A N/A l
Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x !I in.,
(2) information in items I through 6 on this report is included on each shee1, and (3,) each sheet is numbered and the number of sheets is recorded at the top of this form.
i (12/88)
This form (E00029) may be obtained from the Order Dept., ASME,22 Law Drive Box 2300 Fairfield, NJ 07007-2300.
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i Dockst Number: 50-338 Serial Number 94 -688 Suppleme;tal She:t Atttchment 1
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FORM NIS 1 OWNER'S REPORT FOR INSERVILE INSPECTIONS As requiral by the Provisions of the ASME Code Rules
- 1. Owner Virginia Electric and Power Co., 5000 Dominion Blvd., Glen Allen. VA (Name and Address of Owner) 23060
- 2. Plant North Anna Power Station, P.O. Box 402, Mineral,'VA 23117 (Name and Address of Plant)
- 3. Plant Unit Unit 1
- 4. Owner Certificate of Authorization (if required) N/A 6/6/78
- 6. National Board Number for Unit N/A 5 Commercial Service Date
- 7. Components inspected Manufacturer Component or Manufacturer or Installer State or National Appurtenance or Installer Serial No.
Province No.
Board No.
CLASS 1 PIPING SQLrTNWEST FABRICATING 4564 N/A n/A CLASS 1 PIPING SOUTHWEST FA8RICATING 4551 N/A N/A CLASS 1 PIP!NG SOUTHWEST FABRICATING 4558 N/A N/A CLASS 1 PIPING SOUTHWEST FA8RICATING 4559 N/A N/A CLASS 2 CD e0NENT VIRGINIA ELECTRIC & POER (D.
N/A N/A h/A r
RJPPERTS CLASS 2 P! PING STONE & W BSTER ENG. CORP.
N/A N/A N/A NON SERIALIZED PRESSURIZER 1400 ESTINGMOUSE ELECTRIC (DRP.
1271 VA 58322 6888 (1JBIC FEET REACTOR CDOLANT ESCD CORP.
723 N/A N/A Ptsr
'A' REACTOR VESSEL ltDM ROTTERDAM 30661 VA 58328 N/A 157 " 10 REGENERATIVE MEAT JOSEPN OAT Atc SONS, INC.
1831 11 1 VA 58339 447 EXCHANER RN WEAT EXCH. 'B' JOSEPN DAT & SONS, INC.
1832-4 lMLuo 40 33NE6 STU/NR STEAM GENERATOR
'A' ESTINGMGJSE ELECTRIC CORP.
11970 58327 6867 STEAMGENERATOR'B' ESTINGNOUSE ELECTRIC CORP.
11971 58323 6868 STEAM ENERATOR 'C' ESTINGNQJSE ELECTRIC CORP.
1Wrz lN w 6 one Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 1I in.,
(2) information in items I through 6 on this report isincluded on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12.'881 Ss form (E00029) rnay be cDtained from the Order Cent., ASME. 22 Law Dnve. Box 2300. Fairfield, NJ 07007 2300.
Docket Numbers 50-338 l
Serir.1 Numb rs94-688 I
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Att chmert 1 FORM NIS 1 OWNER'S REPORT FOR INSERVICE INSPECTIONS Page 1 of-11 As required by the Provisions of the ASME Code Rules
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- 1. Owner Virginia Electric and Power Co., 5000: Dominion Blvd., Glen Allen VA (Name and Address of Owner) 23060
- 2. Plant North Anna Power Station, P.O. Box 402 Mineral, VA 23117
(
(Name and Address of Plant)
- 3. Plant Unit Unit 1
- 4. Owner Certificate of Authorization (if required)
N/A I
- 5. Commercial Service Date 6/6/78
- 6. National Board Number for Unit M/A I
- 7. Components inspected f
Manufacturer Component or Manufacturer or Installer State or National
. Appurtenance or Installer Serial No.
Province No.
Board No.
CLASS 1 PIPING SOUTNWEST FABRICATING 252 N/A N/A i
CLASS 1 PIPING SOUTHWEST FASRICATING 258 N/A N/A CLASS 1 PIP!NG SOUTMWEST FABRICATING 261 N/A N/A CLASS 1 PIPING SOUT M ST FAORICATING 266 N/A N/A I
'f CLASS 1 PIPING SOUTHWEST FASRICATING 927 N/A N/A CLASS 1 PIPING SOUTMWEST FABRICATING 928 N/A N/A i
f t
i CLASS 1 PIPING SOUTHWEST FABRICATING 930 N/A N/A i
CLASS 1 PIPING SOUT M ST FABRICATING 900 N/A N/A i
CLASS 1 P! PING SOUTHWEST FABRICATING 1082 N/A N/A CLASS 1 PIPING SOUTHWEST FABRICATING 1090 N/A N/A CLASS 1 PIPING SOUTHWEST FAORICATING 1266 N/A N/A CLASS 1 PIPING SOUTHWEST FAeRICATING 1702 N/A N/A CLASS 1 PIPING SOUTHWEST FABRICATING 1704 N/A N/A i
CLASS 1 PIPING SOUTHWEST FABRICATING 1760 N/A N/A l
CLASS 1 PIPlWG SOUTHWEST FABRICATING 2741 N/A N/A CLASS 1 PIPING SOUTMWEST FABRICATING 4534 N/A N/A l
)
Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 1I in.,
(2) information in items I through 6 on this report isincluded on each sheet, and (3) each sheet is numbered and
{
the number of sheets is recorded at the top of this form.
i i
1 0248)
This form (E00029) may be obtained from the Order Dept., ASME,22 Law Drive, Box 2300, Fairfield, NJ 07007 2300.
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FORM NIS-1 (Back)
- 8. Examination Dates
"'U#
to
- 9. Inspection Period identification secondler.inqL(j2-24 12.34-95)
- 10. Inspection Interval Identification second Intervel (12-24 88 24-98) 18 II. Applicable Edition of Section XI Addenda
- 12. Date/ Revision ofInspection Plan Desk 2r_16,1996 Revision 5
- 13. Abstract of Examinations and Tests. Include a list of examinations and tests and a statement conceming status of work required for the inspection Plan. Pages 3 - 11
- 14. Abstract of Results of Examinations and Tests.
' Attachment 1 Pages 3 - 11
- 15. Abstract of Corrective Measures-Page 4 We certify that a) the statements made in this report are correct, b) the examinations and tests meet the Inspection Plan as required by the ASME Code,Section XI, and c) corrective measures taken conform to the rules of the ASME Code,Section XI.
"/A N/A Certificate of Authorization No. (if applicable)
Expiration Date Date DCMD I3 19 U Signed bMES NCT*d M i b"/By C. M M CERTIFICATE OF INSERVICF INSPECTION
- 4
- 1. the undersigned, holding a valid commission issued by the Natiomd Board of Boiler and Pressure Vessel Ingpectors and the State or Province of VI'8I"I" Nortford Steen Mer I I co.
and employed by og Nortford, CT have inspected the components described in this owner's Report during the period
- 2//M
, and state that to the best of my knowledge and belief, the L a-9'l to Owner has performed examinations and tests and taken corrective measures described in this Owner's Report in accordance with the inspection Plan and as required by the ASME Code,Section XI.
j By signing this certificate nehher thJ Inspector nor his employer makes any warranty, expressed or implied, concerning i
the examinations, tests, and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor l
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.
UsuZ ##2 Commissions M31, VA-424, INA inspector'6 5 gnature Natonal noont, State. Province, and Endorsements Date An
/9 39 W
Dockst Numb:r: 50-338 Serid Numbers94-688 Supplemental She:t Attc h t 1 FORM NIS 1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules
- 1. Owner Virginia Electric and Power Co., 5000 Doutinion Blvd., Glen Allen VA (Name and Address of Owner) 23060
- 2. Plant North Anna Power Station, P.O. Box 402, Mineral 'VA 23117 (Name and Address of Plant)
- 3. Plant Unit Unit 1
- 4. Owner Certificate of Authorization (if required) N/A 6/6/78 N/A
- 5. Commercial Service Date
- 6. National Board Number for Unit
- 7. Components inspected Manufacturer Component or Manufacturer or Installer State or National Appurtenance or installer Scrial No.
Province No.
Board No.
CLASS 1 PIPING Smfil4EST FABRICATING 4544 N/A N/A CLASS 1 PIPING SOUTNWEST FAARICATING 4551 N/A N/A CLASS 1 PIPING SOUTNWEST FABRICATING 4558 N/A N/A CLASS 1 PIPING SOUTNWEST FAsRICATING 4559 N/A N/A CLASS 2 CDIPONENT VIRGINIA ELECTRIC & POE R CD.
N/A N/A N/A RPPtRTS CLASS 2 PIPING STONE & elESSTER ENG. CORP.
N/A N/A N/A NON-SERIALIZED PRESSURIZER 1400 E STINGNOUSE ELECTRIC CORP.
1271 VA 58322 6888 (1RIC FEET REACTOR CI3OLANT ESCO CORP.
723 N/A N/A PLpr
'A' REACTOR VESSEL ltDM kOTTERDAM 30661 m 58328 N/A 157" ID REENEPATIVE HEAT JOSEPN GAT A m SONS, INC.
1851 11 1 m 58339 447 EXCNANER RN NEAT EXCN. 'B' JOSEPN OAT & SONS, INC.
1552-4 Mu26 M1 35NE6 STU/IR STEAP ENERATOR
'A' ESTINGNElSE ELECTRIC CORP.
11970 58327 6867
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STEAM E NERATOR 'B' ESTINGNalSE ELECTRIC CORP.
11971 58323 6868 STEAM ENERATOR *C' ESTINGNQJSE ELECTRIC CDRP.
livu Deus one i
Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in.,
(2) inforr':stion in stems I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(tres)
Tms form (E0CO29) may De CDtained from the Order Dept., ASME. 22 Law Drive, Box 2300. Fairfield, NJ 07007-2300.
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r Dockst Numbers 50-338 Serial Number: 94-688' !
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l Virginia Electric and Power Company.
i Morth Anna Power Station Unit 1 I
1994 Refueling outage i
-2nd Interval, 2nd Period Introduction l
This report includes the Interval 2 inservice examinations of Class 1.and
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Class 2, components, piping and component supports that were conducted at North Anna Power Station Unit 1 from April 6, 1993 to October 5, 1994.
The examinations during the becond interval were performed to meet the-l requirements of ASME Section XI, 1983 Edition thru the Summer 1983 l
Addenda.
Examination procedures were approved prior to the examinations being i
performed.
Certification documents relative to personnel, equipment, and materials were reviewed and determined to be satisfactory.
Inspections, witnessing, and surveillance of the examinations and related j
activities were conducted by personnel-from the Hartford Steam Boiler Inspection and Insurance company, One State Street, Hartford, CT 06102 (M.
i M. Grace and C. A.
Ireland), North Anna Power Station Quality Assurance Department, and the North Anna Power Station technical staff.
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l Examinations Examinations were conducted to review as much of the examination zones as
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was practical within geometric, metallurgical and physical limitations.
When the required ultrasonic examination volume or area could not be I
examined 100%, the examination method was evaluated and alternate beam angles or methods were considered in an attempt to achieve the maximum examination volume.
However, where 100% examination was not possible the examination was considered to be partial and so noted on the examination i
report.
Where the reduction in coverage was 10% or greater, per code case j
N-460, a subsequent relief request will be submitted.
Some repair activities were performed after the and of the refueling l
outage, October 5, 1994.
These post-outage activities are included in I
this report rather than the next report to state the extent of completion of the second period second interval examinations.
The post-outage examinations contained in this report will not.be reported in the next j
NIS-1 report.
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Docket Numba.rt 50-338 Serial Number: 94-688 Page 4 of 11 Results Examinations of components and component supports resulted in three. items being reported on the basis of procedure reporting criteria.
A)
A 1/4" x 1/8" deep hole was found by visual examination in feedwater integral attachment weld SW-36 shown on drawing 11715-WMKS-0102A, class 2.
The integral attachment was determined to be operable in the as-found condition.
The indication was removed by grinding by repair program reported in Attachment 2 page 7 Item BP and examined by liquid penetrant. The liquid penetrant examination found 10 rounded indications ranging from 0.20" to 0.70".
The rounded indications were evaluated by Virginia Power Materials Engineering and determined to be porosity from original weld fabrication and will not result in the failure of the weld to satisfy its intended service requirements.
They were accepted for continued service.
However, a
-epair program (R/R 94-387) has been issued to repair ten indications un monoball support 1-FW-PH-R-34 weld SW-36 during the next refueling outage.
Additional examinations were performed as required by IWC-2420 and are listed on Attachment 1 page 8.
B)
During the remote examination of the reactor vessel internals five foreign objects were located on the lower core plate, 11715-WMKS-RC-l R-1.1, Class 1.
The objects were retrieved and removed from the vessel.
l C)
Drawing 11715-WMKS-104C had not been revised to show a long seam weld between circumferential welds 17 and 18, Class 2.
The weld was examined at the intersecting circumferential welds and reported as LS-A(17) and LS-A(18).
The weld was found to be acceptable. Drawing 11715-WMKS-104C will be revised by March 31, 1995.
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DockOt Number 50-338 Serial Number: 94-688 l
Page 5 of 11 l
Resolution of Previous Interval 1 NIS-1 cnemi+= ants l
The following is a synopsis of commitments made in the previous NIS-1 cubmittal and their status:
i 1.
Letter Serial No.93-303 Attachment 1, page 13, iten B:
A commitment was made to revise drawing 11725-PSSK-0103AE.08 to depict l
field arrangement for support SH-252.
t The correct field arrangement is shown in revision 2 of this drawing.
2.
Letter Serial No.93-303 Attachment 1, page 13, item F:
t A commitment was made to revise drawing 11715-WMKS-0107C to depict i
removal of spring hanger SH-71A.
l The correct field arrangement is shown in revision 3 of this drawing, j
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Letter Serial No.93-303 Attachment 1, page 14, item I:
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A commitment was made to revise drawing 11715-PSSK-0111AB.02 to depict field arrangement for support R-18A and to reexamine it in the next j
outage.
i The correct field arrangement is shown in revision 3 of this drawing l
and the support was inspected on 9/11/94.
l 4.
Letter Serial No.93-303 Attachment 1, page 14, iten J:
A commitment was made to revise drawing 11715-WMKS-RC-R-1.2 to reflect the arrangement of marmon clamp MC-04.
l The correct field arrangement is shown in revision 2 of this drawing.
5.
Letter Serial No.93-303 Attachment 1, page 14, item K:
I A commitment was made to visually examine LEG-3 shown on drawing l
11715-WMKS-SI-TK-2 in the tFtrd period.
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Revision 4 of the ISI Ten Year Inspection Plan has this item scheduled j
for the third period (12/24/95 - 12/24/98).
6.
Letter Serial No.93-303 Attachment 2, page 10, Repair / Replacement l
Program 92-324:
A commitment was made to perform an RT examination of 0" - 0.5" on weld 36B on 11715-SHP-1E.
The RT examination was completed on 9/28/94 and found to be j
acceptable.
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Docket Number: 50-338 Serial Number: 94-688 Page 6 of 11 7.
Letter Serial No.93-303 Attachment 2, page 10, Repair / Replacement Program 92-325:
A commitment was made to perform an PT examination of weld 34B on 11715-SHP-2D.
The PT examination was completed on 9/28/94 and found to be acceptable.
8.
Letter Serial No.93-303 Attachment 3, Evaluation Analyses Station Request REA #93-007 page 8 of 8.
A commitment was made to clean away the red tape that exists between l
line number 8"-QS-4-153A-Q3 and support number 1-QS-R-19.
The tape was removed prior to 7/7/93 Analvtical Evaluations No analytical evaluations were performed.
Evaluation Analyses No evaluation analyses as described by IWB-3600 were performed.
Statement of Interval Status Virginia Electric ar.1 Power has completed 60% of Second 10-Year Interval i
Section XI requirements.
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DockGt Numbers 50-338 Serial Number: 94-688 Page 7 of 11 Abstract of Examinations Performed IWB, IWC & IWF The exams were performed to satisfy the first period requirements.
DRAWING MARK SECTION XI EXAM EXAM NLMBER NLasBER LINE NUMBER class CATEGRY ITEM METNQD DATE REMARKS t
11715-WMK5-0101B LS 51(17) 32' sNP 1-601-02 2A C-F C5.22 MT/UT 09/27/M 117154aers 0101B ts 51(18A) 32' sHP-1-601-02 2A C-F C5.22 MT/UT 09/27/94 117154 sets 0101B SW-29W 328 SMP-1-601-02 2A CF C5.21 MT/UT 09/27/94 11715 WMKS-0101C 14 328 sNP-2-601-02 2A C-F C5.21 MT/UT 09/15/94 11744 sets-0101C LS-52(14) 328*sMP-2 601 02 2A C-F C5.22 MT/UT 09/15/94 11715 WMKS 0101C Ls-52(sW-1) 32' $NP 2-601-G;2 2A C-F C5.22 MT/UT 09/15/94 117&nauts 0101C SW 22W 32' SNP-2-601-02 FA C-F C5.21 MT/UT 09/19/94 11715 WMrs 01010 SW 29W 328 sNP-3-601 02 EA CF C5.21 MT/UT 09/28/94 117154auts 01010 sW 40W 32' sHP 3-601-02 2A C-C C3.20 MT 09/17/94 11715-WMKS-0102A 17M 168 WFPD 24-601-02 2A C-C C3.20 PT 09/28/94 11715-WMCs-0102A SW-36 16'-WFPD-24-601-Q2 2A C-C C3.20 PT 10/01/94 *A 11715 WMKs 0102A sW-39 16'-WFPD-24-601-02 2A C-C C3.20 MT 09/17/94 11715 WMKs-0102A sW-49 16'-WFPD-24-601-02 2A C-C C3.20 MT 09/15/94 11715-WMKs 0102B SW-44 16' WFPD-23-601-02 2A C-C C3.20 MT 09/17/94 11715-WMKs 0103AE 1 7 3'-51-139-1502-01 1A B-J B9.21 PT 09/30/94 117154asts 0103AE-1 25 3'-SI 37-1502 01 1A B-J B9.21 PT 09/26/94 11715-WMKs 0103AE-2 47 3' 51-57-1502-01 1A B-J B9.21 PT 09/26/94 11715-WMKs-0103AF
$1 211 BLTG 6' SI-19-1502-01 1A B-G-2 B7.70 VT 1 09/20/94 11715-WMKS 0103AT sW-106 1 1/2'-CM-398-1502-01 1A BJ 89.40 PT 09/26/94 117154auts-0103AV 15 2' CH-92-1502-01 1A B-J 89.40 PT 09/14/95 117154aeKs-0103AV sW-10 2'-CH-92-1502-01 1A BJ 89.40 PT 09/22/94 11715-nants 0103AV SW-11 2' CH-92-1502 01 1A B-J B9.40 PT 09/22/94 11715-nauts 0103AV SW-52 1 1/28 CH-396-1502-01 1A BJ 89.40 PT 09/26/94 11715-nauts-0103BB 1 16 2'-RC-53-1502-01 1A B-J 89.40 PT 09/26/94 11715-WMKs-0103BB-3 44 3' RC-219-1502-01 1A B-J 89.21 PT 09/22/94 11715-nants-0103BE 17 2' CM-10-1502 01 1A B-J B9.40 PT 09/27/94 11715-WMKs 0103BE 21 2' CM-10-1502-01 1A B-J 89.40 PT 09/22/94 11715-WMKs 0103BE SW-2 2' CH-10-1502-01 1A B-J 89.40 PT 09/27/94 11715-nsIKs-0103BE SW 5 28-CH-10 1502-01 1A B-J 39.40 PT 09/26/94 11715-WMKS-0103BM 6
28-RC-53 1502 01 1A BJ 39.21 PT 09/24/94 117154acKs-0103BH 7
2' RC 218-1502 01 1A BJ 89.21 PT 09/24/94 117154aeKS-0103BM SW-7 2'-RC-53-1502-01 1A B-J 89.21 PT 09/24/94 117154aeKS 0103W 39 68 51 132 1502-01 1A B-J 39.11 PT/UT 09/22/94 11715-WMKs 0103W 46M 68 s1-132 1502-Q1 1A B K-1 B10.10 PT 09/22/94 Portfat 117154atts-0103W SI-89 BOLTING 6'-51-132-1502-01 1A B-G-2 B7.70 VT-1 09/23/94 117154seKs-0103W SI-89 VLV BDY 6' 51-132-1502-01 1A B-M-2 B12.50 VT 3 09/23/94 i
117154seKs-0103W SW-5 6' s1 132 1502 01 1A B-J 89.11 PT/UT 09/22/94 117154aats-0103W SW-50 6' 51 132-1502-01 1A BJ B9.32 PT 09/22/94 11715-naeKs-0103W SW-8 d' 51-132-1502-01 1A B.J B9.11 PT/UT 09/22/94 11715-WMKs-0104A 1 LS 76W(sW-95) 10'-s! 25-153A-Q2 2A CF1 C5.12 PT/UT 09/14/94 11715 WMKs-0104A 1 ts-76W(SW 96) 10' s! 25 153A 02 2h C-F 1 C5.12 PT/UT OW14/94 11715-natts-0104A-1 LS 95(834) 10' sI 25 153A 02 2A C-F-1 C5.12 PT/UT 09/14/94 11715-naeKS-0104C 13 12' 81 2-153A-02 2A C-7-1 C5.11 PT/UT 09/18/94 117154sers-0104C 17 12' s! 1 153A 02 2A CF1 C5.11 PT/UT 09/19/94 11715-neeKs-0104C LS-A(17) 12*-SI 1 153A-02 2A C-F-1 C5.12 PT/UT 09/18/94 *C 11715 neeKS-0104C Ls A(18) 128-SI-1-153A-Q2 2A C-F-1 C5.12 PT/UT 09/18/94 *C 11715 WMKS-0104C SW-24 128 s! 14-153A-Q2 2A C-F 1 C5.11 PT/UT 09/18/94 117154asts-0104D 1 52 108 Rs-9-153A-Q2 2C C-F-1 C5.11 PT/UT 09/14/94 117154auts-0104G Ls-1W(sW-58) 88-os 4 153A-03 2A C-F-1 C5.12 PT/UT 10/04/94 117154aers 0104G ts-1W(sW 59) 8' os 4-153A-Q3 i!A C-F-1 C5.12 PT/UT 10/04/94 11715-naeKS-0104K ts-70(70) 108-s!-213 153A-Q3 2A C-F 1 C5.12 PT/UT 09/13/94 117154aers-0104K ts-70(71) 10' sI-213-153A-Q3 2A C-F 1 C5.12 PT/UT 09/13/94 117154acKS-0107C 27H 8'-OS 4-153A 03 2A C-C C3.20 PT 09/15/94 l
117154asts-0107C 34M 8'-0s-4 1534-Q3 2A CC C3.20 PT 09/15/94 117154 sets 0109E-1 8
31'-PC-2-2501R 01 1A B-J B9.11 PT/UT 09/21/94 Partist 11715-neeKS-0109F-1 20 318-RC-5-2501R-Q1 1A B-J B9.11 PT/UT 09/22/94 Partist 1171548tKS 0109G-2 SW 31 29' RC-7-2501R-01 1A BJ B9.31 PT/UT 09/25/94 Partist 11715-nauts-0109G-2 SW-42 271/2'-RC-9 2501R-01 1A B-J 89.31 PT/UT 09/25/94 Partial 11715 WMKS-01103-1 49 1 1/28 RC-105 1502-01 1A BJ 89.40 PT 09/22/94 117154acKS 0111AB R-18A 6'-CH-72 153A-Q2 2A F-B F2.0 VT 3 09/11/94
Docket Number: 50-338 Serial Number: 94-688 Page 8 cf 11 DRAWING MARK SECTION XI EXAM EXAM NUMBER NUMBER LINE NLMBER CLASS CATEGRY ITEM METHOD DATE REMARKS i
11715-WMKS 0111C LS-58(8W-21) 8'-CH-17-153A-Q2 2A C-F-1 C5.12 PT/UT 09/19/94
)
11715-WMKS-0111C LS-58(SW-37) 88 CH-17-153A-02 2A C-F 1 C5.12 PT/UT 09/19/94 1
11715-WMKS-0113A-1 2
14' RM 1-1502-01 1A B-J 59.11 PT/UT 09/22/M 11715-nMKS-CH-E-3 SUPT BRACKET 1-CH-E-3 1A FA F1.0 VT-3 09/30/M 11715-bMKS-RC-E-1 A.1 TUBING 1 RC E 1A 1A B-Q B16.20 ET 09/28/96 11715-nMKS-RC-E 1A.2 10NIR 1 RC-E-1A 2A CB C2.22 UT 09/28/o4 11715-nMKS RC-E-18.1 8 1-RC-E 1B 2A C-A C1.20 UT 09/30/M 11715-WMKS-RC E-18.2 09 1-RC E 15 2A C-B C2.21 UT/MT 09/27/94 11715-WMKS-RC-E 1C.1 CL-MANWAY 1 RC E 1C 1A B-G-2 B7.30 VT-1 09/27/94 i
11715-WMKS-RC-E-1C.1 HL-MANWAY 1 RC-E-1C 1A B-G-2 B7.30 VT 1 09/27/94 l
11715-nMKS RC-E-1C.1 TUBING 1 RC E-1C 1A B-Q B16.20 ET 09/28/94 11715 WMKS-RC E-2 9
1-RC-E-2 1A B-D B3.110 VT-2 09/09/94 11715-nMKS RC-E-2 9NIR 1-RC-E-2 1A B-D B3.120 VT 2 09/09/M l
11715 WMKS-RC-R-1.1 INT 1-RC-R-1 1A B-N 1 B13.10 vi 3 09/23/94 *B 11715-WMKS RM-E 1B 3
1 RM-E-1B 2A C-5 C2.33 VT-2 09/29/94 11715-nMKS-RM-E-15 4
1 RH-E 1B 2A C-B C2.33 VT 2 09/29/94
- Indication (the letter refers to the item listed in the Results section Attachment 1 page 4 of 11.
The following examinettons were performed to satisfy additionet examinetton requirements of IWC-2420 due to en indication found on SW-36 on 11715-WMKS-0102A. No Section XI credit wee taken for these examinettons. Credit will I
be taken when the examinations are performed as scheduled in the 10 Year Inservice Inspection Plan.
DRAWING MARK SECTION XI EXAM EXAM NUMBER NUMBER LINE NUMBER CLASS CTGRY ITEM METHOD DATE REMARKS l
11715-WMKS-0104A-2 85W 10' SI-239 153A-02 2A C-C C3.20 PT 10/01/94 1'
11715-WMKS-0104K 94H 10'-SI-214 153A-02 2A C-C C3.20 PT 10/01/94 11715-WMKS-0107E 28H 10'-QS 1-153A-Q3 2A C-C C3.20 PT 10/G1/94 11715-nMKS 0107M 82H 8'-SI-40-153A-02 2A C-C C3.20 PT 10/D1/94 11715-WMKS CH-P 1A WS 01 1-CH-P-1A 2A C-C C3.30 PT 09/30/94 11715 WMKS-CH-P-1A WS-02 1-CH-P-1A 2A C-C C3.30 PT 09/30/94 11715-bMKS-CH-P-1 A WS-03 1-CH-P-1A 2A C-C C3.30 PT 09/30/94 11715-WMKS CH-P-1A WS-04 1-CH P-1A 2A C-C C3.30 PT 09/30/94 l
l l
1 i
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1 DockOt Numbers 50-338 Serial Namhar: 94-688 Page 9 of 11 System Pressure Tests The following inservice leak test were performed to complete the second I
period requirements.
1-CH-001 Emergency borate header, blender, and boric acid filter, Class 2.
Test was completed on 11/11/94 1-CH-002 Normal charging system, Class 2, test completed 11/11/94 f
1 1-CH-003 Normal charging system, Class 2, test completed 11/11/94. No credit taken. Credit taken last' outage.
1-CH-004 Normal charging system, Class 2, test completed 11/11/94 1-CH-005 Charging system, loop fill, Class 1.
The test was completed on 9/11/94.
1-CH-006 Normal charging system, Class 2, test completed 11/11 94 i
f 1-CH-009 Charging system, boric acid transfer normal flow path, f
Class 2. The test was completed on 11/11/94.
i 1-CH-10 Boric acid transfer pump 1-CH-P-2C, class 2. Test completed
[
11/11/94
[
1-CH-11 Boric acid transfer, Class 2, Test completed 11/11/94.
I 1-DA-001 Containment sump discharge, Penetration 38, Class 2.
The i
test was completed on 9/29/94.
1-FP-001 Fire protection to reactor containment penetration 34, Class l
2.
The test was completed on 9/10/94.
1-QS-003 Quench spray return to RWST, Class 2.
The test was completed on 10/5/94.
1-QS-004 2-QS-P-1B suction and recirc. piping, Class 2.
Test was completed on 11/8/94.
l l
i 1-QS-005 Quench spray, chemical addition tank, Class 2.
The test was completed on 10/5/94.
[
1-QS-007 Quench spray, RWST and attached piping, Class 2.
The test was completed on 10/5/94.
l 1-RC-001 Reactor Coolant System, Class 1/2, test completed 10/8/94 1-RII-001 RHR system, penetration 97, Class 2, test completed 9/18/94 l
i r
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~1 Docket Nn=Mrs c 50-338 -
l Serial Nn= h r: 94-688
'l Attachment.1~
Page 10 ofL11-
?
L1-RP-001'
-Refueling purification to the cavity, penetration 103,. Class 2.
The test was completed on 9/27/94.
t 1-RP-002 Refueling purification from the' cavity, penetration 104,
~
Class 2.
The test was completed on 9/27/94.
1-RS-0011 RHR system, Class 2,-test completed 9/21/94. No credit taken, credit taken last outage..
.1-RS-002 RHR system, Class 2, test completed 9/21/94. No credit taken, credit taken last outage.
1-RS-005 Recirc. Spray, casing cooling pump 1-RS-P-3A and discharge piping, Class 2.
The test was completed on 10/3/94.
i 1-RS-006 Recirc. spray, casing cooling pump 1-RS-P-3B and discharge piping, Class 2 The test was completed on 10/4/94.
1-RS-007 Recirc. spray to outside RS pump suction, Class 2.
The test was completed on 9/21/94.
j 1-RS-011 Recirc. spray pump 1-RS-P-2A suction and discharge, Class 2.
The test was completed on 10/5/94.
J 1-RS-012 Recirc. spray pump 1-RS-P-2B suction and discharge, Class i
2.
The test was completed on 10/5/94.
.1-SI-010 RWST to low head safety injection pumps, Class 2.
The test
{
was completed on 10/5/94.
1-SI-014 Safety Injection to Hot Leg, Class 1/2, test completed l'
10/8/94 1-SI-020 Low head safety injection to charging pump suction, Class 2.
The test was completed on 11/11/94.
1-SS-002 Sample system pressurizer relief tank gas sample space, penetration 57B, Class 2.
The test was completed on 9/14/94.
Snubber Replacements l
A total of 81 snubbers were replaced as part of the Tech. Spec. functional test program.
Out of the 81 snubbers tested there was one failure, 1-NS-HSS-204 on 11715-WMKS-101B Class 2.
The cause of the failure was due to a piece of an 0-ring obstructing the valve block. The failure was determined to be nongeneric therefore no expansion of the test group was necessary.
[
Since there was only one functional test failure during the last refueling cutage, one snubber had to be removed for retest.
A total of 21 snubbers wsre replaced due to seal life considerations or maintenance activities to resolve various visual anomalies and in support of other departments.
I DockGt Numbers 50-338 Serial Number: 94-688 l
Page 11 of 11 Snubber removal and installation for the Tech. Spec. functional test program are considered maintenance activies and not ASME Section XI repair cnd replacements. The ANII was not involved in the review of this work.
l STEAM GENERATOR EDDY CURRENT i
STEAM GENERATOR "A" Tubes Inspected Full Length: 1803 of 3592 Tubes Plugged: None Indications Recorded: None-STEAM GENERATOR "C" Tubes Inspected Full Length: 1796 of 3592 Tubes Plugged: None Indications Recorded: None b
i a
ATTACHMENT 2 1994 UNrT 1 REFUEUNG OUTAGE INSERVICE INSPECTION
SUMMARY
REPORT i
F OWNER'S REPORT OF REPAIRS AND REPLACEMENTS 1
NORTH ANNA POWER STATION - UNir 1 i
P.O. BOX 402 MINERAL, VA 23117 COMMERCIAL SERVICE DATE 64-78 DECEMBER 29,1994 l
VIRGINIA ELECTRIC AND POWER COMPANY 5000 DOMINION BOULEVARD GLEN ALLEN, VA 23060 i
~-
oo Docket Number: 50-338 Serial Number:.94-688 Page 1 of 90 1
Renairs and'Renlacements i
Repairs and replacements completed during this inservice inspection period were performed in accordance with section XI of the ASME Boiler and Pressure Vessel code, 1983 Edition Summer 1983 Addenda.
The following paragraphs and the attached NIS-2 Forms (Attachment 2, pages l
9 thru 90) represent those repairs and replacements performed on Class 1 or Class 2 systems:
l A)93-240 - Repaired eroded cladding in discharge nozzle of pump 1-CH-P-IC and replaced weld 76, Class 2, (Work Order 262090).
The repair was completed on 7/30/93.
B)- 93-291 - Replaced body to bonnet bolting on check valve 1-CH-254, f
Class 2, (Work Order 261377).
The replacement was completed on l
9/3/93.
C)93-439 - Replaced extension piece (spacer) for valve body to repair bonnet leak on 1-MS-PCV-101C, Class 2, (Work Order 272760).
e Replacement completed on 10/13/93 l
D)93-508 - Replaced bonnet nuts and one damaged inlet stud. on 1-MS-PCV-l 101C, Class 2, (Work Order 279709-01).
The nuts were replaced due to a new design.
The replacement was completed on 3/8/94.
[
E)93-509 - Machined valve bonnet / body gasket surface on 1-MS-PCV-101C, l
Class 2, (Work Order 279709-01).
The surface was machined to remove t
any imperfections. Replacement was completed on 1/4/94.
F) 94-21 and 94-332 - Replaced 3 inch flanges and flange bolting on 3"-
i WGCB-3-601-Q3, Class 2 (Work Order 262329-01).
The flanges were replaced to repair a leak.
Deviation Report N-94-1770.-
G) 94 Replace bonnet bolting on 1-RS-95, Class 2 (Work Order l
280698).
Bolting was replaced due to improper thread engagement.
Replacement was completed on 2/8/94.
I H) 94 Replace bonnet bolting on 1-SI-MOV-1862B, Class 2 (Work Order j
280844-01).
Bolting was replaced due to improper thread engagement.
Replacement was completed on 2/4/94.
l I) 94 Replace bonnet bolting on 1-RS-MOV-156A, Class 2 (Work Order 281696).
Bolting was replaced due to improper thread. engagement.
Replacement was completed on 5/2/94.
t J) 94 Replaced bonnet studs and one missing nut on 1-RS-MOV-100A, Class 2, (Work Order 280952-01). Bolting was replaced due to improper thread engagement. The replacement was completed on 2/3/94, Deviation Report N-94-1770.
l I--
i l
Docket Numher: 50-338
' Serial Number: 94-688 Page 2 of 90 l
l K)- 94-58 -- Replaced flange bolting on restriction orifice 1-RS-RO-108B, Class 2, (Work Order 283040).- Bolting was. replaced due to improper thread engagement. The replacement was completed on 9/17/94, Deviation l
Report N-94-1770.
l
'L) 94-59
' Replaced flange bolting on restriction orifice 1-RS-RO-108A, i
Class 2, _ (Work Order 283038). Bolting was replaced due to improper i
thread engagement. The replacement was completed on 9/17/94, Deviation-l Report N-94-1770.
{
N) 94 Replaced flange bolting on restriction orifice 1-RS-RO-107B, Class 2, (Work Order 283014). Bolting was replaced due to improper i
thread engagement. The replacement was completed on 9/17/94, Deviation Report N-94-1770.
l N) 94 Replaced flange bolting on restriction orifice 1-RS-RO-106B, Class 2,-(Work Order 283012). Bolting was replaced due to improper thread engagement. The replacement was completed on 9/17/94, Deviation Report N-94-1770.
O) 94 Replaced flange bolting on restriction orifice 1-RS-RO-105A, i
Class 2, (Work Order 283008). Bolting was replaced due to improper i
thread engagement.
The replacement was completed on 9/17/94, Deviation Report N-94-1770.
{
f P) 94 Replaced flange bolting on restriction orifice 1-RS-RO-106A, Class 2, (Work Order 283011). The bolting was replaced due to
[
corrosion.
The replacement was completed on 9/17/94, Deviation Report N-94-1770.
Q) 94 Replaced flange bolting on restriction orifice 1-RS-RO-107A, Class 2, (Work Order 283013). The bolting was replaced due to corrosion.
The replacement was completed on 9/17/94, Deviation-Report
[
N-94-1770.
R) 94 Replaced flange bolting on restriction orifice 1-RS-RO-105B, l
Class 2, (Work Order 283010). The bolting was replaced due to r
corrosion.
The replacement was completed on 9/17/94, Deviation Report j
N-94-1770.
S)94-112 - Cut a 1 1/4" pressure tap pipe on 1-CH-341 (Reactor Coolant f
Pump "A") and installed a pipe cap Class 1, (Work Order 288660 DCP 93-202).
The pressure tap is no longer used. The replacement was i
completed on 10/8/94.
l T)94-113 - Cut a 1 1/4" pressure tap pipe on 1-CH-342 (Reactor Coolant Pump "A")and installed a pipe cap Class 1, (Work Order 288664 DCP 93-202).
The pressure tap is no longer used. The replacement was completed on 10/8/94.
g.
.. ~
i I
Docket Number: 50-338 Serial Number: 94-688 Page 3 of 90 U) ' '94-114 - Cut a 1 1/4" pressure tap pipe on 1-CH-363 (Reactor Coolant Pump "B")
and installed a pipe cap Class 1, (Work Order 288675 DCP 93-l 202).. The pressure tap is no longer used. The replacement was completed on 10/8/94.
V)94-115 - Cut a 1 1/4" pressure tap pipe on 1-CH-364 (Reactor Coolant _
Pump "B") and installed a pipe cap Class 1, (Work Order 288677 DCP 93-i 202).
The pressure tap is no longer used. The replacement was completed on 10/8/94.
l t
W)94-116 - Cut a 1 1/4" pressure tap pipe on 1-CH-385 (Reactor Coolant 1
Pump "C") and installed a pipe cap Class 1, (Work Order 288684 DCP 93-202).
The pressure tap is no longer used. The replacement was 1
completed on 10/8/94.
l 1
X)94-117 - Cut a 1 1/4" pressure tap pipe on 1-CH-386 ( Reactor Coolant Pump "C")
and installed a pipe cap, Class 1, (Work Order 288686 DCP i
93-202).
The pressure tap is no longer used. The replacement was completed on 10/8/94.
l Y)94-123 - Replaced tube steel on pipe support 1-QS-PH-11.1, 1-QS-PH-11.5, and 1-QS-PH-11.6, Class 2 (Work Order 289217-1, 2, and 3).
The tube steel was damaged by ice expansion.
The replacement was j
completed on 5/18/94.
t Z)94-135 - Replaced bonnet bolting on 1-QS-38, Class 2 (Work Order j
290392-01).
The bolting was replaced due to corrosion.
The replacement was completed on 7/5/94.
t AA)94-209 - Installed flow venturis and flow orifices on high head safety I
injection lines, Class 2, (DCP-94-007).
The flow venturis and flow j
orifices will improve the flow measurement capabilities on the high head safety injection system.
The replacement was completed on 10/8/94.
s AB)94-211 - Replace bonnet bolting on 1-CH-287, Class 2, (Work Order i
297332).
The bolting was replaced during repair of valve for leak-by.
l Replacement was completed on 9/26/94.
[
AC)94-212 - Replace bonnet bolting on 1-CH-288, Class 2, (Work Order 297341).
The bolting was replaced during repair of valve for leak-by.
i Replacement was completed on 9/28/94.
AD)94-214 - Replaced flange bolting on 1-QS-FE-104, Class 2, (Work Order 291238) The bolting was replaced as part of the gasket replacement to repair a leak.
The replacement was completed on 11/7/94.
f
-_. ~-
I Docket Number: 50-338 i
Serial Number: 94-688 Page 4 of 90 l
)
AE)94-215 - Replaced flange bolting on 1 1/2"-QS-11-152-Q3, Class 2, (Work Order 291237-02) The bolting was replaced as part of the gasket replacement to repair a leak.
The replacement was completed on 8/26/94.
AF)94-218 - Replaced flange bolting on 1-QS-PP-11-152-Q3, Class 2, (Work i
Order 291237-02) The bolting was replaced as part of the gasket l
replacement to repair a leak.
The replacement was completed on 11/7/94.
AG)94-227 - Installed a 2" check valve in line 3"-CH-73-153A-Q2 and moved i
4x4x3 tee from line 4"-CH-112-153A-Q2, Class 2 (Work Order 296203, DCP 94-100).
The modification was made to prevent thermal fatigue of piping caused by valve leakby.
Replacement was completed on 9/24/94.
AH)94-242 - Replaced one stud and two nut on the inlet flange of 1-RC-SV-1551C, Class 1, (Work Order 280208-3).
The stud was damaged during disassembly.
Replacement was completed on 9/17/94.
AI)94-243 - Replaced the inlet flange bolting on 1-MS-SV-105C, Class 2, (Work Order 280284).
The bolting was replaced as a good maintenance practice.
Replacement was completed on 10/2/94.
AJ)94-244 - Replaced three studs and three nuts on the inlet flange of 1-t RC-SV-1551A, Class 1, (Work Order 280208-1).
The stud was damaged during disassembly.
Replacement was completed on 9/17/94.
I i
AK)94-245 - Replaced the inlet flange bolting on 1-MS-SV-105B, Class 2, (Work Order 280282-02).
The bolting was replaced as a good maintenance practice.
Replacement was completed on 10/2/94.
I AL)94-246 - Replaced one stud on the inlet flange of 1-RC-SV-1551B, Class i
1, (Work Order 280208-2).
The stud was damaged during disassembly.
Replacement was completed on 9/17/94.
1 AM)94-247 - Replaced the inlet flange bolting on 1-MS-SV-105A, Class 2, j
The bolting was replaced as a good maintenance practice.
Replacement was completed on 10/1/94.
AN)94-248 - Replaced the inlet flange bolting on 1-MS-SV-104C, Class 2, (Work Order 280278-02).
The bolting was replaced as a good i
maintenance practice.
Replacement was completed on 10/2/94.
AO)94-249 - Replaced the inlet flange bolting on 1-MS-SV-104B, Class 2, (Work Order 280277-02).
The bolting was replaced as a good maintenance practice.
Replacement was completed on 10/2/94.
1 i
Docket Number: 50-338 Serial Number: 94-688 Page 5 of 90 AP) 94-?SO - Replaced the inlet flange bolting on 1-MS-SV-104A, Class 2, (Work Order 280276-02).
The bolting was replaced as a good maintenance practice.
Replacement was completed on 10/1/94.
AQ)94-251 - Replaced the inlet flange bolting on 1-MS-SV-103C, Class 2, (Work Order 280275-02).
The bolting was replaced as a good maintenance practice.
Replacement was completed on 10/2/94.
AR)94-252 - Replaced the inlet flange bolting on 1-MS-SV-103B, Class 2, (Work Order 280272-02) The bolting was replaced as a good maintenance practice.
Replacement was completed on 10/2/94.
l AS)94-253 - Replaced the inlet flange bolting on 1-MS-SV-103A, Class 2, (Work Order 280269-02).
The bolting was replaced as a good maintenance practice.
Replacement was completed on 10/1/94.
AT)94-254 - Replaced the inlet flange bolting on 2-MS-SV-102C, Class 2, (Work order 280267-02).
The bolting was replaced as a good maintenance practice.
Replacement was completed on 10/1/94.
AU)94-255 - Replaced the inlet flange bolting'on 1-MS-SV-102B, Class 2, (Work Order 280266-02).
The bolting was replaced as a good maintenance practice.
Replacement was completed on 10/2/94.
AV)94-256 - Replaced the inlet flange bolting on 1-MS-SV-102A, Class 2, (Work Order 280265-02).
The bolting was replaced as a good maintenance practice.
Replacement was completed on 10/2/94.
AW)94-257 - Replaced the inlet flange bolting on 1-MS-SV-101C, Class 2, l
The bolting was replaced as a good maintenance practice.
Replacement was completed on 10/1/94.
AX)94-258 - Replaced the inlet flange bolting on 1-MS-SV-101B, Class 2, (Work Order 280220-02).
The bolting was replaced as a good maintenance practice.
Replacement was completed on 10/2/94.
AY)94-259 - Replaced the inlet flange bolting on 1-MS-SV-101A, Class 2, (Work Order 280219).
The bolting was replaced as a good maintenance practice.
Replacement was completed on 10/1/94.
AZ)94-265 - Replaced valve 1-CC-84, Class 2 (Work Order 299077-1).
The valve was replaced due to failing Type C test.
The replacement was j
completed on 10/8/94.
BA)94-268 - Replaced bolting on pipe support 1-QS-PH-RH-71, Class 2 (Work Order 297835-01).
The bolting was replaced due to corrosion.
Replacement was completed on 9/26/94, Deviation Report N-94-1770.
1 Docket Numbert 50-338 Serial Number: 94-688 Page 6 of 90
.BB)94-274 - Replaced #1 Conoseal flange, Class 1, (Work Order 299248-01).
2 l
The defect was found during the VT-2 examination at-the start of the outage.
The replacement was completed on 10/8/94.
[
BC)94-275 - Replaced #4 Conoseal flinge, Class 1, (Work Order 299246-01).
i The defect was found during the VT-2 examination at the start of the outage.
The replacement was completed on 10/8/94.
BD)94-292 - Replaced valve disc on 1-CH-325, Class 1 (Work Order 290919).
The disc was found to be stuck open during inspection.
Replacement was completed on 9/26/94, Deviation Report N-94-1770.
BE)94-300 - Replaced valve disc on 1-MS-SV-101C, Class 2, (Work Order 280221-01).
The disc was replaced due to a fr.iled seat leakage test.
}
The replacement was completed on 10/14/94.
l BF)94-301 - Replaced valve disc on 1-MS-SV-103A, Class 2, (Work Order 280269-01).
The disc was replaced due to a failed seat leakage test.
The replacement was completed on 9/23/94.
l BG)94-304 - Repaired #1 Conoseal flange seal weld, Class 1, (Work Order 299246-01).
The defect was found during final LP examination of l
conoseal flange replacement under repair program 94-275.
The repair was completed on 10/8/94.
BH)94-305 - Replaced valve 1-IA-55, Class 2 (Work Order 299588-1).
The valve was replaced due to failing Type C test.
The replacement was completed on 9/23/94.
BI)94-306 - Replaced valve disc on 1-CH-322, Class 2, (Work Order 290889-01).
The disc was replaced during inspection of bushing engagement.
i The replacement was completed on 9/28/94.
BJ)94-307 - Replaced valve bolting and valve sent in spare which was removed from location 1-CC-199 under repair program 93-56 and i
installed this rebuilt valve in location 1-CC-546, Class 2 (Work Order l
299531-01).
The flange bolting was replaced during installation.
The valve was replaced due to failed Type C test.
Replacement was i.
completed on 10/11/94.
l BK)94-314 - Machined 0.020 inches off of the disc of 1-SI-89, Class 1, (Work Order 299220-01).
The machining was performed due to a failed Type C test.
Replacement was completed on 9/23/94 l
BL)94-318 - Replaced valve disc on 1-CH-496, Class 1, (Work Order 299555).
The disc was replaced during inspection of bushing engagement.
The replacement was completed on 9/22/94.
l l
_ ~ -
i Docket Number: 50-338 Serial Number: 94-688 i
Attachment ?
Page 7 of 90 i
I BM)94-324 - Repaired #1 Conoseal flange seal weld, Class 1, (Work Order
.)
299248).
The defect was found during final LP examination of conoseal l
flange replacement under repair program 94-274.
The repair was completed on 10/8/94.
l BN)94-327 - Machined 0.030 inches off of the disc of 1-CH-322, Class 2, 1
The mating surface was inspected during the inspection of bushing engagement.
The machining was performed to restore the mating surface.
Repair was completed on 9/24/94 i
BO) 94-J29 - Repair defect on a.feedwater integral attachment, SW-36 on 11715-WMKS-0102A, Class 2 (Work Order 299824).
The defect was found during inservice inspection (see Attachment 1 page 4 of 11 Item A).
l Repair was completed on 10/1/94.
i BP)94-335 - Installed a heli-coil in the secondary manway of 1-RC-E-1A, Class 2 (Work Order 299795).
The bolt was cut off to remove manway l
I and then drilled out.
Replacement was completed on 10/14/94.
BQ)94-342 - Replaced valve plates, studs and nuts on 1-CC-559, Class 2 l
The valve plates were replaced due to a failed Type C test.
Replacement was completed on 10/11/94.
l BR)94-346 - Installed new spring guides on spring hanger 1-SI-SPRH-53-3, Class 2, (Work Order 300279.
The pipe clamp had slide down and both spring cans had no load on them.
The replacement was completed on 11/7/94.
j BS)94-347 - Installed a new design of conoseal clamp assemblies, Class 1, (Work Order 278183 DCP 94-184).
The replacement was completed on 10/8/94.
BT)94-348 - Replaced a missing clamp bolt and nut on 1-SI-SPRH-51-31, Class 2, (Work Order 300297).
The replacement was completed on 11/7/94.
BU)94-352 and 94-354 Replaced valve seat, studs and nuts on 1-BD-TV-100E, Class 2 (Work Order 299165).
The valve seat was replaced due to a failed Type C test.
Replacement was completed on 10/6/94.
l BV)94-356 - Replaced expansion joint 1-RS-MEJ-1A and bolting, Class 2 (Work Order 300374).
The expansion joint was damaged by a heavy object being placed on top of it.
Replacement was completed on 10/5/94.
BW)94-361 - Replaced the main flange bolting of 1-QS-P-1A, Class 2 (Work Order 300445).
The bolting was replaced as a good maintenance practice.
The replacement was completed on 10/5/94.
t
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l Docket Number: 50-338 l
Serial Number: 94-688 Page 8 of 90 1
BX)94-365 and 94-367 - Replaced bonnet studs and nuts on 1-WT-505 and replaced studs on support 1-FPH-SGD-175, Class 2 (Work Order 300923).
Blowdown valve, 1-WT-505 was leaking by during startup.
Replacements were done to allow injection of furmanite.
The replacement was completed on 10/11/94.
l l
1
-Docket Number: 50-338
. Serial Number: 94-688 Page 9 of 90 FORM NIS 2 OWNER'S REPORT FOR REPAIPS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI s
Virginia Electric & Power Company 09/29/93 Nome 5000 Dominion Blvd. Glen Allen, VA. 23060
'1 1
Addreas North Anna Power Station 1
p Name P.O. Box 402 Mineral, VA. 23117 Wo # 262080 Repair / Replacement 93-240 Address Mooelr Orgenlastion P.O. No., Job No., etc.
Virginia Electric & Power Company N/A y
pg gg
"#^
Authortretion No.
5000 Dominion Blvd. Glen Allen, VA. 23060
'^
Expiration Date A Joress
- I' I' ""
- 4. Identification of System B31.7
"*"U 78'81*83 # '1*8
- 5. (a) Applicable Construction Code 1, 69
- Edition, Addende, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 "3 8 83 ^dd'"
- 6. Identification of Components Repelred or Replaced and Replacement Components 6
ASME i
Code National Repe red, Stamped Name of Name of Manufacturer Boerd Other Yeer ReplectNf, (Yes Component MenMecturer Seriel No.
No.
Identification Built or Replacunent or No)
P Pump Pacific Pumpo 46364 N/A 1-CH-P-1C 1973 I epair No 3-CH-01-1502-02 Southwest Fab M/A N/A Neld 76 Jnk.
I eplaced No 3-CH-81-1502-02 Southwest Fab N/A N/A Weld 76A 1993 1 eplacement No
- 7. Description of Work
- 8. Tests Conducted: Hydrostatic Pneumatic C Nominal Operating PressureC 2660 psi Test Temp. 85
'F Other O Pressure NOTE: Supplementes p.eets in form of lists, sketches, or drawings mey be used, provided (1) size is 84 in. a 11 in., (2) Informe-tion in items 1 through 8 on this report is included Jn each sheet, and (3) each sheet is numbered and ths 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 1
p Docket Number: 50-338 Serial Number: 94-688 Page 10 of 90 FORM NiS 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code section XI
- 1. Owner Virginia 5:lectric & Power Company Date 10/27/93 Name 5000 Dominion Blvd. Glen Allen, VA. 23060 Sheet 1
of 1
Address North Anna Power Station p
Unit 1
Name P.O. Box 402 Mineral, VA. 23117 NO # 2613?7. R/R Program 93-291 Address Repair Oreenisetion P.O. No., Job No., etc.
Virginia Electric & Power Company yg Type Code Symbol Stomp N/A Authoriretion No.
N/A 5000 Dominion Blvd. Olen Allen, VA. 23060 Empiration Date N/A Address
- 4. Identification of System CVCS (r'harging)
- 6. (e) Applicable Construction Code B31.7 19 69 Edition; W 1970 Addende; 7e, et, s 3 (R),12 5 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 1g 83 S 83 Addenda
- 6. Identification of r mponents Repaired or Replaced Snd Replacement Components a
ASME Code National
. Repaired, Stamped Name of Name of Manufacturer Board Other Yeer
- Replaced, (Yes Component Manu*ecturer Seriel No.
No.
Identification Built or Replacement orNo)
Check Valvt Velan Jnk.
N/A 1-CH-254 Jnk.
Replaced' No Check Valve Velan Jnk.
N/A 1-CH-254 Jnk.
Replacement No rep aced body to bonnet bolting after check valve inapection.
l
- 7. Description of Work
- 8. Tests Conducted: Hydrostetic Pneumatic Nominal Operating Pressure C Other Pressure 2660 pel Test Temp. e3 op NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in m 11 in.,82) Informe-tion in items 1 through 6 on this report is included on each sheet, and (3) each ehest is numbered and the number of sheets is recorded et the 1op 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 1
l I
Docket Numbers50-038 Serial Number: 94-688 Page 9 of 90 FORM Nis 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ARME Code Section XI e
Virginia Electric & Power Company 09/28; M Nome 5000 Dominion Blvd. Glen Allen, VA, 23060 1
1 Addreas North Anna Power Station 1
p Name P.O. Box 402 Mineral, VA. 23117 WO # 262080 Repair / Replacement 93-240 Adorses Piepoly organisation P.O. No., Job No., etc.
Virginia Electric & Tower Company N/A p
"#^
Authoritetion No.
5000 Dominion Blvd. Glen Allen, VA. 23060 Empiration Date Address l
rging system
- 4. Identification of System
- 5. (e) Applicable Construction Code 19
Edition:
Addende ' '
"I Code Case 83 8 83 d'"#*
(b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 i
- 6. Identificet;on of Components Repaired or Replaced and Replacement Components j
ASME Code National
- Repaired, Stemped Name of Name of Menufacturer soord Other Yeer
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
Pump Pacific Pumpe 16364 N/A 1-CH-P-1C 1973 1 epair No A
3-CH-81-1502-Q2 Southwest Fab 1/A N/A Weld 76 Jnk.
I eplaced No j
3-CH 81-1502-02 Southwest Fab M/A N/A Weld 76A 1993 I eplacement No I
P I
Repaired eroded cladding in discharge nostle of pump, replaced weld 76
- 7. Description of Work
- 8. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure {
Other Pressure 2660 pel Test Temp.
es e r i
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) stre is 8% in m 11 in (2) Informe-l tion in items 1 through 6 cc this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is l
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 1
i
FORM NIS-2 (Back)
ASME II class 2.
Performed system inservice test (VT-2) per Code Case N-416.
g Applicable Manufacturer's Data Reports to be attached Repaired cladding in discharge nozzle of pump. Removed discharge piping for access to nozzle, Replaced weld 76 with weld 76A.
Performed liquid penetrant examination of final weld (76A and clad) Performed radiography of final weld 76A CERTIFICATE OF COMPLIANCE rep /repl 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
^
Certificate f Au o'
tion No.
Expiration Date c ?o n y-
-c(tt ec Date f
19 g;gn Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holg a vajid commission issued by the National Bos(p,giprg PrgsgVgl pgors and the State or Province of and employed by of Hartford, CT have inspected the components described in this Owner's Report during the period 7//c'/9 f 7/Ye/91 and state that to 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.
i l
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this i
inspection.
Nud M
^
Commissions IO 'N Y l
Inspector's signature National Board, State, Province, and Endorserrmnts i
l Date M29 19 P3
t Docket Number: 50-338 Serial Numbert 94-688 s
I Page 10 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS i
As Required by the Provisions of the ASME Code Section XI i
l l
- 1. Owner Virginia Electric & Power Company Date 10/27/93 I
Nome 5000 Dominion Blvd. Glen Allen, VA. 23060 Sheet 1
of 1
Address North Anna Power Station
(
- g 3
Name I
P.O. Box 402 Mineral, VA. 23117 WO il 261377. R/R Program 93-291 Address Ptopolr Creenlastion P.O. No., Job No., etc.
Virginia Electric & Power Company pg, Type Code Symbol Stamp N/A Authorize ^ ion No.
N/A l
$000 Dominion Blvd. Glen Allen, VA. 23060 Ex iretion Date N/A Address
- 4. Identification of System CvCs (Charging) i
- 5. (a) Applicable Construction Code B31.7 19 69
- Edition, W 1970 Addende, 78, e s. e 3 (n),11s Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 e3 s e3 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components i
ASME C***
l National
- Repaired, Stemped i
Name of Name of Manufacturer Board Other Yeer
- Replaced, (Yes f
Component Manufacturer Serial No.
No.
Identification Bultt or Replacement orNo)
I Check Valve Velan Jnk.
N/A 1-CH-254 Jnk.
Replaced No Check Valve Velan Jnk.
N/A 1-CH-254 Jnk.
Replacement No r
f j
l k
- 7. Description ot Work Replaced body to bonnet bolting after check valve inepection.
- 8. Tetts Conducted: Hydrostatic Pneumatic 0 Nominet Operating Pressure C Other Pressure 2660 psi Test Temp. e3
- p NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 84 in. x 11 in., (2) Informs-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 L.
a F
1 FORM N18 2 (Back)
- 9. Romerks ASME KI Class 2.
Applicable Manufacturer's Data Reports to be etteched Performed VT-2 examination following valve assembly.
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report era correct and this repte m nt conforms to the rules of the
' ASME Code,Section XI,
'''N'***'"***
Type Code Symbol Stomp N/A Certificate o uth No.
N/A Empiration Date N/A Signed
' em f Date 27 19 7dner 8v Owner'shiones, Title CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Irweetors and the State
- or Province of virainia W employed by Hartford steam Boiler I & I co.
og na rt ferd. cT have inspected the componer*ts described in this Owner's Report during the period MNf1 9b3 to
, and erste 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 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 menner for any personal injury or property damage or a loss of any kind erloing from or connected with this inspection.
M42 ed*7 a
Commissions Y4 VM Inspector's signature National Soord, State, Provinc% and Endorsemente Date Orb 17 Sg VT f
g w
--m6
-s--m,m-~w--.rm
- - = - * -
i l
Docket Number: 50-338 i
Serial Numbert 94-688 Page 11 of 90 FORM N18-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provision 8 of the ASME Code Section XI l
- 1. Owner Virginia Electric & Power Company Date 10/28/93 Name 5000 Dominion Blvd. Glen Allen, VA. 23060 Sheet I
of 1
Address North Anna Power Station p
g Name P.O. Box 402 Mineral, VA. 23117 WO # 272760, R/R Program 93-439 Address Repair Creertiration P.O. No., Job No., etc.
Virginia Electric & Power Company Type Code Symbol Stamp N/A Authorirstion No.
N/A 5000 Dominion Blvd. Glen Allen, VA. 23060 Expiretion Date N/A Address
- 4. Identification of System Main steam
- 5. (e) Applicable Construction Code B31.7 jg 69
- Edigion, W 1970 Addende: 7e,81,83(R).115 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S 83 Addenda
- 6. Identification of Components Repelred or Replaced and Replacement Components ASME Code National
- Repaired, Stemped Name of Nome of Manufacturer Board Other Yeer
- Reptoced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) 5 ci s e r.1 rm entnntev Valve Fisher h
N/A 1-MS-PCV-101C Unk.
Replaced No r oi s eIT Valve Fisher Unk.'
N/A 1-MS-PCV-101C Unk.
Replacement No fe~r fsYnY e tin t 9 y r
Replaced extension piece (spacer) for valve body to repair bonnet leak
[
- 7. Description of Work
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nominet Operating Pressure O Other Pressure 800 pel Test Temp.
540
'F NOTE: Supplemental sheets in f arm of Ilsts, sketches, or drewings may be used, provided til sire is 8% in, m 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, t
(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
-+-
r.
FORM NIS 2 (Back)
- 9. Remarks Asre II class 2.
Applicable Manufacturer's Data Reports to be attached Performed VT-2 examination following valve reassembly.
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code Section XI.
repair or replacement Type Code Symbol Stamp N/A Certificate of tnor No.
M/A Expiration Date N/A Date 19 Signed M
'e
~
Dwner dr Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commis'eion issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Provinee of viroinin and employed by Hart ford Steam Boiler T & I Co.
of Hartford. CT have inspected the components described in this Owner's Report during the period
>cAchJ
/ M/
7
, and state that to 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 lieble in any manner for any personal injury or property damage or a ions of any kind arising from or connected with this inspection.
ME*I dY Commissions V4 '/> V Inspectors Signature Nationet Board, State, Province, and Endorsements Date Or t 2 8 1g F3 l
Docket Number: 50-338 Serial Number: 94-688 Page 12 of 90 FORM NIS 2'MER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI i
1, kner Virginia Electric & Power Company Date 03/08/84 Name 1
1 5000 Dominion Blvd. Glen Allen, VA. 23060 Sheet of Addrous North Anna Power Station 3
Nome P.O. Box 402 Mineral. VA. 23117 WO e 27970901, R/R Program 93-508 Address flopelt Orpenlastion P.O. No., Job No., etc.
Virginia Electric & Power Company N/A ype Code Symbol Stomp Authorization No.
N/A 5000 Dominion Blvd. Glen Allen, VA. 23060 N/A Empiretion Date Address Main steam
- 4. Identification of System I
- 1970 Addende ?e ei,s3(R),11s Co* Case B31.7 jg 69
- Edition,
- 5. (e) Applicable Construction Code (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 e3 s e3 Addenda f
- 6. Identification of Components Repelred or Replaced and Replacement Components ASME Co*
i National
- Repaired, Stamped Nome of Name of Manufacturer Boerd Other Year Replaced.
(Yes Component Manufacturer Seriet No.
No, identification Built or Replacement or No) i Velve Fisher 5091027 N/A 1-MS-PCV-10? C Unk.
Replaced No i
Valve Fisher 5091027 N/A 1-MS-PCV-101C 17nk.
Replacement No 5
h i
- 7. Description of Work
- 8. Tests Conducted: Hydrostatic Pneumatic Nominst Operating Pressure N/A N. 4 op None Other Pressure psi Test Temp.
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) sire is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded et the top of this form.
1 (12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12j91
FORM NIS-2 (Back) m n class 2.
- 9. Remarks Applicable Manufacturer's Data Reports to be attached l
l CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the
P**'*P'***'"'"'
ASME Code,Section XI.
Type Code Symbol Stamp N/A i
Certificate of Authorizatio No.
/ f N/A Expiration Date
"/A Signed I bEW b
W Date 19 Owner or dwher's Designee,jt stle
/
a.-
CERTIFICATE OF INSERVICE INSPECTION f, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State Hartford Steam Boiler I & I Co.
or Province of virginia and employed by gg Hartford, CT have inspected the components described in this Owner's Report during the period
/Z M # If7 3 /8/f Y to
. 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 at any kind arising from or connected with this l
Inspection.
Md M A
Commissions 95]/
VA VN ZDA inspector's signature National Bo(rd, State, Provinc( and [ndorsements Date M<r rA J V 19 F Y i
i
'l Docket Number: 50-338 Serial Number: 94-68B Page 13 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner virginia Electric & Power Company Date 03/0s/94 Name 1
1 of 5000 Dominion Blvd. Glen Allen, VA. 23060 gh,,9 Address North Anna Power Station g
Nome P.O. Box 402 Mineral, VA. 23117 WO # 279709-01, R/R Program 93-509 Ad dress Mooalt Oreenization P.O. No., Job No, etc.
'irginia Electric & Power Company Type Code Symbol Stamp N/A L
Authorization No.
N/A 5000 Dominion Blvd. Glen Allen, VA. 23060 En tretion Date N/A Address Main steam
- 4. Identification of System W 1970 Addende 7e,81, e 3 (a). tis Code Case 831 7 19 69
- Edition,
- 6. (4) Applicable Construction Code (b) Applicable Edition of Section XI Utillred for Repairs or Replacements 19 s3 s e3 Addenda
- 6. Identification of Components Repelred or Replaced and Replacement 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 orNo)
Fisku tw N unt Valve heeeee-5091027 N/A 1-MS-PCV-101C Unk.
Repaired No e....
pt.
- s t e m.
8Alslie4 3
Machined valve bonriet/ body gasket suface to remove any inperfectione.
- 7. Description of Work h
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nomine! Operating Pressure C N/A psi Test Temp. N/A
- p Liquid-Penetrant Other O Pressure NOTE: Supplemental sheets in form of lists, sketches, or drowings 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 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
[
l REPRINT 12/91 l
i FORM NIS 2 (Back)
- 9. Remarks ASME XI Class 2.
Applicable Manufacturer's Data Reports to be attached Performed VT+1 and LP examination following the machining of the gasket surface.
Performed VT-2 examination following the reassembly of valve.
l l
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report am correct and this reonir conforms to the rules of the
P*"'"P**'"*"'
ASME Code, Section Xl.
I l
i Type Code Symbol Stamp w'A Certificate of thorir
' No, wra Expiration Dete N/A 1S W
4/
Date f
19 l
Signed _ owner or 04vner's Designee,fitie
/
I CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of vi rM h and employed by Hartferd steam Boiler i s I co.
of Hartfaro. N have inspected the components described in this Ownei's Report during the period
/2b FT to
/
fY and state that to the best of my knowledge and belief, the Owner has performed exarninstions and taken corrective measures described in this l
Owner's Report in accordance with the requirements of the ASME Code,Section XI.
l By signing this certificate neither the inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
8 A'$ >
d' Commistions MO - NWV 2OM l
Inspector's signature National Befard, State, Province, and Endorsements Date N*ad
/f 19 9Y l
i l
l l
l l
l
a l
l Docket Number: 50-338 Serial Number: 94-688 Page 14 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
+
- 1. OwnerUrda bdra [e o *-> < ( (a w ee Il-M N Date
)
Name l
)
@co Oc.,'em Ehk. (-l4-ANw. YA
'2 % o f D Sheet I
of l
' Addrene
/
- 2. Plant ef M%
'I
't "
Unit Name b.
CK hD2.
t W4ih.
2.$ \\ IU eafo W U-02lk N-332 N 0.2 W A9-Ol
/
AddreW
/
Regelr Organiration P.O. No.[ Job No., etc.
t/A rk PerformedbyNf2 Ink EleJ<v< 2. Po-ee Lomm Type Code Symboi stamp 3.
Authorization No.
M4 3.'b c $ 0 Expiration Date a[/A K ot E IWiae 4H n
/ Addrene
/
/
LLW (h Sb Chef 4(
- 4. Identification of System
- 6. (a) Applicable Construction Code S 3I 9 19 O Edition, NO Adde {da,M El $'/RI l'C Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 M
/s es AA4< Jai
'~
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) k nap >
W/k
- 4-f4 l FE-to% U* t.
PhwI k
WEI A de/a %t (oA e.
(4 l-60-FE-to3c 1914 Rhamed do F6v3 aus rm mwe Pc9 uk vo k
SQs qL q'k t-swee-sou Wk.
Sbb Tw> &k %l$i
- 4 i-s> r c-io c tiri P4t h #o b
f)ds A[/j_
A[/k A// /}
t-BD-F E.-l o3( dd, Rep u A/O NA NWA 7 sis
- 4 i-ant-lasc 1913 %Le~J 6.
h tmt w.=enliet f %/ [1d-3-(01-d. be ws
- 7. Description of Work bt
[
w et s e u t, t
tlt med.
J d
d Hydrostatic % Pneumatic 0 Nominal Operating Fr ssurep'F
- 8. Tests Conducted:
Other O Pressure I3 O psi Test Temp. Sm Ital NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) Informa.
l tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is 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 i
E
{ :'
[
n FORM NIS-2 (Back) c swsha
- f. (ksS 3 bN b-95 2.
cG r.nw.,g e,
- 9. Remarks
'Applice Manuf sttached L P exmam.}<ew turer's Date hsports todt>Roim v~ser,d%k Cf O( ~
<e o, 4.s. s
~4 s.
I J
J J
(mdr ef b M S) EU A des 3 ruded >.
A nrr I d L o A 6 s,< O M k Les MA % MA, l
Rf, DR0-W-md' i
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this IdP f te4 conforms to the rules of the
PbP'***"'*"*
ASME Code,Section XI.
+
i M -
Type Code Symbol Stamp T
Certificate of Authorization Na Expiration Oate sr E m'A<<(
de%
9 is 9 4 Signed _ Owner or Owner's Designee, Title J
Oate I
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State I
or Province of bE f
and employed by # M DI of
/-
McMAM ' d7.
have inspected the components described in this Owners Rhort during the period
/ //Z /N
/ b
to
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this j
Owner's Report in accordance with the requirements of the ASME Code,Section XI.
Sy 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.
[
M/rAI N -
f~r Commissions 2/8 MM MNY inspector's Signature National Board, State, Province, and Endorsements i,
Date A4e tc is #V j
i f
i i
o
Docket Number: 50-338 Serial Number: 94-688 Page 15 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Virginia Electric & Power Company Date 03/08/94 Nome 5000 Dominion Blvd. Glen Allen, VA. 23060 Sheet 1
of 1
Address North Anna Power Station p
g Name P.O. Box 402 Mineral, VA. 23117 WO # 280698, R/R Program 94-023 Ad orses Repelf Oreenitetton P.O. No., Job No., etc.
Virginia Electric & Power Company
- 3. M Monnd W Type Code Symbol Stomp N/A Nam
- Authorization No.
N/A 5000 Dominion Blvd. clen Allen VA. 23060 Expiration Date N/A Address
- 4. Identification of System Recirculation Spray
- 5. (e) Applicable Construction Code B31.7 gg 69
- Edition, W 1"O Addende; 7s. si, e 3 (R),11s Code Case (b) Applicable Edition of Section XI Utillred for Repairs or Replacements 19 as s as Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
- Repaired, Stemped Name of Nome of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
Valve Crane Jnk.
N/A 1-RS-95 Unk.
Replaced No Valve Crane Dnk.
N/A 1-RS-95 Unk.
Replacement No Replaced body to bonnet bolting due to imprnper thread protrusion.
- 7. Description of Work _
- 8. Tests Conducted: Hydrostetic Pneumatic Nominst Operating Pressure Other Pressure N/A psi Test Temp. N/A
- p None NOTE: Supplemental sheets in form of lists, sketches, or drawings mey ba used, provided til 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) each thest 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 REPRINT 12/91
k
)
l FORM NIS-2 (Back)
- 9. Remarks ASME XI Close 2.
Applicable Manufacturer's Date Reports to be attached
(
i Y
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the
'*P*'''***'"*"*
ASME Code,Section XI.
y Type Code Symbol Stamp N/A i
Certificate of thoriza 'o No.
J /! N/A Expiration Date N/A 2GE Ws Le * #
Date
&/G k
19 7 Signed Owner or Owner's Designee / Title
}
[
i
\\
l l
f 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 or Province of Vi ro k i a and employed by Hartford Stesm Boiler T & T Co.
of Hartford. CT have inspected the components described
/ IH/f Y I/N in this Owner's Report during the period to 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 menner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
/
8 4
Commissions 9M - W W'/
, 7W4 inspector's signature Nat6onal 6oord, State, Provinfo, and E6dorsements Date
- m/ /Y 19 W 8
i t
i 1.
1 l
l
I l
Docket Number: 50-338 l
Serial Number: 94-688 Page 16 of 90 i
i This page intentionally left blank.
I f
i f
i i
i i
L b
b b
v
Docket Number: 50-338 Serial Number: 94-688 Page 17 of 90 FORM NIS 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Virginia Electric & Power Company Date 03/04/94 Name 5000 Dominion Blvd. Glen Allen, VA. 23060 Sheet 1
of 1
Addreas North Anna Power Station Unit 1
Nome P.O. Box 402 Mineral, VA. 23117 WO e 280844-01, P/R Program 94-034 Addreas Mooelt Orsonlastion P.O. No., Job No., etc.
Virginia Electric & Power Company y
g, Type Code Symbol Stamp N/A Authorization No.
N/A
$000 Dominion Blvd. Glen Allen, VA 23060 Empiretion Date N/A Address
- 4. Identifiestion of System saf ety Inicet ion i
S. (a) Applicable Construction Code B31 7 19 6'
- Edition, W 1970 Addende vs. 81,8 3 (p) 115 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 8 83 Addenda
- 6. Identification of Components Repaired or Replaced and Replacement Componen*s ASME I
Code
' National
- Repaired, Stemped Name of Name of Manufacturar soord Other Year
- Replaced, (Yes l
Component Manufacturer Seriet No.
No.
Identification Built or Replacement or Nol Valve ALOYCO
'N42SAH N/A 1 SI-NOV-18629 Unk.
Replaced No Valve ALOYCO GM42SAH N/A 1-SI MOV-1:629 Unk.
Replacement No 3
h
& QAi NA 3hltf
- 7. Description of Work Replace body to bonne/ bolting due to thread engagement..
- 8. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure Other Pressure N/A psl. Test Temp.
N/A
- F None j
i NOTE: Supplemental sheets in form of lists, sketches, or drewings may be used, provided til size is 84 in. x 11 in., (2) Informe-
)
tion in items 1 through 6 on this report is included on each sheet, and (3) eac5 sheet is 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 REPRINT 12/91
FORM NIS 2 (Back)
- 9. Remarks ASME XI Class 2.
Applicable Manufacturer's Data Reports to be attached b
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacemant conforms to the rules of the ASME Code,Section XI.
Type Code Svmbol Stamp N/A Certificate 4,f A hortrati No.
N/A Expiration Date N/A b
9 IbI IbUMEt/
Date 19 Signed Owner or owner's DesigneeAttle
,/
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of vir iMa and employed by start ferd steam Dosier I & I co.
of a rt f e ra. c?
have inspected the components described in this Owner's Report during the period
> /2 P7 to_
2 f/
and state that to tr.e 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 Heport. 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.
MaI
,8**
Commissions 9f7/ - N DF - MM A inspector's signature Nationet Bofrd, State, Province'end E ndorsements Cate Nw 'l
/Y 19 9Y l
l l
l t
l
F Docket Number: 50-338 Serial Number:~94-688 Page 18 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Virginia Electric & Power Company Date 05/05/94 Name 5000 Dominion Blvd. Glen Allen, VA. 23060 Sheet 1
of 1
Addreas North Anna Power Station p
Unit 1
Name P.O. Box 402 Mineral, VA. 23117 R/R Program 94-035, W.o. 281696
+
Address Rooelr Organization P.O. No., Job No., etc.
Virginia Electric & Power Company N/A
- 3. Work Performed by Tm M SWI SMP Nome N/A Authoritetion No, 5000 Dominion Blvd. Glen Allen, VA. 23060 Expiration Date N/A 5
Address
- 4. Identification of System Recirculation Spray I
W 1970 Addende 78,81,93(R) 115 Code h 831 7 19 69
- Edition,
- 5. (e) Appl? cable Construction Code s3 e e3 Addenda (b) Applicable Edition of Section XI Utillred for Repairs or Replacements 19
- 6. Identification of Components Repaired or Replaced and Replacement Components r
ASME Code National
- Repaired, Stomped Name of Nome of Manufacturer Board Other Yeer
- Replaced, (Yes Component Manufactur:,r Serial No.
No.
Identification Built or Replacement or Nol Motor Op. Valve Crane K2-1080RT N/A 1-RS-MOV-156A N/A Replaced No Motor Op. Valve Crane K2-1080RT N/A 1-RS-MOV-156A N/A Replacement No r
i i
Replaced Mdy to h et etude and nuts.
- 7. Description of Work
- 8. Tests Conducted: Hydrostatic Pncometic Nominal Operating Pressure 0 -
Other Precsure N/A psi Test Temp. N/A
- p NOTE: Supplementel sheert in form of lists, sketches, or drowings may be used, provided (1) size is 8% in. x 11 in., (2) Inforrne-tion in items 1 through 6 on th;s 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.
E (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
i i
FORM NIS-2 (Back)
- 9. Remarks ASME XI Claea 2.
Applicable Manufacturer's Date Reports to t>e attached I
CERTIFZATE OF COMPLIANCE We certify that the statements made in the report are a:orrect and this replacement conforms to the rules of the ASME Code,Section XI.
P**P'***""'
Type Code Symbol Stamp N/A I/^
Expiration Date N/A Certificate of Auth.rir tion o-
/
I$I WElAEit[ Date h
8 9
Signed 19 Owner or Owner's ' Designee, Title /
f I
J CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of Virginia and omployed by Hu tford Steam Boiler I & T Co.
_og nareenro. cT have inspected the components described in this Owner's Report during the period MAIN M9V to and state that to the best of my knowledge and belief, the Owner has perforrned 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.
WdM 44 Commiss;ons 9 CT/. & WA V 1~ A'. A Inspector's Signature National Efoord, State, Prov6 rice, arid (ndorsements Date As 9 19 S' +'
/
d
h E
{
I Docket Number: 50-338 Serial Number: 94-688
[
Page 19 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. OwnerUrakh btkm_ k hewe( (e mmn u 11-R -9 4 Date 4
Nem.
)
J See3 Sminiea Elvk. 6l4n All<n A ase4o I
Sneet of f
Address NectL A% Pome ShA;.n unit i
- 2. Pian RO.Ro t 4o2 MWer[\\/A t?/e Pre <.r ci4-oys k>.o. anosa;2 -of I
2 s ii')
Addreds medir organization P.6. No., Job No., etc.
e 3.' Work Performed by (ninia betk(:, A Poa G~
Type Code Symbo, Stamp _pA Authorization No.
AfN -
N Ecco be.wdnion bkVl bbn blbn Yk 2SOSO Expirstion Dete_
MM
[
/ Address 8
/
- 4. Identification of System tdf Ce e l'o M born {bb\\
i b S!*1 19 C 9 Edition. I970 Adden%*N $I NRI fI 3 Code Case
- 5. (a) Applicable Construction Code (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 a 5 ys 83 Ansh ' '
- 6. Identification of Components Rep # red or Replaced and Replacement Components ASME Code National
- Repaired, Stamped F
Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
%k.s J/h U/k W/A sesmov.ua ok. pf.J s l
Stuls Alo\\/A Hai[f'.;
v/A rs. gov.iOOA m3 g L,.d go
)
l-RS'MCV-LOO 4 bk.
k Me c4 Nds ihms &\\t If((q,'
- A i-s-mv-loo A 199 i RLQ No l
9
- 7. Description of Work keo At.C ewae S
S h one Wd S b G hv l
-d
- 8. Tests Conducted: Hydrostatic 0 Pneumstic 0 Nominal Operating Press 7e D i
Other Pressure 4/S.
psi Test Temp. (/d
- F NOTE: Supplemental sheets in form of lists, sketches, or drawings eney 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 shee* is numbered and the number of sheets is t
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 E
FORM NIS-2 (Back)
$b ( d5 1
- 9. Remarks Applicable Manufacturer's Data Reports to be attached asig Ll.
Rd D R N-W- \\ % O A+
nn CERTIFICATE OF COMPLlANCE g
We certify that the statements made in the report are correct and thisI.Toir4 R Mt W conforms to the rules of the ASME Code,Section XI.
P*}P****"*
Type Code Symbol Stamp Al
/
Certificate of thorizat n No, J I
M Expiration Date It T sI Emboe do la e a ig W Signed Os,e Owner or Owner's Deslorde. Titie J
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid comm.asion issued by the Nations! Board of Boiler and Pressure Vessel inspectors and the State or Province of
//M*/*N and employed by
- ' J 8 2 *?
of I
NsM/vc/ _ (" 7 have inspected the components described in this Owner's Report during the period 2 /"/f /
l' N/II to
. 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 accai'fary;e 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.
Net
$1 ce Commissions A'AH V V* W V N#
inspector's Signature National Bo' erd, State. Provmco, and E ndorsements Date Ncv 9 ig P/
I i
I Docket Number: 50-338 Serial Number:.94-688 i
Page 20 of 90 i
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner $rabin b4 ra & P -< < co-oo m si-8-9'l os,e o
Nam.
i g
6000 he.winien bV b fn tW b Me40 Sheet I
of l
Adtsroes
/
Nor Aww& L4c Sdor Ro. Bet 4o2. Au[VA asin unit i
- 2. Plant R/R Preo
%oS8 W.O. 2sso4o Addrees Res51r Orgenlaation P.D. No., Job No., etc.
I fahIn El<hraR Potoer (nm.
Type Code Symboi Stamp OA
- 3. Work Performed by MA Naa=
l J Authorization No.
feco he twinian bv b % AAw VA :tse6o Expiration oate f/A
/ Address
/
- 4. Identification of System C. CC U 50M SOfAu (RS\\
l
-J
'~
)
,19 Rl RilR)IW Code case
- 5. (a) Applicable Construction Code b M. h,19 69 Edition _
lDO Adden (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 9'4 i /$ 63 4.dkd
- 6. Identification of Components Repaired or Replaced and Replacement Components i
ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (Yes l
Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) i
$%ks A//A, 4/1
//A l-RS-Ro-lo88 U^k Repkt<A UO Sds
"$)C,.dM' 4/4 l-RS-RO-bOS HB $ 6.4 Alo Al) 3 TAs bl+
7kNl4 dA FRs-Ro-loss m4 R6i No
[
9 N
k-N Y
F RS-RO-l000 Yk.
kO
- 7. Description of Work fn M4 So 3 a h[5 l
o
- 8. Tests Conducted: Hydrostatic 0 eneumatie 0 Nominal Operating P ure Other Pressure
/d psi Test Temp.
'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) sire is 8% in. x 11 in., (2) Informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 i
I
r i
i FORM NIS 2 (Beck) j ASME C As s 1
.. Roma,ks Applicable Manufacturer's Data Reports to be attached Ah' MH A6 hhv$r-N, OR bl ~ W ~ l N i
?
fi CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this r (mh conforms to the rufes of the
PN'"*P'***"'*"'
ASME Code,Section XI.
A,l Type Code Symbol Stamp i
Certificate of Authort ion N L i
Expiration Date I l dose [,'4 c
[
W IsI E~We<r Owner or Owner's Desighes, Title d
- is W A
Signed Oasa 6
l 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 I
or Province of VsE /r' and employed by M+ J'l'.E O of MnMMM b7 have inspected the components described l
in this Owner's Report during the period 2NS/FV 947/99 to
. and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this j
Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the inspector nor his employer makes any warranty, expressed or implied, concerning the
~ examinations and corrective measures described in this Owner's 'teport. 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.
$$*tk N Mt Commissions MTD/-
N Y2 Y LNA National soof, State, Province, and Endorsements Inspector's signature d
2 I
Date A /O *' ?
19 9 ?
i f
I
+
i 1
t 4
Docket Number: 50-338 l
Serial Number: 94-688 l
i Page 21 of 90:
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 dabIA bit (I L.
wd(
8M w u Date IDMN e
%)
Name
)
J seco Demblow 8IV. d<w $lkw Yk MMo O
I i
Sheer of Addreas I
b.(
io w Unit i
}
- 2. Plant er wwA Name P. o S e e 4o 2 Ism.l JA nin R/R %a mi-asq kiA 2mos?
Addreds Re$ir Organization P.d. No., Job No., etc.
p ich be ric 4((*
Type Code Symbol Stamp
- 3. Work Performed by Authorization No.
M ECN e m\\h !,.
- V..
<n
~130 / O Expiration Date
'Ad A(Gdreen
/
- 4. Identification of System
- . d f c i1 A"1eh Dfh b'
l J
~
b SI.1 10 b I Edition, MO AddendeT N.PYRI il T Code Case
- 6. (e) Applicable Construction Code (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 i[J s 3 AR<4J '
- 6. Identliication of Components Repaired or Replaced and Replacement Components ASME j
Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (Yes i
Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
{
to 3 l-RS-80-/cgf Wh, htpkra A/D _
ShA3 Gdud MIi v/4 l-RS-Ro-lof 4 m3 hwd A/6 Md5 h
h I-RG-Ro-loE4 Vd" Re are A/o Nds T%s bon Ns$i
- 4 t-Rs-Ro-lo8A IWI Rep emd de k
f E
i
- 7. Descriotion of Work Q
(.f_
t)~
3 nh nV 1
i Hydrostatic C Pneumay'c Nomins' Operating Pressure B. Tests Conducted; r
Other O P# essure (/d psi Test Temp.
MS
'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) Informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is i
recorded at the top of this form.
l t
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 l
5 5
i
ep-I~
FORM NIS-2 (Back)
.E b l A 9 9
~2-
- 9. Remarks Applicable %mgfacturer's Data Reporp to be attached M.
wrz
- MA2leAL, 14I. DR _st-W (Yib
/
i CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this.lf o 4 < f M4" ~ conforms to the rules of the rood' or replacement ASME Code,Section XI.
Type Code Symbol Stamp i
Certificate of Au orizatio No.
Expiration Date A
+
Signed IN GIM4I
.- Date D dt wt
(
b T
Ig Owner or Owner's Designee,4 ttle J
CERTIFICATE OF INSERVICE INSPECTION f, the undersigned, holqing a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Prov)nce of Y> *' " (/
and employed by M S S2 #I of MeM/u e/
f"I have inspected the components described in this Owner's Report during the period 30 M N ##
. and state that to 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 signkng this certificate neither the inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner *t Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a Icts of any kind arising from or connected with this inspection.
$?st hl ce-Commissions N0lDJ t/A W Y 5N4 I
/
inspector's Signature National Board, State. Province, and Endorsements Date MJ/ 9 19 M l
l 1
Docket Number: 50-338 Serial Number: 94-688 Page 22 of 90 FORM NIS 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- i. owneNican:m E 6 fr:
R fLet 6,um ii-g-e 0
oste g
nom.
3 J
5ecoDm: nim %1 Giu Alla VA ;LSo(,o I
Sheet of I
dddreas
/
- 2. Plant Nef
$8h Unit hrw wif o
~.m.
Address (
RQeir Or9enization P.O! No., Job No., etc.
(dW A bet ib d a mhu Type Code Symbol Stamp MM
- 3. Work Performed by
'd M
Authorization No.
andnien %). A AL \\/A 1soon if/2 5006 E,pi,. tion oate Ahoress I
/
(kb\\
kC Sf cd inn fAu '
- 4. Identification of System l
J
- 5. (a) Applicable Constinction Code 19 bi Edition, l3 96 Adden.M MIRh115 Code Case (b) Applicable Edition of Section XI Utilized for Retrairs or Replacements 19 M k S 83 (dg
- 6. Identification of Components Repaired or Replaced and Replacement Components t
l 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)
_ $h c, Vf A(/f d/f i-RS-PD-l036 Uak.
Reh<c No stJs hs@
"g 6-s/A i-Rs-eo-,o,a im Qeu 4 MO Nds N/'4 v/4 v/A 1-RS-Ro-le16 Unk. R(fwd Alo NAs Cadwd
$[g g", j
$4 t-Rs-bisia i413 R6 4 No 3
- 7. Description of Work e.
AN O
M ci.
a
- 8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure O Other O Pressure Al/d psi Test Temp.
A//d
'F
~f f
I NOTE: Supplemental sheets in form of lists, sketches, or drowings may be used, provided (1) size is 84 in. x 11 in., (2) Informa-tion in items 1 through 6 on thl4 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 Foim (E00030) may be obtained from the Order Dept., ASME. 345 E. 47th St., New York, N.Y.10017
r-.G 1
1 FORM NIS 2 (Back)
- 9. Remarks
. SM E (_kss
'2.
l Applicable Manpfscturer's Data Reports to be attached A/c AA/D A/c/d5 bO o ftfs 0$
hl" Y~-lT)D i
L
?
i
.i CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this M tMf conforms to the rules of the
?
MA****"*
ASME Code,Section XI.
Type Code Symbol Stamp Certificate of Authorization No.
I Expiration Date o/
b ISI bm'mhI Date N
b Signed 19 Ownee or Owners Derignefs, Title J
P CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, hold,ing a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of Neo E and employed by M I' 8 # #7 of A/AM _ b have i ted the components described in this Owner's Report during the period E MI/W f
NY and state that to 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 Heport. Furthermore, neither the inspector nor his employer shall be liable in any mannar for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
l N-A Commissions MAMU/
N WV EO insp.ctors sien.tur.
Nation.i so.ro,'si.e., provinc.,.no encor m.nts Date M' v ?
19 PV i
i r
h
1 I
Docket Number: 50-338 Serial Number: 94-688 Page 23 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requ.ted by the Provisions of the ASME Code Section XI i,o.ne A ;n!m E\\ enc;c E Pema 6-m i n - n -9 9 os,e g
N.-
3 a
reco neerim 11 Glo, Allen VA asos.o-I Sh.et of I
Address
/
- 2. Plant Nef aw 4f bfh!4 h nm Unit Narne O. Rw 461. Miner. VA nii, d Proomm m-or i ut.o.29aois
~
Address r Repir orsentantion P.Of No., Job No., etc.
- 3. Work Performed by #nWm beobc h hwer amhu Type Code Symbol Stamb MM
'd Authorization No.
M Soco be.winians bk d. b
\\/k 11050 Expiration Date E//d Atidross (kb\\
bsf t d ink (h
- 4. Identification of System l
J b
.D 19 di Edition,
!$ 96 Adds "dbb MIRbllECode Case
- 5. (e) Applicable Construction Code (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 R4 S $3 i I.k(Ok
- 6. Identification of Components Repelred or Replaced and Replacement Components ASME Code National
- Repaireo, Stemped Nome of Nema of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
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l-RS-Fb lof8 Unk, Rhg Mo o g Stoks Tens &% "-%Q d/A t-ns-Ra-iosa W Qed No Nds N/'4 d/4 v/A i-R5-Ro-lo6B V6N-R'fMed Mo NAs Gd%) Met; Ay4 i-sse-io6s i%3 % ed Mo k
M.,
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- 7. Description of Work J
- 8. Tests Condacted: Hydrostatic 0 eneumatic 0 Nominei Operatins Pressure O Other O Pressure I
psi Test Temp.
M
'F NOTE: Supplemental sheets in form of list. sketches, or drawings mey be used, provided (1) sire 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 shoot is numbered and the number of sweets is recorded at the top of this form.
i (12/82)
TMs Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017
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FORM NIS-2 (Back)
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Ao d UfZ Ab 7bbl*/d,
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NtTe O $ ' hl- 0 Y l D'l O i
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We certify that the statements made in the report are correct and this Ito a MfE' conforms to the rules of the
. f CERTIFICATE OF COMPLIANCE
[
ASME Code,Section XI.
Type Code Symbol Stamp Certificats of Authorization No.
Empiretion Date M
y r
Date Odf 4I b W
Sened
+540 I6 5 bNhfM 19 Owner or ownero poseense, Tme V
CERTIFICATE OF 191BERVICE telBPECTION 1, th', undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State f
9 Province of I/Me'e/c W employed by W% A 7 *I of McMe/ [f have inspected the components described in this N*s Report during the period
? //7NF
' FI7/# +'
to
_ and state that
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to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures cleocribed in this Owner's Report in socordance with the requirements of the ASME Code,Section XI.
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By signing this certificato neither the inspector nor his employer makes any warranty, cuproceed or implied, concerning the examinstions 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 erleing from or connected with this
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inspection.
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Date 24 / ' 9 19 9/
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b Docket Number: 50-338 Serial Number: 94-68b Page 24 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- i. Owne&ank E\\cde:, E P~a 6-m in-n e l
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- 3. Work Performed by #4mia bobt. h aw#
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- 4. Identification of System if t d ink fAL '
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l196 Adden.Yb MIRhllECode Cese i (e) Applicable Construction Code (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 R%
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- 6. Identification of Components Repaired or Replaced and Replacement Components t
ASME Code Nationet
- Repaired, Stemped Name of Nome of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Bullt or Replacement or No)
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('4 d/4 t-RS-RD loSA Unk. Rch No' Stuls TasLR M O-4/4 i-Re.-Ro-losA D hmed Mo Nds N/'4 v/4 v/A i-R5-Ro-lo5A Od. Rhud Mo NAs Ghd htll; 44 i-sseiosA 199 3 Smed Mo hlMen
- 7. Description of Work f.
M 30
- 8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure O OtherO Pressure Al/d psl Test Temp.
'F NOTE: Supplemental sheets in form of lists, sketches, or doswings 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.
j (12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017
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l FORM Nis-2 (Book) l ASME dass 2.
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.. Rome,ks t
m Applic. eta Ma nufacturer's Date Reports to be ettsched i
x4, nei e h AA. k, DR N-W-l??o I
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I CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this IfA
& Mf E ~ conforms to the rules of the
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ASME Code. Section Xl.
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Type Code Symbol Stomp l
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f Expl.stion Date Certificate of A thorizatio No.
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Date ONS I b N
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IY bW 1MN 19 Signed Owner or Owner's Deseeneef. Title J
.I CERTIFICATE OF INSERV6CE INEPECTION 1, the undersigned, holding a valid commission issued buy tt.e National Board of Boiler and Pressure Vessel inspectors and the State b wd and employed luy M J 8 J */
of j
or Province of
- cr// d 'r 7 have inspected the componente sioecribed in this Owthr's Report during the period 2 N 7/fY P 7/99 and state that to to the best of my knowledge and belief, the Owner has performed seeminations and teken corrective measures descrlhed in this Owner's Report in accordence with the requirements of the ASME Code,Section XI, By sign 6ng this certificate'neither the inspector nor his employer makes any vuorrenty, expressed or implied, concerning the f
seeminations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer i
ehell be lieble in any menner for any personal irdury or property damage or a loss of any kind arising from or connected with this f
inspection.
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commgeeions Ain 9J"J/.
VA 4// V 2, M 4 inspector's Sleneture Nationes soord, state, Province, and E=_:.te p
Date JA's' V
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Docket Number: 50-338 Serial Number: 94-688 Page 25 of 90 FORM Nis-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS l
As Required try the Proeisions of the ASME Code Section XI
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- 3. Work Performed by O
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- 4. Identification of System l
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19 bi Edition, l9 96 Adden _MI MMitCCode Case
- 6. (a) Applicable Construction Code (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 M S 83 (dA
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code Nationi
- Repeired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No. ~
No, Identification Built or Replacement or No) h Soks d/4
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- 7. Description of Work 0
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- 8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure O Other O Proesure A//d psi Test Temp. A//d
'F
/
f NOTE: Supplemental ehoets 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 each sheet, and (3) each eheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
Thl Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., No. York, N.Y.10017
FORM NIS-2 (Back)
ASME (_kss
'l Rom.,ks Appl 6ceb M ufacturer's Data Reports to be ettsched Ale AM1 Ale NeS.
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h~0Y~lD9O CERTIFICATE OF COMPLIANCE
,e We certify that the statements made in the report sre correct and this 4MN conforms to the rules of the
'N''*****"'
ASME Code,Section XI.
Type Code Symbol Stamp Certificate of A thortretion No.
Expiration Date Oven L (
9, ig () N Signed 4N ISI bMD "I
Dete Own' r or Owner's Designed, Title J
o CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Prosaure Vessel Inspectors and the State -
or Province of L'#e r** fe' / d and employed by 8' 1 Ud7 of Ne r M*d b7-have inspected the components described
. In this Owne'r's Rhrt during the period
? ////9f to
? 7/N
, and state that to the best of my knowledge and belief, the Owner has pedormed examinations and taken corrective moseures 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 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 demage or a loss of any kind arising from or connected with this inspection.
8/9*tl A%?
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Commissions M? M/
VA W Y IMA inspector's S6ensture National Board, State, Province, and Endorsements Date Ab 8' 9
19 4 I
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Docket Number: 50-338 Serial Number: 94-688 l
i Page 26 of 90 FORM NIS.2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code section XI i, Own.rVirmnk E\\uh;o Z R,me 6,~
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- 3. Work Performed by ra u be. h pf (emnwu Type Code Symbol Stamp M/d M/d I
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- 4. Identification of System
- bsf f d tW fo*u l
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b3!. I 19 di Edition, lb AddenO PMRhECode Caos
- 6. (a) Applicable Construction Code (b) Applicable Edition of Section XI Utillred for Repairs or Replacements 19 M S 83 h(Ok l
- 6. Identification of Components Repaired or Replaced and Replacement Components i
ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Bullt or Replacement or No) 30kg M/d
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- 7. Description of Work
- 8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure O Other O Pressure Al/d pel Test Temp. A//d
'F f
f NOTE: Supplemental sheets in form of lists, sketches, or drowings 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) 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 Dept., ASME,345 E. 47th St., New York, N.Y.10017 1
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1 FORM Nis 2 (Back)
L ASME Glass 2 l
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i CERTIFICATE OF COMPLIANCE We certify that'the statements made in the report ero correct and this Ite aMf conforms to the rules of the
'*od' repisoement ASME Code, Section Xl.
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Type Code Symbol Stomp l
M Certificots of Authorization No Empiration Date l
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f Owner or owner's Desses(se, Title d
~ gg 3h b
Signed MM IN bE M4 I Date WeW r
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1, the undersigned, holding a valid commission leeued by the National Board of Boiler and Pressure Vessel inspectors and the State i
or Province of
/*N"E and employed by
- ' I' U##
of
- er//ed d' 7 have inspected the components described
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in this Ownbr's Report during the period 2 //7I* V III/99 to and state that l
to the best of my knowledge and belief, the Owner has performed examinations and taken corrective meneures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
Sy signing this certificato neither the inspector nor his employer makes any warranty, 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 menner for any personal irsury or property damage or a loss of any kind erleing from or connected with this h
inspection.
8Url OW.kn te Commissions
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inspector's Signoture Nat6onal poord, State, Province, and Endorsements
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Docket Number: 50-338 Serial Number: 94-688 I
Page 27 of 90 i
FORM NIS 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code section XI
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- 3. Work Performedby.rdink bbc. h kwef bmmu Type Code Symbol Stamp M/d d
'd Authorization No.
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Expiradon Date M3 50e6 ahdress bf t O ink (s.u I
- 4. Identifiestion of Systern i
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- 5. (a) Applicable Construction Code 19 di Edition-l196 Adden Mi AllRhILECode Case (b) Applicable Edition of Section XI Utilized for Repeirs or Replacements 19 M k S $$
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- 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 r
Component Manufacturer Serial No.
No, Identification Built or Replacement or No)
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- 7. Description of Work f%
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- 8. Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure O Other O Pressure Al/M-psi Test Temp. fM
'F NOTE: Supplemental sheets in forin of lists, sketches, or drowings 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 i
recorded et the top of this form.
t (12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 I
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FORM NIS-2 (Back) f MME des 2
- 9. R-us Applicable M nufacturer's Date Reports to be etteched
'f A4 A,ba bc-OL. OR N-4 H ~ IT U A/o A Wr*z I
1 i
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this I@
MN conforms to the rules of the
O''*****"*
ASME Code,Section XI.
i Type Code Symbol Stamp y
s/A
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Certificate of Authorir tion No l Expiration Date Date N(m #I b
W Signed N
f5I ban ## I 19 Owner or owners DeeW, Title J
CERTIFICATE OF INSERVICE INSPECTION l
1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of 14N 'a d
=nd omployed by M I U 7 of
- o/d oZ have inspected the components described in this Owner's Rohrt during the period 8 //7<W dMN
. and state that to to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this t
Owner's Report in accordance with the requirements of the ASME Code, Sectinn XI, By signing this certificato neither the Irwpector nor his employer makes any warranty, expressed or implied, concerning the exam 6 nations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be lieble in any mennet for any personal injury or property demoge or a loss of any kind arising from or connected with this inspection.
Mdac[ #2 Commissions #8 9M
- YA M ZMd inspectors signature National Board,4 tete, Province, and Endorsements Date 44 V 9 19 9/
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A Docket Number: 50-338 Serial Number: 94-688 Page 28 of 90 FORM Nis-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI i, 0.nerViceA Eledu k 8s Ce-om fI-1-W Date Q
Name j
J seen Domino BIA 6f e Alkm VA noto I
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- 3. Work Performed by rMa 6 b
& k he u / [e w Type Code Symbol Stamp A/
[A Authorlastion No.
hec bmen b}VA. h!tw k!km Y k "1365D
[4 Expiretion Date
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- 4. Identification of System' - ENu h 8 u m t.
benkre N
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- 5. (e) Applicable Construction Code 0 3I 'I 19 S'l Edition, M0 Addende '7 8 6L E'll*} f14 Code Case j/S 8$ M4dh (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 M
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
- Repelred, Stemped Name of Name of Menufacturer Board Other Year
- Replaced, (Yes i
Component Manufacturer Seriet No.
No.
Identification Built or Replacement or No)
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k t f4-f g
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- 7. Description of Work (di !
01 oC Aw te Ow ma.
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- 8. Tests Conducted: Hydrostatic % Pneumstic Nominal Operating Presouro Other Prosaure 2_t o o pel Test Temp. M00
'F NOTE: Supplemental sheets in form of lists, sketches, or drawings 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 ehest is numbered and the number of sheets is recorded et the top of this form.
j 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
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FORM Nis-2 (Back)
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CERTIFICATE OF COMPLlANCE we certify theithe statements made in the report are correct and thisn me ~~
conforms to the rules of the ASME Code,Section XI.
N' N r
i Type Code symbol Stamp Certificate of Authoria non No. Af Empiration Date Signed IsI FA<d Me vc er 8
,, 9 84 i
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owner or ownWe Demonee,trme J
t CERTIFICATE OF INSERVICE INFECTION 1, the undersigned, holdirig e,velid commission leeued by the National Doord of Soiler and Pressure Vessel inspectors and the Stees or Province of i b~ ' <-
=*8 employed by
- IB 20 of j
- cdA./ M have inspected the semponente closcribed in this Obs' Report during the period M/W
"/MN
. and stees that to to the best of my knowledge and belief, the Owner has performed eneminations and taken corrective measures described in this Owner's Report in socordance with the requirements of the ASME Code,Section XI.
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Sy signing this certificato neither the inspector nor his employer makes any warrenty, expressed or implied, coneeming the eneminatione 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 IrQury or property damage or a loss of any kind arising from or connected with this Inspection.
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l Docket Number: 50-338 Serial Number: 94-688 Page 29 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required try the Provisions of the ASME Code Section XI 1, OwnerYA6 Elede k bd Com pote
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ELdea A P.s 6-Ty,e Code symboistem, s4
- 3. Work Perforrned by ra66 M
Authorisation No.
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- 4. Identificotton of System
- 5. (a) Applicable Construction Code 0 3!-)
19 S'l Ed6 tion; IM0 Adenneo_'79 BL R M ii4 Code Case j/S 8$ Adf4/kk
(b) Applicable Edition of Section XI Utilized for Repeirs or Replacements 19 M
- 6. Identification of Corrponents Repaired or Fiepieced and Replacement Components t
ASME Code National
- Repaired, Stemped Name of Name of Manufacturer Scord Other Year
- Replaced, (Yes Component Menufacturer Serlet No.
No.
Identification Bullt or Replacement or No) 2 4m 0
f
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- 7. Description of Work (di $
01 oC e e,
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- 8. Tests Conducted Hydrostatic % Pneumatic Nominal Operating Preneuro O Other Pressure St6n,, psi Test Temp. 7600
- F NOTE: Supplementet shoots in form of lists, sketches, or drowings 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) mey be obtelned from the Order Dept., ASME,346 E. 47th St., New York, N.Y.10017 REPRINT 12/91
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Canvirmars or sessenveCs sesspeCreon i
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i, me undersigned, hoiene a vand ammi ion imued toy me maioner send of soiser and Promure veems in emore and me som or Provines of
'A r3 ' r W employed tsy M J f J #7 of 44rffer,/ r 7' hows inspected me componente descreed
~
in this Osuner's Maport during the period f/f/W
' M /N to
. and stoes that.
l to the timet of my knowiedge end tseinef, the Owner has performed seeminations and taken corrective meeswee descritied in this
[
j Owner's Report in ascentenos with 'ho sesguiremente of the ASMs Code, Section Xi.
{
Sy signing this certificato neither the inspector nor his employer mehes any suorrenty, empressed or implied,1__..., the eseminations and corrective measures dancritied in this Oumer's Report. Furthermore, nesther me inspector nor his employer.
7 shall be listale in any menner for any personal injury or property damage or e ions of any kind arising from or connected with mis In ection.
M'fa, / M Commissions N/? 9C U VA 92 4/
2, M A inspectors signotuto Nattenet 30 erd, Stees, Provines, one Endergements I
Dme Ne F 9
' 19 7V i
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Docket Number: 50-338 Serial Number: 94-688 Page 30 of 90 FORM NIS-2 OWNER'S P'EPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. OwnerVir4MIM k 8a Cem 11 W Dete o
N.,r e l
,)
Seeo Dain BIA 6k, Alkw. VA no4 o i
I Sheet of
/ Address
- 2. Plant Mar Ah out( bkbe" Unit I
N..e f?O. Bee 402 Minu J vA 22ii, ele Pre-w-ii i. w.o.2saw oce m-2oz Address Reeder Oreenleetion P.O' No., Job No., etc.'
- 3. Work Performed by Yi rain 6 b n ric k h w [e % w Type Code Symbot Stamp A/
Authorization No.
YA Seer b A niew b}& b!<w klkw Y k *1SoSO Empiration Date 84
/ Address
/
bonhta N
- 4. Identification of System' bmL h 6 mL
- 5. (e) Applicable Construction Code b $! I 19 S'l Edition, ID0 Addende 78 M f b HC Code Case j/S8S M't/k' (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 M
- 6. Identification of Components Repaired or Reptocod and Repiscement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year Repleoed.
(Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) l P4-P Ce 4 "5')*? D 0
6 J
l
- 7. Deecription of Work coy !
OI oL M k
Ot u e.
- 8. Tests Conducted Hydrostatic N Pneumatic Nominal Operating Pressure O Other O Pressure 216&
psi Test Toms., #600
'F NOTE: Supplemental sheets in form of lists, sketches, or drawings 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 shoot,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 REPRINT 12/91
=.,.
r i
4 FORM Nis 2 (Bacid AsME Ckss 1
.. s.,n.,ks sacable Menutecturer s on te naports to em utsched T $ oth<h wa( C -
h W O t w.s l
UAmk
- am $ ok
- ses,,; t t m4 I
j CERTIFICATE OF COMPLIANCE We certify that'the statements made in the report are correct and this mN m conforms to the rules of the N N '***'"*"*
ASME Code,Sectnon XI, Type Code Symbol Stamp Certificate of uthorization No.0 8 Expiration Date Date N
I $
9N Signed > -
U
> I bEM e I 19 Owner or owner's Designee, Thie d
i CERTIFICATE OF INSERVICE INDECTION I, the undersigned, hoping a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of t'*
anul employed by
^6 i U' # 7 of No / /ca/ N T.
have inspected the componente described in this dr's Report during the period MMN to
-'# M W
_ and stets 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 encordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any worrenty, expressed or implied, concerning the examinstions and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his eglover shall be liable in any manner for any personal injury or property damage or a loss of any kind erloing from or connected with this inspection.
NoI M e,
Commissione #8UI/
N4 h*V E AC #
inspector's signature hetsones soera, state. Province, and Enoorsemente Date A4 l' 9
19 M i
l
A j
i Docket Number: 50-338 Serial Number: 94-688 Page 31 of 90 FORM Nis.2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI A El d r a. & Pe m < G _ _
n-1-94
- 1. Owner os,e N*"*
l
.)
senoDnain %1 6f<n Alkr \\/A no4 o Sh.et I
t o,
/ Aowess
/
- 2. Plant Mar
$""^
out# bkabo" Unit I
Name R O, Bu 401 Mia mI VA 2sti'1 d Pra,.mm N-il5. Wo.29807 DC.P at3-lo?
Adeems Readir Orsentastaen P.of No,, Job No., etc.'
- 3. Work Performed by S rsin 6 b4 rk k heu / [o-ow A/!N Type Code Symbol Stamp M
Authorization No.
h b niew blVA, h!<w M kw Y k 23650 Empiration Dete
//4
/ Adorses
/
- 4. Identification of System ^ bErniu be e' omt en rn N-
- 5. (e) Appliceb6e Construction Code 6 3I 'I 19 S'l Edition, ID0 Addende 'IO EIIN f18s Code Case j/S8$ h dk' (b) Applicable Edition of Section XI utilised for Repairs or Replacements 19 M
- 6. Identification of Components Repelred or Replaced and Replacement Components ASME Code National
- Repaired, Stemped Name of Name of Manufacturer Soord Other Yeer Replacert, (Yes Component Manufacturer Serial No.
No.
Identification Sullt or Replacement or No) j bpc. Gp
'[
"., f d/A l-CR-344 lil4 Feh %+ Me i J
?
I I
- 7. Description of Work Cssi lW 01on a h Ot a e.
- l I l-
~
l
- 8. Tests Conducted: Hydrostetic % Pneumatic 0 Nominal Operating Pressure Other Pressure 2X6&
psi Test Temp. >500
- F NOTE: Supplemental sheets in farm of lists, sketches, or drowings 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 eheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E0uo30) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
~l C
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F.
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FORM N18 2 (Seek)
AsME Class 1-
.. Mer.,e, s i
i.co.e r.u u-s os,s
.oor. se b..me h th au lam 5 o h ' r#_n J e 4_ mh I sec f_
f U of wa RAM I
t CERTIFICATE OF C0gs'LIANCE we conify.m e eiseo.no ts,ne. in the,apo,t e,s.o,,ect e d.= r.le ~ hoonto,me to e o,ies of ti,o ASME Code,Section XI.
M' N l
l i
Type Code Symbol Stomp
- /
l Certificoes of Authortest No.*
I Empirmion Does A*Ir S%
rst F am <
s
,, w f
Do.,
.s.,,od Durner er Owners Designed, Tites J
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CERTIFICATE OF INSERVICE IN
. the undersigned, hosens e venid sommission issued by w National Board of soiler and Pressu,e Vessel inspectors and the Stem or p,,,inee of V,n,',, A wemployest by
- 'J'# D T of i
N, d fe I r 7 hows inspected the semponents desorlhed la this Ouener's Reh during the period NON 8/M
_ and stoes that
[
to to the knot of my knouviedge and belief, the Owner has performed eneminations and taken corrective measu se deserthed in this
.I Ow.wr's Report in enco,dence urnth the,equirements of the ASME Code,Section XI.
i t'
Sy signing this certificate neither the inspector por his employer makes any vuortenty, empressed or impsied. _12.-O4 the l
eneminations and corrective rnessures described in this Oumer's Report. Furthermore, neither the inspector not his employer shall be liable in any menner for any pe,senal irsury or property damage or e ioes of any kind erleing from or sonnected with this Inspection.
?
I Afed /2*- bt Commiesions A UF M J/
VA V2 Y DNA insosators sienseure seettensi seens, stees, Provinee, one s._ _ _ _
i Dese Ab1/ P 1e fl l
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Docket Number: 50-338 Serial Numbert 94-688 Page 32 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS i
As Required by the Provisions of the ASME Code Section XI
[
i falA be h cw4( b>>namu ll'2.-9 N r; L t
Date
- 1. Owner a
N...
Sceo De Aine %1 6len Allen. VA 2 sex o Sheei i
I of
/ Address
/
bNio"
- 2. Plant Mer NW ouV Unit I
N.m.
80, b yo1 M; meed VA 23n9 P/R Premm N-Il6. W.d.2 EMS 4 DCP 9Mo2.
I Address ReQir Orgenlastion P.Of No,, Job No., etc[
- 3. Work Performed by Y* r.dm tx b e i.
k h u / [eanke) Type Code Symbol Stamp A/!A ric i
M Authorization No, seen [Leier Blvl, Gl m All<, V A ose4o Empiretion oste f4
/ Address
/
- 4. Identification of System StWu [e o u m t, bedre N
J
- 5. (e) Applicable Construction Code O M -)
19 D Edition, ID0 Addende 76 6L Fdl lM Code Case (b) Applicable Edition of Section XI Utillred for Repairs or Replacements 19 93 j/3 6 S Ad)4% k'
- 6. Identification of Components Repelred or Replaced and Replacement Components ASME Code I
National
- Repaired, Stemped i
Name of Name of Manufacturer Board Other Yeer
- Replaced, (Yes j
Component Manufacturer Seriel No.
No.
Identification Built or Replacement or Nol N
f i
A I
3B5 199 4 4%J 6 i
e i
i ;
t 6
[
i t
7 Description of Work (vi lW 01 oC e !A Ot n c_ m es,
' l I l
~ h
- 8. Tests Conducted: Hydrostatic % Pneumatic 0 Nominal Operating Pressure
{
Other Pressure 236o pal Test Temp. Moo
'F l
NOTE: Supplementet sheets in form of lists, sketches, or drawings may be used, provided (1) sire is 8% in. x 11 in., (2) Informe-tion in items 1 through 8 on this report is included on each sheet, er'd (3) each sheet is 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 REPRINT 12/91
e-FORM NIS 2 (Back) sME Class i
- 9. Remarks
,,..o e..n.to.t.,e,.s o....oo,,s,o h. m.cnee fgo r m e b
UAMr on 5 ok tro e t e -t.
I~ S e t h f_
we I
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this WA
- MN conforms to the rules of the
PbP**'"'"'
ASME Code, Section X1.
Type Code Symbol Stamp N
Certificate of uthor ration F 1
Expiration Date
/
Signed
- ~ TIM b
W4/
Date Nt*
(
b 9N 19 Owner or Owner's Desieries, Title
)
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of
/'ho-M and employed by M >~ # 1" d of No dA>,/
C 7' have inspected the components described in this Owne'r's Report during the period N? /9 Y MS/9 #
_ and state that to to the best of my knowledge and belief, the Owner has performed naminations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Cude,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.
kf< i_ l /AY Commissions NA MU _
O Y2 V INA Inspector's signature Nitional Boarti, State, Prov,nce, and Endorsements Date A4 Y 9 1g W
Docket Number: 50-338 Serial Number: 94-688 Page 33 of 90 FORM N18 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. O. norvir.;A Eldem k 8 w Ce-H-1-W oote J
Nem*
I
.)
{
seenDnsem %L A Alkm VA nof o I
1 sh.et of
/ Address I
- 2. Plent drIL $6%
bkd'e" eW Unit I
Norn.
Ro. Bu %. M:wJ v4 23w1 ek Pee-w -in. w.o.2eu u ote m-2o2.
Address mes@r orgentastion P.Of No., Job No., etc.'
- 3. Work Performedby Virama ddra A P.u e (
.//A Ty,e Code sym.oi Stem, Authorisation No.
d4 Seer b M nism blVA, hl% AIL V A 2 soeo Empi,siion osio
- 4
/ Address
/
omkre N
- 4. Identification of System b M r* b m 4-
- 5. (e) Applicable Construction Code O 3l.I 19 O Edition _ M0 Addende 78 M tN f M Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 M
/$13S h /k'
- 6. Identification of Components Repelred or Replaced and Replacement Components f
i I
ASME Code i
National
- Repaired, Stamped Name of Name of Manufacturer Board Other Yeer
- Replaced, (Yes Component Manufacturer Seriel No.
No.
Identification Built or Replacement or No)
Pt& C h*T I?l,l; d/A l-cu-3 86 m'l %J A
9
' J i
t
- 7. Description of Work (di !
OI oC Aw
't e Ot w_ ra n.
I i l
' l
- 8. Tests Conducted: Hydrostetic K Pneumatic 0 Nomiasi Opererias Proesure O Other Preneure 216&
pel Test Temp. M00
'F NOTE: Supplemental sheets in form of lists, sketches, or drowings may be used, prwided til 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 ehest is numbered and the number of sheets is recorded et the top of this form.
L (12/82)
This Form IE00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REP" INT 12/91
I i
i FORM NIS 2 (Back)
AsME Class t
R.rne,,,
U4e t m e b
QX A %h on 5 oh too a c4_ m h7 $ oc t.h ws f_
t,..or,.t
, ors o..
.r,e t.
e l
P b
r CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and thisnn u < mmhoonforms to the rules of the ASME Code, Section X1.
M"''*"'"*"'
t Type Code Symbol Stamp Certificate of thorize '
No. 4I Empiration Date O
hcr mAe<r 6,,, L e e
- 3. W
$6,r,od oe,e Owner or Owner's Designee ( T,tte j
I CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a welid commiselon leeued by the National Board of Boiler and Pressure Vessel inspectors and the Stees or Province of Y'N /N ami employed by # L M 77 ?
of
- o e /_/v / [rT hows inspected the components described in this Owner s Report during the period d M"V
/CI#d'V
. and state that to to the best of my knowledge end belief, the Owner has performed eneminations and taken corrective measures described in this Owner's Report in socordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the inspector nor his employer makes any worrenty, expressed or implied, concoming the examinations and corrective moseures described in this Owner's Report. Furthermore, neither the inspector nor his employer I
shall be liable in any menner for any personal injury or property demoge or a loss of any kind arising from or connected with this inspection.
I
$Yc) Y.
l'A W
~I A' A Cornmissions A'* ?N/.
Inspeceor's 56eneture Nationes soord, state, Provence, and Endorsemente Date M e' 9
19 ??
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l f
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Docket Number: 50-338 Serial Number: 94-688 Page 34 of 90 FORM Nif.2 OWNER'S 'r(EPORT FOR REPAIRS OR REPLACEMENTS As Required by 1963 Provisions of the ASME Code Section XI 1, Owner V i r^ in i. Se <<
o ker 0 'a m *V Date 9
- 2 6 "" N Nome 506& Ormic =
Old Otm A llEn Vo1
- 2 'h WC Sheet l of I
Address
- 2. Plant Af e 4 d P90 P +,, 5 b 4 <e.,
unit
/
M f
Name f0 6cs 402. rH /,, em l, Us%
'13 I t*/
R/R k<#e rc. r> 79-i7 3 td O 7F<9 t f*T - 0 7, 8 3 Aderses Repdtr Ortenization l' O. No., Job No., etc.
- 3. Work Performed by
\\/+,'n EI'*4're I 0"'*< *<' la Type Code Symbol Stamp V /#1 y
i Authorization No.
N/A Sm O, m...
6twel Cic Altr.,, V A 23or,o Expiration Date N/A '
Address
- 4. Identification of System 6ofack fo r a,v
- 6. (e) Applicable Construction Code N 3 b"?
19 o't Edition,1197 o Addende 7PR f Edif f Code Case f
(b) Appfleable Edition of Section XI Utilized fnr Repairs or Replacements 19 eS ' r 519 6 3 4 d J + c4 a
- 6. Identification of Components Repelred or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
L'g,,,,pek Seppe,\\
Y* 7*
- S **N
N /A IV/t1 s-G 5 f&l' I Maes m R+ rad g
t'ewu (s em-v
- '*4**
- g j Sp I V/4, r*
jyf4 fyj4
,. g g. gg. g g, g g g, R.pl.,,,,,,}
f f.> we, M gm..y
% p,) 5. g ek **$'*'*
gjg gjg g [, $. pH.t g. S u k,w.,
Regdag uk Q
fes aer Ca pey
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g
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G
,,,4 5'.,ppari Y#'F
- Q w Co.pe-y 4 f,,{
V"P' ** '4"' 8 g
g
- . g m.13 4 yd n
c
~.y l
- 7. Description of Work kenfore) Ma 5 es l d r=n.c e;,d (re emsc, o
- 8. Tests Conducted: Hydrostatic Pneumatic C Nominst Operating Pressure Other @ Pressure P'/A psi Test Temp. N/A
'F vr. 3 NOTE: Supplemental sheets in form of lists, sketches, or drowings may be used, provided til sire 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.
4 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 i
1 I
n-l 1
/d/,F.
IS 2 (Back)
- 9. Romerks A5mF
( la s 3 g <1 d wF)
Applicable Manufacturer's Data Meports to be etteched l
- I dt Sted 44 D W 5 -7 9 Eo 54 e./ 4 S o,c iv l
f
\\
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CERTIFICATE OF COMPLIANCE We certify thet the statements made in the report are correct and this (*fNan*
conforms to the rules of the ASME Code,Section XI.
Type Code Symbol Stamp N/A Certificate of Authorization No.
N/A Empiration Date N/4
[
t M<r 2M N /c n e Owner gf Owner'(Deep, Title Date I*
2E 19 N f
Signed l
CERTIFICATE OF INSERVICE INAPECTION
[
4, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State
[
= uf employed by og
{
M,u.4 or Province of V'
- ed/cd r" 7" have inspected the componente described l
In this Obner's fkeport during the period II*b fA*/N to and state that to the best of my knowledge and belief, the Owner has performed eneminations and taken corrective measures described in this
(
Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing thi; certificato neither the Inspector nor his employer makes any warranty, expressed or impl!Gd, concerning the examinotions 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 thspection.
f NY N Commissions NB 1Q OW I' "' A inspector's signature National Board / State, Province, and Endorsements 1
Dete NI ?#
19 7/
t t
l i
SUPPLEMENTAL SHEET Docket Number: 50-338 Serial Number: 94-683 j
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLAGMBNflynt 2 Page 35 of 90 i
As required by the Provisions of the ASME Code Section XI j
1 1
l
- 1. Owner Virrinia Electric and Power Company Date October 10.1004
$n00 Dominion Boulevard Glen Allen. VA 2Wo Sheet 2 of 2
- 2. Plant North Anna Power Station Unit I
+
I r
P O Bos 4n2 Mineral. VA 23117 RS Prorram 04-123 W O. 280217-1. 2. & 3
}
e.p u..
e o n.. m w.
3, Work Performed by Vireinia Electric and Power Company Type Calc Symbol Stamp N'A Authorization No.
N/A P. O. Box 402 Mircrat. VA 23117 Expiration Date N/A m.
- 4. Idernification of System Ouench Sprav
- 5. (a) Applicable Construction Code B317 191 Edition W1970 Addemia, 78. RI. 83(R).115 Code Case (b) Applicable Edukm of Secten XI Utilized for Repairs or Replacements 19 R3 with Sumner 83 Addenda 6.16ntification of Composerus Repaired or Reptared and Replacenent Composents ASME
- Repaired, Code N.aional Replaced.or Stamped Nane of Name of Manufacturer Loard Other Yen Replaceners (Yes or -
Component Manufacturer Serial No.
No.
Identification Built No)
Comporris Support Virginia Electric N/A N/A 1-QS-PH-11.6 1994 Replacemera No
& Power Co.
Docket Number: 50-338 Serial Number: 94-688 Page 36 of 90 FORM NIS.2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner ka n Eled<s 4 Pcwe-Cmmm Date 9 %
Nome r
E
/
Teve D r n..wc e Eld 6-lu Alfew VA 2.3o60 Sheet of Address I
- 2. Plant Ne<4k Om Fe u er $Oen Unit Name Fe b Hot fMine. ) VA
- 2. 3 44*T N/R Em i r, > 9 4-13 5 W d 2*f4 M E*el Adoreen steoe# Oreenlastion P.O. No., Job No., etc.
- 3. Work Performed tw V U.-
I' led, e d 9eb8' d*ey-Type Code Symbol Stamp MA Authorization feo.
W4 Sect o e.. r.e Gled. 6lem Astra UA 2.se L o
' Expiretion Date N/A Address
- 4. Identification of System dutheb In e.v (Ai)
- 5. (el Applicable Construction Code B3i1 19 64 Edition.W 647 C Addende,1e e t e W) liS" Code Case S f' 3 M"M (b) Applicable Edition of Section XI Utillaed for Repairs or Replacements 19 03
~
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
- Repaired, Stemped Name of Name of Manufacturer Board Other Yeer
- Replaced, (Yes Component Manufacturer Seriet No.
No, identification Built or Replacement or No)
S+uds N/A N/A iv/A l-GS-38 njA nytaced Mc
$ le,k Nova
- ecul92.
ufA g - 0 5-3 6
,A43 Rep w.3 e ted Ng la N ul5 N/A N/A N/A l-4 5-36
4 Ra le 94 %im M No Nds Nova Nftc3649 N/A 1-c5-36 s
- 7. Description 0f Work ReMond b A. A 6 be fhe
- 8. Tests Conducted: Hydrostatic Pneumstic Nominal Operating Pressure O Other' Pressure M/4 pel Test Temp. N /A
'F NOTE: Supplemental sheet: in form of lists, sketches, or drowing may be used, provided (1) size is 84 in. x 11 in., (2) Informe-tion in items 1 throut/s 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 be obtained from the Order Dept., ASME,345 E.47th St.,New York, N.Y 10017 REPRINT 12/91
.}
i
?
i i
i FORM NIS-2 (Back)
- 9. Romerks e ME c(ass Z Applicable Manufacturer's Date Reports to be ottsched R en ic.rr,\\
he lk ohr wk k in, s..
one s
/
CERTIFICATE OF COMPLIANCE We certify that the retements made in the report are correct and this (8,da aata conforms to the rules of the
'*P*"'A'***'"*"'
ASME Code, Section X1.
+
Type Code Symbol Stamp N/A Certificate of Authorization No.
N /A Expiration Date N/A l A/1 73I E M 'r Date Nder Ik 19 N 3;gned Owner or Owner's Des (enee, Title CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Boe ) of Boiler and Pressure Vessel inspectors and the State or Province of 14e M and employed by
- # //1 2-of
- r86M have inspected the composeents described
- A MTV M ff in this Ownor's Report during the period to
, and state that to the best of my knowledge and belief, the Owner has performed examinations and teken corrective measures oescriba d in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the inspector nor his employer makes any warranty, expressed or implied, concerning the i
examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be lieble in any menner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
j l
M4eI #/.
4 Comrpissions_ #B M/
- W VA U 4M inspector e signature National Board,$ tete, Province, and Endorsernents.
Date 6< /
19 l
l l
l'
t I
I Docket Number: 50-338 Serial Number: 94-688 Page 37 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1, Owner \\/ 8 C ic 6/ebt A bewer ~ Ce<>arw
/d~/3*Ni Date Nam.
/
of
/
Ject Oe.m
,r-Biel Cle Allo,. V4 13 M,o Sheet Address
- 2. Plant Air,IL Am~ Me:.c-Mre a Unit
/
I i
Name
,p 96 Gex vo2 m ;-,./. v 4 23:n R/a %r-94. ed oc e 94-oc-t Aggees Repelr Orgenlution P.O. No., Job No., etc.
- 3. Work Performed by W hIdd dam 6 5 Type Code Symbol Stamp NM Authorization No.
N //4 u Jall. r,<e J),
s.c. 1o u i e.pi,e,,on os,e -
uu Jl Addrdes
- 4. Identification of System Ngk becid $a ev Lj ec
/cu j
- 6. (e) Applicable Construction Code B3fM 19 Vt Edition, W 19 f 0 Addende"Tff'JA ') *~'
Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83*P i 19 6 3 *W'"*h s
- 6. Identification of Components Repaired or Rerlaced and Replacement Components ASME Code National Repaired,-
Stamped i
Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) r Re#onaed
/4 Fir.w 0 r 4 b c 7,,L o.)
7 25 Y.16 -
N/A j.5l-no.Icl g qq sy J
e F t..,s Or,M o J,,,,4 od 7 2s si.2c A//4 1 5 4. go -le!
199't R*r" 'a '
/J R*i"* ~ d ya i
cl., ordits 3,4 oJ x.2sn.1 A ylA t.st-nc~see sqq ty Relneened Cl<-w Yt*
I
'3os.,k 0 0
'3 2 5Ve A fifA g.$ s.65 -1946 gqqq e
pyg M'
Flow VodM
~J u,,A c.d y.2s M B N//4 i-s -rs 197L t 99 8f No flo v Vankn i
'Jo x p h O. t 3-wyl c.
p'k 1-SI-FE-flu lYl'1 Pepmment A/o b ed b & V 6 t,<
^ 6 <A 1l cts o,rbra b.,
fru<>re,e b Mets
- 7. Description of Work r
tw er.os,o e s+s v 4 e a es 6:IMie s cs.j k hip ke,d swlcA, p jed,c.
s yskm,
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure R 840
'F Other O Pressure M 8 0 psij Test Temp.
NOTE: Supplementet 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, t
(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 e
{
i t
-l i
FORM Nis 2 (Back) -
A5hF Clau 1.
}
- s. Remarks had I
Applicable Mebfacturer's Data Reports to be et'[s.
P,Jerm,1 L P u@d:ews
, ~ J sockd we t ee,,
.w Pedo,~,.1 LP d RT uw. wide.ws
.u r.d6i~,3 bd+
)s,
,l
}
dsed (or c. b se_ Al-N d kor et omer 6
4 M c SSd c e
l r
i CERTIFICATE OF COMPLIANCE We certify that the statements made in the report era correct and this fd M h*-
conforms to the rules of the
"'4'"*****"*
ASME Code, Section Xl.
t Type Code Symbol Stamp i
Certificate of Authori on N Expiration Date f
/
/
~
hM[
Date M
- I 9
Signed '
,19 Owner or 0wner's Deendnee. Title j
i CERTIFICATE OF INSERVICE INSPECTION holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State.
f 1, the undersigned,$r$ca or Province of V and employed by M J' M #E-of
=
A4r//o
//
have inspected the components described f
in this Owner's Rob during the period BIS /FV to '
M/8/#V
. and state that Owner's Report in accordance with the requirements of the ASME Code,Section XI.
to the best of my knowledge end belief, the Owner has performed excminations and taken corrective measures described in this.
By signing this certificate neither the inspector nor his employer makes any worrenty, expressed or implied, concerning the
[
examinations and corrective measures described in this Ow*mr's Report. Furthermore, neither the inspector nor his employer i
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 f
l Insper tion.
l
&Ya N
Commissions AM W3/
O
?* ? A i
inspector's' signature National Board, State, Province, and Endorsements t
Date
/I *'
?-
19 M I
k f
I I
j
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s'
r, Docket Number: 50-338 Serial Number::94-688 Page 38 of 90 I
FORM N18-2 OWNER *$ REPORT FOR REPAlR$ 03 REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 9 -2 6 c/ 4
- i. O.nor N/ irm.-a Fle A,,r 4 Fuee 6-oste r
s u...
I I
' Sooo De m e.f rm Gk) 6le* AHew VA 23666 Sheet of Address l
- 2. Plant Nr 4L ll ean n Pe.u c 54,4n,a unit
/
Nome R o. e n 4c2. M r.,e,a l. VA 2 UI'T R/R Prmr<ww 44-2if w o m '3 5 2.
Aderous nopeft oreenivetion P.O. No., Job No., etc.
- 3. Work Performed by Vfrym E d m A Peue (c w y Type Code Symbol Stamp N/A A.sthorization No.
N/A Socc Oc w,.%
(Alvd CJew Allen. v4 1304,0 Empiration Date M/A
'Amoreen
- 4. Identification of System de mm! cw d \\/e /t m 4. bd.! Su sle au
- 5. (a) Applicable Construction Code 8.lls'7 19.(s.3 Edition,W 89Y 0 Addende ~7 6 Pl.9MMhts Code Cass (b) Applicable Edition of Section XI Utilized for Repeirs or Replacements 19 63w 563 Act)p g f
f
- 6. Identification of Cornponents Repaired or Replaced and Replacement Components s
ASME f
Code f
National
- Repaired, Stemped Name of Name of Menufacturer 50 erd Other Yest
- Replaced, (Yes Component Manufacturer Seriel No.
No.
Identification Built or Replacement or No)
Mocts N/A Ar/A A//4 p cw-267 Ud'
- Neek'd Ne i
f 54J<ls M"k 8* *
- 782'O N/A l - cH-7.67 gqqN f!@+4 4.
nh N AAi Nob q
N/4 N/A l-CH-267 u k.e,.a Repbud No Nul3
% Ies.-
- qsqqe N/A g cs.Ls7 wgg geg,l=.med go
?
I dee \\ ed - by
- 7. Description of Work Raolarerk he Ik fact dor,n re m #r
(
d
/
r
- 8. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure Other Pressure N/A psi Test Temp.
N/A
'F i
NOTE: Suppla eental sheets in form of lists, sketches, or drowings may be used, provided (1) size is 8% in. x 11 in., (2) Informe-
[
tion in items 1 through 6 on this report la included on each sheet, and (3) each sheet is numbered and the number of sheets is f
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 1
REPRINT 12/91
_ _ _ _. j
l i
i--
\\
i f
FORM NIS-2 (Back) l
- 9. Remarks k bM b C (C+55 1
Appiscobte Manufacturer's Data Reports to be etteched 6
t i
r i
r
' CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replence *d conforms to the rules of the ASME Code,Section XI.
Type Code Symbol Stamp N/A f
i Certificate of Authorization No.
N/A Empiration Date N/A Signed
- ]= N 2 *I & 9i==ter Date SorAtM ht r 2$
19 94 OM or Owher's Designee, Title
-i CERTIFICATE OF INSERVICE INSPECTION f, the undersigned, hol ding a valid o)mmission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State -
or Province of fW = eIn and employed by M J J",
I' 7 -
of I
Ma,fle (T
have 3 ed the components described In this Owner's Report during the period 8I4!#I 9 2 / /f V
. and state that
-to 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 examinetlons 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.
MAfM N.
M Commissions A'B m/. V4 M2V 1MA enspector's ssneture het6onal soeref, State, Province, and End'orsements f
Date J e'e/ U 19 FV
/
l
[
t b
I t
I l
i Docket Number: 50-338 Serial Number: 94-688 Page 39 of 90 FORM Nis 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1, Owner V a m,,.*
E l d + I A ee comom osse 9-27-94 Name bec Demm-Al Glm Alfr., VA
- 13 c40 Sheet
/ of
/
/ Address 1
O
$4dca J. Plant AfdSI-OwA f cbfe Unit Nome P. 0 - P> t.w 4a~1, Pis,,v I
(/A
'2'31/7 R/12 O r.escim 9'/*2 87 V/4 '29 3 3 41 Address Repefr Orsenization P.O. No., Job No., etc.
- 3. Work Performed by V rM m F8 ed< c dNMr [c + ce>=v Type Code Symbol Stamp
^'/A Authorization No.
h/A
.l Socc Ot.ma + Al ) 6 /ew 4llPw t/A '2 M 6 0 Empiration Date N/A 4
Address
( kfiesvp ! Ml Ve lveit b ef k em
- 4. Identification of System
- 5. (e) Applicable Construction Code b3 Id 19 6.3 Edition, W 19'TC Addende,~7F PL F"3l@lf ode Case C
5 9 3 M*A (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19M W
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
- Repaired, Stemped Nome of Nome of Menufacturer Board Other Year
- Replaced, (Yes i
Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) 64uds As/A Ao/A N/A
)~cH-296 u Lu- %,,l* *cd 61e
$ Qts 1%Lu HT%1c z y/A l.cH 1%
geygg g,g,a,,,,A Ne NAM R.P =<uA No Nds tsp N(A N/A
> Of -299 t)a u l
ARC Mhy Hf'W O
/V/A 1-C Wlf fr l4tilf Re/newsb hle lJoh3 Mk ua r c.
- 7. Description of Work k9MMerk b ces-) NM>.
Reclar+d dw y r eocir, der loc.b 5
s
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nomin'ai Operating Pressure O Other Pressure M/4 psi T'est Temp. N / 4
'F I
t NOTE: Supplemental sheets in form of lists, sketches, or drowings may be used, provided (1) size is 8% in. m 11 in., (2) Informa-tion in items 1 through 6 on this report is included on each sheet, and (3) sech eheet is numbered and the number of sheets is recorded at the top of this form.
e (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 i
FORM NIS 2 (Back)
A5MF C ks 7.
- 9. Romerks Applicable Manufacturer's Date Reports to be ettsched CERTIFICATE OF COMPLlANCE We certify that tP a statements made in the report ery correct and this FCnkve rconforms to the rules of the
b'**'*****"'
ASME Code, Section Xl.
MM Type Code Symbol Stamp NM Certificate of Authorization No.
N /A Expiration Date
$c f* b M
_19 %~
Signed _.. O l Mrtw, "T SI L*EA-Date Oper or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, hqldjng a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of VrM*N and employed by M I' O #'I of
>V< //e[#
CT have inspected the components described MNM 9I' MF /
. and stets that to in this Owner's Report during the period 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 examiretions and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his ertployer 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.
+
Commissions NB PJW W WY LMd
$Y<d hl' inspecto'r s signature Nettonel Board,5" tote, Province, and Endorsements
~frfl 22' 19 S Y 4
Date
/
s l
e-.
Docket Number: 50-338 Serial Numbert 94-688 Page 40 of 90 FORM NIS 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI ids be r'c h how e/ [oso**
ll d Date t, Owner
)
Nome l
J Soon hn% w,u OkV bl** b!!*w.Ok 1'50(O I
f Sheet of Address
- 2. Plant f
N oui
- b Unit l
~.m.
O, Bey 402 hwenl _ VA.
11i n h h(,er e 9 N tY. U.0, 2 1 1 1 3 6 Reppir Orpenization PSD. No., Job No., etc.
/
Addess ~
/
4'M
- 3. Work Performed by # i4u b4 (i,
., e ( o m at Type Code Symbol Stamp Authorization No, d!N I
Sece k 6 :mw N s). ble w A New. A 2sexo p
Ex,i,e, ion O,,e A6 dress
/
- 4. Identification of System 0ta D(cw I
/
b b-)
19 d i Edition, ID0 Addende,Y 8I Bb i @ Code Case
- 5. (a) Appinceble Construction Code (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 94 5 (*l6) Aded,kq
- 8. Identification of Components Repelred or Repieced 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 Replacenwnt or No) yas utsAh W;-
4 Fas-re-ios i339 4eu A),
Nds (4
f7
,d.
1-Q s-FE-b4 d Re)%
dIo.
Sb13 ff G had. IAd4 l-RS-FE-loi l'111 Ghwd NO, sd.s 4
94 asa-,e ur
%L%
I htus4 N4 6
3 th Asf7.
- 7. Description of Work e r -c,
I
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure Other O Pressure 2[L psi Test Temp.
7/
'F NOTE: Supplemental sheets in form of lists, sketches, or drowings may 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 shoot is numbered and the rumber 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
l i
i l
t FORM NIS 2 (Beck) b A%
1
- 9. Romerks Applicable Manufacturer's Date Meports to be attached i
i t
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this U P a r 8 ^ ^ conforms to the rules of the
d''**"*"'
ASME Code,Section XI.
I i
I Type Code Symbol Stomp j
- 1..
v Certificate of Aut orizatio
- o. _ i V^
Empiration Date
[
4
/
1N b(b #4 I 9i Date N
- [
19 Signed l
d Owner or Owner's Desiones, Title
/
l CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State
[
or Province of Y/'N"5 and employed by M'l' 8J 'I of t
M M /a' /
T have inspected the components doecribed SIFNV
" !M to
. and state that f
In this Owner's Report during the period 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 Ocmer's Report. Furthermore, neither the inspector nor his employer shall be lieblo in any menner for any personal injury or property damage or a loss of any kind arising from or connected with this inspectiort
}
/Af d #4
.-u Commissions sun n~u, twz v' FMA i
inspector's signature National Board, State, Province, and Endorsements t
Date A4/
7 19 fY' I
h r
f t
i f
r
Docket Number: 50-338 Serial Number: 94-688 Page of of 90 m nu os.n49 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI k4 **/ (o % nu II'9 d
- 1. OwnerYde'A 4 r-Date
)
Name I
)
Secoho%'shh" V
l>lt
- O f W.
130lO Sheet of I
Address
/
- 2. Plant ON kMN ovJe I (W
Unit Name P.O. Sot A MWecd VA mn R/e Pm<o., e-2w t,.o. 2m 2n-e2.
/
Ad drees' Regloir Orgenlastion P'O. No., Job No., etc.
- 3. Work Performed byYiIn kaies be Gt b b-0/[o-oe Type Code Symbol Stamp.- di I
MM Authorization No.
Shob biniek b! J.. [ b $!!f m M 210[D Expiration Date h//4
/ Address
/
{
b
- 4. Identification of System JfM OIN l
1 '
- 5. (a) Applicable Construction Code b3I*
19 5 $ Edition, l 9 ')O Addend M63 @YN 185 Code Case 83 y b 83 $ !d b, '
(b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
Y A
N
~'~b NO J )
ta S+ol3
%#f$7 [eNe*h Ecs Iss2-e 3 m R64 Alo us ua o
ega eas-uwa, va. QJ s
- Alsh, b5 Mt fgd';g J/4 it'4N-isa-d3 09o R)w d Alo.
9
- 7. Description of Work (4 ArL d a.
hG
\\
)
- 8. Tests Conducted: Hydre *atic 0 eneumatic 0 Nominal Operating Pressure O
[b Other [ Pressure [d-
'F psi Test Temp.
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.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017
FORM NIS-2 (Back)
- 9. Remarks b
AM L Applicable Manufacturer's Data Reports to be at/ ached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this fre ** h A conforms to the rules of the
'*Pb'****"'*"'
ASME Code, Section Xl.
Type Code Symbol Stamp Certificate of Authorizati n No.
Expiration Date SI bWh d*(
Date MEN I $
19 Signed Gw6er or Owners Deslonab, Title J
CERTIFICATE OF INSERVICE INSPECTION r
I, the undersigned, hol, ding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Ibc
-L and employed by M I E ?"2 of A//uc! 8 have inspected the components described
- b F#
to M ELNI and state that in this Owner's Report during the period to the best of my knowledge and belief, the Owner has performed examinations and teken 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 gny warranty, expressed or implied, concernerty the examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his empineyer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising froen or connected witWthis inspection.
A$c1l N -
6 Commissions A'B W J/
VM2V LO Inspectors s6eneture National Board, State, Province, and Endorsements Date Ab s' 9
19S'Y t
I I
i Docket Number: 50-338 r
Serial Number: 94-688
[
Page 42 of 90
[
i f
FORM Nis 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS i
As Required by the Provisions of the ASME Code Section XI f
bb
- 1. Owner b rdA b+
/?(-
OW'I 6 e" M Date J
Name j
J Coco 9em b;aw NJ 6len A lle, VA m (o
- Shee, I
f o,
,.es
- 2. Plant N
hh oW/
h Unit N.
e 8 0. P>e x 4o. A er..I dA aw1 R/R Pr. u 4 4- >r e W 0. M i n i Repfir Orgenlistion P.Q'. No., Job No., etc.
Addreds
- 3. Work Performed byhrdak Et,<4<.1 & P,m c / ~ %
Ty,e Code Symboi Stem, va Authorization No, Ml l
I
[h4mtm Os} de-Alle-VA 23ozo p"
r 5eea Empireiion os,e
"' Address b d e
- t-0A
- 4. Identification of System L
/
- 5. (el Applicable Construction Code._
0 3l A 19 6 9 Edition, t930 AddendellE N RIR1815 Code Case (b) Applicable Edition of Section XI Utillred for Repairs or Replacements 19 $ % k//5 1983A2L-d
- 6. Identification of Components Repaired or Replaced and Replacement Components f
ASME Code National
- Repaired, Stemped 1
Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
I i
I kJks Twe, Sl4
['p
[4 Ig gy,-it-l% Ph Q A/o E4s os. Al+ %$&
W
'7/i$7 IYH Ryk.3 #o l
F k
- 7. Description of Work e 0 a e c.
m4 M J G tt w t
I l
j
- 8. Tests Conducted: Hydiostatic Pneumatic 0 Nominst Operating Proesure I
Other O Pressure J/d-psi Test Temp.
'F f
[
NOTE: Supplemental sheets in form of lists, sketebes, or drowings may be used, provided (1) sire is 8% in, a 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 be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 I
l
,s--
,.m.
FORM NIS-2 (Back)
ASME C A ss 1
- 9. Remarks Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLlANCE We certify that the statements made in the report are correct and this f en m e mes conforms to the rules of the ASME Code,Section XI.
P N ' P '***'"'"'
Type Code Symbol Stamp Certificate of Authorizatio No._ l I 1/
Expiration Date A'
/'
s' Signed h
bt^ b* d d Owner or Own' r's Designee, Title J
Date R^
<(
7 9N 19 e
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission lasued by the Nat6onal Board of Boiler and Pressure Vessel inspectors and the State or Prov6nce of L rf "" E and employed by
- /> # 7 # 8 of Ms //c 'M
/" 7 have inspected the components described in this Owner's Report during the period A b MPV hb/h to
. 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 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.
MY4I M/
e-Commissions A'8 M W
- h FJ Y
$ O#
inspector's Signature National Board', State, Prov6nce, and Endorsements Date A '? *'
7 19 YY
i Docket Number: 50-338 i
Serial Number: 94-688
?
Page 43 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. OwnerYirMW oe rit Ac b wer (o*wooM4 Il' b Date d
Nam
- I J
Cood De cw:e s<l. c.). A N dA 1ser e 1
- Shee, i
o, Address
/
0(b h"o-0We(
eM Unit I
- 2. Plant u...
f 0. 6s %1 AcrJ. vA zm a e<, <
i i-2rf. wo. su2 3 uew-,60
/
Adctfees Rjpelr Oreenireti6n P.O. No., Job N'o., etc.
k bWe( (emhu Type Code Symbol Stamp Nd
- 3. Work Performed by +5Wes t (R Authorization No, M4 I d foce hom'iniaa f)
. bew h(n Y4 1sof O Expiration Dats M
' / Address
/
/
- 4. Identification of System ( baMi o O m e-W fo Adden
@ bi 9%N flC Code Case f
- 6. (a) Applicable Construction Code bSt.7 19 $9 Edition, 5 63 M[ddtM ' '
II7O (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 R3 f
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME j
Code i
National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
[ he 96 Mebqbte d
3'c u.")1],. i S 3 A.4, )993 P
Mo
$ go gg,
c wA.
wl,
nueu wt i-a - en m3 e4_e3 0 i
f n ss L
^.7:,
SM2 %)
hum <
D b As H d ye, '
P'Lin cbf b rp,,g % l t
i
.e 99 SW406 3"c H at 859-d, IN-k Mo I
P4 P "'**
%W Te r sp$e$$$1ds ?h$ag. 8 N-M-WMa %) ht"0 No N g,
!A:I)YmJ Ye$[
^ *"sw t e %~J A 3 ' 9 0 ' Elhes LAD 6$n Lc, ek.A Mt.911567
- fA rcH 7b-tS)A-G1 W p tene.t Aio
- 7. Description of Work hMk 1' cheik v.dyt in SNL 1LN M ar$-tG1A-as cin 1 m eJ o g* xi4*g 3*' ta e fra m IMc 4' CH tt2-15SA-Q2 upSkf eawn co liwo l
- 8. Tests Conducted: Hydrostatic @ Pneumatic Nominal Operating Pressure O Other Pressure /65 psi Test Temp. 7SO
'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa.
tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is l
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 l
i h
I m
.c r
--e
..vg n-
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FORM NIS-2 (Back) b MGS 1
- 9. Remark:
L P d RT mMcable M nufacturer's Data Reports to be attachednArm<d LN mOr Appli e c- <,
e u.
e, S Ss< ~ r\\ L P u s,l ;.,,., <e7),r w sed)s CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this (*+ M 4 M4A conforms to the rules of the
PMP'***'"'"'
ASME Code, Section Xl.
Type Code Symbol Stamp
^#
Certificate of Authorization N. e Expiration Date E S-44 I Date CVe% JC N 19 Signed i
Owner or Owner's Desl6nce, Titee
/
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of b#
and employed by # 5 l' DI of MMIM /~ T have inspected the components described in this Owner's Report during the period MVNV PIVhV to
_ 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.
d[Ns V-Commissions MMM bWJ V 2M4 inspector's Signature National Board, State, Province, and Endorsements
/
Acd 2 2-1g PV Date
i Docket Number: 50-338 Serial Number: 94-688 I
Page 44 of 90 FORM N:8 2 OWNER'S REPORT FOR REPAlRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
/O " b-N
- 1. Owner V/n uta Ef ed- >t k Nom ' de eev Date s
v some r
/
/
TOM.
Dem.' ic %
Od S/ew 4Il m v4 23d6e Sheet of f
ae t
- 4. Plant Nedk 4 Mn A PeLure 6 mA Unit f
[
Nome P0. 814 401 M r.e,n i VA 7 3h F 4/4 9' Mrem '/4-14Z ko.26Mc6-3 Adese.
Rep 61r Oreentration P.O. No., Job No., etc.
U 8e 4 OcWff Cr.'= m -v Type Code Symbol Stamp A'/A
- 3. Work Performed spy Y/r
't 3
eum Authorization No.
A///J S60c De.w,,u rilv.I C-le= 4 firn VA 23466 Empiration Date A//4 i
Adoroes
- 4. Identification of System S e^ t CNA e
I
- 5. (a) Applicable Construction Code M l 7 19./s.2,, Edition, w f M O Addends,"li 21 P3f t)4IS~. Code Case 5 t*tfr3 AMed (b) Applicable Edition of Section XI Utillred for Repairs or Replacements 19 03 7
- 6. Identification of Components Repelred or Replaced and Replacement Components ASME i
Code 1
National
- Repaired, Stamped 8
Nome of Name of Manufacturer Board Other Yeer
- Replaced, (Yes l
Component Menufacturer Seriet No.
No.
Identification Built or Replacement or No) l
$M N/A N/A N/A i-sc-sv-iss u v.k..- RWt No 54 J C~L I
- fG(,(243 N/A t-M 5V-tFF'<
teto 3 9erlateM No
[
Nh t//A N/A N/A i-RL-sv-tritC l' "
Kaplaa k j]o i
Rar nesM AJ6 Nd5 Nem
- N2L N/4 t-6 w-Irstc l%3 i
- 7. Description of work RcJered me del h) Ae ds h J led Nonste.-
Onmwd dera ew d swwe
- 8. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure Other O Pressure N/A pel Test Temp. AA
'F l
t NOTE: Supplemental sheets in form of lists, sketches, or drawings 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.
J l
(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
r.
l t
?
i I
i P
.1 r
FORM NIS 2 (Back) bN6 b&/ '
f
- 9. Remarks Applicable Menufacturer's Data Reports to be ettsched I
,l t
i i
I i
CERTIFICATE OF COMPLIANCE re(>baka We certify that the statements made in the report are correct end this conforms to the rules of the ASME Code,Section XI.
L
?
M Type Code Symbol Stamp t
Certificate of Authoriretion No.
^'/4 Expiration Date A//N O < N8e 3
,19 9Y Signed M1N ISI h4A#r Date Swner dr Owner's Designee, Title "
I, CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler end Pressure Vessel inspectors and tt = State 5
or Province of Ybad and employed by Me I 8 T 1 -
of de 8d #
have inspected the components described f
in this Owner s Repon during the period 73'3N '/
W' FY end state that b
to 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 worrenty, expressed or implied, concerning the' I
examinations and corrective measures described in this Own tr's Report. Furthermore, neither the inspector nor his employer j
shall be liable in any menner for any personal injury or property demage or a loss of any kind arising from or connected with this
-p inspection.
N#I M.
Commissions #8 MJ/
W WY 4M#'
enspector s Signature National Board /11 tate, Province, ind Endorsements P
-1 Date
- c / V 19 FF
.I l
I i
I L
k I
l
f Docket Number: 50-338 Serial Number: 94-688 Page 45 of 90 FORM Nis.2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI i
- 1. Owner W e '_ <.- F le1 c f b eer (e wnw Date
/ 6 - 0 ~ 9 S#
Name Stco On w re.,
- 61) Cln A lW \\/ A
~2 ^4 0to Sheet l of l
Aodress
- 2. Plant /4,I L A.
Fe u er 64a4'u Unit
/
Nome i
R6 6<.
4 c 2._
m e s, a l,
VA 2 3 0 t ~1 RJtt Pe,ma m 9 L -14 s we 2 90 2 9 tf
}
t Addrese nedeir oreenlistion P.O. No., Job No., etc.
l
- 3. Work Performed by V/m
.a O* F tea 4 #
M[A M/ -
a Commissions A'M FfH inspector's signature National Boar 6, State Province, and Endorsements 8< / /
19 1 /
Date
l Docket Nutnbert 50-338 Serial Number: 94-688 i
Page 46 of 90 FORM NIS 2 OWNER'S REPORT FOR REPAlRS OR REPLACEMENTS As Required by the Prov6sbos of the ASME Code Section XI l
Y~WN
- 1. Owner \\ bra e EI'd, c be Wf e Ch amu Date Name l
/
/
eroco ih mo P>ld (de. Alb VA 23e6 6 Sheet of Addreas l
- 2. Plant Me A ban 9#Ws e 5-I*dem Unit nome Po 6
'f c2 rmvemi V4
'M ir7 R/R A+mm 94-ZW W4 26o206-/
Addrses RepI6e Organization P.O. No., Job No., etc.
- 3. Work Performed by \\/i<aia.n F 7e M, t 4 9aar (4 e cw Type Code Symbol Stomp N/dl Authorization No,'
N/A I
Tom Dr ew.
c-Bid Cleu /)lles V A ~13N o Empiration Dete
- /4
' Address keacb b ekA
- 4. Identification of System
- 5. (a) Applicable Construction Code B31 'I 19 6cf Edition. W t9 7 o Addende_ Fe t 31MtinIf Code Case (b) Applicabic Edition of Section XI Utillied for Repairs or Replacements 19 R 3
- 6. A 5 t'sG3 4fJr J g
- 6. tdsotification of Components Repelred or Replaced and Replacement Components
[
e t
ASME Code National
- Repaired, Stemped i
Name of Name of Manufacturer Board Other Yeer
- Replaced, (Yes f
Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
ShSr bl4 N/A N/A t - n e.sv. n ssig k~~~
Rse\\Med Ale
$}vd3 dedhd ht'6fu2M3 N/A l-a r.-s v-4f/ 4 L'n't 3 Reh *ed A/c
[
t N.53 NA N/4 N/4 1-RL-S v-is t s 4 D A**=* h el=<td Ne
[
A/g43 N o vo.
Ni H 7. (.
N/A ttc-N-tssl A l'l%
Replat=cd Ma
- 7. Description of Work Ecolea d 3 Sluds ow) 3md5 Ma tib Meet Dai-wd ), A h
d h nt d y.
l
- 8. Tests Conducted: Hydrostetic Pneumatic Nominal Operating Pressure
[
Other Pressure N/4 psi Test Temp.
h/4
'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided til sire is 84 in m 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 (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 i
REPRINT 12/91 t
+
l FORM NIS-2 (Back) f 9.' Romerks ME Cb55 AppIIceble Manufacturer's Date neports to be attached l
l f
r l
f'l CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this rcNan= 3 conforms to the rules of the l
A8ME Code, Section Xl.
Type Code Symbol Stomp k/A i
Certificate of Authorization No.
N/A Empiration Date N/4
[
t Signed 1A/4
.TSI 6*/* #* r Date b
3 19 N Owneybr Owners Des 6gnee, T Ile i
i t
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding,e valid commission issued by the Nationet Board of Boiler and Pressure Vessel inspectors and the State I
or Province of
/#8 ami employed by Md R1 E of 8se/le-6T have inspected the components described I
in this Owner's Report during the period 9/IY/9/
to 9 7/W and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this f
' 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 g
. examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer I
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 j
inspection, MA_I M _
4 Commissions W9f1/
bWb EM inspector's Sienature National Boer ( State, Province, and Endorsements l
4 Date AT +'
19 9 V l
i i
I t
+
1 i
i r
i
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t Docket Numbers 50-338 Serial Number: 94-688 Page 47 of 90 FORM NIS 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner \\/ir n,+ Ele d c. A PcWer 6** e a w Date
/b'0-9#/
Name
/
S6oo Du,m Gld ~ Cfeu A tiew. VA 23M,6 Sheet
! of Address
- 2. Plant Nar Na AHn 9, a er $4.Ir =
Unit
/
Nome P o R, 4 c.2 fri rae.
L l/ /)
- 9. 3 i N 11/R A.-ar3t 9 5/ ~ 2 45 4 6. 2 6o2 62. Address Rep 6fr Orsenization P.O. No., Job No., etc.
- 3. Work Performed by VIM /- GieN< d Fe'**r d* r*= v Type Code Symbol Stamp N/A Authorization No.
N/A
+
Se m O e,-....
Gl.1 dira A fle.,. V 4 ~2 3 o 4'
- Expiration Date NM e
Address
- 4. Identification of System Ah 54em,
- 5. (e) Appticable Construction Code 6 31 ~i 19 6 #r Edition: W f 9 #
Addende7 P J IM
- M Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 63 W 5 8995 #
+
- 6. Identification of Components Repaired or Replaced and Reptocement Components ASME Code Nationet
- Repaired, Stamped I
Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Bullt or Replacement or No)
R*el*c"I ps.
$hy N/A N /A N/A s-m s~ r+ e es e r//A
' Shd, ca.hal
- M8 W N/A r,,,,,,. 84
- 6 l'I9 3 N b"'"*A Nd Y
Afubs N/A N /A ettA s.m s.co. sos s ti/A Ruel*uA Ne 4er ~d No this All'e d
- G22434 N/A e-m s u-#
- f S Aq3 la
- 7. Description of work Proical d lel Ilow4 e S I vrls e, ) ads, 8s,)
rn,, r.]r.
<c ms b cc l
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure
{
Other Pressure N/A psi Test Temp.
N/A
'F NOTE: Supplemental sheets in form of lists, sketches. or drawings 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) sech sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtair ed from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 i
i
n --
o i
l FORM NIS 2 (Back)
- 9. ' Romerks ADb d bSS Applicable Manufacturer's Data Reports to be etteched
[
t
[
-k b
i 6
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this MM2he conforms to the rules of the ASME Code, Section X1.
N !A Type Code Symbol Stamp Certificate of Authorization No.
M/A Empiration Date A
44d # Abd rst Feme onge o,4 bc.-
6 ig W Siened owner d own.r1 oe.>, uti.
l i
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a welid commission isrued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of V E U<a and employed by # J' 8 I 2 -
of
- er//er[
t'* r have inspected the components described in this Owner's Report during the period FIMP/
/M2/I/
to
. and state that to the best of my knowledge end belief, the Owner has perfortned 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 l
examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any maner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection, i
A!.e
$5-A Commissions MAEM
& Y2 W IAA Inspector's Sleneture National Soard, State, Province, and Endorsunents i
i Dete fe' l 7 19 W 5
+
a i
t 6
t
Docket Number: 50-338 Serial Number: 94-688 Page 48 of 90 FORM Nis-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner \\/ **rw r,.
F /ecl < 4 Fr4ver &mm 1, oete
/d 99 v
Nome i
Soor (km er=
OIw). Slew dilm t/4 73N,6 Sheet I of
/
Addreae 2, Plent ^/e A da" bA 6b c"
Unit
/
Name F. o G c,c 4v1 M i.,ca l VA 2.3 0 7 A/4 b ra e., 9'/
'2.%
ta o 2 A e2 c/]- 2, Address Reps 6r Orsenisotion P.O. No.,300 No., etc.
- 3. Work Performed by Vie m /,,* FledxI ber&**w Type code Symbol Stamp
^'M Authorization No.
h/A Soco Oz %,,,ew 6 L J C le. Allem L/A 2 Lr6 0 Empiration Date N/A Addrese
- 4. Identification of System Neu < r b M'**
- 5. (e) Applicable Construction Code O 3 f.")
19 fel_,_ Edition, W i % d Addende; > C 8 /J 3(K) US' Code Case (b) Applicable Edition of Section XI Utillied for Repeirs or Replacements 19 3 3 'n lW '3dleA
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Nome of Menufacturer Boerd Other Yeer
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Sullt or Replacement or No) p 9{
h/A N/A N/A g.ac.sv-e ssn 6 unk - Rep.)
g
$$vck M*'*l H*f+ M 3 *3 hi/A s.st L4 **-8 5 SI O trU Repleuwd Ne
- 7. Description of Work RtMa r,)
JM.
Da n.vtts) d uri,e desnyu d iv.
L t,4 h e m.
a4
/
(
/
- 8. Tests Conducted: Hydrostatic Pneumatic Nominst Operating Pressure Other O Pressure
- /A psi Test Temp.
- /4
'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may 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 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 REPRINT 12/91
L r
f i
t FORM NIS-2 (Back)
- 9. Romerks A5m E 6/An i Applicable Manufacturer's Data Floports to be attached i
P CERTIFICATE OF COMPLlANCE We certify that the stetements made in the report are correct and this Nbm conforms to the rules of the ASME Code,Section Xl.
i i
Type Code Symbol Stamp M/A
[
Certificate of Authorization No.
M/S Expiration Date NM Mb IA/M 752 N'W Date Owner #r Owner's Deenenos, Title ~
OcNek 3 19 79 Signed
?
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holping a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of In[*S and employed by M J' 8 E 2 -
of Me / /o a 6
have inspected the components described in this Owner's Report during the period 93 #F M/MF/
. and state that to
(
to the best of my knowledge and belief, the Owner has performed examinations and token corrective measures described in this t.
l Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the inspector nor his employer makes any warranty, expressed or implied, concerning the 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 personal injury or property damage or a loss of any kind arising from or connected with this j-inspection.
Ma
- W_-
4 Commissions NB ff]/
/A v.2 af-LNA I
lnepectors Signature National Soar 6, State, Provinct, and E ndorsements b
i Dste Se /
9 19 IM t
l l
T b
I k.
s
!i Docket Number: 50-338 Serial Number: 94-688 l
Page 49 of 90 i
FORM Nis.2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS i
As Recr91 red by the Provisions of the ASME Code Section XI 1, Owner h r= + Fled, x I R4.e-An-oste
/<<, %
i Nome Sl*d Gle
/))fr tr.4 2W6 Sheet of
/
l I
'I o c o O c m ier e,.
Address 2 Plant McML One P< a e, 54Mrea unit
/
Name P o g,., q c.t. m,,,,, J vA z 3 e rv WM Rm-N2 9, te o 2 re o2 sd -t Addreen Regreir Oreentretion P.O. No., Job No., etc.
- 3. Work Performed by N/it..s Ffed.n A Pr. w, 6,. oc.y Type Code Symbol Stamp NNI Authorization No.
N /4 T660 Dm r e,c-67 d /2 4.,
dile VA 73dee Empiration Dete N/A
(
Addream 3
- 4. Identif'cetion of System M %,
54ec-
- 5. (a) Applicable Construction Code 6 31 '7 1 * (viEdition, W / T7 6 Addende ~7 F f / 83Mh!S' Code Case (b # Applicable Edition of Section XI Utilized for Repairs or Replacements 19 6 3 w 5 19 M MA
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Yeer
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
$AvAs IV/A N/4 N /A t-rn S-Sus s A N/A R*& * '
No S L As 0,,A, I
deus 19'>
uis e-m s. s v.,n s sus R&~d sk.
N Os N /A NA IV /A s~m H V-**SA Iv/4 Rylseed fjo
/
N ds AllecJ 94*c n 9 34 iY/4 i,ms sv tes A s43 R,ght J Alo i
- 7. Description of Work RoJ.vrA 1 id dl.w,:, xlds cm) ds.
Gml h,nIe e Or.
re e -
- 8. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure O Other O Pressure A//A psi Test Temp.
/V/4
'F i
NOTE: Supplemental sheets in form of lists, sketches, or drerin9s may be used, provided (1) size is 8% in, a 11 in., (2) Informa-I 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 et 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 4
i;
}
I l
I I
FORM NIS 2 (Beck) 6 ASmF C h 53 "Z.
- 9. Romerks Applicable Manufacturer e Data Reports to be etteched f
i i
CERTIFICATE OF COMPLIANCE
[
We certify that the statements made in the report are correct and this repkwmr conforms to the rules of the
'i r
'**** reptocement ASME Code, Section X1.
Type Code Symbol Stamp N/A Certificeto of Authorization No.
N /A Expiration Date M/A
[
Idb T ff IE i
Oedder 0-19 %
M aer Date Signed Owner or Ownef e Desense, Title CERTIFICATE OF INSERVICE INSPECTION i, the undersigned, hojding e valid commission issued by the Netional Board of Boiler and Pressure Vessel inspectors and the State or Province of drMS and employed by N.4 S.7,T.
of l
der //er/ CF have inspected the components described in this Owner's Report during the period M N to
/8 M
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 demoge or e loss of any kind arising from or connected with this
+
inspection.
NY N. -
M Commissions NB HD - VA W Y -
XMd inspector's signature National Board, Stete, Prov6n(e, and Endorsements Date
/'r/ 7 19 M i
l
. ~
~... --~
~-
~~_
j Docket Number:'50-338 l
Serial Number: 94-688 I
Page 50'of 90 FORM N18 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS i
As Required by the Provisions of the ASME Code Section XI
[
i
- 1. Owner h.= m Ft ed.,e t 9mer L. <
oste 16-/,-94 j
- /
Nome t
l L
Suos On,eo Nd ' Glev Afk \\/ A '2 3 DC o Sheet l of Addrese
- 2. Plant Me< 4la / bed bo t4, *r SIa 'o=
Unit
/
Nome-
)
k O.
be 467_ dline,al_ V4 2 "3 ti 7 D P'<4 em %M ko.7G'MS-1' Address Repelr Oreenization P.O. No., Job No., etc.
- 3. Work Performed by V/Me'm EI' M 0e'++< de -a.nv Type Code Symbol Stamp N/4 m
)
Authorization No.
N//l
}
Cooc O m.w Gl.A. 6fr., Alle.. V4 '2.3o60 Expiration Date
' N /A Address
- 4. Identification of System /M a '- Nee *
- 6. (a) Applicable Construction Code 63 I ~7 19_fc$ Edition,W f 97o Addende "M ii iYWl tf Code Case i
58%34AN'd I
(b) Applicable EJition of Section XI Utillred for Repairs or Replacements 19 E 3 f uy 6.' identification of Compons,ts Repaired or Replaced and Replacement Components ASME Code National
- Rupeired, Stemped I
Name of Name of Manufacturer goerd Other Yeer.
. Replaced,
. (Yes Component Menufacturer Serial No.
No.
Identification Bunt or Replacement or No)
.(
S-Juh N/A N/A Wjg
- u. m mv. e en N/A Replacod N g, l# 93 -
RegerfA+3
'No f
$4 isclj
[.A.Au f
- (4243 N/A l-m s.4v-f c4 4 t
N N ois N/A N/A N/A s-m:-$v-leM N/A l?rplated No l
t N I
[ll led H[d22q3A N/A l-m 5,5,,.re W
@3 g,g.g m d gg-I I
r
- t
- 7. ' Doecription of Work R,Jerl I I*I II%cx Sl.d5 a d %)1 doo d N /, den ca o,ad o r e_
i
- 8. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure l
Other Pressure N/A pel Test Temp.
A//A
'F
-f NOTE: Supplemental sheets in form of lists, sketches, or drowings may be used, provided (1) sire is 8% in. x 11 in., (2) Informe-tion in items 1 through 8 on this report is included on each eheet, and (3) each sheet is membered and the number of sheets is recorded at the top of this form.
l I
(12/82)
This Fcrm (E00030) may be obtained from the Order Dept., ASME,346 E. 47th St., New York, N.Y.10017 l
REPRINT 12/91
f r
I
.I 4
k i
FORM NIS 2 (Back)
- 9. Romerks A 5 U1 E d /A $1 1
t Applicable Manufacturer's Date Reports to be attached
-h 3
CERTIFICATE OF COMPLIANCE i
I We certify that the statements made in the report are correct and this W 9 o/'me conforms to the rules of the ASME Code,Section XI.
I i
Type Code Symbol Stomp M /A Certificate of Authortretion No.
A//A
///A Expiration Date Signed M4 7 57 N i-e'r Date oM*b'r 5
_19 N Owner ofOwner'sDesignee, Tale l
i CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors and the State a
or Province of bdw 't and employed by M l' 8 IJ-of j
- 6/I ef have in ted the components described in this Owner's Report during the period FI M N to M
and state that I
to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this f
Owner's Report in accordance with the requirements of the ASME Code,Section XI, r
By signing this certificate neither the inspector nor his employer makes any warranty, expressed or implied, concerning the
-l examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer ehell be liable in any manner for any personal injury or property demoge or a loss of any kind arising from or connected with this inspection.
(
Nd &
4 Commissions NDPJ~3/ -
VA Y1 Y hN A' inspector's signature National poord, State. Province, and Eruforcements
-l
[
Oese d'r f 1 1g W l
i l
Docket Number: 50-338 Serial Number: 94-688 Page 51 of 90 r
FORM Nis-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1, Owner \\/ /, u. r 61,d<,c d kower (ca-Date 16-6-9Y Name
/
/
E6 c>o Oc,m + 0).) (rfe Alle Ve4 7 'Le 00 Sheet
/
of Addreas
- 2. Plant ^>
- N A- /bi- - Id wer $I c-Unit
/
Name Po &a </s 2.
m o.en t 1/A v er-1 R /R %m.
9 't-2 '19 d c no2,, -7.
l
~
Adorses Repelf Orsentration P.O. No., Job No., etc.
3 Work Performed by \\// r* ~ m F i n I r'c d Fe u *< f**'a m *,'
Type Code Symbol Stamp N /A
[
Authorization No.
N /A 5066 Oc a. w e-
%<I Clea dile. V A 2 3 0 6 d Expiration Dete N /A
~ Address
- 4. Identification of System N i-54 m m i
- 5. (e) A.'iplicet '1 Construction code 6 3 i ""/
19 69 Edition, W iWo Addende ~1R 9 6. E u diif Code Caos (b) Applicable Edition of Section XI Utillied for Repairs or Replacements 19 % 5 N Md t
- 6. Identification of Components Repelred or Replaced and Replacement Components ASME Code National
- Repaired, Gtemped Name of Name of Manufacturer Board Other Year
- Replaced, (Yes j
Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) f'4ds
/V /g N /A y 74 g.m u.gv.ro ty y,p ga,t.c. )
g s
$ 4 sac {$
Ca d;ect W6tM 21 N/A r ms.sv sous n% 3 Rselm~sd rJo fd u45 N /A N /A fy/4 l-ms-5v le'8 6 ty/A g, gly,)
- rJe, he ~e rms mA'No Nd5 All *d H+'G1191A IV JA e m s Sv-I*'4 6 L9%3 t
I ko olt4re) N !ed b4 M e.
sIud4 c s.) e ds. 6 o,) n. u,ln a p y.cb.
- 7. Description of Work
- 8. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure Other O Pressure A//A psi Test Temp. N//l
'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) Informe-tion in items 1 through 6 on this report is inclu&d on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 i
=
FORM NIS 2 (Beck)
A 5m E i la u
~2-
- 9. Romerks
- 4. uc.mo u.not-to,er s o.to neports to ne att.ched CERTIFICATE OF COMPLIANCE b
r Pf M mr conforms to th rules of the We certify that the statements made in the report are correct and this
'*P*'''"*'"*"'
ASME Code,Section XI.
M/M Type Code Symbol Stamp N /N Expiration Date M/A Certificate of Authorization No.
O< Cb'C 0
19.3 9 T S 2" CS9I"*'r Date Signed JA <-
Owner.or owner's Des 6gnee, Title CERTIFICATE OF INSERWCE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State Vi e and employed by
- ' J"' #' II' of Med/oI'a a or Province of M
have inspected the components described in this Owner's' Repok during the period FAMN MIN
. and state that to 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 eny 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.
Nars/ &
M Commissions NES3~ W W VM TA 4 '
Inspector's signature National 80 erd, State, Province,'end Endorsements Date G/ 7 19 FV
m i
l l
Docket Number: 50-338 r
Serial Number: 94-688 Page 52 of 90 FORM NIS 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Proeisions of the ASME Code Section XI I
- 1. Owner b r,i a Fled s d Pc a 6-~
Date 10-6-99 l
home i
Swo Oe
- n ?o.
%I Cles film & 11u e Sheet
! of f
Address
- 2. Plant ^!* %
A~~
Pr wer 9 4 *~
Unit
/
Name Rd N > 461 TM r,= *<
- f V4
'1 b e n 4 / 82 Ocesaw 94-2 5c n o, 2 6 6 7 7 6
- Z-6
' Address Repefr Creenitetton P.O. No., Job No., ets.
3 Work Performed by We w ArcI. s d9%u Gwv Type Code Symbol Stamp
^'M Authorization No.
Au4 s tiese th n...e. GP,ol Glem Al fo~ _ '*n
- 2b6Ce Empiretion Dete N/A Ad dress
- 4. Identification of System m a n,,
SJeam
- 6. (e) Applicable Construction Code B 3i.~7 19 M Edition, W 8 *
- e Addende.76 88 f 3r8018' Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 P3 ty5894 AdAJE
- 6. Identification of Cr mponents Repaired or Replaced and Replacement Components ASME Code National
- Repaired, Stempod Name of Name of Menufacturer Board Other Yeer
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Bullt or Replacement or Not Mch N/h MA N/A s-Ms.sv to'th N/A
% d.
Uc Ree set **O Ne l
$4 uh M. I s# ttet2%b N/A t-m s H *** %
5% 3 NAy gyp N/A N/A t unV n d **
k#
Re/ mend No Eara'tadd N8 N.Is Mid
- d 2H SA N//4 l-M s -" 8 '* A 8*43 l
l
- 7. Description of Work Reote ca cA
(= Ie 5 Ma ;. s4t)5 4vA.
6e < <4 n.s e. Ie a n ca.,, r., l,w c.
v
<w r
- 8. Tests Conducted: Hydrostetic Pneumatic Nominal Operating Pressure Other O Pressure _ N/A pel Test Temp.
N/4
'F NOTE: Supplemental shents in form of lists, sketches. or drowings may be used, provided (1) size is 8% in, a 11 in., (2) Informe-tion In items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
FORM NIS-2 (Back)
Ahe Clan 1
- e. Remarks Applicable Manufacturer's Date Reports to be etteched CERTIFICATE OF COMPLIANCC We certify that the statements made in the report are correct and this ItoIMrw conforms to the rules of the ASME Code, Section X1.
Type Code Symbol Stamp N/M Certificate of Authorization No.
A'/O Expiration Date A /N
/
Od*b 0-19 Y Signed /'Jdan, 7 52 Eas/*e*r Date Owner o'r Owner's Des 6ense. Tit 6e' l
CERTIFICATE OF INSERVICE INSPECTION f, the undersigned, hpding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of Wek$
and employed by
//'J' # #* 7-of dadleI r7~
have inspected the components described in this Owner's Repob during the period M/ *'IN
" Alf/
. and stets that to to the best of my knowledge and belief, the Owner has performed examinations and taken corrective mesouros described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate nesther the inspector nor his employer makes any warrenty, 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.
Nal M Commissions ND 9DJ - LM W Y 1Nf
(
Inspector e sieneture National Board, State, Province, a6d Ersorsements Date OrY sc' 1g 9 */
e
l 1
)
Docket Number: 50-338 Serial Nunter: 54-688 l
Page 53 of 90 i
i FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS 1
As Required by the Provisions of the ASME Code Section XI 1, owner Vim 1m Fled et 3Ocu b -
Date
/ O ' 4 ' '/ V v
Neo l
7
%6t Cm ;,. co, BlJ Gles A ller Vs1 ~23ec6 she,,
/ og
/
l Address t
- 2. Plant Me Ik /4 Pc.er 6,' 4 e-unit
/
Nome M6 b<v Q 6*2._
TV) /ne, a l l/ 4 D II"7 4/4 h/A rc.rw 9 4 -7 S*f vu. d
- 2. ik c 1.7 $~- 7.
Address Repelf Orpenisation P.O. No., Job No., etc.
M bl* dwey Type Code SymbolStamp
- 3. Work Performed by V/r t mA 6i
^c
/W4 a
Authorization No.
N/4 Soon C6,,,,,,,c.
(4/J Cl,% alle V A
~2_3 6 G o Expiration Date M4 h
' Address
- 4. Identification of System NI6 b 4 t*-
- 5. (a) Applicable Construction Code 633'I 19.fal Edition, w f 9 ~1 o Addends.-7F e f f A o u7 Code Caos
[
(b) Applicable Edition of Section XI Utillred for Repairs or Replacements 19 9 4 ' r SNN M*M l
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME i
Code National
- Repaired, Stemped Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) 1 H/4 Ry a4 m
Skts hl/A N/A y iA o.m.u. n u i
54eks L%.A..* \\
Wr M z's3 N/A l ~ m '- 3 V- *
- 3 C g cn3 Q epaem,A g
- Nuf, M/h N/A N/A l m s-sv-iosc H is Reelned t%
b/d 3 Allied Mi*ds.t D 4 t//A e m s-Sv-l*M l%)
Re tare =ed e
i IO $I Sk s.YS cistE 5.
G r.e tl ru t
!> w n r>rst ne.
- 1. Description ot work SenlAuch h M 3e.
i
- 8. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure O Other Pressure N/A pst Test Temp. N/A
- F I
t l
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informe-
[
tion in items 1 through 6 on this report is includsd on each sheet, and (3) sech eheet is numbered and the number of sheets is recorded et the top of this form.
I i
U 2/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 i
FORM NIS-2 (Back)
ANb b b $J b
- 9. Remarks Applicable Manufacturer's Date Reports to be etteched CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this treW e w'd conforms to the rules of the ASME Code, Section Xl.
N /'A Type Code Symbol Stamp NM N/A Expiration Date Certificate of Authorization No.
O ' b* "'
19 0ck 0 Al.h
]1T Es t :**
- t t Date signed Ownertor Ownef e Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of 3 oiler and Pressure Vessel Inspectors and the State or Province of
//rrSU and employed by d'< 5 F#*2 -
of
- er//,
c' I have inspected the components described
- N/W
_ and state that M FV to in this Owner *s Report during the period 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 measuras described in this Owner's Report. Furthermore. neither the taspector nor his employer shall be liable in any manner for any personal injury or property damage or a less of any kind prising from or connected with this inspection.
$$$..! W
^
Commissions A'n tw.
& s,'r s/
7 At j inspector's signature National B(erd, State, Province, and Endorsements fcj 7 19 W Data
1 1
1 Docket Number: 50-338 Serial Number: 94-688 Page 54 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
.. Owner Vir* u m ff*Nne 8kw Gmm"V Dete
! 0 ~ fo ~ 4 4 l
Narne I
F o o c.
O c -., <,. Gl.d si, AllA VA
- 2 '3 e('o Sheet I
of Address
- 2. Plant Mdb d *~ Pee < $ 4 a4 c*-
Unit
/
Name P<,
9,,,
4#2 m m. l.
V4 2 3 r er rt /g 9, ce,c, % 94-2 CZ Address Mspelf Orsenirstion P.O. No., Job No., etc.
- 3. Work Performed by W A. r-Ela 4 e et # Fme f*-m v Type Code Symbol Stamp N /A Authorization No.
N/A 5400 Oc ~s.,
61v.l. Cin A lln VA 2 *h o b e Expiration Dete N/A Address
- 4. Identification of System THmm Nem
- 5. (a) Applicable Construction Code 63L7 19.fcl Edition, W tM 6 Addende; 7f f+ E'k O 4 H~
Code Case (b) Applicable Edition of Section XI Utillred for Repairs or Replacements 19 63 W 5MMA&M
- 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 l
Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) i ShAs N /A N /4 tg ja f.ms sv.opsB N/A R
- r A m
Shds C4,Al htFfWe'fi z'O N/A t-n9 5.w.is s 6 ge3 Reply,,d 3/,
s 2
N/A N/A y jf
- 4. m $. H-t e16 N /A tQeplas*)
NtN Refetem**b No l
/\\fb$
A llfeA H4 012*6A N/A t'm V M *
- O IW l
- 7. Description of Work kenlaecd ide4 Orm e s4ud3 %) h v45 6eed twe4Al wa=<e t
rh e,r e
- 8. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure Other Pressure N/A psi Test Temp. N/A
- F NOTE: Supplemental sheets in form of lists, sketches, or drowings may be used, provided (1) size is 8% in. m 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 (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 l
REPRINT 12/91
i i
i I
l t
FORM NIS-2 (Back) r l
- 9. Romerks A Sm F C la ss 2.
l Applicable Manufecturer's Data Reports to be etteched r
i t
t i
i t
CERTIFICATE OF COMPLIANCE 4
We certify that the statements made in the report are correct and this Frclarf t'ar conforms to the rules of the ASME Code,Section XI.
4 t
Type Code Symbol Stomp MM i
Certificate of Authorization No:
N/A Expiretion Date N /A Signed
- Aman W E"3 '*
- d d d *-
b D
Date
,19 Owner or Owner'rbeetenee, Title P
r CERTIFICATE OF INSERVICE INAPECTION I, the undersigned, holding a valid commission issued by the National Board of Boller and Prosaure Vessel inspectors and the State or Province of Vamed and employed by AJ ElrI-of Afar //wI. / f have inspected the comp;nents described in this OwnerI Repok during the period 9/*IN e # /tIJ'Y to
. and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this i
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 j
examinettons and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer r
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 i
inspection.
A Y
a Commissions #8EH LM M 2M/
Insoector's s6gnature National 30 erd, State. Province, and Endorsemente
+
t Date or / 7 19 FV j
i I
s f
l i
i
I I
I l
Docket Number: 50-338 serial Number: 94-688 Page 55 of 90 i
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS
.j As Required by the Provisions of the ASME Code Section XI j
i i
1, Owner Or * -. n Fi,d,,e f P. m ( e% ~
Date
/o-6-94 Nome 5%
Dra cu 61,.el 6% Min VA *13ebs Sheet lot
/
' Address
- 2. Plant Ne,4L 4...
Dcu u Ghb Unit
/
i Nome E d. (4r < V n.
1% c,, l _ V4 23fs y M F%,,.
- 9 9 - 2 53 W e i s e 2 4,v - t Address me(nir oreenization P.O. No., Job No., etc.
j
- 3. Work Performed by V/,*m.
file <I
- I Fo * (*e v Type Code Symbol stamp N/d i
Authorization No.
N/4 I
Shoo O r m,uom 61<d 6 losa A llem, \\/A ~1 %ctp &
Expiration Dete N/A Adorses
- 4. ident.ification of System N ia SI'*
- h
- 5. (a) Applicable Construction Code B 33M 19.fcS_ Edition, W #9'78 Addende;75 9 I f 3f R)"f Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 E'3 4 5W 4 ddra e-
- 6. Identification of Components Ret iired or Replaced and Replacement Components
[
[
Code National
- Repaired, Stemped Name of Name of Manufacturer Boext Other Year
- Replaced, (Yes j
Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
{
$Q, N /4 N/A N/A 9.m s.s v. s s, s A rs/A Rcel*A lJs i
SLAs G Ai-< l W"4A l'In
'- m s- '* - '* '4 '"
R*r""* O N'
MvI5 N /d N/4 N /A l-M s-sv. l O A N/A EM*"
M8 h"
h/o Muls 4 l}f ecI M"4 2,2*l) 4 N /A
(-MS-JV-W I
t
- 7. Description of Work l7ected i Id 4hy 5 U< c.A udn 6J
%,.4e...,r
,%.1 m
- 8. Tests Conducted: Hydrostetic Pneumatic Nominal Operating Pressure O i
Other Pressure N/A psi Test Temp.
N /A
'r NOTE: Supplemental sheets in form of lists, sketches, or drewings rney be used, provided (1) sire is 8% in. x 11 in., (2) Informe-tion in items 1 through 6 on this report is included on each ehest, and (3) sech ehest is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
._ - _ - _ ~ -
n 1
i i
l FORM NIS 2 (Back)
- 9. Remarks 3Mb b [4 55 1
l Applicable Manufacturer's Data Reports to t>e etteched
'i t
i f
CERTIFICATE OF COMPLIANCE l
We certify that the statements made in the report are correct and this _r e olare w conforms to the rules of the ASME Code,Section XI.
i Type Code Symbol Stomp N/$
Certificate of Authortretion No, M /O Expiration Date MM N
/M?a N N ar" Date a M>+a G
Owner dr Owner's Deep, Title
~ Ig 4 Signed j
f CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Paseeure Vessel Inspectors and the State or Province of b6 *' E and employed by M #' # # D of i
der /I'd e r have in ted the components described i
in this Owner's Rekrt during the period FA //#
MS
. and state that to 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.
l t
By signing this certificate neither the inspector nor his employer makes any warranty, expressed or implied, concerning the t
examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer f
shall be lieblo in any menner for any personal injury or property demoge or a loss of any kind aris6ng from or connected with this inspection.
4%l M
+
Commissions ND ffD
- L'A W Y L M'*
Inspector's signature Nationet soord,% tete, Province, arki Endorsements l
Date
&/ 7 19 1/
k i
i E
L
[
i
Docket Numbert 50-338 Serial Number: 94-688 Page 56 of 90 j
FOHM NIS 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS I
As Required by the Provisions of the ASME Code Section XI l
- 1. Owner V dr w r*
6Ieb<#Osa C
/ o - 6> a 9 4 pete Name i
5 oo r.
t%,,,.. GlJ 6 % of f ci, UA 23 t.4 Sheet
'. of
/
Addreas
- 2. Plant No A d*-
0 W<r 6
'6 ^
Unit
/
Name
- f. 0. 6 r.3 467., fninsfel.
vs)
'2 31/~1 NA 6 *s r*,x 9'r-2 5'r wo 2 co 2 6 7
~Z.
Address Resfelt Orsentration P.O. No., Job No., etc.
t
- 3. Work Performed by \\/'enia'u 6ICim-PN ' b
- r*** v Type Code Symbol Stamp M
N* **
Authorization No.
N/A 56ee O c -.~ GM die s.
4 #h. VA 23460 Expiration Dete
'N/A Address
- 4. Identification of System nw 51,-
- 5. (e) Applicable Construction Code 6 3 f.~/
1969 Edition, W #4'70 Addende.H fl P 3'f0"f Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 6 3 W MM Ud
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
- Repelred, Stemped Name of Name of Manufacturer Board Other Yeer
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) 34 vcks N /A N /A t MS-sv-Is2t.
rqjA Rapised lJe S4., As M *l WM 3'G N/A l-ms SV-in e l% b flehemd M
N Os N /A N/A yy e-rts sv->s2c N /A terarc\\
- plc, (Y v4J Allied 84/4 2195A N/A i-M 0afv-id l49 3 R e/arta*d N+
- 7. Description of Work Sedored in led Altu m 5 uds cwl u d ).
6 6cd m e,r M ance o,Mic e,
- 8. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure Other Pressure M/4 pel Test Temp.
M/4
'F NOTE: Supplemental sheets in form of lists, sketches, or drawings 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/B2)
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) b blU $
bN% S
- 9. Remarks Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this relate wd conforms to the rules of the
'*P**P'*****"'
ASME Code,Section XI.
Type Code Symbol Stamp M /A Certificate of Authorization No.
N/A Expiration Date N /d Oc b'W Signed a
1 AIMS T kT G * **'
Date 19 94 Owner of 0wner's des 6gnes, Title CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of Yere> ee'*
and employed by
- ' # 8 M*
of Mer//cI2 CI have inspected the components described in this Owner's R port during the period
- 4MW M /N to
. 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.
Me [d A'
Commissions N8 M/
MWY 2> Md Inspector's $lgnature National Board [ State. Province, and Endorsements Date C< / 7 19 SV
Docket Numbers 50-338 i
Serial Numbert 94-688 l -
Page 57 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1, Owner \\/ ha w a G ledx d Pou>u
(*" m W Date
/O" 6-79 V
Nome l
Sbob Ot
,.e ren tL) Cle. Atle. tits 2 3> c i'b Sheet of l
Adoroos
- 2. Plant AE b=
Now s.
/
Name 00 $a 402_
9M1 ab Al
\\/ /\\
'L 3 0/*?
RlA
?* o% A M N-1 SS Addroe6 Repelr Oreenization P.O._ No., Job No., etc.
- 3. Work Performed by h-r* Nabe # OeM daan'ar Type Code Symbol Stamp N/A Authoriretion No.
N /A SOoc, O w ro-6 fn\\_ Clew /\\ fles, tth
~2 56bC Expiration Dete N/A Address
- 4. Identifiestion of System t h.. 56
- 5. (e) Applicable Construction Code 6387 19 M Edition, Le '97 6 AddendeM( f t g y s'f,15 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 S $ W #1995 AdJaadA
- 6. Identification of Components Repaired or Replaced and Reptocement Components l
ASME Code National
- Repaired, Stamped i
Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Seriet No.
No.
Identification Built or Replacement or No) i
$ 4 ),
N /A N//4 g /p s-m> $ st-ts2 6 y;A RepI&
p,
$Q3 da.I.cel It##4 3 *d)
N//l i-M- $v 462 6 geg y g,pgr,,,,l g
Nds N/A N /A N/A e-m sv-t*16 H /A R&d
/J.,b3 Alltea d c118sA utA s-m s-sv-n *16 mes g g,,.s h He
/
4-f t
- 7. Description of work keoIrand imled fle, 5 ).d3 c.6) a v 3 -
S e c.) m a rd rtoc. e c_
.c. Mt t.
l
,o 5
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure Other O Pressure N/A psi Test Temp.
A//4
- F NOTE: Supplemental sheets in form of lists, sketches, or drowings 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 sech 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 l
REPRINT 12/91 i
1 l
h
( y - -.
l t
.[
- i t
I i
FORM Nis 2 (Back)
A5/HE 6lon 1
l
- 9. Romerks Applicable Manufacturer's Date Reports to be etteched i
i I
f k
-i i
CERTIFICATE OF COMPLlANCE We certify that the statements made in the report are correct and this Nb'M conforms to the rules of the
- 'N'***'"*"'
ASME Code, Section X1.
i
?
N/A Type Code Symbol Stamp e
MM Certificate of Authorization No, N/M Empiration Date 0 8' b ** 0 owner if owner'arDesignee, Titse
' 19 h Signed M '*^
7 87 O** *tr Date i'
CERTIF6CATE OF INSERVICE INSPECTION 1, the undereigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors and the Stem hI'rEI and employed by
// Je#1 7-of or Province of
- c Nd. M have inspected the components described I
in thia Owner's Rohrt during the period NMN MIM
. and state that to 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 worrenty, expressed or implied, cimcorning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be lieble in any menner for any personal injury or property damage or e loss of any kind arisine from or connected with this Inspection.
ND HDf/
- VA Y2Y - J NA Nn) W.
A Commissions wetionei soor< siete, crovinee,'ena u'no ream.nte inspector s sienature Ooie Ar 7 in 77 I
i i
1
p Docket Number: 50-338 Serial Numbert 94-688 Page 58 of 90 t
t i
FORM NIS 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Cmle Section XI
- 1. Owner W r* i-Fled"< d No"'r d'*mw Date
/O %
Nome
[
Woo De,=,.or. Bl d Cler A ll es V4 W 6 c.
Sheet
! of
/
t
' Address
- 2. Plant No.4 L Am pow S la bo" Unit
/
Name 3
PO 6n 401 rrline af VM 13 fi7 S/4 bM14m 99*266 M O. "2 9 @26 f-7_
Address Repnir Orsenitation P.O. No., Job No., etc.
- 3. Work Performed by V/m *. ^ EI'd r *( # be'**r Ce e -V Type Code Symbol Stamp
^&A Authorization No.
A/S S o o o Oc -<.,, Sl A. Gle. Allew. Vf4 23060 Exp'retion Date N/4 Address
- 4. Identification of System Nb r. Neon
- 6. (a) Applicable Construction Code 6'4 l '?
19 r9 Edition, W A'Fd AddendeM f/ FWlifI Code Caen f
f (b) Applicable Edition of Section XI Utillred for Repairs or Replacements 19 IJ t, 5 s t 63 Mc da
- 6. Identification of Components Repaired or Reptocod 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) l M As N/A N/A N/A I mw-s *1 A nh"~~
Rvl*"A Al.
pqA
- s. m s-so u 1 4 fyku=*A Ne
$4,As Ca.k sl WN d **3 N <ds 4
N/A N/A s >m s "- s *2 A u '" w ~
F*el c*a m
Ref -um d Ne bids-Allt.J
- f 22134 N/A l.m s.w-var A t
i
- 7. Description ot Work f7edoced i lcl fla*se. 5 d.M o.) w b. 6et.1 rw ;de=*= =
pm el,ro
- 8. Tests Conducted: Hydrostatic Pneumatic Nominet Operating Pressure i
Other O Pressure M/4 psi Test Temp.
N/A
'F i
NOTE: Supplemental sheets in form of lists, sketches, or drowings may be used, provided (1) size is 8% in. x 11 in., (2) Informe.
tion in items 1 through 6 on thls report is included on sech sheet, and (3) sech sheet is numbered and the number of sheets is i
recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 i
i l
l 1
I i
i 1
FORM NIS-2 (Back) i
. 9. Remarks A 5W/ 6 d/ ass 2.
Applicable uenufacturer's Dete Reports to be attached I
i i
CERTIFICATE OF COMPLIANCE i
We certify that the statements made in the report are correct and this Veok(f me conforms to the rules of the
(
ASME Code,Section XI.
'***P**"'
i Type Code Symtml Stamp M/A Certificate of Authorization No.
M /A Expiration Date M/M b
>Mh r sT Fecor-4-l<bv 7
gg 9 9' Signed Owner # Owner's Doolence, Title pote CERTIFICATE OF INSERVICE INSPECTION I
1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Vbe$ad and employed by A'J B I I of
- ca//vI E T have inspected the components described in this Owne'r's Rhrt during the period 93 Y[N
/ #/2 /N to
_ 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 ernployer makes any warranty, expressed or implied, concerning the esaminations and corrective measures described in this Owner's Report, Furthermore, neither the inspector nor his employer stall be liable in any menner for any pomnet injury or prope'*y damage or a loss of any kind arising from or connected with this J
inspection.
I 4%/ dr Commissions #BMW VA W V -
hA National 56' rd, State, Province, and E6dorsements inspector's Sleneture e
Date de f 10 19 W r
I h
5 f
i
Docket Number: 50-338 Serial Number: 94-688 Page 59 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code section XI
- 1. Owner V ira i-ai 6fcde # Ee '-'s G-~
Date
/0 W v
Nome l
l
'5 4 t~ o Ow.e s t%) Glem Alln DA '2 3t Ln Sheet of Address M*ML A ** ~ Or we 64a
/
- 2. Plant
'e a Unit Nome Pra,re,w 94 2 5 7 w e 1 to 2z g. 5 Ro l% n 4 c'2.
/~f ress !
VA 2Mr1 1%/R c
Ad dress' Repeft Oreenlastion P.O. No., Job No., etc.
- 3. Work Performed ty Vice ma 6fedre d Pet e. G. gay Type Code Symbol Stamp N/A Authorization No.
N /A Se6o Om.4. < - Blu( CW Alf%. v A 2%o sapi,, tion oe,e u,4 Address
- 4. Identification of System M o in b
- 5. (s) Applicable Construction Code 63i7 19 M Edition, W 197o Addends 7ffl E U 8'I ode Case C
(b) Applicable Edition of Section XI Utillied for Repairs or Replacements 19 f3 '7 5 '9 8 } M'A
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Reps; red, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Bullt or Replacement or Nol
%),
N/A hl/h n (A l~e* w.eset N/l\\
%pisced A),
$kh Cae ke.s l WMf 3%I N/A t~!n H V****C
(%)
Ym*N Jh A*f*"O th,
/\\fy&
N/A N/A N/A is rn & V' Iso l f
b! A
/
Repanorb Nc
(( J$
hlIitd W 4329)A N/f\\
0- M > ' $ V ' * *'* C l 9'I $
l
- 7. Description of work Seober) /= O IIai p s Iv<It <d a ds 6s c. <I W../ Iem mu s c.
p,..), < c..
B. Tests Conducted; Hydrostatic Pneumatic 0 Nominmi Operating Pressure Other Pressure
<V /4 psi Test Temp. N/d
- F NOThi: Supplemental sheets in form of lists, sketches, or drowings 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 at the top of this form.
(12/82)
This Form (E00030) mey be nbtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 l
REPRINT 12/91
p i
i i
FORM NIS 2 (Back)
)
- 9. Romerks ASMG Cles Z Applicable Mrnufacturer's Date Reports to t>e etteched 1
i i
l l
CERTIFICATE OF COMPLIANCE We certify that the stetements made in the report are correct and this dts**r conforms to the rules of the ASME Code,Section X1.
*3'"*P'*****"'
f Type Code Symbol Stamp M /4 Certificate of Authorization No.
Af / A Expiration Date M/A Ot
- M TM F-t *#*
Dete odebs. G gg 99 Signed ownefor owr 4r's Desbenes, Title' J
r CERTIFICATE OF INSERVICE INSPECTION t
1, the undersigned, holding a valid commission issued by the Notional Board of Boiler and Pressure Vessel inspectors and the State de //a'k 'd Ve' m and employed by A/< f Ell-of or Province of (I
have inspected the components described i
in this Owner's Repok during the period 9/N/9V
>*Ab/
to and state that I
to the best of my knowledge and belief, the Owner has performed examinations and token 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 eneminations 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 ingpection, i
NLb 5 -
Commissions NR 9SW WM IMA s nspector's signature Netional Board,itete, Province, and Endorsements j
i i
Date 8e f 7 19 FV i
'h t
t i
1
.1 Docket Number: 50-338 Serial Number: 94-688 l
Page 60 of 90 FORM NIS 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Ouvnet Nin k r&
fl*btL $ ?W*r $ * ~ow Date (O'604
?
v Nome Soe <- Oc w w Bl.J G le-Alte > v A 2306o Sheet
/
of
/
" Addreas
- 2. Plant Aior4L A***
Ot> t-a b
$4d*-
Unit
/
l Name P. o it wr 4 c'2, M s.o.,f. VA
'2, '> t r ~r R1R Prausm 94~254 s/.o. 2 8 e 2z 0 -2 Adorses Repiir Orpenization P.O. No., Job No., etc.
- 3. Work Performed by Y<W m EI'b 4 Oc"*, O m m-v Type Code Symbol Stomp N/A r
Authorization No.
N /A 6 coo D e m.e,. Olvd Clew Affe v4 13c6 6 Empiration Dete N/A i
m
' Address
- 4. Identification of System NIa $ 4 em.~
I
- 5. (e) Applicable Construction Code 63I ~7 19 69 Edition, W M 7O Addende; 77 4/ SMR)IL8 Code Case (b) Applicable Edition of Section XI Utilired for Repairs or Hoplacements 19 fd /rAJ d</n/vn/e
- 6. Identification of Components Repaired or Replaced and Replacement Components j
i ASME i
Code National
- Repaired, Stemped l
Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
N /0 Nf4
/v /A t-M-4v.to a 6 N//\\
Replatnl yJo
$ {,y
$&3 S*h** l NYHM 2 'r3 n'/A
- ~ ~ $ ~ ** * *
- 6 i995 Re taeened ne e
N ubs N /A N/A N/A e - ws -SV- *s
- 9 tvtA Refacef IVe,,
A/ wh 4llied N[/g 21'l)A A//A b M 3 -*w l'4 1993 Replace *I No l
1 i
- 7. Description of Work Soola(ed
/**Ie4 M % <ut s4p)s %ds,Ms 6e.I 6 w e.'. eu ee o,
cIire r
r
- 8. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure Other Pressure A!!A pal Test Temp. N/ A
'F i
NOTE: Supplemental sheets in form of lists, sketches, or drowings may be used, provided til 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 IE00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 i
REPRINT 12/91 i
l
FORM NIS-2 (Back)
- 9. Romerks IM6 dbM 2 Appilcatde Menufacturer's Dats ptoports to be etteched CERTIFICATE OF COMPLIANCE We certify that the stetements made in the report ero correct and this te,d*Wme conforms to the rules of the ASME Code,Section XI,
''''*P**""'
Type Code Symbol Stamp N/A Certificate of Authorization No.
N /A Empiretion Date N/M Signed $ ) Y 2W OM'L e*!
O Y* N 0- NW owny or own6r's Dee6enes, Title Date f
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the Notional Board of Boiler and Pressure Vessel inspectors and the State or Province of V>Ed > E and employed by deJ'8 7 I-of Mr/A C 7.
have inspected the components described in this Owner's' Report during the period M/ MP
^'h/N
. and state that to to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures describod 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 eneminations 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.
Mea l Ms Commissions NE 9M V A e'2 Y LMA inspector's signature Nat6onal Boers, State, Province, arv* Endorsements Data fc ? ?
19 PY r
l
- r.
Docket Number: 50-338 Serial Number: 94-688
[
Page 61 of 90 FORM Nis.2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner V/,m m Fin
'v- ' # Fo48' C*
<- r*
- Date
/ 6 - d'* D Nome Tooc () w.wo.
FIJ Cte, b tle. Vn 1seso
- shee, l3
/
' Address
- 2. Plant Ad i-
- 3+* aa Fe t"u SIe rew Unit
/
Nome P o. r% 402. Pt r.,e I tiA 1Sur r RIB freerm 44-2 59 w o. 1sezrq Address Rep'elt Orpenisetton P.O. No., Job No., etc.
- 3. Work Performed by Vow + Ff.M. 4 d fou,er Ge~
Type Code Symbol Stamp N/A Authorization No.
M/A t;b o s.
Os sm.e.
Bl.d Glem /Wr. VA 23e&O Expiration Date M/A Address
- 4. loontification of System M e'- SIN *
- 5. (e) Applicable Construction Code 8 51 "F 19 64 Edition, w '4O Addende_ V W SSW 8'f Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 M W $ 8*O
- M
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
- Repaired, Stemped Name of Nome of Manufacturer Board Other Yeer
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
SM$
N/A NA Nia 1-ms-n-se t A wiA R<r \\*ad ge 54Js da d -a i
"* *"h "
"/A 1-*8 *-'*'4 M93 R*/a<*
A n,.
tvuh yfjz N /4 N/A
- g. m s.u -t era try q,p.uf go 1
(Q As Altid J&n 5A N /A y m s-sV~ tMA let9)
Re&se~ed g,
s
- 7. Description of Work Redoctal i le b Ila
<ItAs rm ) u d s.
bJ mdem re I, c c..
me o,a r
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure Other O Pressure N/A pel Test Temp.
- /4
'F NOTE: Supplemental sheets in form of lists, sketches, or drowings may be used, provided (1) size is 84 in. x 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 ntmber 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
FORM NIS 2 (Back)
- 9. Remarks SOM6 C [A 55 2
Aopticable Menufacturer's Date Reports to be etteched i
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and thh replmened conforms to the rules of the ASME Code,Section XI.
'*'"*P'***'"'"'
Type Code Symbol Stamp N/A Certificate of Authorization No, WA Expiretion Date N/A o cMar Q gg W Signed
' 0 A/'im 75I F% var Dets Owner er Owner's Designes, Title 1
CERTIFICATE OF INSERVICE INSPECTION t, the tandersigned, holding a valid commission issued by the National Board of Boiler end Pressure Vessel inspectors and the State or Province of Nb *E' end employed by M J M 2' of
- cdd / - #
have inspected the components described in this Owner's R'eport during the period FN 19' to
>f N
and state that to the best of my knowledDe 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 menner for any personal injury or property demeDe or a loss of any kind erising from or connected with this inspection, M[e =
M-4 Commissions d'8 P O
. i 9 F1 F ZN/
Inspector's Signature National Doord,' State, Province, ehd Endorsements Date Mr / 7 19 F/
t l
l l
l l
l l
m
.h
l' Docket Number: 50-338 Serial Number:.94-688 l
Page 62 of 90 -
i FORM NIS 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Vi<a ts. EleMrec d Pewer C+=.eaae Date i o - l 2. - 9 4 Nome S o n o D a <.- Slvd Clea dilew VA 22dso Sheet
/
of
/-
(
Adareas
- 2. Plant Nedh Awas Power 64.4 re.-
unit I
f Nome
.j F. o. Sex 4 42. 1%e,.l V4 21:17 R/A Pre.,.
9% 2 65
- w. o. 2.9 ta rr- /
Addfess Repdfr orsenisation P.O. No., Job No., etc.
l
- 3. Nrk Performed by V/,a t.m Fleed,,c 4 Pewer Gen.m.=/
Type Code Symbol Stomp N/A l
Authorization No.
N/A Scoo Dat.im Bhd Glew Alin VA 21660 Empiretion Dete N /J f
Address
- 4. Identification of System C*aifad.
0**lia4 l
S. (e) Applicable Construction Code Ill.~I 19(=9 Edition,%/ 197 6 Addende 16.91.85(4168f Code Cess (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 I t / SI983 A Mende '
s
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
- Repeired, Stamped
{
Nome of Name of Manufacturer Board Other Yeer
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Rapiscoment or No)
[
va h Replased A/,
cwk wg m m re.-
v/A g
g, cc. gy Ner ***"'ed go I
chul( %),e.
C45 %IA
'lo 8166-8%)-9 N/4 l - CC - Wf L81% 6 i
k I
- 7. Description of Work U, nittM va Iva..
F dent L s'C' TuY.
4-t
- 8. Tests Conducted: Hydrostatic Pneumatic Nominst Operating Pressure @
f f
7 bO
'F Other O Pressure 90 pslj Test Temp.
f NOTE: Supplemental shoots in form of lists, sketches, or drawings may be used, provided (1) sire is 8% in. m 11 in., (2) informe.
l tion in items 1 through 6 on this report is included on each sheet, and (3) each ehest is numbered and the number of sheets is
}
recorded at the top of this form.
I r
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 t
REPRINT 12/91 i
I l
.%.o y-
-..-4.
l l
I l
l 1
FORM NIS 2 (Back) l
- 9. Romerks 4ymE c lass 2
j Applicable Menufacturer's Date Reports to t>e etteched i
New Va lus.
Sea.e l
- 9a. ll(o6 o l f dt) - o 3 l
l i
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this reMe smam conforms to the rules of the
[
ASME Code,Section XI.
I F
Type Code Symbol Stomp N /d i
Certificate of Authoritation No.
N /4 Expiration Date N,/ A Owner p owner'vbee'enes, Title o, 4.be, 12 Signed
(
/
2 5 I Fm; eer o,,,
ig 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 or Province of YWEE W employed by
//' # 82 7-of I
A4rd/ca./
f have inspected the components described in this Owner's Rohrt during the period F!/* PV to
^
N and state that to the best of my knowledge and bel 6ef, the Owner has perforrned 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 shell 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.
OYo N M*; ^
Commissions NMD/
M Y2 Y D')A t
inspector's Signature National Board; State Province, and Endorsements
~
Date
&/ **
19 Y t
I l
5
Docket Number: 50-338 Serial Number: 94-688 Page 63 of 90 FORM Nis-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner YfrA
+r.t C leM r < < A betve<
G** m = u Date 9-26'74 Name Tbu Dr. ;,,t - Erw) Cir Alfm vA 2sceo Sheet I of
/
'Addr ess
- 2. Plant &4 he Pc N
- s 54 *4 +
Unit
/
Name ED br* u lict. M m einl Ud M ll *7 bA bMm> b-7 fe $ E0 0 2h MS"-c/
Address Repsfr oreentration P.O. No., Job No., etc.
- 3. Work Performed by Vfro,a E~ lede.c d ble G-n-y Type Code Symbol Stamp N/A Authoriretion No, k/A aro(1 De,s,., c., Si,A Cles Allra _ VA 2966 Empiration Dete N/A
'Ad dress
- 4. Identification of System O Ucur b oreap
- 5. (a) Applicable Construction Code b37 7 19 69. Edition, W l9 '7 O Addende. 7A G/4M R1,115" Code Case (b) Applicable Edition of Section XI Utliired for Repairs or Replacements 19 F3 h 5 9 3 4/d M,,
o
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code l
Netional
- Repaired, Stemped Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement orNo) t 8 Hs N/A N/A N/A l' 65 H-R** 'l l N/A Rs lucA N e, e
g,4 Novi%
Hr'y m g g/4 s.ss-rN.sN-7 tegq 3 Reph,em,j g,
Nh IV/A N/A N/A
\\ ~L* ~ f" * ""*
N/A hel"*'\\
Ne, Rar***d Q,
l Nuh NWA
- fts533Y g/A t-45 4'N RM-71 Mc,3
- 7. Description of Work ReMart) be Ni-e rl be de e e er cW en J
- 8. Tests Conducted; Hydrostatic Pneumstic 0 Nominst Operating Pressure Other O Pressure N/A psl Test Temp.
N/A
'F NOTE: Supplemental sheets in form of lists, sketches, or drowings may be used, provided (1) stre is 8% in. m 11 In., (2) intorme-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
i.
I FORM NIS 2 (Back)
- 9. Remarks b SM 6 cia %
1 Applicable Manufacturer's Data Reports to be atteched YA < A1/1r wei nr/
n e /O'r,/ swe e fa.s34,/ eJ rwNew,,,,.f y[
r r
r un
-,r. u s.;/ n 1, ~
Rd.
DR H-W mo I
/
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repke,ne**
conforms to the rules of the
'*P'""P'*****"*
ASME Code, Section Xl.
Type Code Symbol Stamp AMA Certificate of Authorization No.
N/A Expiration Date
@A Srphk 2 6
_1994 Signed Alm TiSI 6 m. eer Date Ownepor Owner's D6s6pnoe, Title 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 ANeleE and smployed by Me 8* 8 Il>
of or Province of ANe2 7-have inspected the components described in this Owner's Report during the period 9S F#
to P E M*'
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 certificeto neither the inspector nor his employer makes any warranty, expressed or implied, cc:3cerning 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 inspect 6on, b!csb N -
Commissions NB WD YA 4A'/
1NA Inspector's signature National Board, Stata, Province, and Endorsements Date IM/ 2/
19 P /
J
Docket Number: 50-338 Serial Number: 94-688 Page 64 of 90 FORM NIS 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1, Owner b W<< FI'd*<v / b'W
d * a ur*'v Date
! O '""" I 4 "* 9 9 Name I
5'co e De,..u BJwd Ge., 4llen &4 '13 ct o Sheet of
' Address
- 2. Plant Nc' A de Ee dv b SI' b Unit I
Name VD Ocn HC*2, 9% int.ek
\\fb M ll1 RfA Vo use 9 4-2.'14 % 6. ^2.9 4 2 46 -C l Address Rep'elr Orgenlretion P.O. No., Job No., etc.
- 3. Work Performed by We d"** k.c FI'dA d' n -
Type Code Symbol Stamp N/A Authorization No.
N /4 f,,,p sea 3M. PMsb qk PA 19'L') O -M ST Expiration Dete N/A' Address
- 4. Identification of System kee de c l rid er
- 5. (e) Applicable Construction Code AS'w6 JII 19 6 6 Edition, W 14 0 b
- Addende, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 3 4 5 d U M '"k
/
- 6. Identification of Components Repaired or Reptoced and Replacement Components ASME p
Code -
National Repaired,.
Sternpet Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
C c.ic,5* I Wufi k
N/A N/A
- 1 CA.>eal O"
Nef N
Fl a.% e I-R C-R- I censsn.l We s4-3 '*
- N /A
- IC******I R*
M' k
rs, g A e 4 4 4, t-RC-R - I
- 7. Description of Work eo %r s l (%d Se %
ANe on I f toc e r de550
)
)
- 8. Tests Conducted: Hydrostatic N Pneumatic Nominal Operating Pressure Other Pressure 13(#O psly Test Temp. > Foo
- F NOTE: Supplementet sheets in form of lists, sketches, or drawings 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 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
FORM NIS 2 (Back) l AMb k% !
- 9. Remarks Applicable Manufacturer's Date Pieports to be attached j
l e
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ng[*O conforms to the rules of the ASME Code,Section XI.
NM Type Code Symbol Stamp Certificate of Authorigation d.
Expiration Date IN bMN [
Date t
f S b
Signed -
19 owner or owner's Desigh, Title
}
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler und Pressure Vessel inspectors and the State or Province of VEUE and employed by
/A I R 2 1 of
//eM/e) r 7.
have inspected the components described in this Owner's deport during the period
/obb
/A to
, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective moosures 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 Repo~t. 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.
M'%[ M N-*
Commissions JA JU/
- IAWV M 'I Inspector's Signature National Doerd state, Province. and Endorsernents Date A4' +' 7 19 PV l
l l
l
[
1
Docket Number: 50-338 Serial Number: 94-688 Page 65 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAlRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1, Owner M r* r '<1 9 *$<< A @<m. bow Date i O 'I'l-9 4 Name
/
Ecco Onwm 61.) Clem dih, v4 '23d66 Sheet of
/
Address
- 2. Plant Nelk dnan b tuO N* rea Unit I
Name 1
g7 g. gju f.,ir.ty P& (L n 4e2 Mined VA *13 I81 RIR Prcu&' M W o.'2'19 246~ E Address Re(elr Organization P.O. No., Job No., etc.
- 3. Work Performed by Wtibke en be<Ies C+ < r> -
Type Code Symbol Stamp N/A Authorization No.
N//l 9 v. A = 35r Piesbmk. P4 i F 2 1o - E dI Expiration Date N /81 Address
- 4. Identification of System ke 80 d8*E4 or
- 5. (e) Applicable Construction Code MME E 19 69 Edition,w l'4 6 6 Addende-N/4 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 6 3 W 5 89 N
- 6. Identification of Components Repelred or Replaced and Replacement Components ASME Code National Repaired,'
Stemped Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
N o.
Identification Built or Fieplacement or No)
L 8 4 (6=neal M -a Re#are d No Con s em l We 4,.3 e ux.
N/A gg Fin =, c
{,g,p,l C 'a * "* I Alqi e.*
A un45 t//A
' 4 (m5ewf Svi*rewd A/c Fl% w g-pc-R. l
- 7. Description of Work ReMare) * #1 fe md (m c 5ce l dba "T k,, - u d
/n ( M,)
d u,3 n d ' rise.
do. h emult 3 walkdm 4
- 8. Tests Conducted: Hydrostatic X Pneumatic Nominal Operating Pressure Other Pressure 7 M psig Test Temp.7 500
'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 84 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 (E00030) moy be obtained from the Order Dept., ASME,345 E.47th St., New York, N.Y.10017 REPRINT 12/91
r 1
l l
FORM NIS-2 (Back)
- 9. Remarks AM6 d /AD
~
Applicable Manufacturer's Date Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Ma'*"
conforms to the rules of the ASME Code,Section XI.
repair or replacement N /M Type Code Symbol Stamp MM Certificate of Author r ion
- /
Expiration Date
- t s ' Ed.4I Nmde 3 is W Signed Date
~ Owner or Owner's Designee, Title
}
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 Ahead and employed by M'J 8 7 T-of or Province of N,./A d (f have inspected the components described in this Owne'r's Rbrt during the period M/M V
/ Mb to
. 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.
i By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind erlsing from or connected with this inspection.
M/
A9 Commissions
>>M E N MWV M M"Y inspector's signature National soord, state, Province, and Endorsements Date
- vv 7 19 N 2
Docket Number: 50-338 Serial Number: 94-688 Page 66 of 90 FORM Nis 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Proeisions of the ASME Code Section XI s
i o no, v t,..... nL 4 Fe w-he osie 9-2c-94 i
nom.
l I
90ct> 0cm
,c.- fJv) Clew Allen. VA 13efo Sheet of
' Address
/
l
- 2. Plant MedL A n.m Pr u - 54.4cw unit nemo 9 c. Ax 401_ Af tn e,al V4
'2 3 t f 7 N/N k't9 tm %-M W.O. 290 M Adisress Ptepe1r Orsenisetion P.O. No., Job No., etc.
- 3. Work Performed by Y/m e 6f et 4 bcwL*Cr-ev+y Type Code Symbol Stamp N/4 n
Authorization No.
N/A Soco Oc ~,c..
P&d Cltw Atle., t/4 l'4 r (, c Empiration Date N/A Address
- 4. Identification of System (6u e*M bue A b** 4re I Sv 54f m S. (e) Applicable Construction Code 63I"7 19 0t Edition, W 79 't c Addende,7e 9L83CR)If f Code Case (b) Applicable Edition of Section XI utillred for Repairs or Replacements tg e3 c e 5 F3 4ciclewld
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
- Repaired, Stamped r
Name of Name of Manufacturer Board Other Year
- Replaced, (Yes l
Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) i O r s c.
Velaw g/4 1-ck-31F N/A Rya.,J t/c Dru.
Wie 3999 N/A l-c k-5 2.5 WSs g,plm n,,,}
po i
t t
- 7. Der-ription of Work Reclocc volva-rI rs t.
F,~.J d o.k m,m clor,,,
..,o,,4 tea.
~'
i
- 8. Tests Conducted: Hydrostatic Pneumatic Norr' et Operating Pressure Other O Pressure
/V/A psi Twst Temp.
N/A
'F NOTE: Supplemental sheets in form of lists, sketches, or drawings rney be used, provided til size 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 showt is numbered and the riumber of sheets is recorded et the top of this form.
j (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 4 5m E Cleo l Applicable,Monufacturer's Data Reports to be etteched 7Ar A W'rP wol net acb/,W snO }o s d.e / s/ h / Are w s Y, 7At i
f r
i AA21 frrJen rl./re eY s erlre e.
t N
')'l-l'I 3 o V
/
j CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this.,f.faIaremth conforms to the rules of the g.'
oos. Section X1.
P*IP**'"*"'
Type Code Symbol Stamp M/A Certificate of Authorization No.
N/b Expiration Date N/N N
Opner or OMer's Designes, Title
~
19 N Signed a
M N '"W Date I*
,~.
CERTIFsCATE OF INSERVICE INSPECTION t, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of
/>re;>E and employed by de 182de
_ of Me /le/. fT have nspected the components described in this Owner's Report during the period Y ? c /FV 92NU to
. and state that to the best of my knowledge and belief, the Owner has performed examinations and taken correct:ve measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By sigr.::1 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 Repurt. Furthermore, neither the inspector nor his employer shall be liable in any manner for any persons: injury or property damage or a loss of any kind arising from or connected with this inspection.
U" N
4 Commissions _ AUT 9fT/.
MA8 W F 2MA Inspector's Signature National Board, Siete, Province, and Endorsements Date
.I 27 19 9V
f
. Docket Number: 50-338 i'
Serial Number: 94-688 Page 67 of 90 l
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Proeisions of the ASME Code Section XI I
i
- 1. Owner Yirs > 4 Elerb r't N Ocwt' Ce,< M Date I b 'I'l* 9 'l Nome Scot Dr a.. m. 94 ) Gh-Allen trA
'%1k e &6 Sheet l
of l
Address
- 2. Plant AirAL 4~.
(h SL4rc-unit.
/
Name b0 h> c n 9 #*2 M Ae I, VA "l%7 N/A kretw 44-30o M 6."260121-i Address Re6str Organization P.O. No., Job No., etc.
- I
- 3. Work Performed by Vi e i ev-II* * # keM- 0 v~w Type Code Symbol Stamp Authorization No.
/*M St 04 Os a.i n N.,4 6fe, Alb VA 7 ~1 c 6 (
Expiration Date M
Address
/
- 4. Identifiestion of System Oh h
C f
- 5. (e) Applicable Construction Code O3l 7 19.4:1 Edition, W f 9'8 0 Addende,7f fI e WIHI ode Case ~
(b) Applicable Edition of Section XI Utilized for Repairs or Hoplacements 19 D '1 5 89 O
'l
- 6. Identification of Components Repaired or Replaced eno Replacement Components ASME Code I
National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No, Identification Built or Replacement or No) i r
V.l a 0,.
,f 4
pfA
,.s,g g,,, c L A,,- p.,#,,.J g
~ un g,p,7yd ye l
U.l.a.
Or$5 h
ggg,2g N/A
,, g,,3,
,,,i c g
+.
I r
- 7. Description of Work No Mcet3 ulvt cI(Sc.
Urd4 beYe) le.k s 4e.
5d
{
- 8. Tests Conducted: Hydrostatic Pneumatic Nominal Operatin0 Pressure O Other Pressure psi Test Temp.
'F
+
NOTE: Supplemental sheets in form of lists, sketches, or drowings may be used, provided (1) size is 8% in x 11 in., (2) Informs.
l tbn in items 1 through 6 on this report is included on each sheet, and (3) each eheet is numbered and the number of sheets is i
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 f
1 REPRINT 12/91 I
i I
yaa
FORM NIS-2 (Back) b dIDb d bSS 2
- 9. Remarks Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE N
We certify that the statements made in the report are correct and this (9 W conforms to the rules of the
'"*P'*****"'
ASME Code,Section XI.
Type Code Symbol Stamp N/d M/N h/N Certificate of Authorization No.
Expiration Date I#lhe M
6'*i h Date d IY
,19 7I Signed Ownstfor Own'er's Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid comminion issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wb"5 and employed by dIOO of
//u/ lum fT have inspect the components described in this Owner's deport during the period Mrs M MbN to
_, 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 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 I
shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or corrected with this inspection.
- M [ M/-
^
Commissions Nf' ?J'I/
I'M W V
- ' 4 #
inspector's signature Nat6onal Boa'rd, State, Province, and Endorsements W
Date We 7 19 L
l
F Docket Number: 50-338 Serial Number: 94-688 Page 68 Of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner \\l h < h ua Elerbnc $ eG *r D e k."v Dete l b * / #f -S W V
Nome l
l Qtw Qe n.: n e Ol.) car u. t)/fr-UA '25c&C Sheet of Address
- 2. Plant Akdl A r a.
Or* a-SI Unit
(
Name Pc. b.x %1. m a..l.
vA 13ro 7 2/12 Resr.w94-3c6 we 2to269-t c
AdcAreas Repeft Orsenization P.O. No., Job No., etc.
- 3. Work Performed by % A ra 68* <* 4
- h b.ncy Type Code Symbol Stamp h/4 Authorization No.
N/A Se u-Qt n.,y. v t$ lad, $ln A llP, V A '2*b H 6 Empiration Dete h/A Adorses
- 4. Identification of System %4 N'*
- 5. (a) Applicable Construction Code 63/7 19 6 9 Edition, W M'74 Addende:~7I fl. f 3/#1I8f Code Case (b) Applicable Edition of Section XI Utillied for Repairs or Replacements 19 8 3 6 7 519 E 3 *4dde da-
- 6. le.sfication of Components Repelred or Replaced and Replacement Components ASME Code National
- Repaired, Stemped Name of Name of Manufacturer Board Other Yeer
- Replaced, (Yes Component Menufacturer Serial No.
No.
Identification Built or Replacement or No) op eod g,.
Win Diu c,.J, y v/4 g/A i.m 3.s.uu wu l
H +. :ss OlwA 94 (c.l y 3c 2f 26 N /A t-tw s - N-It3 A t%9 Raele rs,=cM No
- 7. Description of Work Ra laed Va k d hc N w c.
Mr de. der!
se
[0s, des o
- a. x
- 8. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure
[
Other Pressure N4 psi Test Temp.
WA
'F NOTE: Supplemental sheets in form of lists, sketches, or drowings 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 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
FORM NIS 2 (Back)
A Siti 6 C(a ss 2
- 9. Remarks Applicable Manufacturer's Data Reports to be attached I
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ryh m conforms to the rules of the
'*P*****'"*"*
ASME Code, Section Xl.
N/N Type Code Symbol Stamp 4/[A Certificate of Authorization No.
4//A Expiration Date
)A 7 I II N T'*
06 Or #9 19 9 '/
Signed Owner er Owner's' Designee, Title Date 1
CERTIFICATE OF INSERVICE INSPECTION i, the undersigned, holdin0 e valid commission issued by the National Board of Boiler ano Pressure Vessel inspectors and the State or Province of O 585 and employed by M J. 87 I of A/ e//oh r7.
d have inspected the components described in this Owner's Report during the period N'J h V f 7bY to 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 la.nis Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any pet..si injury or property damage or a loss of any kind arising from or connected with this inspection.
bl--l N -l*A NBffJ/
Commissions M}ils ^
MWV 2Nd inspector's Signature Nati al Board, State, Province, and Indorsements m#
fn/rs Date frl /Y 19 9Y l
t
Docket Number: 50-338 Serial Number: 94-688 Page 69 of 90 FORM NIS.2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Y% N n F#e A N* ba h Date fD*i4-99
't Name 5eoO A aa < v.
OL) Sir, A flen itA 33Hc Sheet l
I of Kddress
- 2. Plant Md Ae ibes b M*
Unit i
Name P o Go 4 c2, M,w l. V A
'1 M 81 ctA P,c,ym vf-3c y wo,2992.w I Address Repair Orsentration P.O. No., Job No., etc.
- 3. Work Performed by W4 -ds.R Efed.4 (c'p.
Type Code Symbol Stamp d
Authorirstion No.
N/A O C. @ t x 3 S7 F/Memb _ E4 892)o-3ST Expiration Date
/V /4 Adhrees bt c !'
- 4. identification of System N eat er M4 Code Case
- 5. (e) Applicable Construction Code ASM H 19.fc_t Edition,w I9 6 8 Addenda N#d**
(b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 6 3 W 5 39 E 3
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No, identification Built or Replacement or No)
@,4,@ 4, A ysw N/A W #""' I tw/
RWe A/,
f * * * ##
i gM b l Fla*% %j % Q J
- 7. Description of Work R40mnd f ad.uba s Oc c.J 4%. t t e
,f e t,,, s I c.
Rsf wenem+ fedsmst e har R epu R s,pru, 9 4 - zT s' s o ptue ms.A.
t
- 8. Tests Conducted: Hydrostatic ( Pneumstic Nominal Operating Pressure Other O Pressure 11hD pal Test Temp.
- /AAO
'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. m 11 in., (2) Informs-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
i r
t FORM NIS-2 (Back)
- 9. Romerks iM 6 '
d [(* $3'
/.
Applicable Manufacturer's Date Hoports to be etteched t
CERTIFICATE OF COMPl. LANCE We certify that the staternents made in the report are correct and this ym i r conforms to the rules of the I
I ASME Code,Section XI.
l k
NA Type Code Symbol Stamp J
NO Expiration Date O
Certificate of Authorization No.
Signed 14.
T C 6. %ev.-
Date 08-d #*
I4
- gg 7 9 owner or ewner's Des 6ense, Title F
F f
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
- I' N and employed by
// J Bl' *1 of f
NeJAr d.[7 have inspected the componente described to
'" Wff In this Owner's Res rt during the period 9b/fY and state that I
to the best of my know5dge and belief, the Owner has performed examinations and taken corrective measures described in this l
Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective rnessures 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.
hAntb $9 Commissions ONN VN2 Y
?r N*'l Inspector's signature National Board, State, Province, and Endoreements Date M'I ' 7 19 ff j
i I
~-
}
n l
Docket Number: 50-338 Serial Numbert 94-688 Page 70 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner Vim.
- 6f e <4,4 A 9* We C ~r-v Date
/0 N Nome
/
S e co Dr.m.
.c.
%A Clew Allen. \\/ A L 3e e e>
Sheet of
/
' Address
- 2. Plant /le IL A~
9* **' b4**
/
Unit Nome 8b. 8r k C '2., M aerei VA
- 2. 3 il*7 8/A kreve s W-30f k o. 299 E9@ of Adorses RooElr Oreenisation P.O. No. Job No., etc.
- 3. Work Performed by V /n %^ O'*4"t # 9e be Type Code Symbol Stamp
^'/A Authorization No, h/4 r
hoo De, / rc.
8/d Cles, Ai/e a tr 4 "2 30 6 6 Empiration Dete M4 Address
- 4. Identification of System L dsw M ir l
1
- 5. (e) Applicable Construction Code 113/7 19 69 Edition, W M"iO AddendeM 9/11C 8)H T Code Caos (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 O 4 819 63 4'S8 riada
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
- Repaired, Stemped Nome of Name of Menufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No, identification Built or Replacement or No)
I C ab Rag <est No dbed WI6e.
Y el%
NA N/A g-retes5 cheA Wl e.
Volu.
9 2 n 2. 5 N/A t-ra ss m e, gg,. J go t
t
- 7. Description of Work Re f arerl o c.h-e due k Tge b kswltac.
Ii
- 8. Tests Conducted: Hydrostatic Pneumatic Q Nominal Operating Pressure O Other Pressure t '2. l psig Test Temp. > b 0
'F j
NOTE: Supplemental sheets in form of lists, sketches, or diewings rney be used, provided (1) aire is 8% in. x 11 in., (2) informe-l tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
]
(12/82)
This Form (E00030) mey be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
p--
Cs o
FORM NIS 2 (Back)
A M F C la 55 7.
- 9. Remarks m
Applicable Manufecturer's Date Maports to be etteched a
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this **M*(e conforms to the rules of the ASME Code, Section Xl.
Type Code Symbol Stamp M/4 Certificate of Authorization No.
N/A Empiration Date M/A lMh M bt'W Odsk 7 gg M Signed Owner 4r Ownef a Des 6gnee, Title Date CERTIFICATE OF INSERVICE INSPECTION f, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of VE Ua W employed by # J 8 T*I' of Ne*//*
U have inspected the components described in this Owner $ Rohrt during the period N2/b*'
MZf M to 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 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 liable in any menner for any personal injury or property damage or e loss of any kind arising from or connected with this -
inspection.
Nesl N 4
Commissions _ A/A TA"JJ VA W 4'
- 2~ N A inspector's $6pneture Netional Boers, State, Province, and E vido'reements Date de N > 0
'19 N l
l l
l
r m
Docket Number: 50-338 Serial Number: 94-688 Attachment'2 Page 71 of 90 FORM Nis 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1,. Owner Vime w Eled n dcwn fr r e-oste 9 - 2 7-W v
Nome
~/
s 6oo Om,w e., GIA Cle. Alin, VA zWo sheet
/
of
'Ad or==s
- 2. Plant No.O A es=
Net *ee ' 64*4rce Unit
/
Name Ed Nrr 402, M intial, V4 2 *51 f'1 N/4 brM'am W-3c6 ute. 2'/ot9 9-o/
Address nepafir Orsonlretion P.O. No., Job No., etc.
- 3. Work Performed by N//m
- fil'c b '< # O" u
- Garn v Type Code Symbol Stamp
- /A Authorization No.
WA a.t o c c. Os m
,4.
Old, 6-le, Alh, I/4 2 '4000 Empiretion Oete
@4 Address
- 4. Identification of System Gewcal c.*d W/wme b, ref Iv5 hw
- 5. (a) Applicable Construction Code 63 l."7 1969 Edition,W I4 7 0 Addende.19 9L8K80 Of Code Case (b) Applicable Edition of Section XI utillred for Reps -e or Replacements 19 6 3 S 8 3 Add 6' dos.
( Y/
G G161W
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired,, Stamped Name of Name of Manufacturer soord Other Yeer
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) ~
Rar al 4
Drx wl%
u/A n/4 1cu3n M~-
la Desc Vol% -
36%
N/A.
t - c H-32'2.
1996 Re @ med A/o
- 7. Description of Woek kenleuc ck dist'..
konloed (I ra n g e u,o ced,c cf b u t, g e q c.ce w d 1
l
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure O Other Pressure 4//A pel Test Temp.
N/A
'F NOTE: Supplemental sheets in form of lists. sketches, or drowings may 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) 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 i
m i..
h 1
)
-i i
l t
FORM NIS 2 (Back)
AM9 C law 1
. s. R.m.rks
. Applicable Manufacturer's Data Reports to be attached I
l CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Whd w conforms to the rules of the
'****P'*C'**"'
ASME Code, Section Xl.
Type Code Symbol Stamp Al/$
i Certificate of Authorization No.
N/A Expiration Dete '
Ni Alm >
D k '* r -
Date
( *'
2 ~/
19 94 Signed prwner ortwner's Desiones, Title "
~
CERTIFICATE OF INSERVICE INSPECTION i
I, the undersigned, holding a valid comminion issued by the National Board of Boiler and Pressure Vessel inspectors and the State i
or Province of
/u'a S md employed by
- 4 8 7, A of
- ed/s /.dT have inspect the components described FI//#9 F/h M
_ end state that in this Owner's Report du ing the period to to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this -
f Owner's Report in accordence with the requirements of the ASME Code,Section XI.
I By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinstions and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
l M el N-M Commissions 88SU/
- M W9 > EN4 Inspector's signature National Board, S(ete, Province, and E"ndorseme'nts.
i
(
- 8 19 //
f Dete.
f,<r/
i I
1 l
7 Docket Number: 50-338 Serial Numbert 94-688 Page 72 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI t
- 1. Owner VIglara fleebc F*.n e r Co,y,%7 p.,,
/ 4 -(1-M Name Soco D.= :a re. SI.] Glew Alla vA 2 s are o Sheet I
of "Addreas
- 2. Plant Ale,O M*ia.
Powe, 54a4/ea unit
/
Name f.o. Gex 4 o2m M;n e,.L VA 2.18 f 7 R/A Fon<*= 14 38't hs.o. 2 M S 31 - t Address Rheir Orgenlaation P.O. No., Job No., etc.
d Rs,er C-p..y Type Code Symbol Stamp N/4
- 3. Work Performed by Vlen in /* 6le c
5 N'**
Authorization No.
N/A Scoo De mi se.
$l.) Clew Allen.. Ua4 23o66 Expiration Dete N/A Address
- 4. Identification of System Comasae d *
- l*9
- 5. (a) Applicable Construction Code 0317 19 @ Edition, W #9'I 6 Addenda,lB.6L 81M)lts Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 3 y S 1903
- 6. Identification of Components Repaired or Replaced and Replacement Components l
ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
Valve El"h3 Mis s tow N/A uf4 g.cc.s96 Rec ced g
ta u i-
%bs PLMtJ C ff %lvt, "4Mt3 N/A l-CC S46 19%
R.pt.,s e.4 Na A 92 S bas N/A N/A Redaud No NM t-cc - 5 %
"- -a IleP ** *==4 No 5 lucks Mask sen 1***a.
y/4 1-CC-f46 894 l
NAM Mhs N/A N/A gjg t-CC-5%
U* k * "*' Revisasd No
- 7. Description of Work bleiceM N*Iv4.
see J ik s ame s.
4kevi relauek 4.u.fV4 w/4L A
~#* *4
- II*N **
- EI*aS* ' ' 4 "'I8 a A a ds.
F=. Teel *fyr e
- C '
S P re.
- 8. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure d Other O Pressure f o '2.
pay Test Temp. 'P 0 0
'F NOTE: Supplemental sheets in form of lists, sketches, or dmwings may be used, provided (1) size is 8% in. x 11 in., (2) Informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is 1
recorded at the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017
)
REPRINT 12/91 i
s I
FORM NIS 2 (Back) 4$Mb d [4 Ss 2.
- 9. Romerks Applicable Manufacturer's Date Reports to be etteched Jie.loce med v alvt. ( 6e<,.I # S (s, - 4 (s el - o s o -2 ) ' c ei m e. ~ dee m I-d'd - Ii9 e L.ill ' v.Jo, Ok its s e z, ro. sed v.Ju nia n -en. s In.
w.,,
Giw Jt.lu 1 s,o a/n F ee<..
i.,o e,eeeJ L, % &
,,. t..
idG If ',.l.e.
se o to skeileM 1%
l-CC ES 8(die lay. O sa.rcple sese sJ :
,se, 9,
UERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ecsplsacesise.d conforms to the rules of the -
*I''***"*"'
ASME Code,Section XI.
M Type Code Symbol Stamp N /M NM Certificate of Authoriretion No.
Expiration Date Signed 7 J N' 2 S3 &sla e V Date 88 bb8e Il-19 99 Owner Fr Owner'sOesignee, Title CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of MSd and employed by
^/* J 8J' I*
of
//crMoe
/I
~ have in ted.the components described,
in th'is Owner s Rohrt during the period 9 I'/ b
/
end state that to to the best of my knowledge end belief, the Owner has performed, eneminations and taken corrective measures described in this,
Owner's Report in accordance with the recuirements 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 erlsing from or connected with this inspection.
M h [ 439.
4 Commissions NM 18~N
- VW34# -
AM#
s nepector's signature National Boerti, State, Provincd'end Endorsements Date'
&f //
19 9t' L
.. ~
e I
SUPPLEMENTAL SHEET Docket Number: 50-338 Serial Number: 94-688
(
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLA nt 2 age of 90 As required by the Provisions of the ASME Code $cction XI f
i k
- 1. Owner Virrinia riectric and Power Company Date October 11.1W4 n-.
50nr) Dominkm Boulevard Glen Allen. VA 210fo Sheet 2 of 2
[
4.==
i
[
2 Plant North Anna Power Station Unit I
a t
P O Bos 402 Mineral. VA 23117 R/R Procram 94-307 W.O 249531
==
a,
=- t o n. s. w..
l
- 3. Work Perforned by Vireinia Electric nnd Power Company Type Code Symbol Stamp N/A Authortzatkm No.
N/A j
P O Box 402 Mineral. VA 21117 Expiration Date N/A
- 4. Identificaskm of System Component Cooline
- 5. (c) Applicable Constructkm Code B317 191 Editkm, W 1970
- Addenda,
- 78. 81. 83(R).115 Ctule Case i
(b) Applicable Edithm of Section XI Utilized for Repairs or Replacenrnts 19 M3 with Summer 83 Addemla h
- 6. Identificatkm of Coniponents Repaired or Rylaced and Replacenent Comporents j
1 ASME l
Repaired.
Code National Repiaced.or Stanced j
Name of Nane of Manufacturer Board Oder Year Replacenent (Yes or Component Manufacturer Scrial No.
No.
Identifk:ation Built No) i Nuts Nova lit. # 8860214 N/A IfC-546 1993 Replacenent No t
i Valve Missum 86-4778 410 1 N/A ICC-546 Unknown Replaced No Valve Minsum f6ER1410-2 N/A l-CC-546 1993 Replacenent No f
i f
?
i t
s b
-. ~,
s Docket Number: 50-338 Serial Number: 94-688 i
Page 74 of 90 f
FORM NIS 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 9 " 2 ~7 ~ N 1, owner bru fled t I Pc ur bw Date Nome
)
/
/
Scoo De,...,o 6.lud. Cle., 44 V4 73066 Sheet of Adereas I
- 2. Plant M N bm Pe
Unit Nome l
80 be :m 4b7., (M in e m l.
V4
'2 3 ) t*r N /k O u.r w 94"3/'/ bd. 2% 2 2 d * /
Addrese no6eir Organisation P.O. No., Job No., etc.
- 3. Work Performed by Vih a A Finl<*t # Oew'< Ce ~mw Type Code Symbol Stamp A/A Authorization No.
N/A 5%co Oc m,,,,u Bld Gfer 4 atew U4 2 3fi1 Empiration Dete N/4 Address bjer
- 4. Identification of System 8
8 ich
- 5. (e) Applicable Construction Code 93I7 191 Edition, W l4'70 Addende."7# FTUIRL14T Code Case (b) Applicable Edition of Section XI Utilised for Repairs or Replacements 19 F3 (y Se3 Addra efs.
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
- Repaired, Stamped Nome of Name of Manufacturer Soord Other Yeer
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Sullt or Replacement or No)
D r > <.
Wlan N/A N/A t-5I-69 M..
gegi,rj Ne,
- 7. Description of Work Theliaed O.07.0
,N N O MSc F,, J,)
y,, t ' C ' Te 34
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nominst Operating Pressure Other @ Pressure pel Test Temp.
- F LP,VT NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided til sire is 8% in. x 11 in., (2) Informa-tion in items 1 through 6 on this report is included on each sheet, and (3) sech sheet is numbered and the number of sheets is 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
! e.
FORM NIS 2 (Beck) i
- 8. Remarks bIh b C k35 i Applicable Manufacturer's Date Reports to be attached i
l CERTIFICATE OF COMPLIANCE We certify that the statements made in the repo.1 are correct and this m n8e conforms to the rules of tne ASME Code,Section XI.
1 I
1 Type Code Symbol Stamp N /4 J
Certificate of Authortastion No.
N/A Expiration Date N/A Signed 1 M:,n T $r %,eer Date 5+Je,. k
- 7. 7 is W
{
Swner o/ Owner's Designee, Title '
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holdi.nq e valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of NemE and employed by
- J'8 J'I' of
- e//e.d dI have inspected the components described -
l in this Owner's Report during the period MJE/W N2Mf/
to
_ and state that i
to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this l
Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By s%ning this certificato neither the inspector nor his employer makes any warranty, expreened or Implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
l$ctl S.-
Commissions. NA FM
&WY IAA inspector's Signature National soord, State, Province, and Endoresinents 5'ef l 2h 19 N Date i
t t
i
,c
Docket Number: 50-338 Serial Numbert 94-688 Page 75 of 90 FORM NIS 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI I~1]~04 1 Owner \\l iv G + EI*bx $ Ve M r (c 'wnnv Date v
u,,,
Yom Pcm. c-B hA.~ Cien Allen VA '2%06o Sheet
/ of
/
Adorses
/
2, Plant N, A A-Po-u S4.4 <c-uni Nome P. b bok 402. M,'e ra l, VA
~Z 318 '1 NA PrWoh' W~S$WO'09S55 Adereas RepeVoreenlastion P.O. No., Job No., etc.
- 3. Work Performed by h :.,n Finduc. # Pcts, Comm, Type Code Symbol stamp N/A Authorization No.
NM Toec De. u r s-Blwl C lew Allen. V4 2'2Nc0 Empiretion Date N/A '
2 Address
- 4. Identification of System C k ep**ca ! A n M Y dIb n t bMrof Sv5 em E-Spc G -676241
- 5. (a) Applicable Construction Code A3I7 19_{d_ Edition, W 19 ~i O Addende.24H;f'R80 ilf Code Caos 4 hi ad" (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 f '5 4 5 G3 t
- 6. Ident6fication of Components Repelred or Repieced and Replacement Components -
ASME Code National
- Repaired, Stemped Name of Name of Manufacturer Board Other Yeer
- Replaced, (Yes Component Menufacturer Serial No.
No.
Identification Built or Replacement or No)
Disc Melns N/A N/A t~w-49 G o,k
,n. Rylacuk th D r u.
Vo(cA 39ec N/4 t-cH 'M6 g % B.
R A s.,e d No.
t OnrI c[ i met b Ic< hvrd g e w wc;crue d.
- 7. Description of Work RerImed disc Gs i
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure O Other Pressure M/A pal Test Temp.
A' /4
'F NOTE: Supplemental sheets in form of lists, sketches, or drowings 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 eheet, and (3) each sheet is 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 REPRINT 12/91
m FORM NIS 2 (Back) 5mE Gins 5 I
- 9. Romerks Appliceblo Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this r c h"'"
conforms to the rules of the ASME Code, Section X1.
Type Code Symbol Stamp N /A Certifiests of Authorization No.
N/4 Expiration Date MM 2 A/o TSI 1 % "eu Date 8'a ed*'
D 19 W Signed 05er or Owifer's Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors and the State 4r,'4h J and employed by # 1 A J< I-of or Province of de //e /
of have inspected the components described in this Owner s Report during the period FIY/N II'NV to and state 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 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 lieble in any menner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection, k%l A?
^
Commissions
^'E ?rT/
- V4 Y2Y L Af/
Inspector's signature National BoarC( State. Province, and Endorsernents Date Co/ &
19 F#
i a
. ~.
1 I
Docket' Number: 50-338 Serial Numbers-94-688 3 ~
Page 76 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS -
. As Required by the Provisions of the ASME Code Section XI
- 1. OwnerUrJA E r:<. h Pew [em, u
'll-3 d N l
pote s
N.,n.
e m b W on 8lv _ [slen Alitm VA ue4o 1
I Sheet of i
/ Addreas I
N. a L b Pe w S k h e-I uni.
- 2. Pient i
Nerne P.O.8u %2 b rJ VA amn R/R Puam 99-329 w.o. 2992%
/
Addrdes Repdir oreenization P 6. No., Job No., etc.
I
- 3. Work Performed byNt5 W R $b (& bdo -
- !d l
Type Code Symbol Stamp Authoriretion No.
M I
,0. bei 355, 8Msl'oce.h k isoso-o355 Espiration osto M
Ad
/
/
1 k#
e(
oe
- 4. Identification of System
- 5. (e) Applicable Construction Code DEM 19 dtb _ Edition, W lN b Addende;..
d Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 9 3 [59>Ad)fk
'f f
- 6. Identification of Components Repaired or Replaced and Replacement Components
(
' Code National
- Repaired, 8temped
[
Name of Name of Manufacturer Board Other Yeer
- Replacal, (Yes~
i Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
I O>
- 5L
- Q(
-l d'
r e
i i
- 7. Description of work ktOM(
\\
eno S* -
wAL 5e&
va o I
.i t 4h 9 i
I J
- 8. Tests Conducted: Hydrostatic % Pneumatic Nominst Operating Pressure f
Other Pressure 2306 psi Test Temp. > 50 D
'F NOTE: Supplemental shoots in form of lists, sketches, or drawings may be used, provided (1) sire 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 shoot 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 REPRINT 12/91 i
a 1
FORM NIS 2 (Back)
J MME C' ss(
.. Rom.,ks Applicat>
w Menufacturer's1 eta Reports to be etteched j
1 R~l LP w A hsu J re ga f,
a, l
i i
i I
I CERTIFICATE OF COMPl. LANCE We certify that the statements made in the report are correct and this M b
conforms to the rules of the ASME Code,Section XI.
'*d**P'***'"*"*
l Type Code Symbol Stamp
/
Certificate of uthorir t' n No.
I Expiration Date 1[
Signed
. IsI E Au r L1 oe,e r 3
,i,9 Y owner or owners Deegno6, Title
/
1 i
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State h
or Province of Nema' and employed by
- 'I N I' ?
of
- d/a > / N have inspected the components described I
in this Owner's Report during the period NhV mmh /
to
. and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this I
Owner's Report in accordance with the requirements of the ASME Code,Section XI, By signing this certificate neither the inspector nor his employer makes any warranty, expressed or implied, concerning the i
examinetsons and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer f
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 f
inspection, f
/?'?ed AE er er Commissions A'r 9ru I's yH JAA inspectors Signature Nationel Soerci, State, Province, and Endorsements -
Date
- N 7 19 99 i
I l
h l
k
i Docket Number: 50-338 Serial Number: 94-688 j
Page 77 of'90 i
FORM NIS-2 OWNER'S REPORT FOR REPAlRS OR REPLACEMENTS t
As Required by the Proeisions of the ASME Code Section XI i
- 1. Owner V,e u,a Bledree-A Fewer Cc, orms Deie 9-17-94
[
Nome S c o o Dr =.. c. Al<A- (rlem Alle t/4 -rs c(c o Sheet
/
of
/
'Aedress l
- 2. Plent Ne*4L A n**
Pe te u SNcNu Unit l
N***
l E.
Nb 9, r w 4 82. N i,* e m l 1/ 4
- M i f 7 4/4 fre wm 95'-37.7 k O. 2*?ofFT 2
Address Repallr Orgenlast60n P.O. No., Job No., etc.
l
- 3. Work Performed by h a FleMm 4 P m er (< % c,v Type Code Symbol Stamp M/d Authorization No.
MM i
'56to D en.... e 6lvS. Cfru Alln. L'A *1Meo Empiretion Dete N/A Aarbreen
- 4. Identification of System f beme t t ad Aw M Ye Io m e_
Ce d,o i IVf fm
- 6. (a) Applicable Construction Code 6334 19 Cai Edition: W l'ho Addends 7ESI f MRI"f ode Case C
(b) Applicable Edition of Section XI Utillred for Repairs or Replacements 19 G 3 4 593 AMenk
~
- 6. Identification of Components Repelred or Replaced and Replacement Components 1
i ASME Code i
National
- Repaired, Stemped i
Nems of Name of Menufacturer soord Other Year Replaced.
(Yes Component Menufacturer Serial No.
No.
Identification Built or Replacement or No) i 0 : u.
Wi%
n/4 y/A 1-cH 3n u.1,.
R y u.A Wo b
I i
i h
I
- 7. Description of Work Ma dmal rk6c O 01c b m.I, r.
s o rkes cLeck.) n5 rsn,k e h
- y** L% Zh b,,, lag empeyMA.
- 8. Tests Conducted: Hydrostatic Pneumatic Nominal Operat6ng Pressure O j
Other @ Pressure pel Test Temp.
'F j
LP l
NOTE: Supplemental sheets in form of lists, sketches, or drawings moy be used, provided (1) sire is 8% in. x 11 in., (2) informe-f tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is
{
recorded at the top of this form.
(12/82)
This Form (E00030) mey be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 l
REPRINT 12/91
[
t t
. -. - - - - - - -. ~,, -.
?
FORM NIS-2 (Back)
A Sn1E C ic,o
'2_
- 9. Remarks Applicable Manufacturer's Data Reports to be attached Def AC/Ybr T/t A NIT auJ N sc fr,
..T br c/ f ff f r
i r
. Yf A N57 see Act v se t t
h"
~
0 J~rn/JfLJr)
/
/
sf CERTIFICATE OF COMPLlANCE We certify that the statements made in the report are correct and this /@ &
conforms to the rules of the
P'"''P'***'"'"'
ASME Code, Section X1.
Type Code Symbol Stamp N/4 Certificate of Authorization No.
M/A Expiration Date M/A SoMc A M Signed 0
az T 51 Eu uce r Date f
19 W Opner or 04vner's Cesiones. Title v
CERTIFICATE OF INSERVICE INSPECTION t, the undersigned, holding a valid commission issued by the Nationsi Board of Boiler and Pressure Vessel inspectors and the State or Province of Ye N"E and employed by M 5 A 7'I' of Mw//s/ !C I' h
in tod the components described in this Owner s Report during the period b
Y to and state that to the best of my knowledge and belief, the Owner has performed examinations and taken cerrective 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 amployer 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.
So N
Commissions A/A FFJJ
- AM &.
Zi N A Inspector's S6gnature National Board, state, Province. andE ndorsem'ents Date 5<W 27 19 7V r
Docket Number: 50-338 Serial Number: 94-688 Page 78 of 90 FORM N15-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS i
As Required by the Provisions of the ASME Code Section XI
- 1. Owner \\/ir* % o EleAm 4 Pv e-co-on-<
oste
/6-l6-99 Name f
I I
5 0 c'o De m ia, m Shd Glw Altm. VA 2.3ete Sheet of Address
- 2. Plant No At, A,, n.
9e ue 5 4.4 <e,-
unit
/
No no j
P o. Be, 4o 2. - M i., ea l V4
- 2. 3 u i R/R R e+ rn-94-329 wo "94&
Address RepeIr Oreentzetion P.O. No., Job NO., etc.
- 3. Work Performed by W ia n 6I"b c 4 Oc
- 6-c~eaay Type Code Symbol Stamp M
Authorization No.
N/A 50cca O c a,,
,,,, S t cl 6te m Alleu VA 2hco Expiretion Dete N/d Address
- 4. Identification of System F,,,1.d e e t
- 5. (e) Applicable Construction Code 8 Il 'I 19.f_1_ Edition, W # 9 r 6 Addendef78 Pl GVWH5' Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 63 f 6% 3 M eada w
- 6. Identification of Components Repelred 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 or Replacement or No) f
.I Sbe d usM8' yg g
N*FU*#
NC
- " " ~ "
3 4e9,&
A 44..L Eus. Ce* f i
L v
- 7. Description ot work Ce on.<,J A nl ed Mo c.id b., T nse,nre Ti..ee d en i
e
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure O Other @ Pressure pal Test Temp.
- F VT.I uA LP NOTE: Supplemental sheets in form of lists, sketches, or drawings mey he' 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, sad 0) 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 REPRINT 12/91 1
c.
FORM NIS 2 (Back)
Ab@b b [G SS 2
- 9. Remarks Appilceble Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Nom'Y conforms to the rules of the repair or replacement ASME Code,Section XI.
Type Code Symbol Stamp N /A MM Certificate of Authorization No.
M/A Expiration Date 3 Mhu TU N G e8e Date (7e do b'-
f0 19 D Signed Ownery Owner'(Designee. Title f
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of YEed and employed by M #* E A L of Med/u d" 7.
have inspected the components described in this Owner's Report during the period 95V/f/
^ MIF to
_ 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 thlt inspection.
fN*
Commissions NAWN-N Y2 Y -
5A8
^
u Inspector's Signature Net 6onal Bodrd, State, Provirice, and Endorsements Date
&/ h 19 FV
l Docket Number: 50-338 Serial Number: 94-688 Page 79 of 90 i
FORM NIS.2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner YNw-Ei+b c kee b ww Date i O - 3 4-9 4 Name I
50cc Du,m Gid CJe. Altr. & A ~2.3 d6 o Sheet I of i
Address '
- 2. Plant Na O 4*=
bowce McS' A Unit I
Nome bO bh 4c2 n1/nemI. V A
- 2 318*7 R/4 beAre4w 9 4 - IM (47. 0.19 9 'I9 7 Addrhos Repelr Oroenization P.O. No., Job No., etc.
- 3. Work Performed by V/e AM* w F#,d e 6, mr d*
Type Code Symbol Stamp WA Authorization No.
N/A E o 6<.= 3sv 941>@ Address
. PA i s 2 S c - 3ff Expiration Date N/M
- 4. Identification of System N4 ShN
[ Scud,.
s erle 5 4 8<. m 4 enea.b )
/
v
~
- 5. (a) Applicable Construction Code 6M 1g 69 Edition,W IDc Addende? 8. EiX 3t#b t.f Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 6 3
'-v 5 8963 AM'* d A i
P
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
- Repaired, Stam.wd Name of Name of Manufacturer Board Other Year
- Replaced, (Yes
(
Component Manufacturer Seriet No.
No.
Identification Built or Replacement or No) i i
Ndl-celk Wa dinglas. A 4N2.0 2S #14.
W4 W -E-M t er9s/
Reel *(u-e f N
t 7, Description ot work Ho=wev beO ure cd eN de P>e H u s J,.//sd r e u c ir ras,= w,_
c4 e,'Q h st,'. s e :8 ins 4slM
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure Other Pressure N /A psi Test Temp.
N/4
'F NOTE: Supplemental sheets in form of lists, sketches, or drowings 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 shoot is numbered and the number of shoots is recorded et the top of this form.
(12/82)
This Form (E00030) may be obtained imrn the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 i
REPRINT 12/91
i FORM NIS 2 (Back) -
l MbMb bbSS
- 9. Remarks Applicable Manufacturer's Data floports to be attached '
CERTIFICATE OF COMPLIANCE We certify that the statements mode in the report are correct end this '8,dfN conforms to the rules of the r
ASME Code,Section XI.
Type Code Symbol Stamp NN l
Certificate of Authorization No.
N/A Expiretion Date M
Signed At TY b**V^#'f U C4'b l 'I
__ Dete 199 '/
I Owner p OwnePs Des 6gnee, Title I
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of YsI* m A W employed by M #< #Il of Mer /Is b d have inspected the components described -
In this Owner's Report during the period FIl /fF
> cS*!# 9 to
_ and state that to the best of my knowledge and belief, the Owner has perforrned examinations and teken 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 smeminations 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 W - M Commissions NA* 1 r !J - VA V2 V
- ^ A inso.ctor s sionotu,o
~etionei.os, estate.,,o.ince..n. enoo,eemems Date N /Y to 9V f
=
a
.i
. Docket Numbert 50-338' Serial Number: 94-688 Page 80 of 90 l
FORM Nis-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI i
1.' Owner Vtrew EleM I Meiner Eevenma-Date
/ C -II* 9Y e
une Tooo' D,.;,,. 61.wl 6-len Alle= P:4 2*sdGo Sheet of 7
l
/
' Address j
- 2. Plant Na,O d ua s 9d sa's e $ Meea Unit
/
Nerne qgg,
,,p,,,.u.q y j
IP d. 6,x 4 02 - N /.= era l.
Addreas Repelr Oreenization P.O. No., Job No., etc.
- 3.. Work Performed by Vha s ra Glesd,cc. Mannse Coswoe.=r Type Code Symbol Stamp
&/A Authoriastion No.
N/A roao D.
t re.
6/J Cle. Alles vet 2 5 d 6 8 Empiretion Date N/A Address j
- 4. Identification of System Ce**ree.se d* * !/**4 '
- 5. (e) Applicable Construction Code 0 11.7 19 fat Edition; W #97 o Addende;4st SMO Us" Code Case I
(b) Applicable Edition of Section XI Utilized for Repairs or Replecoments 19 E1 - fav5 8983 i
- 6. Identification of Components Repaired or Replaced and Replacement Components f
t ASME Code National
- Repelred, Stemped Nome of Name of Manufacturer Board Other Yeer
- Replaced, (Yes i
Component Manufacturer Serial No,'
No.
Identification Built or Replacement or No)
~I gig p l.4e,s m t sstem N/A N/A Rer W J
/Wo i
%1v4 el*4u c #5 %bt-n/4 ing(
Reele<e=.e + Alo A3rt
,,. u te s ete.e9 54e4
^'/A N/A u/A cc.rse
- v. k - Ry,1.nd 4/.
t Ref *4*'**S Alo Sh A s M ssk s *~
~1*S*'
\\
Nja g.ct.559 t% w NAM i
N eks Ree and No N/A N/A gjf l-Cc -ss 9 l' k**
l I
- 7. Description of Work Redced valH. elah SIuds. ew) w.
bifed Tuse ' C 4csk.
i
- 8. Tes*s Conducted: Hydrostatic Pneumatic Nominal Operating Pressure @
Other Pressure I d2.
psi} Test Temp. }60
- F NOTE: Supplemental sheets in form of lists, sketches, or drowings may be used, provided (1) sire is 8% in. x 11 in., (2) Informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded et tha 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 t
a
c FORM NIS 2 (Back) 45m6 Class 2.
% in Sw. l ** f o - u d s - o to - o y
- 9. Remarks 4,onc.w. u.not.csor.es o.t. n. ports to e.ti.cn.a
-~
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this "* b'*s conforms to the rules of the ASME Code, Section Xl.
Type Code Symbol Stomp M/4 MM Certificate of Authorization No.
N/A Expiration Date AM 2 8 M a*8#
Own.t Ir Owner's Design.e, Titi.
Date d*
II N
Signed 19 1
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holdiDO a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of Nr# 'E and employed by M0#1J of Mu //c -/ <b have inspected the components described in this Owr r's Report during the period 9I2 / /W MIN to 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 not his employer shall be liable in any menner for any personal injury or property demaps or a loss of any aind arising from or connected with this inspection.
Ned W-A Commissions A'M TFTl d'A Y1 Y I. N A in.csorssr o r.
u.uon.i norra, st.s., erovinc.,.nguaor,n.nts Date
- </ N 19 F s' w-1
.E SUPPLEMENTAL SHEET Docket Number: 50-338 Serial Numbert 94-688 l
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLAGMBN19nt 2 Page 81 of 90 As required by de Provisions of de ASME Code Sectkm XI l
l
- 1. Owrer Virginia l'lectric and Power Company Date October 11.1994 n
Sm0 Dominion Boulevard Glen Alicn. VA 2%60 Sheet 2 of 2 me
- 2. plant North Anna Power Station Unit I
psas # # *H* "
P O Bon 402 Minerat. VA 23117 RrR Procram 46 4ne W O 209532 u
m.,-<._
r a n. s. w.
- 3. Work Performed by Vircinia Electric Power Company Type Code Symbol Stamp N/A Authorization No.
N/A P O Bon 402 Mmeral. VA 23117 Expiration Date N/A O, Idenuficatkm of System Component Cooline
- 5. (a) Apphcable Cormtructhm Code B117 191 Edition.
W 1970
- Addenda,
- 78. RI. H3(R).11$
Code Case (h) Applicahic Edititm of Sectum XI Utilized for Repairs or Replacements 19 N1 with Summer 81 Addenda
- 6. Identification of Components Repaired or Replaced and Replacenrra Componcias ASME Repaired.
Code Natitmal Replaced.or Stamped Nane of Nane of Manufacturer Board Other Year Replacenent
. (Yes or Component Manufacturer Serial No.
No.
Identification Built No)
Nuts Nova Ht. # 8860214 N/A l<C-559 1993 Rept :enent No 1
1 Docket Number: 50-338 Serial Number: 94-688 Page 82 of 90 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS i
As Required by the Provisions of the ASME Code Section XI iO.no,tF<w El,b k La L _
n-M4 os,e uom.
\\ a sc 00 kMmt'e e NJ._ h4w dbw.
MM0 Sheet of
/ Address
/
- 2. Plant of h%
Af f k
fau Unit
~e s.
k0 bv 961 b er
. h C13lf7 ledam "l9'* h d L), D. 3 00 slM Address /
/
Repfir oreenization P.O( N., Job No., etc.
k b ef
- M'd
- 3. Work Performed by i M..
(t m%
Type Code Symbol Stamp I
I Authorization No.
N A H<-
- 1soto E pi,etion oste
.//4 CoM Ni e u fdv.
4k d
/
i,N
~
Address
/
j
- 4. Identifiestion of System
(?
Th Nik
/
j r
s S. (a) Applicable Construction Code b3L9 19 [i Edition, M)O Addende,M fl. db H5 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 93 6 6> Ard)edh '
- 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 Mornufacturer
' Serial No.
No, Identification Built or Replacement or No) sp A L u nab i;7gg QP;.C ns5 S-t E i
i i
i
?
- 7. Description of Work
[k at%) S n d h e4 cJ{ 4 *> eW SM n
%Na[
m l
JJ l
J J
B. Tests Conducted: Hydrostatic Pneumatic Nominal Operating Pressure Other Pressure M/+
psi Test Temp.
M/b 'F t
/
/
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in x 11 in., (2) informe-r t% in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the nurnber 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 l
l REPRINT 12/91 i
f
FORM NIS 2 (Back)
- 9. Remarks M
' App 5icable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report art, correct and this M J4 r 4 "
- W conforms to the rules of the ASME cme,Section XI.
'*Y'"'***'"*"'
?
I Type Code Symbol Stamp
/
Certificate of Autho iration hl.
M Expiration Date 35 b b"* * [
Dato cR A
- (
9 19 i Signed -Owner'or Owner's Dislenee, Title J
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 Mu /A /
f8/"E or Province of V'
and employed by A 4MdI of (7-have inspected the components described in this Owner's Report during the period 9/?f A f b
to
_ 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 makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
A'?%2 /8 Ml*4 Commissions M Ff U J# W F M"#
inspector's signature Nationet Board, State, Province', and Endorsements Date Ah/
7 19 M i
r
l c
Docket Number: 50-338 I
Serial Number: 94-688 l
Page B3 of 90 l
r FORM Nis 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS l
As Required by the Provisions of the ASME Code Section XI
(
- 1. OwnerYfah t &
rueI h em A Detw II' I~ 9 a
~.-e i
&.ce bd4en bbl h!<r b!Ien VA auto Sh.e.
I I
of
/ Address
/
- 2. Plant Abrk ba keW b W Unit I
Nome P.O. Env Vol Nerd M 2 % 11 1 de Prou
'1430 DeP M-8M v.o.1%t85 i
Addrese phoelr Orsentratio4 P.O. No., Job No., etc.
m (o f o.
Type Code Symbol Stamp 4
- 3. Work Performed by 5 wa 605 C e ric d
N'**
I Authorization No.
M/d P.O. b u 3 5 5 8 R sta,.
PA mo-2 s s E piration oste J/4 t
/
Ad
/
L
(. d l
R
- 4. Identification of System 4%
o
- 5. (a) Applicable Construction Code ASM E M 191 Edition. w> l 9 6 B Addenda e4 d Code Case -
(b) Applicable Edition of Section XI Utillred for Repairs or Replacements 19 El a f/5 l%) Adhdds
- 6. Identification of Components Repaired or Replaced and Replacement Components
~f I
ASME Code National
- Repaired, Stamped Name of Name of Manufacturer Board Other Year
- Replaced, Wes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) fd 8/' $
!~kb"$~ k UNt.
kt 4,{
k l
Uh 6J4c Na 054 l-$-R-l MiO4 Cysuemt s
o 1
i i
- 7. Description of Work hb ne w>
- CA a
C eno Se o ou n A*E r le 5 J
l
- 8. Tests Conducted: Hydrostatic [ Pneumstic 0 Nominal Operatino Pressure l
Other Pressure 1300 psi Test Temp. > Soo
- r NOTE: Supplemental sheets in form of lists, sketches, or drawings 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) sech sheet is numbered and the number of sheets is recorded et the top of this form, i
j (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 h
i FORM NIS-2 (Back)
AS E Ckss 1
- 9. Remarks Applicable Manufacturer's Date Reports to be attached i
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this itD M m f" conforms to the rules of the
P di' "' P'***'"'"'
AC,ME Code, Sectnon Xl.
i b-Type Code Symbol Stamp Certificate of Authorization N.
M Expiretion Dete O
Signed M#* [
Date Nt 4(
l 19 I Owner or Owner's Desiedes, Title J
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, ho.iding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State or Province of 6'*5 and employed by M I" M af Med/rt/ b ?.
have inspected the components described in this Owner's Report during the period 9/h/?V
"/# dF to
. 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 warrenty, 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.
Y$,l h -
4 Commissions ND Yr?/
VA W V 5^M inspector's S:cneture National Board, State, Province, and Endorsements Date Ah i '
7 1g VY l
1 i
i
Docket Number 50-338 Serial Number: 94-688 Page 84 of 90 FORM NIS 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner f,.'A m e,
(? L ok+/ (eh orm u If 9
Date y
N.
e g
y nee L u:m f)v1 GluAhm t/A o.n(o Sheet of
/ Address bfd b%
- W e[
<~ Tt' o b Unit f
- 2. Plant Namp P, O. E ox 'lo2 th erm VA o n17 f'/R beam 91-)Y8 MO. 3oo aci?
I Address '
/
Repair Oreenization P.6. No., Job No., etc.
4W,1 El43r;,4 L ee(e m -
d Type Code Symboi Stem,
- 3. Work Performed by N-Authorization No.
A L k/A 25d0 M
$6en P, h w
Expiration Date Add
/
- 4. Identification of System i
e'C Il 19 5 9 Edition, 76 AddendoN N IM IIS Code Case
- 6. (e) Applicable Construction Code (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 95' [ 58) M dvd k '
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
- Repaired, Stemped Name of Name of Manufacturer Board Other Yeer
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No)
' t" O
O O
3 '53
-ST 5 R
-M Ce 6c<< s llosa
$2M",'
474 M12eD,Z l'ru f?< elm t Mo 1
- 7. Description of Work CD At E MG5 6e c n
o nI l
)
l
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Press O
Other Pressure e
pal Test Temp.
4/ b
'F NOTE: Supplemental 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 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) mey be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 l
)
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FORM NIS-2 (Beck) i
- 9. Romerks C+ 6 5 l
. meme uen.to.t.,e, s ost. n.co,ts to w att h.d f
CERTIFI'CATE OF COMPLEANCE i
We certify that the statements made in the re sort are correct and this hif AN conforms to the rules of the ASME Code,Section Xl.
/
3
'*7'"'***'"*"*
Type Code Symbol Stamp N
} n No. I(Nb 9 h,,ygg 7 Y Certificate of uthorir '
Expiration Date w
+
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'M4V Date 6 Jew o+f Signed >
t
' Owner or Owner's Dwenee[ Title
/
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, pol, ding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State l
or Province of L4 re o n and employed by M L 8 7*I of l
- e-/Ar/ 'rA have inspected the components described I
in this Owner's' Report during the period MWN M NF to
. 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 eneminations 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 irdury or property damage or a loss of any kind arising from or connected with this I
inspection.
.4 Commissions MA T?/
N 'f'# Y enspe. tor's sleneture National Boe'rd, State, Province, and Endorsements C
i Date en P 7 19 9'/
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Docket Number: 50-338 Serial Number: 94-688 i
Page 85 of 90 i.
FORM Nis 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI l
- 1. Owner \\/,a Gu EIuk d b.e Co em+
Date
/6 # 0-V9 Nome 6006 Dom ec 61v) 6 ic= fillem. V4 '23oGO Sheet i
of 1
Abdress
- 2. Plant Nr*I k A"*
9*O SNad'm Unit
/
Nenw RO dev 4 0'2.. m,Me,af _ V A
'2 3 L l7 4/R frmrams 94 382 / W 35'/ oc 199/6,7 Address Roo'elt Orsentration P.O. No., Jots No., etc.
- 3. Work Performed by Vio
.e Fl.< I.,e_ d P< a er Cr m oaw Type Code Symbol Stamp A'/A Authorization No.
N/A f
Fcec Or,. <~ Blw<l Cle-Alle V4 23% O Empiretion Date N/4 i
Address
- 4. Identification of System 8lcWd M+^
l
- 5. (a) Applicable Construction Code Mi "F 19 G9. Edition; W '9 T O Addende.M 81 *MJits Code Case' (b) Applicable Edition of Section XI Utiltred for Repairs or Replacements 19 M 5 #9eS AM e*da
- 6. Identification of Components Repaired or Replaced and Reptocement Components ASME Code National
- Repaired, Stemped Nome of Name of Manufseturer Board Other Yeer.
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or Nol 54 As N/A A//A N/4 l co-TV 8ccE
ah
"' rd** d A/e i
$4 A3 Neva M'(,th n N/A t-80-wdkE seq 9 ArWe** 4 Nc Nas y/A
/v/A N/A n e p *T v. scc e U L *~~ brM A/e R ar * ** ***d Ne NM3 Ma ksea b Hi N 05 39f N//l 3 6 D -TV-8 cc 6 l't9 T t
Ry aced No l
v.t.
- 5. 4 Fobec N/A N/A i-epm"E M-l
- 7. Description of Work GeotAre SN wM5 a d p!*
sed.
FNIed be Y bd n
1-
- 8. Tests Conducted; Hydrostatic Pneumatic Nominal Operating Pressure O Other Pressure N/A pel Test Temp.
N/A
'F NOTE: Supplemental sheets in form of lists, sketches or drawings may be used, provided (Il sire is 8% in. x 11 in., (2) Informe-tion in items 1 through 6 on this report is included on each sheet, end (3? each sheet is numbered and the number of sheets is recorded et the top of this form.
(12/82)
This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 I
6
, P :-
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l f
FORM NIS 2 (Back)
{
- 9. Remarks MM6 d lAH 2
l Applicable Manufacturer's Dete Reports to be attached j
ili i
CERTIFICATE OF COMPLIANCE i
We eartify that the statements made in the report are correct and this (*d'***
conforms to the rules of the ASME Code.Section XI,
'****P'*****"'
j t
Type Code Symbol Stamp N/A k
Certificate of Authorlistion No.
N/$
Empiration Date N/$
Ad 1 da N T s2 - N a ne oc 8,br A to 99 Signed owner At owne Desiones. Title pote t
CERTIFICATE OF INSERVICE INSPECTION i
1, the undersigned, holding a valid commission issued tw the National Board of Boiler and Proesure Vessel inspectors and the State or Province of YNeaE and employed by A/,J A } 7<
of A4e/ /e) fM have inspected the components described in this Owner's Report during the period VA*/W Ib to and state that i
to the best of my knowledge and belief, the Owner has performed examinations and taken corrective moseures 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, supressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer I
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.
l A?*
5-A Commissions - NEWJ/ - VA Y1W J' Ab A Inspector's Sieneture National Sperd, State, Province,ind Endorsemente l
i 1
Date or f /
19 9/
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SUPPLEMENTAL SHEET Docket Number: 50-338 Serial Number: 94-688
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLAG!GfL3NTynt 2 Page 86 of 90 As required by the Provisions of t' = ASME Code Section XI
- 1. Owner Virrinia l'icetric and Power Conmany Date October 6.1994 n
Smy) Dominion Boulevard Glen Allen. VA 2%W)
Sheet 2 of '2
- 2. Plant North Anna Power Station Unit I
a P O Box 40 Mineral. VA 23117 R'R Prorram 94-392 & 44-354 W O 299165 m
am., o..
eo n. s m.
- 3. Work Perforned by Virrinia Electric amt Power Comaany Type Cale Symbol Stamp N/A Autlerization No.
N/A P. O Ron 402 Mmeral. VA 23117 Expiratism Date N/A m.
- 4. Identifsation of System Blowdown 3 (a) Appleable Construction Code B317 191 Edition.
W 19'10 Addenda.
- 78. 81. 8)(R).115 Code Canc (b) Applicable IMilitm of Section XI Utitued for Repairs or Replacements 19 83 with Summer 83 Addemia
- 6. Identification of Components Repaired or Replaced and Replacenent Comptments ASME
- Repaired, Code National Replaced,or ~
Stamped Nane of Nane of Manufacturer Board Other Year Replacement (Yes or Comparent Manufacturer Serial No.
No.
Identification Built No)
Valve Seat l'isher CC3848-1 N/A 1-BD-TV-100E 1991 Replacement No I
l.
i e
I
)
Docket Number:.50-338 Serial Number: 94-688 i
Page 87 of 90 i
FORM NIS 2 OmlER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provl2 ions of the ASME Code Section XI
- 1. O.nor hmo 6 tut e 4 Pcwer C..-
oote
/6 7-94 V
Nome
$600 Oe m wh OI d. bo a 41lre V4 2'5000 Sheet
! of i
Address
- 2. Plant AbML ba Oe w $~dM h Unit Name PO hw 402.,
M h,e.
\\
\\fA 2 ^) t I~1 A/A P,ra ron. 94~ 3% W O. 3 06 3 r '/
t Addfese Repair Oreentration P.O. No., Job No., etc.
- 3. Work Performed by W,n.we filed < d 6 wei G-~g Type Code Symbol Stamp N/A New Authorization No.
N /4 Sooo Orm. o mi Cles Alle. V4 "M (t 6 Expiretion Date N /A Address t
- 4. Identification of System Rec,,c.
L,ny
- 6. (a) Applicable Construction Code 6 3 i ~1 191 Edition, W #410 Addende W fri W#M Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 B 3 w 5 4 9 9 3 didAA
- 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
- Repaired, Stemped Name of Name of Manufacturer Board Other Year
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacemnt or Nol t
sus N/A N/A N/A l-R$ &aT sh M *.- -
RerLu e<4 m
a
<_c,-
Sbk u/A l8.5-ms3-#4
's87 nor 6,J m
Nev4 H de N/A N/A rV/A W A" #
g o t, tw (e.n N/4 p sts. ms7-M MD 8erladt Na brw.,e, Te. I N/A N/A N/4 l-R$- m a 7 IA D &.e Qlaced
- Alc,
- 7. Description of Work Pvs.lm,1 e w w se_m
.c M sI.)5- %d wd 5.
klaav u t.*k4 4, g,,,,, e e, l cua leed b
v o.
,4 '.,_ 4wi
.4, 4&d i. n f.de s no,
B. Tests Conducted: Hydrostetic Pneumatic Nominal Operating Pressure @
Other O Pressure N /A psi Test Temp. N /A
- F i
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided til sire is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) sech sheet is 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 REPRINT 12/91
i i
i l
1 i
s FORM NIS 2 (Back) bbMb
( l ^ *> >
1
- 9. Remarks Applicable Manufacturer's Date Meports to t>e attached I
i CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ^olo**
conforms to the rules of the i
f ASME Code, Section X1.
Type Code Symbol Stamp O /M Certificate of Authorization No.
N /4 Expiration Date N
o ryo..recmien.e m e 19 W
- # ~ II ~
Signed L
7# fM ia*
Dets CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned,M*5*/'t holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and the State and employed by M M J'J-of or Province of de//
/I have in ed the components described in this Owner's' Report during the period
/o //UV
/#
. and state that to 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 t
examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
N
N Commissions NA T T TJ L'A W Y. 5NA inspector's signature National Board [ State, Province,'end Endorsements Date
- 4/ //
19 M i
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SUPPLEMENTAL SHEET i
g,cx,e yum3,y, 30 33, Serial Number: 94-688 3
FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLAgy 2 9 As required by the Provisions of the ASME Code Section XI.
y-1 1 Owner Vireinia l'lectric and Power Company Date October 11.19H Smo Dominkm Bmilevard Glen Allen. VA 2VM Sheet 2 of 2 m.
j j
- 2. Plant '
Nonh Anna Power Station Unit 1
1 a-.
P O. Bos 4(0 Mmeral. VA 21117 R/R Procram W.356 w O 3m374 m.
n, o,-
ea m, a m.
- 3. Work Perforned by Vircinia Electric and Power Company Type Code Symbol Stamp N/A Authorization No.
N/A f
P O. Ron 402 Mineral. VA 23fi7 Expiration Date N/A ua.
t
- 4. Identifkation of System Recire. Snrav
{
?
- 5. (a) Applicable Constructkm Cale B31.7 191 Edition, W 1970
- Addenda,
- 78. 81. NVR).115 Cale Case (b) Applicable lidition of Sectkm XI Utilued for Repairs or Replacenwnts 19 H3 with Summer 83 Addenda l
i t
- 6. Idcraification of Components Repaired or Replaced and Replacement Congwments
+
- Repaired, Code National Replaced.or Stamped Name of Nans of Manufacturcr Board Other Year Replacenent (Yes or,
Congmnent Manufacturer Serial No.
No.
Identification Built No)
Expansion Joint Pathway 7192 N/A l-RS-MEJ-1 A 1992 Replacenent No i
l' 1
J j
i 1
i f
Docket Numbert 50-338 Serial Number: 94-688 Page 89 of 90 FORM Nis 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. Owner b56
+ H v-
- /
W D A^ w Date II~)d Tonc bMinion Albw W as}es o J
Name l
I I
de.
ew Sheet of
/ Address
/
Pow,e 9-A.-
i 2 Plant of MM.
unit N.
O, 6e t 461 Nw,m!
M Mid b Pis<m 94-Mi _ U 0, 3 0eWS
/
Addrosjf Pteppir Orsenization Ph. No., Job No., etc.
f
- f ** o ouf {namw Type Code Symbol stamp A/d
- 3. Work Performed by ifr$wk
/
Authorization No.
MM
\\
h4%_ k ASO(0 Expiration Date
'LI4 f00o avslwiew b!sfA,.
fw
'Ad dress (Q b )
- 4. Identification of System Vt"t in
/
1
- 5. (a) Applicable Construction Code 03l.7 19 I.1 Edition, M76 Addend M M'O i15 Code Caos (b) Applicable Edition of Section XI Utilized for Repairs or Replacement 19 6 ) r 5 83 AAb#d,
- 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 or Replacement or No)
SfA d/A v/4 a/A t-Os-P-I A M.
PepLJ Mo 3rds S$f* %%nR J/h t -e-r-I A n94 i%.~k Ak m
M3 4/h
[A
- [4-(- As-P-I A Ak.
'Pehwa do IJAs Tew Golt N53iv YA l -as-P-lh li?i Rrh M %
- 7. Description of Work O (a r J.,
5 n hd S.
I
- 8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressur O Other O Pressure tr/-
psi Test Temp.
'F NOTE: Supplemental sheets in form of lists, sketches, or drowings may be used, provided (1) size is 8% in. u 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 et the top of this form.
(12/82)
This Form (E00030) mey be obtained f rom the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91
f i
I i
i FORM NIS 2 (Back)
- 9. Remarks AS3 2-Applicable Manufacturer's Date Reports to be etteched r
.i
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t f
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report era correct and this bo WM" conforms to the rules of the
'f
b''***'"'"'
ASME Code,Section XI.
l 0
Type Code Symbol Stamp j
Certificate of uthor) ion No b !
Expiration Date Signed N
(b** [
9 Date o
I) 19
' Owner or Owner's Des 6sned, Title
/
i f
CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors and the State or Province of d md and employed by N' U#
of M r d/e /. /* T have in ted the components described
"[MN
/ 8'b to and state that l
in this Owner's Report during the period 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.o this Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
I M
4 4<
Commissions M FW M Y#
inspector's signature National Board, State. Province, s'nd Endorsements o.te Mr 1' 7
19 9 /
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Docket Number: 50-338 Serial Number: 94-688 1
Page 90 of 90 FORM Nis 2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- 1. OwnerbimN Eldrk b howu (n-u
/0-2A-14 Oate o
Nem.
i i
h eDennaa N.
$!cw Alkw VA 2ut o I
I l
Sheet of Address
/
I
- 2. Plant Net h bane.
OWif b 0"
Unit I
Nome 90h Ho2. Ibemk VA 23n1 P/e P,~%s H-us & <i4-3( r iv.o. seesn Address n$ air oreenisetion P.O. No., Job'No., etc.
- 3. Work Performed bykfd A bic fic & P.w.< (,-o,_m Type Code Symboi Stamp 1//A I
Authorization No, MA Gen DeMa:sm bd..hewAlkw VA 2ses o E,piration Oeie id
/
/
' Address Tcel J (yT)
I
- 4. Identification of System
+r
- 5. (a) Applicable Construction Code 8 3IO 19dEdition; OO
- Addende,% bl.93d 849 Code Case i
(b) Applicable Edit}on of Section XI Utilized for Repairs or Replacements 19 6 3 5 b3 Alhmk, l
- 6. Identification of Components Repaired or Replaced and Repiscement Components l
ASME Code Netional
- Repaired, Stamped Name of Name of Manufacturer poord Other Yeer
- Replaced, (Yes Component Manufacturer Serial No.
No.
Identification Built or Replacement or No) 5%b Bn tw4.
TyZ",-
44 i wT-50s 19% Rym d 4 Ms
<A soa.smT E' s/A i-Wr-so s ns3 gL_+
A/,.
So s U.S. blt ho,k *
/pfi I-FlWGo-ns IW1 Pdwd A.
- 7. Description of work fer b en t de s ns 5en 1 C0 5. kt skJ 5 on sucoo a re q<
il I-/ P 4 -S(, D-l*15
- 8. Tests Conducted: Hydrostatic Pneume 'c 0 Nominal Operating Pressure M
'F AIA psi Test Temp.
Other O Pressure NOTE: Supplemental sheets in form of lists, sketches, or drewings may 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) 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 Oopt., ASME,345 E. 47th St., New York, N.Y.10017 REPRINT 12/91 l
1 J
,,..5. e i
i i
FORM NIS-2 (Back)
)
r ASME Ckss
'l l
- e. Romeras Appil ble Manuf turer's Data Reports toge etteched
.i U ofM, b-3 LAAdh ia W e o ne suonarl
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t CERTIFICATE OF COMPLIANCE 5
We certify that the statements made in the report are correct and this (em m e mh conforms to the rules of the
PE'****'"*"'
l ASME Code,Section XI.
i i
Type Code Symbol Stamp I
i Certificate of Authorize ion Nc(
Empiretion Date 1.!
A/ond(
f er 2.
,, 9 51
[
Signed F
Ist Em6m O,,e Owner or Owner's Deo ches, Title j
s CERTIFICATE OF INSERVICE INSPECTION 4, the undersigned, holding a veled commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State
~
or Province of V aba and employed by A' F EJ 7 of Adbc/ -
7, have inspected the components descritied in this Owner's Report during the period
/ MN
> # /' b to and state that to the best of my knowledge and belief, the Owner has perforrned examinations and taken corrective measures described in this f
Owner's Report in accordance with the requirements of the ASME Code,Section XI, j
t By signing this certificate neither the inspector nor his employer makes any warranty, expreened or implied, concerning tiw j
examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector not his employer shall be lieble in any menner for any personal injury or property damage or a loss of any kind arising from or connected with this j
inspection.
ASkl /k?
sa Commissions AM 95~H V^' W Y I' N #
snepector's signature National poord, State, Province, and Endorsements j
Date Ah 7
19 N f
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