ML20092E641

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Applicant Exhibit A-150B,consisting of Nuclear Plant Maint Work Order
ML20092E641
Person / Time
Site: Vogtle  Southern Nuclear icon.png
Issue date: 08/15/1995
From:
AFFILIATION NOT ASSIGNED
To:
Shared Package
ML20092C178 List:
References
OLA-6-A-150B, NUDOCS 9509150253
Download: ML20092E641 (52)


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     } NUCLEAR PLANT MAINTENANCE WORK ORDER                                                    -
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1. CONTROL NO. 290030.18 00
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I 2.DATE 07/11/90 3. UNIT 2 4. SYSTEM LIST U A :g,.p M i 5.MPI/ TAG NO. t.IST 5A. REPAIR TAG g j MPL/ TAG (S) ASSOCIATED WITH SPECIAL INDICATORS '

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WORK DG 2A FAILED TO START. .- REQ. *9 .

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h =*  %,.on e, m VEGP 27601-C 0 17 of 21 Sheet 1 of 1 POWER AND SIGNAL REMOVAL / REPLACEMENT DATA SHEET [ ] Safety Related/QC Holdpoints [ ] Non-Safety Related NOTES

n. To install jumpers and/or lif t wires, other than those d. If the worker leaves the immediate proximity of the work directly associated with the equipmect tag (s)/ scheme or the work is interrupted, complete and install ( " Jumper ,

number (s) listed on the Work Order, notify the Shift and Lifted Wire" tag per 00306-C " Temporary Jumper And Lifted Wire Control". Instead of Control Number use the

b. Ensure that each lead (wire) is marked so it can be Procedure number on the tag. ,
      ,ualquely idenrified with its termination point.                                                                                          ,
e. If holdpoints do not apply, MA QC Verification block. .
c. Independent verification is only required on safety ,

related equipment. Place N/A in independent f. If applicable, tags shall remain it.u.ct and will only be removed by the independent verifier. - verification block for non-safety related equipment.

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n em , . RD10 VAL RECONNECTION DEED N . w. IDENTIFY LEADS LIFTED, LOCATION PANEL PERFORMED INDEPENDENT QC PERFORMED INDEPENDENT QC ,f , JUMPERS INSTALLED, OR JUNCTION BOX BY/DATE VERIFICATION VERIF. BY/DATE VERIFICATION VERIF. Q$ ( LINES OPEN, ETC. BY/DATE BY/DATE BY/DATE BY/DATE ygf.j I \ 3-E

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27601-C 0 1 of 4 O'5:.  : i

                 .AG NO.                                DESCRIPTION                                                                       ' ' ' ";;' .. ,    --

J -Wo 3 - 4 / -500/ Standby Diesel Generator ' N'ii, 'E ' SERIAL NO. MANUFAGIURER MODEL * ; rr'

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N Transame'rica Delaval DSRV-16-4 TEST EQUIPMENT USED H Safety Related/QC Holdpoints apply [<

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i See applieable " Data" Sheet () Non-Safety Related t' ' '$j,; - 4 PROCEDURE MAINT. HOLD QC  %,: STEP DESCRIPTION INIT/DATE POINT INIT/DATE- 'l r

(Yes/No) - ' i(' .

4.1 VerifyPrerequisitesmeth8d/I/Od /M _ t/ f* " - j 4.2 Shift Supervisor Notified [d / ?!90 / _, j;;

                 '.3             Diesel Generator Isolated
                               - and Tagged                     f@ / , /P 7         m                             2/ /d>'
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4.5.6 Visu ly Check Spool & Slee d-Q

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           ;             FHOCEDURE No.                           REVISION                                          PAGE HQ.                                                                   .

VEGP 27601-C 0 , 19of21f.,.;

                                                                                                                                        .                  ~.jhhb$

PROCEDURE ' e MAINT. HOLD ,- < QC 4^'h1 STEP DESCRIPTION INIT/DATE~ POINT- INIT/DATEQ  ;. (Ye i7No

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4.5.7 Heasure Sponi Wear Flat 'N 1L / M vp~y M ~nhI.'f " 3 ./ 'e 2L \/ l ~~ " # 3L // / / / ', ..T t

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  • 4.5.8 Visually Check Cam gg o.c.

4 . .q,[ 4  ::  ! left Bank M/ "Y .M,r // I'

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Right Br.nk A//V norK A ,n. a

                    '                                                                              l~                                                          *             )7.F.        b 4.5.9    -

o.c. s I,\q = . Install Spool, Spring, i I o-ring and cap lb / / A/ D@ / (

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opt n 4.5.10 Connect Pilot Air Tubing f Left Bank d/ o c.- HOLD PorffT ) ~RJ#/,'f 4 Right Bank  %//A/ p xh,,7 \/ ; '!.:fq[' l$'

                                                                                                 /                                                                             4 4.5.11           Install Air Distributor
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yt-J 2 4 3'I Bank 50 f elbs . /]O />#. oio, .Ef6"r f

   ~                         e/n 8,g , p       Right Bank rc                felbs.'hbd/tre w p t h...,                                        f </r'/

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       .         P AOC EDURE No.                      REVISION                                           PAGE NQ.                                               ,,. .

VECP 27601-C 0, 20 of 21,3

                                                .                                                                                                            .        4 PROCEDURE                <                                   MAINT.                 HOLD                                QC '- @'D.N.

STEP DESCRIPTION INIT/DATE POINT INIT/DATE tr (Tes/No) .'

                                                                                                                                                  ., , s % %
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4.5.12 Reconnect Lube 011 Supply oc . 1 And Drain Tubing NA k)wpont ' i 6' LM.i'[;. Left Bank e, ,, , // 's.p Right Bank t/ KAD POWT __ // _[ 4.6.10 Check Distributor Timing Left Bank

                                                                                        \ n g(                                               ,.,J 5 Right Bank                             /        Sy Yb-     '
                                                                                                                                                  //

4.6.11 Dowel Cam To -Stub Shaf t f . , . Left Bank O C- -

               !                                   Right Bank                          y                 WPowr                                    f                A,
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4.6.12a Torque Hex Nut / %pr g 7 9 I Left Bac.k ft.lbs / %Fr xf Right Bankft.lbs // her y M ' 7 i 4.6.12b Stake Lock Tab Left Bank (/ oc. HOW POWT Ih Yhel5 m, Right Bank Y tr ,br / / P ' @X-1 4.6.12c Bend Lock Tab j o c, E[.t O N Left Bank // HCW Powr / ' "!.' ir.TA Right Bank // m try N/

                                                                                                                                                                    ]O 4.6.13        Reconnect Pilot Air                           f                                                                                .

Tubing I o c.  ; , Left Bank \/ enLrnNr / l Right Bank \/ inr. msT / / 4.6.14 Air Supply Removed

            ,                       From Distributor
            !                                      Left Bank                          '/                in! k..r            .

Right Bank / / m Y y ,7 'l

            !         4.6.15        Install Spring and Cap                                                                                                 ,

for Spool Num)er One , i e , j Left Bank o.e. U k, ,, . Right Bank '/ Hcw poem \/ .-

                                                                                                                                                                     /,

4.6.16 Install Air Distributor . j . Cover Left Bank felbs. / dh7  : i;.;,,yp N Right Bank felbs. ,/ o c. // )i' w w wa -). .

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VEcr 27601-C 0 21 of 21; 'i J 4 I l * . . . , . ..,. .. . , ! PROCEDURE d HAINT.' HOLD -

                                                                                                                                              '-QC'"W h STEP          DESCRIPTION                                INIT/DATE                     POINT-                       INIT/DATE'i l                              *

(Tei7No) , . . ;,.c . . ~ . ' l '

                                                                                                                                                . ' "4:

4.6.17 Reconnect Lube Oil o,e; 9 Supply And Drain Tubing  ?/ y/%p LefC Bank ,Ah/ 788 Hot.oroen u Right Bank hv /?n to q " p /iw.v$U

                                                                                                                                             -                                    ..,v 4.8        Notify Shift Supervisor                                                                                                  "fO; "M                                        I Required maintenance is                           a y"

complace . 350/NM' @ _

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i ...  : .,; , COMMENTS / ADDITIONAL HOLD POINTS:  :.

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(C has reviewed this procedure for hold pointsE - A sAgnacure.pfgp j j . a . . g .,,. .g [.T? ROVED (W DISAPPROVED ( ) 4 COMPLETED BY DATE . 7RD!AN DATE

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.e.. i e' PROCEDURE NO. REV7510N PAQE NO.

j VEGP 27598-C 0 21 of 31 j Sheet 1 of 4 DATA SHEET 1 j AIR START VALVE INSPECTION

  • i CDRFUNEliTURDTJF TITLE: FARTS GROUP NO.

l AIR START VALVE 02-359 LOCATION: , _ UNIT NO. i V0GTLE ELECTRIC GENERATING PLANT E i IAG NUMBER: ENGINE SERIAL NO. h-J403- C f- DO/ ' DbO)b IOTAL ENGINE HOURS: HOURS SINCE LAST INSPECTION: i 4 21 / DATETHISINSFyGTION: REFERENCE STEFS: j 9f13190 4.6. 4.7

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                                              '6 PROCEDURE NO.                                         REVISION                                     PAGE NO' VEGP                 27598-C                                                  0                            22 of 31 sheet 2 or 4 DATA SHEET 1 AIR START VALVE INSPECTION                                                                .

ENGINE TAG NO.: 2- wol M ,co/ DATE: 7. / t -9 o

                                        ?)       Step 4.6.2b.c and di                          Cap To Piston Clearance CAP        '

PISTON l Valve x-x y-y x-x y-y Clearance Sat Unest Perforund By [ g(N , 1R 1. 2 v t 7 249 7 lv) 1.20 .cet / Nd/ds 2 *

                   .                         IL          z .1 M    1 199              7 147     2. L Y >          ** v ' -                  ' PW lL-dX-i
                                                     ~

2R 2. t v9 '1.1 M 2.D ) X 2 Y'l .ccL fL 5E)E

  • lY ,,D [) 2L 2 119 L .1. n L.37% 2 1yG . owl
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LOLif-kilh l*$] 3R 3L 3.1 49 2_ 2 n 1 1 yl,. 1 z. y 4 o*1 / s / 4{J A _' 3M 1.t M 3.sv5 1 . i s/<,. 1 z Pt - to-t M4).44_

               .(,                         4R            2.2V7     '2. 2 F7 2.197               f N7             . m 't      /              -D'7E Oo'll 9 4L              2,2v9      2.194 l t P?                t . i. # 7         * *
  • L- A Z#6 M e
  • SR 2 i91 2.2 v7 'r .1 r ? 2 . 2 V '? ==% - CI'24fM.

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  • 6R 2.J P1 2 2 V9 1. 2 W 'l t. Y G. . oi # m L/li11 6L 7.z y7 r.Lv7 2.tvc i .t v G . chc 3 WM4/J2 1R 2 1 v1 1 v .s , 1 lyt 2 2VC . c>ok / '5L 4fJ f:

j 7L 2Jvf s pr p.197

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, BR - 2.211 t zr9 1_1 n 1.t#1 . c o t. ./ fL-dWs sW ' i 8L 9 . 't W .2.t M 1. ? b 7 . 2 */t- .mt hD //>f M&TE Serial No. e r s 2 1 9 5' '

                                                                                                                                                                       /

Cal. Due Date 3- n. 9 , t Clearance When New: 0.001/0.003" Replace When Over 0.009"

2) Step 4.6.2e Valve Internals Inspection i

Valve Commants Sat Uneat Forfo d y/Date 1R asn." .4 kh t rJJ cm L 9 J il t.)s 7-/.t- yo I' 0,( , ( L Z /-{D X i m LL / ./

                                          ,2L 2R                         1                                 j               -

d 2 / sief t' -). s u.-g i I ht,D l04gfDp- -)1 3R 3L

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d 4&',, LE ;-a.5o tr. #f/fl 1 7-f .t -90

                                 ~

i / _eZ/s r 7 -a-% j.g$p3 4R 4L

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j 1M J2L  ?-i340 1 % ' 4  % J L ., 7.,s.t-p o

SR \ / rh Z 40s ' y.is- n SL '

6R

                                                                                                         /                         MLifL4 L                             p ,2m

, \ j -Li//dyQI; p,j3 9o 6L / /  % 2.4L> L - >. 7R I ./ q. /,'/,,f(f . f.,g,; .go 1L- ' s ' & TFMG L

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BR v j_  ?> ,'2 ' ja L_. >-34.j*Q BL jh w .w d car

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l l 1 _ i . _ . _ l

i PROCEDURE NO. REVISION PAGE NO. VEGP 27598-C 0 23 of 31 Sheet 3 of 4 ! DATA SHEET 1 AIR START VALVE INSPECTIONS ENGINE TAG NO. M 'd M' C f-'OM DATE: PM'J83 I i

3) Step 4.6.2f and h Valve Seat Inspection i Valve Valve / Seat Inspection Bluing Sat Unsat Performed By/Date
}                              1R IL                                                                                                                   -

2R / 2L /

3R /
3L' ~ /

4R ] 4L 5R i 5L / 6R / 6L / 7R / 7L / 8R 8L j 4) Step 4.7.4 and 4.7.6: Air start valve capscrews. ENGINE HOURS '7'OM / i, I Capscrew 3/4" Torque Cylinder 1 2 / 1 1 2 Pe rf o rmed Witnessed 1** 1R / /so !W > / Torr /t.4 (iiW /fX*/?Asko j h 2R 3R

                                                                       /        is>nde       it;> i' 4A      PtnJ                       Jic r/s)/S.>
                                                                     /         tc0p./A      iTonkt           h aJ                         /4t* 7////f
  • AhfQ

! (/ 4R / 'fTarr /w 64rd.3 rn(J i '/4 MJ/:f* 51

      }                       SR                                /              KOprM         Woiw/un         n t,)                        /<'c Af)/90 t

$ 6K / KOnw] t r o rr4 A fyns 4 % V/J h

  • ,J.*g) y f 1R k /. x-arr4a scDivLa thJ Ar. 7/fr/4 v ft
                                                                           ~

8K / / Torr /ub /sv rt/J) IhtJ /L% //n/f:> \ lL / ir~o rv44t io n44 tM & ?/rff.* 2L / y;'o rr/l/t frJar4hi fli) FQ V//J/r* 3L / syvn4st / prv4A /Atu flt-r//ffs AL / / Chr/dl t ra or4h fit.) j47 y/n/f.= SL / C o rr/JJ 60 rr4 A

                                              /                                                                h s.'                -

rRca//r3/ fa 6L / norrM KJsrAn , ff t.' /t V / /s/fo

                         ,    7L          /                                    / row 2A       stoorAn         th.*                      .iff- p//A/>b A     8L                                               iVOrrkd> ,1 Y a r rnA
                                        /                                                                     ikL3                )0C> f/f t,Q,7                e
                           %TE Serial No.          p/J :2J ?3                                                                                                       *

] Cal. Due Dats to -r- Fu

                      %'A &cTo W y ,3 i                                                                 .

f41d % i'ehwy,,W,,a/.. A wum

j PROCEDURE NO. REVISION PAGE NO. ] VEGP 27598-c 0 24 of 31 i Sheet 4 of 4 DATA SHEET 1 ENGINE TAG No. 5. DATE:

5) Step 4.7.9ht Ro Arm Capscrew Torque 1

} Rocker Arm \ Capscrev ) Cylinder 1 \ 2 ' Performed Witnessed j 1R \ .w 2R -\ \\\ l 3R \ 1/\ i 4R N \ b j .5R /\ 6R U \ 7R \ \ 8R \ \ IL \

2L N i 3L \

4L \ l SL \ 6L ! 7L 8L t M&TE Serial No. j Cal. Due Date a i i

'i 1

1 1 8

 '                                                                                    O il i

l g,jpg.. m . .

                                                   .                    34       +c       .-

f?4.M""

                                                                                                                                                            'nryhB(

s PROCEDURE NO. REVISION

'                                                                                                                                      PAGE NO.

VEGP 27598-C 0 25 of 31 Sheet 1 of 2 DATA SHEET 2 l AIR START VALVE CAPSCREW TORQUING ,' i ENGINE TAG No.I DATE: i 1C. j gxDPollf1;ep 4.7.7 ENGINE HOURS i Did Screw 3 Capscrew Move? Cy1 hder 1 2 Performed Witnessed j ' 1R N 2R \ 1 31L _ x 1 h 4R \ d SR \ k 6R \ 7R \ N{ 8R 'N Sl IL \ , ci 2L \ l E 3L \ 4L \ i SL \ j g 6L \ g 7L \ g 8L \ M6TE Serial No. N i M

s Cal. Due Date -
                                                                                                               \

te l O oc l N tep 4.7.7 ENGINE 80ggs .

                                                                                                         \                                   -

i ! I Capocrew Did screw \ l Cylinder 1 2 Nove? Perfhrmed Witnessed 1R \ 2R -

                                                                                                                              \

j 3R \

4R
                                                                                                                                   \
!                                                  SR
                                                                                                                                     \

l 6R j

                                                                                                                                       \

7R

                                                                                                                                         \

8R N AL

                                                                                                                                             \

2L

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3L- \ 4L

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1 SL -

                                                                                                                                                       \

6L

                                                                                                                                                         \

i 7L

                                                                                                                                                           \

j 8L

~
                                                                                                                                                              \

46TE Serial No. ~~

    ,,                                      Cal. Due Date                                                                                                   ~

4

                 ,e         .

o e PROCEDURE NO- REVISION PAGE NO. VEGP 27598-C 0 26 of 31 l

                                                                .                                                                                                          Sheet 2 of 2 DATA SHEET 2 l-AIR START VALVE CAPSCREW TORQUING                                                                               .

ENGINE TAG No.: DATE: i i Step 4.7.7 ENGINE HOURS T

                                                                 \

Capsefew Did Capscrew Hove? i Cylinder 1\ 2 2 Performed Witnessed, 1R \ 2R \ 4 3R i 4R \ j , SR \

!                                                6R                             \

f 7R \ l 8R \ ' IL  % 2L \ 3L \

4L \
5L \ m
6L \ IT\

7L \ it \ j .8L \\ /' l H&TE Serial No. \v l Cal. Due Date ) \ i

Step 4.7.7
( ENGINE HOURS 1

Capocrew Did screw \

Cylinder 1 2 Move? Performed Witnessed i 1R \ '

! 2R \ ~

3R \

4R \ q SR \ i 6R \ 1R \ 8R \ 5 1L \

 ]                                              2L                                                                                                     \
,                                               3L                                                                                                       \
  ;                                             4L                                                                                                          \

l . 5L N 6L

                                                                                                                                                                      \
 !                                              7L
                                                                                                                                                                        \
!                                               8L
 '                                                                                                                                                                         \

H&TE Serial No. 1

 .                                           Cal. Due Date
      **          ds.h n.o
 )-                              . , . . .

N8.y, " L-nM

       ,34 :                                                                                -

s

                                                                                                                                                                                ,3 FOR USE WITh CONTROL NOJ+xtme                                                           -
              -=                                                        -                                                %

VECP 27598-C 0 27 of 31

                                                                                                                                                                ~

Sheet 1 of~1 POWER AND SIGNAL REMOVAL / REPLACEMENT DATA SHEET

                                                                                                                                                                  ~

[ ] Safety Relatsd/QC Holdpoints [ ] Non-Safety Related NOTES

o. To install jumpers and/or lif t wires, other than those d. If the worker leaves the immediate proximity of the work directly associated with the equipment tag (s)/ scheme or the work is interrupted, complete and install a " Jumper number (s) listed on the Work Order, notify the Shif t and Lif ted Wire" tag per 00306-C, " Temporary Januper And Lifted Wire Control". Instead of Control Number use the
b. Encure that each lead (wire) is marked so it can be Procedure number on the tag.

uniquely identified with its termination point. ,

e. If holdpoints do not apply, MA QC Verification block.
c. Independent verification is only required on safety related equipment. Place N/A in independent .f. If applicable, tags shall remain intact and will only be verification block for non-safety related equipment. removed by the independent verifier.

4 RDtOVAL RICONNECTION IDENTIFY 4 EADS LIFTED, l.OCATION PANEL PERFORMED INDEPENDENT QC PERIVRMED INDEPENDENT QC JUMPERS INSTA1LFn, OR JUNCTION BOI EY/DATE VERIFICATION VERIF. EY/DATE VERIFICATION VERIF. LINES OPEN, ETC. N BY/DATE BY/DATE BY/DATE BY/DATE N N ' N

           .                                                                                  x.-

6 ~

                                                                                                                                                           .N N

l .' . i s VECP 28 of 31 1 1 1 COMPLETION SHEET l FROCEDUM NO. REVISION 5 MEET l 2_7598-C 0 , 1 of 4 i  % NO. DESCRIPTION i' 1 J.2403-G</-DO/ Standby Diesel Generator j

SERIAL NO. MANUFAGIURER MODEL i Q4 1 -

l Transamerica Delaval DSRV-16-4

!)                          TEST EQUIPMENT USED                                                       [ M afety Related/QC FoldFoints apply
                                       ^~

See app 11 cable " Data" Sheet [] Non-Safety Related i PROCEDURE MAINT. HOLD QC

STEP DESCRIPTION INIT/DATE POINT INIT/DATE

! (Tes7No) l 4.1 Verify Prerequisites met A/// '7 /P // AJO

                                                                                                                                                                                   -L    b 4.2                  Shif t Supervisor Notified h/// v-/?g I              Y j                            4.3                  Diesel Generator Isolated                                                                                        V             4 and Tagged                                                              Q W/ 7 n r) 90                                     ,
                                                                                                                                                                              /R/ V f)

' 4.6.2b Measure Air Start Valve - l through d Cap to Piston Clearance o.o. ,F#1/p

                                                 " Data" Sheet 1, Sheet 2                                                                    HOLD N

( */ */ ! 4.6.2e Inspect Air Start Valve ! Internals " Data" Sheet le o.c. 746 Sheet 2 */ HotD POWT */ l 4.6.2f Inspect Air Start Valva Seat For Pitting " Data" k 7/f>/fy Sheet 1, Sheet 3 */ n, */ 4.6.2h Blue' Air Start Valve

                                                 " Data" Sheet 1, Sheet 3                                                                   I M/Mfy,#[..rgy/g o.c n'
                                                                                                                              */                                                  */

!

  • Document on Referenced " Data" Sheet .

i 1 i l l l 1 l l r .; ..

i

           . q . -l 8-             .
                                                                                                                                                         -e,a -
,          c.       , .
 .           1 i                            PROCEDURE NO-                               REVISION                                     PAGE NO.

l VECP 27598-C 0 29 of 31 1 1 l -

 !                               PROCEDURE                                                               MAINT.          HOLD                  QC
 ;                                  STEP                         DESCRIPTION                        INIT/DATE            POINT             INIT/DATE, j

(Yes/No) 4.6.3 Air Start Valves g Reassembled / 1R ,

                                                                                                                                                 /    M*

i 2R // / // i 3R

                                                                                                          //                                     J 4R                                     ( /                                     t__   ~

5R \/ l f/ 6R V \ '/ i - -- 7R / \ / 1 8R // \ V i 1L / / \ A I 2L ( / C /) 3L \ / 1

                                                                                                                                                 /

4L I / / 5L f / -

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6L i / 5 f
;                                                                7L                                       h //            00'                 ,&

I 8L b)/h Hu%nua Jc/vnf$y l

                                                                                                                  // /A

.i 4.7.2 Valve To Head Gasket Installed 1R / P l' 2R ( / / / // 3R \/ / T 4R J/ / / 5R // / ,(

6R / / f A i

7R ( / /\ l 8R \ / /\ l 1L i/ k /1

                                  .                              2L                                       / /            \                       /

, 3L / / \ // ! 4L \/ \ // SL )/ I

                                                                                                                                                 /l 6L                                      (/                                      /q t

7L )/ oE1 /i BL . \/ / VKMf'tuW'" fx / %/13 ~ l 'lh N/A , 4.7.4 Air Start Valve capscrews ! Inspected " Data" Sheet 1, y 7,fg Sheet 3 */ p

                                                                                                                  /
                                                                                                                               ' .fr           */ v3 4.7.6                       Air Start Valve Capscrews Torqued    " Data" Sheet le i
     .                                                      Sheet 3                                         */

O C. tKx.o poltti ,/ */ M' l a

                                . Document on Referenced " Data" Sheet                                                                   $g[ /ffg2,_W           l s

is 3 { . j

c- <.- .2 l

,,7, , ;.. . . , y ' , ;u..w . e . r .4); .g>.,ggjg.7.T.l.7,ygg. qgg l , s .-

9-

        ^g                                PROCEDURE NO.                         REVISION                                          PAGE NO.

VEGP 27598-C 0 30 of 31 PROCEDURE. MAINT. HOLD QC STEP DESCRIPTION INIT/DATE POINT INIT/DATE (Yes75o) ~T ! 4.7.7 Air Start Valve Capocrews P j Recorqued every 8 hours d 6b g@gy., 7 /7/pg

                                                                                                                                                                           /

! of engine operation O.C l

                                                                   " Data" Sheet 2                    _        / ___r%                       M_                       /

l 4.7.9h Torque Rocker Arm Capscrews " Data" Sheet 1, Sheet 4 fp Mg M/f

                                                                                                             */                                                   */

I 4.7.10- Adjust Intake And Exha e valves g . 2R ( / ( ! 3R \ /" i A 4R / / \ /\ l SR 6R _/ / -

                                                                                                                                       \                              /\

! ( / \ / \ l 7R T / \ / I ~ l 81 / / \ / IL / / \ / l 2L \ / \ / j ~ 3L ) / I // j 4L / / 1

                                                                                                                                                                      //

! 5L ( / // 6L ) / // 7L /,/ l / 8L N//) / /_ // l 4.7.11 ToolsremovedfromengineNd/ O !_ f

                                                                                                                                                                 !/

4 4.7.12 Cylinder head covers j , installed b / /!8k / k/ 1 4.7.13 Main Bearing 011 Lines I installed g/ 4 4.9 Notify Shift Supervisor , required maintenance is /[ t complete b$0 Vf0NO / NO / [F, ffa i.

 ]
  • Document on Referenced " Data" Sheet t

i t.4

               .e 4        .%        ;                                                                                                                                                            .

i i

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c.; .e >. c. . u . .- en-yy., w7.e . ,. .y.. :.:9.... ,v:;. ;.<gg q.

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           .  ; . ' . 7, a.
             .I              PAOCEDURE NO.

REVISION PAGE NO. l VECP 27598-C 0 31 of 31

]

COHHINTS/* ADDITIONAL HOLD POINTS : /f Ef;' ZA d $9 33 7 94>/ro _ 1-i r - i e i ___ ______ .____ _____ ____ l

r
!                                                                                                                                                                                                                      l l

i l _ l ') QC has reviewed this procedure for hold points _ // l Sphature

                                                                        /

! APPROVED ( LJ DISAPPROVED ( ) COMPLETED BY DATE ] FOREMAN DATE f l

'$.  ? 15 90 X ,...,. 7-D 40 l 0 l

l l

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!                    +......--...._-4                                                         .

l _ ,_ 1 4, Sheet 1 of 4 I W SMUS. . ... .h * , ,

j y 6JS Heaf M W IN99ECT1001 .

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TART 3 GROUF NO.

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l( lf . 8 9fgyNo 27598 C 0 22 of 31 i j. sheet a os 4  ; DATA SHEET 1 l AIR START VALVE INSPECTION . i ENGINE TAG NO. 3ddOY C((b/ DATE: Ml3/90 , i os I i N P W Step 4.6.2b.c and di Cap To Piston clearance 4 i CAP PI5 TON

              '                                                                                                                                                             l

! Valve x-a y-y a-u y-y Clearance Bat Unsat Performed By I

Ik \

l IL \ N l j l 1 2L \  ! i T 3R

                                                                                                                                                                                )

i 3L \ , et \ 1 et \ < j 3R \ - ) 5L s .; 6k \ l 6L \

7a A I 7L i ,A I 8R \ /\

3 8L \ 1 \ MTE 5erial No. \ Cal. Due Date \ '] 1 gQOlearance Wen New: 0.001/0 3" ps ace Wen over 0.009"

2) Step 4.6.2e Valve Intei Q hspe tion Valve Comments 8at Unsat Performed ly/Date I 1A l IL _A

. 2R \ l *2L \ i f 31 \ ! 3L

                                                                                                                                                              ^

4R ~ l 4L ! St x ) SL \ l 61 \ ! 6L \ , 71 \ l 7L \ an' \ 8L \ l l

     *Imbug
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                 ..   - +.                                                                                                x...      4:         -

r.;;s.. . 8 PROCEDURE NO. REVISION PAGE NO. VEGP 27598-C 0 23 of 31 . { Sheet 3 of 4 DATA SHEET 1

]            ~

AIR START VALVE INSPECTIONS .' ENGI4E TAG NO _ ,7-Ji/03-CJ-do I DATE: 7!I3!90 l Q C. HO DPOfp Step 4.6.2f h Valve Seat Inspection Valve Valve / spection Bluing Sat. Unsat Performed By/Date ! IL \ - l 2R \ 2L \ 3R -- \ 3L N 4R

                                                                                                   -A
                                                                                                                \\
                                                                                                                \N 4L                                                                   "

SR 1 N 6L \ 71 \ 4 7L \ ' 8R \

SL l
4) Step 4.7.4 and 4.7.6 Air start valve capscrews. ENGINE HOURS M.
                                                        'Capscrew = 2-3/4"                                          Torque                                                           ,r cylinder               1                2                          1       1       2                   Performed                      E rnesas& g, 1K              \                                              IS0'&s (20'L h e                     hiJ                        '
                                                                                                                                                                          &MwmfW*V 21                \                                                $

31 \ n/A , 41 \ l 51 \ V s,- 6K \ r co'th ics tar nr3 '

                                                                                                                                                                            /L-~ ?/
 ,                                       7K                             \                            o w'A/, ,         /cm jl1 q             AO                             Asf~ ,n r/

b BE \b iM QS t =P X(G t 't f.) #d-, < w ?] 1L 9 \ i es 'tk < rei) r n i. , sK-. /7 iA4 2L \ *# ' 4 3L \ NA f / -

                                         $L                                      h                   / C 'lh V       / Q 2 lf             1 h f.'                       s4Kssnn&-k. >

SL \ isv ?/ s 150x /r fro ' oL , yhr/gp 6L \ 4-l 7L * \ *'/A BL \ 4 i GTE Serial No. UF ,f- 2 2X 7 Cal. Due Date (7- R yd l

                                                                                                                                                                                                            \
                                                                                                                                                                                                            \

l l  ;

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l .._ . __. .m.- - _ - . - - _ _ ____ __ ___a__

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      . . . .                             .                                                            .                     .      .m         ...,..
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PROCEDURE NO. REyts QN PAGE NO. I VEGP 27598-C 0 24 of 31 l l Sheet 4 of 4 1 DATA SREET 1 1 EECINE TAG . DATE: . 3h HOL3P089) Step 4.7.9h: cher Arm Capecrow Torque j Rocker Arm \ Capscrew Cylinder  ! ' s 2 Perf ormed Witnessed 4 1R \

!                                  2R                                    \m 3R                                      \

4R \ SR \ 6R \ \ 7R g \-f {\ \ SR '

                                                                                            \

i IL \ l 2L \  ! 3L \ l 4L \ SL \ 6L \ i 7L \ 8L \ l H&TE Serial No. \

Cal. Due Date \

l l i l G i il 1 w gp

       .**a
                         *?..          '
                                                                                                           ? ..          , f; e.,    ,
                                                                                                                                                     , ,*2*.    .
                                                                                                                                                                                    .y,7, '. '  '

e PROCEDURE NO- AEVISION PAGE NO. VEGP 27598-C 0 25 of 31 i Sheet 1 of 2 DATA SHEET 2

]

l AIR START VALVE CAPSCREW TORQUING , J l ENGINE TAG No.: DATE: 10. tKxo PotR ep 4. 7. 7 ENGINE HOURS

                                  \

Did Screw

                                      .\              Capocrew                       Move?

Performed Witnessed Cylihder 1 2 1R \ $ 2R \ 3R \ 1 h 4R - \ 4 d SR \ k 6R \ 7R \ j A{ 8A \

            %                              IL                     \

d 2L \

              ]                            3L                         \

4L \ I, SL \ l g 6L \ , g 7L \ t: 8L - \ W H&TE Serial No. \ l d

s Cal. Due Date \

M UC l tap 4.7.78 ENGINE HOURS l . l l l Capeerew Did screw \ j Cylinder 1 2 Move? Perfbymed Witnessed 1R \ l 2R \ i 3R \ 4R \ , SR \ 6R \ i 7R \ j 8R \ j IL \ i 2L \ 3L- \ 4t

                                                                                                                                                                    \                                  .
SL
                                                                                                                                                                                \

! 6L

                                                                                                                                                                                  \

7L g 8L

\

H&TE Serial No. Cal. Due Date

l

1

              ,          PROCEDURE NO.                                             REVISION                                            PAGE NO.
VEGP 27598-C 0 26 of 31 4

Sheet 2 of 2 1 *

                                        ,                                                    DATA SHEET 2 AIR START VALVE CAPSCREW TORQUING                                                       ,

4 q ENGINE TAG No.: DATE: .j HOLD CiMStep 4.7.7 ENGINE HOURS l Did Capocrew ! Cepecrew Move? ) Cyli er 1 2 2 Performed Witnessed 1R \ - 2R 's 4 3R

t. R . _ \

SR \ 6R \ 7R \ , , 8R \ IL \ 2L \

3L \

4L \ . 5L \ l 6L \ 7L \ 8L \ $ H&TE Serial No. \ n _

Cal. Due Date \ h\ _,

1 Of f lOLD' U'# Step 4.7.72 ( ENGINE HOURS l l ! Capeerew Did screw \ Cylinder 1 2 Move? \Pe rf ormed Witnessed ! 11 \ 21 \ 3R \ 4R \

5R \

, 6R \ 7R

                                                                                                                                \

8R

                                                                                                                                  \

, IL \ i 2L \ l 3L \ l 4L \ l 5L

                                                                                                                                             \                          .

, 6L

                                                                                                                                                 \

7L

                                                                                                                                                   \

8L \ H&TE Serial No. Cal. Due Date - N4h

l - p [' I DIFITN ,

   ~

t i h Rouemon j p80s M l VECP 27598-C 0 27 of 31 l

                                                                                                                                                                                                                                  ~

I -

                                                                                                                                                                         .                    Sheet 1 of I POWER AND SIGNAL REMOVAL / REPLACEMENT DATA, SHEET

[ ] Safety Related/QC Holdpoints [ ] Non-Safety Related NOTES

c. To install jumpers and/or lif t wires, other than those d. If the worker leaves the lamediate proximity of the work directly associated with the equipment tag (s)/ scheme or the work is interrupted, complete and install a " Jumper

' number (s) listed on the Work Order, notify the Shif t and Lif ted Wire" tag per 00306-C. " Temporary Jumper And

 .                                                                                                                                          Lifted Wire Control". Instead of Control Number use the                                                      ,
b. Ensure that each lead (wire) is marked so it can be Procedure number on the tag, uniquely identified with its termination point.
e. If holdpoints do not apply, MA QC Verification block.
c. Independent verification is only required on safety related equipment. Place N/A in independent f. If applicable, tags shall remain intact and will only be  ;

verification block for non-safety related equipment. removed by the independent verifier. RDt0 VAL RECONNECTION l LDENTIFY LEADS LIFTED, IDCATI(PANEL PERFORMED INDEPENDENT QC PERFORMED INDEPENDENT QC

  • JIMPERS INSTAT.i Fn, OR JUNCTIOeIM BY/DATE VERIFICATION VERIF. BY/DATE VERIFICATION VERIF. i N

LINES OPEN, ETC. BY/DATE BY/DATE BY/DATE BY/DATE N N A

                                                                                                                               \

x x - s

                                                                                                                                                              \
                                                                                                                                                                      \

N N ~

                                      .                                                                                                          I                                                                                                _.

d 4 c....,,, i i j vgap FOR USE WITH CONTROL NO.1'IfD 3'O 4 28 of 31 3

                                                                                          .                                                     COMPLETION SHEET PROCEDURE NO.                                                           REVISION                                    SHEET I

1 27598-C 0 1 of 4 DESCRIPTION j TAG J. M hf/hMe Standby Diesel Generator MODEL

 !                                                                            SERIAL NO.                                                         MANUFAGIURER Transamerica Delaval                        DSRV-16-4 It.5T EQUIPMENT USED                                                  [V5af ety Related/QC 1 oldFoints apply 4

See applicable " Data" Sheet [] Non-Safety Related I PROCEDURE MAINT. HOLD QC STEP DESCRIPTION INIT/DATE POINT INIT/DATE i (Yei7No) ] 4.1 Verify Prerequisites met g4 /'/[/ o ' )'u h h /m tw 4.2 Shif t Supervisor Notifiedh?1/ hv \ / \ i 4.3 Diesel Generator Isolated ns. #

                                                                                                                                                                                 /L l                                                                                                 .

and Tagged fm / ///Wo / (, 1 i 4.6.2b Measure Air Start Valve

through d Cap to Piston Clearance -

o.c. j

                                                                                                       " Data" Sheet 1, Sheet 2                                           */                            *V
l. 4.6.2e Inspect Air Start Valve Internals " Data" Sheet 1, o.c.

temm Sheet 2 ,f f

4.6.2f Inspect Air Start Valve
Seat For Pitting " Data" hj/k /

dh g cn s /g o

1
                                                                                                    . Sheet 1, Sheet 3_                                                                                         (

oc l 4.6.2h Blue Air Start Valve

                                                                                                       " Data" Sheet 1, Sheet 3                                        Alh*/          IN N              *
                                                                                                                                                                                                          /
  • Document on Referenced " Data" Sheet l
                                                                                                                                                                                                                \

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u

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8 PROCEDURE NO. REVISION PAGE NO. VEGF 27598-c 0 29 of 31 PROCEDURE MAINT. HOLD QC _ STEP DESCRIPTION INIT/DATE POINT INIT/DATE

                            ~

(Yes/No) .~ 4.6.3 Air Start Valves Reassembled g 1R 2R _ // / / 3R l' / ~ f /_ 4R \/ _ / __ SR / / 6R i / / 7R 1/ / ~ 81 / / IL i / 1 , /__ 2L 3L

                                                                                   \/

v L\/% /

                                                                                                                                    /

AL Y (/ / 5L // ~ le A 6L f/ N ' ///4/ / Y 7L /t T. 'I ' ' / 8L it/, F' '

                                                                                                                                    /
                                                                           /"#1 4.7.2           Valve To Head Gasket Installdd                                                               ,

1R A tKy 'M f 2R 'r / <- / / 3R / / / 4R t / / / 51 \/ / 6R V / 72 h / 81 4 / IL // / ! . 2L T / ) / 3L . / l / 4 4L \ / ) / , 5L _ \/ t ,(),/ I. . 6L i/ _ M J//7/ 7L / ,- IN/ i 8L / touspid

                                                                                                                                     /

, 4.7.4 Air Start Valve Capscrews - fd Inspected " Data" Sheet 1 and Sheet 3 ..

                                                                                                                                  */

r. 4.7.6' Air Start Valve Capscreve . Torquad " Data" Shest 1./ /p/*/ j)r,y'ot D'OM oc 0

                                        $heet 3                                                                     ,, //[h, /             -

i ( ]'.

  • Docusant on Referenced " Data" Sheet l.b c
                                                                                                                                                    ..i c.ih '

nll;;.v

                                          .          .                               ,       *    .,wc.v, :                                               e p:.;ry$
                     . ., : n.;j.ip                     . ,? ,

6C  ; ';.;. :<O

                                                                                                                                . ;. : %9   ~ ,',';'. 1,rg;y.hy:                             .J?y;,3;
           . T;[               PROCEDURE NO.                                       REVISION
            .'                                                                                                                                  PAGE NO.                                                        l VECP             27598-C                                             0                                                                                      30 of 3 PROCEDUR5                                                                          MAINT.                    HOLD                                         QC STEP                    DESCRIPTION                                    INIT/DATE                        POINT                         INIT/DATE                        I (Yes75o)                                                         l

! 4.7.7 Air Start Valve Capscrews d se UEJ.*boR br#O Recorqued every 8 hours / g of engine operation g/j g a

                                                       " Data" Sheet 2                                                       /     __
                                                                                                                                                                                                 /   _,_

i 4.7.9h Torque Rocker Ara ' Capscrews " Data" Sheet 1 !k gm /0 i Sheet 4 */ r Il */ l 4.7.10- Adjust Intake And Exha st valves /) ,q Ig ffh l 2R /

                                                                                                                                                                                                         ~

f / l ! 3R / / j 4R / / l 51 \/ / 6R \/ / i 7R I/ / l 8R // i / l IL / / \ / ) 2L / / t / / ! - 3L I / l . , , , / l 4L \ / \ /I, lory ' 5L \ / \ ]IVI' / 8L l/ W7" ' o< .4/ / l  !,/ id /M - 4.7.11 Tools removed from engineft 7/Md I th Emn / l 1 y 1 4.7.12 Cylinder head covers o c. / l installed A J / 7-//-fv 8" Di'WU // 7/ Uelf. 4.7.13 Main Bearing 011 Lines

                                                                                                                                                                                      /h /

installed h///

                                                                                                                      /                     gojf i/.
                                                                                                                  /
  • 4.9 Notify Shift Supervisor required maintenance is eoapieta f/'O / 7-/r r0 b h A.R.%:)
  • Document on Referenced " Data" Sheet e

l

                                                                                 *                    ~
h h .,. .
                                                                                                      -            fy              y l  '/1               PROCEDURE NO.                                           REVISION                                                     PAG E NO.                     ; ;, . < . - e l                         VECF                    27598-C                                                     0                                                          31'of 31
  ;      c   -

j 1 COMMENTS /' ADDITIONAL HOLD POINTS:

                                                                                                                                                                               .'              .M.Ip. .
                                                                                                                                                                                    - _ ,$.g '  .

j ') . .

                                                                                                                                                                           < Op..g'ij i                                                                                                                                                                                                 .

1 -. i i __.________ __ J  ; 1 1 i

;l I

i i ), i 5 I s QC has reviewed this procedure for hold points kk*.td Signature

                                                        /                                                                                                                           .

j APPROVED (P) DISAPPROVED ( ) COMPLETED BY DATE FOREMAN DATE DE. tis o , - ilt ' m* l 4 'i

                                                                                                                                                                             ~

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1 1 y .n - l Rg,e..,,,p a . .- ,enocrovne no. ,,. .

                                                                                          *:acmiou w: x % *?.:t 'WsF.MG.9%1ftl&.?.$5%'$$Q.W                                                                                    ,

! VEGP q 4, ., , ,s na go,. ..,.7 . ,,g,q .,, 20427-C ~ 10 31 of 31

                                                                                                                                                                                                                     ~

t ' ~.e . . Sheet 1 of 1

                                                                                                                                                                            ~~

DATA SHEET _1 MAINTENANCE CLEANLINESS AND HOUSEKEEPING Maintenance Work Order No. M48SoJ8 Date /3 0 Maintenance Cicanliness and Housekeeping Standard Required i B h Name of system or component requiring cleaning D (Circle one) j 1 CLEANLINESS STANDARDS B Metal clean

                                                                                  @                                                                         D                                    INIT/DATE Thin rust on                                                              Tight mill scale surface.                                                                                                                                                                       j carbon steel OK.                                                          Carbon steel OK.                     _Mv4/ 7-/S '7a          l Rust allowable                          Rust allowable                                                           Rust which resists                                  -

2 sq/in per 15 sq/in per brushing.

                                                                                                                                                                              ~

! 1 sq/ft. I sq/ft. M v /,/ 7./3 ,9 , )

                                          *** No particulates/ particles removable by brushing.                                                                                                 M v4 / 7 u.9o..
                                          *** No oil, grease, or other organic films removable by brushing.

A/ 4 l *** Perform closecut Step 4.3.5.b.6. {

                                                                                                                                                                                               /SM / 9///90
                                         *** No contaminants removable in large amounts by i                                                            wiping.

j a wr / 7 U fo

                                         *** Decon tools and equipment.
;                                                                                                                                                                                                - f/O,W.ll
                                         *** Finish maintenance cleaning and housekeeping using Figure 1, " Maintenance Cleanliness and i                                                           Housekeeping Handout".

I COMMENTS: ik ud/1.ir.Se 1 \ M tJ/k Dw / '7// 3 /96 -s13 <1o i

!                                       MAI{TENANCEPERSON#SNNATURE/DATE                                                                                                DATE RESULTS REVIEWED Al.O. Odds                                  '//.23/96                                                                ( 4 Approved
 !                                      MAINTENANCE FOREMAN SIGNATURE /DATE i.

( ) Disapproved

                                                                              *** (for all cleanliness standards) 1 j                                   .h i                .

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use continuation sheets'when needed. l
2. Use simple narrative type report procedure. Reference all applicable drawing numbers, specifications, special ,

Instructions, etc., connected with your inspection. Use sketches, when applicabic, showing dimensions checked,

                                                                                                                                                                               '.g alignment, physical location of defects found, etc' N/A all blocks not used.
3. Upon completion of the inspection activity, enter results below and sign and date. " , -l .<'4.
                             /M frW f. 6 a f 7 INJUd t L Y llFA !P*te b 7WA7 Lud c: o/L J;u)/L Y ifad                                                                                   '

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1. Inspector will use separate form f or each completed Ir.spection f unction (s) and insert original with work package.

Use continuation sheets'when needed.

2. Use simple narrative type report procedure. Reference all applicable drawing numbers, specl!! cations, spectat
;'                                   instructions, etc., connected with your inspection. Use sketches, when applicable, showing dimensions checked.

alignment, physical location of defects found, etc. N/A all blocks not used. l

3. Upon completion of the inspection activity, enter results below and sign and date.  !

(d. C _ Miss /Lu (^'s .%e rre ed V'idQus ev / l s:s nwT ultu e 0,r ce/mc T3 i s o d ,- A s. ift +- PL Cvb Udx'r ,<Tes 't. 2 8 " " i i>v t kr Murcy r.1 s; 't Q 2. '/ M o/

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Quality Control Inspection Report (CONTINUATION SHEET) GeorgiaIbwer ~. ~ VOGTI.E GENERATING Pt. ANT-UNITS 1 & 2 '

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gr^Yf,* - . V ;6ky *';6k . ] ;g Quality Controlinspection Report . Georgialbwer [N,.VO.GTLE ,. . GENERATING Pl. ANT-UNITS 1 & 2 '37337 .- .... m. / d- L WWO/OoFVDR Na . Building Procedure / Spec. Nn/Rev. // YG 9003 Oe2 8 b t E3 t'L' a2 7 79 6~ C 'To ' O 3; Room Noll.evol Na Sysastart-Up Designatot Tag Na . ,

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kA 85~odt4~ C- WJ j 1. Inspector will use separate f orm f or each completed inspection f unction (s) and insert original with work package, j use continuation sheets'when needed.

2. Uso simple narrative type report procedure. Reference all applicable drawing numbers, specifications, special instructions, etc., connected with your inspection. Use sketches, when applicable, showing dimensions chccked,

, .c alignment, physicallocation of defects found, etc. N/A all blocks not used.

      ~
3. Upon completion of the Inspection activity, enter results below and sign and date.

l /Js r'As EJJ (6 c t c.4At R A) c. 6 V EM /f /M 7'so ^) A G~ f u T c A YHC J/1 tbs-) #wh C AJ 19ab Ak A&kj uA & nWA>73 AJ eA- 'E l S A 7'd t=*A r y'a. 6 Y. A E F W 3 -G 7 63' ha e 3 -> > - 7) No bifreAAuce! de Yu're'W YaE cAJ Aab //3 7'oN EXCEEb2 b . oo 3 ". 7'At C l C L EA A 4 A C tM LO G-XE 774aceW o s) 7'MC Follocar A3 G A/A

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         .lj      VOG.TyE GENERATING PLANT-UNITS 1 & 2                                                 35154
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k.k DR/DR Na Bulldin * - - Procedure / Spec. Na/Res ld/W CS Ok A EWf=$ [] @'O. VODN rQ h ' d Roorn Hallsvel Ny Sys/ Start up D.signatot Tag Na -

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1. Inspector will use separate form for each completed inspection f unction (s) and insert original with work package,'C use continuation sheets'when needed. .
2. Use almple narrative type report procedure. Reference all applicable drawing numbers, specifications, special Instructions, etc., connected with your inspection. Use sketches, when applicable, showing dimensions checked, .

alignment, physical location of defects found, etc. N/A all blocks not used.

3. Upon completion of the inspection activity, enter results below and sign and date.

i

                       "*'"** C. C.             dsasLtv                  tu. ~,vetrrecf R.~ ,4TJfowa.e '~
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VECP FIRE PROTECTION CHICKLIST

1. XVO No. OO]OM 2. MPL/ TAG No. L/ 5 T
3. LOCAT!0N [] 2 b/ 6 5cE C- TEM

' .. W~LL THE *.'ORK INSTALL. IMPAIR MODIFY. ISOLATE. DEFEAT. OR REMOVE ANY 4F THE TOLLOWING? IT *HE ANSVER IS "YES" CHECK THE BOI. AND INDICATE APPROPRIATE DETAILS. j i a SPRINKLER SYSTEM i ( ' INTERIOR HOSE STATION ( ) HALON SYSTEM ( ) DETECTION SYSTEM ( ) EMERCENCY LIGHTING SYSTEM () PERMANENT COMBUSTIBLES (CA5LE. WOOD. PLASTIC. ETC.) ( ) STRUCTURAL STEEL OR RACEVAY_TIREPR00FING ( ) FIRE SUPPRESSION SUPPLY SYSTEM (PUMPS. TANKS. ETC.) i ( ) CONDUIT SEALS OR EQUIPMENT ENCLOSURE (CABINET ROUSING) i ( ) FIRE EXTINGUISHER ( ) CP'iWICATIONS SYSTEM () 1IL COLLECTION SYSTEM l.SMIC STANDPIPE SYSTEM

                           $. WILL THE WORK DEFEAT. MODIFY OR LMPAIR ANY OF THE FOLI4 WING TIRE SEPARATION TEATURES? IT THE ANSVER IS " TIS" CIECE TEE 501. AND                             2
;                                   INDICATE APPROPRIATE DETAILS.                                                              J    ,
                                                                                                                               ?

( ) A. FIRE AREA BOUNDARY (WALL. ETC.) ' () 5. PASSIVE AREA BOUNDARY PENETRATION SEAL ASSDtBLT. PENETRATION SEAL i ' WALL BLOCKOUT - FLDOR PLUG OR HATCH

                                             - CABLE TRAY OR CONDUIT 10 TAP R ADIANT ENERGY SHIELD

!' ( ) C. ACTIVE FIRE AREA BOUNDARY PENETRAIICE SEAL. FIRE DOOR TIRE DAMPER , l 6. IT ALL THE ANSVERS IN BLOCKS 4 and 5 AA2 "N0". STOP ama ETALUATION i HERE. AND EN]E1 " " IN BLOCK 110F THE N'JO F0EN. j IT ANT QUES ONS RE ANSpED "YIS". DTER "TES" IN ELOCE 110F THE 1 KWO TORM 4 EVALUAT0k- /) / DATE [M/A POST WQ4E REVIEW (COMPLETE "A. B. OR C" BEI4W) (A)tT R CONDITION IMPACTING THE TIRE PROTICTICE C(BW053rt$ LISTED ABOYE j 55g8EEN. REMOVED. , FPE Dart i .E ' ' (3) TM FIRE't ECTION COMPONENT IS STILL INFAIRED. T7E DATE (C) RESTORATION OF THE)RPA(RMENT RAS BEM NEW NWO TOR THIS IMPAIRMENT. TPE DATE rICU i j " i

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