ML20216J395

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Forwards 90 Day Rept for ISI Activities Conducted at HCGS During Seventh Refueling Outage
ML20216J395
Person / Time
Site: Hope Creek PSEG icon.png
Issue date: 03/12/1998
From: Dawn Powell
Public Service Enterprise Group
To:
NRC OFFICE OF INFORMATION RESOURCES MANAGEMENT (IRM)
Shared Package
ML20216J402 List:
References
LR-N98108, NUDOCS 9803230432
Download: ML20216J395 (114)


Text

_

O PSIKi Public Service Electric and Gas Company P.O. Box 236 Hancocks Bridge, New Jersey 080384236 Nuclear Business Unit WUt 121998 LR-N98108

-United States Nuclear Regulatory Commission Document Control Desk Washington, DC 20555 Gentlemen:

INSERVICE INSPECTION ACTIVITIES - 90 DAY REPORT

.i SEVENTH REFUELING OUTAGE HOPE CREEK GENERATING STATION DOCKET NO. 50-354

. FACILITY OPERATING LICENSE NO. NPF-57 Public Service Electric & Gas Company (PSE&G) hereby provides in the. enclosure to this letter, the Ninety (90) Day Report for Inservice Inspection (ISI) activities conducted at Hope Creek Generating Station during the seventh refueling outage.

This b

report is submitted in accordance with Section 4.0.5 of the Technical Specifications for Hope Creek Generating Station and

' Article IWA-6220(c) and IWA-6230 of Section XI of the ASME Boiler and Pressure Vessel Code.

5 of this submittal consists of Form NIS-1, " Owners Data Report for Inservice Inspection," Code Data Reports, NIS-2

" Owners-Report for Repair = and Replacements" and the Hope Creek, Unit 1, Inservice Insport.lon Final Report, Revision 00.

Should there be any questions with regard to this submittal, please do not hesitate to contact us.

Sincerely, t-&

D. R. Powell Manager -

Licensing and Regulation l

Enclosure 990;a230432 980312

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Mr.'H. Miller,2 Administrator'

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475-Allendale Road

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.3-Ms.cB. Mozafari,1: Licensing, Project Manager - HC' U.1S. Nuclear Regulatory Commission ~

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One'WhitesFlint North 11555~Rockville' Pike' e

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'. Mail:Stop_14E21 Rockville, MD 20852-Mr. D.

Jaffe, ' Licensing Project Manager - HC (Acting)

(Without Enclosure)

U~.:S.' Nuclear' Regulatory Commission One White Flint' North

-o 11555'Rockville Pike

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- Mail'Stop:14E21.

Rockville,- MD 20852-q.

_Mr..S.: Morris (X24)

.USNRC Senior Resident Inspector.- HC Mr'.K. Tosch, Manager IV' 1

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- Bureau ~of Nuclear Engineering P. O. Box 415

. Trenton,. NJ 08625 Mr. Raymond.Snyder Assistant Director

. Office'of BoiJer.&. Pressure. Vessel CoIapliance P. 0;eBox 392.

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Senior Vice President - Nuclear Operations (X04)

Senior Vice President - Nuclear Engineering (N19)

General Manager - Hope Creek Operations (HO7)

Director - QA/NT/EP (X01)

Director - System Engineering (H18)

Director - Licensing / Regulation and Fuels (N21)

Manager'- Financial Control & Co-Owner Affairs (N07)

Program Manager - Nuclear Review Board (N38)

Manager - Hope Creek Licensing (N21)

Manager - Quality Assessment (X16)

Dallas Kinley (S30) WITH ENCLOSURE W. Treston. (X07)

'J.

Keenan, Esq. (N21)

Records Management (N21)

Microfilm Copy File Nos.

1.2.1, 5.10 a

l FORM NIS-I OWNER'S DATA REPORT FOR INSERVICE INSPECTIONS 3

AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. Owner: Public Service Electric & Gas Co. 80 Park Plaza. Newark. N.J. 07101
2. Plant: Hone Creek Generajjng Station P.O. Box E. Hancock's Bridge. NJ. 08038
3. Plant Unit: Unit 1(Facility Operating License NPF-57)
4. Owner's Certificate of Authorization (if required) h
5. Commercial Service Date 12/20/86.
6. National Board Number for Unit N/A.
7. Components inspected: (see pages 1 & 2)
8. Exam Dates March 26.1996 to December 13.1997
9. Inspection Interval from December 20.1986 to December 13.1997
10. Applicable Edition of ASME Section XI 1983 Edition, through 1983 Summer Addenda MANUFACTURER SYSTEM MANUFACTURER OR INSTALLER NATIONAL

. IDENTIFIER OR INSTALLER SER. NO.

BOARD NO.

AB - Main Steam

~ Bechtel N/A N/A AC - Main Turbine GE N/A N/A AE - Feedwater Bechtel N/A N/A AP - Cond. Sto. & Xfer Bechtel N/A N/A BB - Nuc. Boiler & RX Recirc GE/Hitachi N/A N/A BC-RHR GE N/A N/A BD - RCIC GE N/A N/A DE - Core Spray GE N/A N/A BF - CRD - Hydraulic GE N/A N/A BG-RWCU GE N/A N/A BH - SLC GE N/A N/A BJ - HPCI GE N/A N/A EA - Service Water Bechtel N/A N/A EC - Fuel Pool Clg & Cinup GE N/A N/A ED - RACS Bechtel N/A N/A EE - Torus Wtr. Cleanup Bechtel N/A N/A EG-SACS Bechtel N/A N/A EP - Service Water Screens and Backwash Bechtel N/A N/A FC - RCIC Turb. Stm.

GE N/A N/A Page1

FORM NIS-1 OWNER'S DATA REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. Owner: Public Service Electric & Gas Co. 80 Park Plaza. Newark. N.J. 07101
2. Plant: Hooe Creek Generating Station P.O. Box E. Hancock's Bridge. N.J. 08038
3. Plant Unit: Unit 1 (Facility Operating License NPF-57)
4. Owner's Certificate of Authorization (if required) R
5. Commercial Service Date 12/20/86.
6. National Board Number for Unit N/A.
7. Components inspected:(setagges 1 & 2) e
8. Exam Dates March 26.1996 to December 13.1997
9. Inspection Interval from December 20.1986 to.pecember 13.1997
10. Applicaue Edition of ASME Section XI 1983 Edition, through 1983 Summer Addenda MANUFACTURER SYSTEM MANUFACTURER OR INSTALLER NATIONAL IDENTIFIER OR INSTALLER SER. NO.

BOARD NO.

FD - HPCI Turb. Stm.

GE N/A N/A GJ - Aux. Bldg. Chilled Wtr.

Bechtel N/A N/A HB - Liquid Radwaste Bechtel N/A N/A KA - Service Compressed Air Bechtel N/A N/A KG - Breathing Air Bechtel N/A N/A KJ - Emerg. Diesel Gen.

Colt N/A N/A KP - MSIV Stm. Seal Bechtel N/A N/A GB - Chilled Water Bechtel N/A N/A GS - Contmt. Atmos. Control Bechtel N/A N/A JE - Diesel Fuel Oil Sto/Xfer Bechtel N/A N/A SB - Reactor Protection GE N/A N/A SE - Neutron Monitoring GE N/A N/A

- Reactor Vessel GE/Hitachi 781662 NJ SPCL. 726

\\

Page 2 L

-i

FORM NIS-1 OWNER'S DATA REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. Owner: Public Service Electric & Gas Co. 80 Park Plaza. Newark. N.J. 07101
2. Plant:liope Creek Generating Station P.O. Box E. Hancock's Bridge. N.J. 08038
3. Plant Unit: UniLL (Facility Operating License NPF-57)
4. Owner's Certificate of Authorization (if required) N/2L
5. Commercial Service Date 12/20/86.
6. htional Board Number for Unit N/A.

7, Components inspected: (see pages 1 & 2)

8. Exam Dates March 26.1996 to December 13.1997
9. Inspection Interval from_ December 20.1986 toyecember 13.1997
10. Applicable Edition of ASME Section XI 1983 Edition, through 1983 Summer Addenda 11.

Abstract ofExaminations:

An inservice examination (ISI) of selected Class 1, Class 2 and Class 3 components of Public Service Electric and Gas Company's (PSE&G) Hope Creek Generating Station, Unit 1 (Hope Creek 1), was performed by PSE&G, MQS, and General Electric (GE) personnel during the September - December 1997 refueling outage. These examinations constituted the seventh (3rd Period,3rd Outage)and last ISI refueling outage performed at Hope Creek I during the First 10-year Inspection Interval of operation.

Examinations were performed in accordance with the 1983 Edition through Summer 1983 Addenda of ASME Section XI and the Hope Creek Inservice Inspection Long Term Plan..

The ISI was performed uti'izing visual (VT), magnetic particle (MT), liquid penetrant (PT), manual ultrasonic (UT), mechanized ultrasonic (M-UT) and radiography (RT) nondestructive examination techniques.

This report also contains augmented examinations required by the Hope Creek Technical Specification, Regulatory Guides, Circulars and Bulletins issued by the United States Nu: lear Regulatory Commission.

Page 3

FORM NIS-1 OWNER'S DATA REPORT FOR INSERVICE INSPECTIONS

- AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. Owner: Public Service Electric & Gas Co. 80 Park Plaza. Newark. N.J. 07101
2. Plant: Hope Creek Generating Station P.O. Box E. Hancock's Bridge. N.J. 08038
3. Plant Unit: Unit 1 (Facility Operating License NPF-57)
4. Owner's Certificate of Authorization (if required) N/A.
5. Commercial Service Date 12/20/86.
6. National Board Number for Unit N/A.
7. Components inspected: (see pages 1 & 2)
8. Exam Dates March 26.1996 to December 13.1997
9. Inspection Interval from December 20.1986 to December 13.1997
10. Applicable Edition of ASME Section XI 1983 Edition, through 1983 Summer Addenda 11.

Abstract ofExaminations:

11.1 ISI Examination 11.1.I General Electric (GE) under the direction of the PSE&G ISI Group, conducted 135 manual ultrasonic,39 mechanized ultrasonic, six liquid penetrant, seven magnetic particle examinations and 240 Reactor Vessel Visual examinations (IVVI).

The following was identified during the course of the examinations:

1.

PSE&G Operations personnel, during a walkdown in the beginning of the refueling outage, found reactor coolant dripping from three pin holes top dead center of weld RPVI-N5BSE (Core Spray Inlet Safe-end to Nozzle weld, WinISI Sum # 100750)

The cause of the leak was attributed to material failure due to IGSCC. The RPVI-NSBSE was modified by a weld overlay using alloy 52, which completely encased the weld. An acceptable Preservice volumetric and surface examination was performed.

The weld overlay shall be examined during the next refueling outage (RFO #8).

Additional weld sample examinations were performed, with no unacceptable indications identified. For additional information see PR#970919211.

Page 4

FORM NIS-1 OWNER'S DATA REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. Owner: Public Service Electric & Gas Co. 80 Park Plaza. Newark. N.J. 07101 2 Plant:lippe Creek Generating Station P.O. Box E. Hancock's Bridge. N.J. 08038
3. Plant Unit: Unit 1 (Facility Operating License NPF-57)
4. Owner's Certificate of Authorization (if required) h
5. Commercial Service Date 12/20/86.
6. National Board Number for Unit N/A.
7. Components inspected: (see oages 1 & 2)
8. Exam Dates March 26.1996 to December 13.1997
9. Inspection Interval from December 20.1986 to December 13.1997
10. Applicable Edition of ASME Section XI 1983 Edition, through 1983 Summer Addenda 11.

Abstract of Examinations:

11.1.1 (continued) 2.

During the In Vessel Visual Inspection (IVVI) there were three discrepant conditions noted as follows:

a.

Jet Pump Sensing Line (JPSL) lower bracket weld to pipe on pumps #8,9 and 15 were found to be cracked as identifed by the following AR's:

Jet Pump #8 (WinlSI Sum # 500410)- Ak# 971018099 Jet Pump #9 (WinlSI Sum # 500460)- AR/PR#971016131 Jet Pump #15 (W'mlSI Sum # 500730)- AR#971018102

{

These cracks occurred at other BWRs and GE SIL 420, was issued, which was the basis for this refueling outage

?

examinations.

The Jet Pump sensing line brackets were evaluated and repaired by installing clamps on all three JPSL's as identified in PR# 971016131. All JPSL brackets shall be examined every refueling outage from this point forward.

1 b.

The hold down beam on Jet Pump # 20 (WinlSI Sum #

500920) was found not fully engaged (5 degree gap). The Jet Pump Hold down beams were replaced during RFO#5. This particular hold down beam was initially installed not fully engaged. This condition was evaluated by GE Nuclear Engineering in San Jose, CA, and PSE&G and was found to be acceptable as is.

Page5

]

FORM NIS-1 OWNER'S DATA REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. Owner: Public Service Electric & Gas Co. 80 Park Plaza. Newark. N.J. 07101
2. Plant: Hope Creek Generating Station P.O. Box E. Hancock's Bridge. N.J. 08038
3. Plant Unit: Unit 1 (Facility Operating License NPF-57)
4. Owner's Certificate of Authorization (if required) N/A
5. Commercial Service Date 12/20/86.
6. National Board Number for Unit N/A.
7. Components inspected: (see pages 1 & 2)
3. Exam Datec hiarch 26.1996 to December 13.1997
9. Inspection Interval from December 20.1986 to December 13.1997
10. Applicable Edition of ASME Section XI 1983 Edition, through 1983 Summer Addenda 11.

Abstract of Examinations:

11.1.1 (continued) c.

One adjusting screw tack weld on the shroud side, was found to be cracked on Jet Pump #17 (WinISI Sum # 502380). Each adjusting screw has two tack welds, and the other tack weld was found to be acceptable. This condition was previously evaluated by GE Nuclear Engineering in San Jose, CA, to run as is and to be examined the next refueling outage (Ref. GE letter HCGS-L-96-015, dated 2/16/96).

There were no other unacceptable indications identified.

Examinations were conducted on the following systems:

Class 1 Vessels RPV Piping Feedwater HPCI-Turbine Steam Main Steam Main Steam and Drains Reactor Recirculation Reactor Water Cleanup Residual Heat Removal Reactor Core Spray Nuclear Boiler and Recirculation Reactor Core Isolation Cooling Steam Cla_s1.2 Main Steam HPCI-Turbine Steam Reactor Core Spray ResidualHeat Removal Reactor Core Isolation Cooling Steam p

Page 6 a

FORM NIS-1 OWNER'S DATA REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. Owner: Public Service Ekctric & Gas Co. 80 Park Plaza. Newark N.J. 07101
2. Plant: }ippe Creek Generating Station P.O. Box E. Hancock's Bridge. N.J. 08038 3.. Plant Unit: Linill(Facility Operating License NPF-57)
4. Owner's Certificate of Authorization (if required) N/A
5. Commercial Service Date 12/20/86.
6. National Board Number for Unit N/A.

-7. Components inspected:(see pages 1 & 2)

8. Exam Dates March 26.1996 to December 13.1997
9. Inspection Interval from December 20.1986 to December 13.1997
10. Applicable Edition of ASME Section XI 1983 Edition, through 1983 Summer Addenda 11.

Abstract of Examinations:

11.2 Visual Examinations on Valves and Bolting PSE&G's ISI Group conducted 24 Class I bolting and three Class 1 valve internal examinations.

Examinations were conducted on the following systems:

Reactor Recirculation Core Spray Main Steam Drains Residual Heat Removal There were no unacceptable indications identified.

Page 7

FORM NIS-1 OWNER'S DATA REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. Owner: Public Service Electric & Gas Co. 80 Park Plaza. Newark. N.J. 07101
2. Plant: Hooe Creek Generating Station P.O. Box E. Hancock's Bridge. N J. 08038 3 Plant Unit: Unit 1 (Facility Operating License NPF-57)
4. Owner's Certificate of Authorization (if required) N!/A
5. Commercial Service Date 12/20/86.
6. National Board Number for Unit N/A
7. Components inspected: (see pages 1 & 2) 8, Exam Dates March 26.1996 to December 13.1997
9. Inspection Interval from December 20.1986 to December 13.1997
10. Applicable Edition of ASME Section XI 1983 Edition, through 1983 Summer Addenda 11.

Abstract of Examinations:

11.3 Visual Examination of Supports PSE&G's ISI Group conducted 100 Class I,2 and 3 component support visual VT-3 and VT-3/4 examinations.

The following was identified during the course of these examinations:

1.

Visual VT-3 examination ofcomponent support EA-1 AP-502 (WinISI Sum #

605470) found three (3) loose bolts (Ref. PR# 970415218). An additional component support expanded sample in accordance with ASME Section XI was performed with no other unacceptable conditions identified.

Examinations were conducted on the following systems:

Main Steam Core Spray Main Steam and Drains Diesel Generator Reactor Recirculation Senice Water Residual Heat Removal Reactor Water Cleanup Standby Liquid Control HPSI Tu6ia.e Steam Senice Water Strainer Backwash RCIC Turbine Steam Safety & Turbine Auxiliaries Cooling Auxiliary Building Chilled Water - Control Room Service Water Screens & Backwash There were no other unacceptable indications identified.

i Page 8 J

FORiW NIS-I OWNER'S DATA REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. Owner: Public Service Electric & Gas Co. 80 Park Plaza. Newark. N.J. 07101
2. Plant: Hope Creek Generating Station P.O. Box E. HancoqKs Bridge. N.J. 08038
3. Plant Unit: Unit 1 (Facility Operating License NPF-57)

)

4. Owner's Certificate of Authorization (if required) N!&
5. Commercial Service Date 12/20/86.
6. National Board Number for Unit N!A.
7. Components inspected: (ac pages 1 & 2)
8. Exam Dates March 26.1996 to December 13.1997
9. Inspection Interval from December 20.1986 to December 13.1997
10. Applicable Edition of ASME Section XI 1983 Edition, through 1983 Summer Addenda 11.

Abstract of Examinations:

11,4 System Leakage Examinations PSE&G's ISI Group conducted 58 System Pressure Tests during a System Functional or Inservice Test, on Nuclear Class 1,2 and 3 systems, in accordance with ASME Section XI. No pressure boundary leakage was detected. Action requests were initiated to correct minor mechanical leakage not repaired during the system walkdown.

A system leakage exam was performed in accordance with ASME Section XI on all Class I systems.

A system leakage test was performed with the Reactor Coolant System in Mode 3 at a pressure of 1010 psig) with the insulation installed. No pressure boundary leakage was detected. Action requests were initiated to correct minor mechanical leakage that was not corrected during the system walkdown.

Class 2 and 3 System Pressure Tests were conducted on the following systems:

Fuel Pool Cooling and Clean-up Service Water Service Water Screens & Backwash HPCI Turbine Steam Reactor Core Isolation Cooling Core Spray Residual Heat Removal Reactor Protection High Pressure Coolant Injection RCIC Turbine Steam Containment Atmosphere Control Emergency Diesel Generators Safety & Turbine Auxiliaries Cooling

-Process Sampling Primary Containment Leak Rate Test Containment Instrument Gas Diesel Fuel Oil Storage & Transfer Plant Leak Detection Auxiliaries Building Chilled Water - Control Room Control Rod Drive - Hydraulic 4

- Page 9

..... j

FORM NIS-1 OWNER'S DATA REPORT FOR INSERVICE INSPEt ^luNS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. Owner: Public Service Electric & Gas Co 80 Park Plaza. Newark. N.1 07101
2. Plant: Hope Creek Generating Station P.O. Box E. Hancock's Bridge. N.108038
3. Plant Unit: Unit 1 (Facility Operating License NPF-57)
4. Owner's Certificate of Authorization (if required) N!&
5. Commercial Service Date 12/20/86.
6. National Board Number for Unit N!A.
7. Componentsinspected:(see nages 1 & 2)
8. Exam Dates March 26.1996 to December 13.1997 9.' Inspection Interval from December _2_0.1986 to December 13.1997
10. Applicable Edition of ASME Section XI 1983 Edition, through 1983 Summer Addenda 11.

Abstract of Examinations:

11.5 Suppression Chamber Visual Examination Per Technical Specification 4.6.2.1 (d)

PSE&G's ISI Group conducted a visual examination of the Suppression Chamber (Torus) accessible internal and external surfaces and components.

There were no unacceptable indications identified.

I1.6 Augmented Radiographic Examinations per Newbold Island PSAR 4.11.5 Several welds were radiographically examined to comply with Newbold Island PSAR 4.11.5 requirements as identified below:

WINISI WINISI Comosnent ID SUM. #

~

1.

300000 1-AB-12DBC-003 A-1 2.

300080 1-AB-28DBC-001-8 3.

300110 1-AB-28DBC-002-12

+

4.

300170 1-AB-28DBC-138A-4 The RT was performed by MQS with no unacceptable indications identified.

l Page 10 J

FORM NIS-1 OWNER'S DATA REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

- 1. Owner: Public Service Electric & Gas Co. 80 Park Plaza. Newark. N.J. 07101 1 Plant: liops Creek Generating Station P.O. Box E. H.gocock's Bridge. N.J. 08038 -

3. Plant Unit: Unit 1 (Facility Operating License NPF-57)
4. Owner's Certificate of Authorization (if required) N/A
5. Commercial Service Date 12/20/86.
6. Natio;.al Board Number for Unit N/6
7. Components inspected: (see cagg11 & 2)
8. Exam Dates March 26.1996 to December 13.1997 -
9. Inspection Interval from Decemhgr 20.1986 to December.13.1997
10. Applicable Edition of ASME Section XI 1983 Edition, through 1983 Summer Addenda 11.

Abstract of Examinations:

11.7 Augmented Volumetric Examinations per Branch Technical Position MEB 3-1 Ninety-nine welds were volumetrically examined to comply with the augmented requirements of NUREG 0800 Standard Review Plan, Section 3.6.2, Branch Technical Position MEB 3-1.

The UT was performed by GE with no unacceptable indications identified.

I1.8 Augmented Volumetric Examinations per NUREG 0619 Eighteen welds were volumetrically examined to comply with the augmented requirements of NUREG 0619, BWR Feedwater Nozzle and Control Rod Drive Return Line Nozzle Cracking.

The UT was performed by GE with no unacceptable indications identified.

I1.9 Preservice Examination per CJP# H-94-066 and Work Order #9400305244 Several welds were replaced to facilitate a pipe replacement between valves IBGV-169 and IBGV-170 as follows:

WINISI WINISI Component ID PSE&G Weld #

SUM. #

1.

110160 1-BG-2DB A-001B-3R1 1-P-BG-255 FW7A 2.

110161 1-BG-2DBA-001B-4R1 1-P-BG-255-FW8A The PT (PSI) was performed by MQS, with no unacceptable indications identified.

Page11 j :-

1 FORM NIS-1 OWNER'S DATA REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BV THE PROVISIONS OF THE ASME CODE RULES

.)

1. Owner: Public Service Electric & Gas Co. 80 Park Plaza. Newark. N.J. 07101
2. Plant: Hope Creek Generating Slation P.O. Box E. }Jancock's Bridge. N.J. 08038
3. Plant Unit: Unit 1 (Facility Operating License NPF-57)
4. Owner's Certificate of Authonzation (if required) N/A
5. Commercial Service Date 12/20/86.
6. National Board Number for Unit N/6

/

7. Components inspected: (see pages 18;_2)
8. Exam Dates March 26.1996 to D_enmber 13.1997
9. Inspection Interval from December 20.1986 to. December 13.1997
10. Applicable Edition of ASME Section XI 1983 Edition, through 1983 Summer Addenda s

11.

Abstract ofExaminations:

11.10 Preservice Examination per CJP# H-97-084 and Work Order #971023238

' A Class I flange had two studs and four nuts replaced as identified below:

WINISI WINISI Component ID SUM. #

151170 BB-042-FLG-2-FB The (PSI) was performed by PSE&G's QVI Group, with no unacceptable indications identified.

I1.11 Preservice Examination per CJP# H-97-057 and Work Order #950808304 Class 1, CRD Ring Flange to RPV Cap Screws had 80 bolts and 80 nuts replaced as identified below:

.WINISI WINISI Component ID SUM. #

151190 BB-OS-201-CRD-CS 1 The (PSI) was performed by PSE&G's QVI Group, with no unacceptable indications identified.

Page 12

FORM NIS-1 OWNER'S DATA REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. Owner: Public Service Electric & Gas Co. 80 Park Plaza. Newark. N.J. 07101
2. Plant: Hope Creek Generating Station P.O. Box E. Hancock's Bridge. N.J. 08038
3. Plant Unit: Unit 1 (Facility Operating License NPF-57)
4. Owner's Certificate of Authorization (if required) R
5. Commercial Service Date 12/20/86.
6. National Board Number for Unit N/A.
7. Components inspected: (see pages 1 & 2)
8. Exam Dates March 26.1996 to December 13.1997
9. Inspection Interval from_p_qcgmber 20.1986 to December 13.1997
10. Applicable Edition of ASME Section XI 1983 Edition, through 1983 Summer Addenda 11.

Abstract of Examinations:

11.12 Presenice Examination on Senice Water Pump Integral Attachments Two Senice Water Pumps were replaced which also replaced the component support integral attachment as identified below:

SUM #

ID CJP#

WO#

300640 EA-1BP-502-I A H-96-067 960730075 300680 EA-IDP-502-1 A H-96-071 960806091 The (PSI) was performed by PSE&G's QVI Group, with no unacceptable indications identified.

I1.13 Presenice Examination per CJP# H-97-079 and Work Order #951206144 One component support was repaired as identified below:

WINISI WINISI Component ID SUM. #

601720 1 AB031H011 The (PSI) was performed by PSE&G's QVI Group, with no unacceptable indications identified.

I1.14 Presenice Examination per CJP# H-97-085 and Work Order #970526011 The Drywell Head had three bolts and nuts replaced as identified below:

WINIS[

WINISI Comnonent ID SUM, #

845000 CVI-4500 Tiv. (PSI) was performed by PSE&G's QVI Group, with no unacceptable indications identified.

Page 13

FORM NIS-1 OWNER'S DATA REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RU;LES

1. Owner: Public Service Electric & Gas Co. 80 Park Plaza. Newark. N.J 07101
2. Plant: Hope Creek Generating Station P.O. Box E. Hancock's Bridge. N.J 08038
3. Plant Unit: Unit 1 (Facility Operating License NPF-57)
4. Owner's Certificate of Authorization (if required) h
5. Commercial Service Date 12/20/86.
6. National Board Number for Unit N/A.
7. Components inspected: (guages 1 & 2)
8. Exam Dates March 26.1996 to December 13.1997
9. Inspection Interval from December 20.1986 to December 13.1997
10. Applicable Edition of ASME Section XI 1983 Edition, through 1983 Summer Addenda 11.

Abstract ofExaminations:

11.15 Erosion / Corrosion UT Thickness Program in response to NRC Bulletin 87-01 and Engineering Directive MEC-94-1071,167 components were selected for UT thickness examinations from 13 systems. A breakdown is as follows:

Feedwater (32)

Main Steam (22)

Condensate (15)

Extraction Steam (17)

Seal Steam (19)

Heater Drains (24)

Reactor Water Cleanup (11)

Crossaround Piping (7)

Moisture Separator Drains (6)

RCIC Drain Lines (7)

HPCI Drain Lines (4)

Plant Heating Water (2)

Liquid Radwaste (1)

There were 33 additional components inspected as part of an expanded scope as follows:

Main Steam (8)

Extraction Steam (18)

Seal Steam (7)

A total of five required replacement. All were small bore drain lines replaced due to high wear as described below:

Three - 2 inch diameter

' One - 1 inch diameter One - % inch diam;ter I

r Page 14 L

PORM NIS-1 OWNER'S DATA REPORT FOR INSERVICE INSPECTIONS AS REQUIRED.BY THE PROVISIONS OF THE ASME CODE RULES 1.: Owner: Public Service Electric & Gas Co. 80 Park Plaza. Newark. N.1 07101

2. Plant: Hope Creek Generating Station P.O. Box E. Hancock's Bridge. N.108038
3. Plant Unit: Unit _1(Facility Operating License NPF-57)
4. Owner's Certificate of Authorization (if required) N/A
5. Commercial Service Date 12/20/86.
6. National Board Number for Unit N/A.
7. Components inspected: (see pages 1 & 2)
8. Exam Dates March 26.1996 to December 13.1997
9. Inspection Interval from December 20.1986 to December 13.1997
10. Applicable Edition of ASME Section XI 1983 Edition, through 1983 Summer Addenda 11.

Abstract ofExaminations:

11.16 Technical Specification 4.7.5 (e) Functional Testing of Selected Hydraulic and Mechanical Snubbers llydraulic snubbers were tested using a 10% sample of the total number of installed hydraulic snubbers. Wyle laboratories tested four E-Systems, one Enertech Phoenix and two Lisega hydraulic snubbers using the Wyle Laboratories model 150 snubber test machine. No deficiencies were noted while testing hydraulic snubbers.

Mechanical large (PSA-35 and 100), mechanical medium (PS A-1,3 and 10), and mechanical small (PSA '4 and b) type snubbers as well as compensating struts (PSB.05 and.12) were tested using the Technical Specification 4.7.5 (e),10%

Sample Plan. Initially, Wyle tested one Compensating Strut,16 large Pacific Scientific snubbers,39 medium Pacific Scientific snubbers and seven small Pacific Scientific snubbers on the Wyle Laboratories model 150 snubber test machine.

One small PSA sample functional test failure was noted,21 previously degraded and five previous failures were functionally tested. A sample expansion of seven i

snubbers was required, only in the mechanical small snubber type. PSE&G's

)

Engineering Group performed a stress evaluation on all failed snubbers and concluded that the piping and components to which the snubbers were attached were not impaired due to operability of the snubbers.

This refueling outage all the non Lisega type snubbers were stroke tested, removed and replaced with Lisega hydraulic snubbers.

i Page 15

.g L

i

I 1/ Abstract of Examination (see pages 3-15)
12. Abstract of Conditions Noted (see pages 3-15)
13. Abstract of Corrective Measures Recommended and Taken (see pages 3-15)

We certify that the statements made in this report are correct and the examinations and corrective measures taken conform to the rules of the ASME Code,Section XI.

Certificate of Authorization No. (if applicable)

A Expiration Date d

Datch &7 19 ff_

Signed PSE&G, Owner By/ -

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 New Jersey and employed by Protection

. Mutual Insurance Company, DB A Factory Mutual Engineering Association, have inspected the components described in this Owner's Report during the period March 26.1996 to December 13.

J993., and state that to the best of my knowledge and belief, the Owner has performed -

9 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

p. -

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 propeny damage or a loss of any kind arising from or connected with this

- inspection.

Protection Mutual Insurance Company Factory u

incerin ssociation Y

Commissions A/7~/oto Inspegs Signature National Board, State, Province and Endorsements Date. 2'S 64aue.v -

, 19 9d 1

. Page.16 I

s

~

HOPE CREEK GENERATING STATION SEVENTH FUEL CYCLE LIST OF CLASS 1 & 2 CODE DATA REPORTS

" OWNERS REPORT FOR REPAIRS OR REPLACEMENTS" CODEJOB PACKAGE COMPONENT NUCLEAR NUMBER IDENTIFICATION WORK DESCRIPTION CLASS H94066 1BGV170 REPLACED VALVE STEM / DISC, REWELDED 1

BONNET, REPLACED PIPE H95034 1" PlPE VALVES INSTALLED VENT PIPING AND VALVES BY 1

WELDING H96079 1BP201 REPLACED SEAL ASSEMBLY 1

H96084 1AP201 REPLACED SEAL ASSEMBLY 1

H97045 F013A REPLACED VALVE 1

H97046 FO13B REPLACED VALVE 1

H97047 F013D REPLACED VALVE 1

H97048 F013C REPLACED VALVE 1

H97049 F013F REPLACED VALVE 1

H97051 F013H REPLACED VALVE 1

H97052 F013J REPLACED VALVE 1

H97053 F013K REPLACED VALVE 1

H97054 F013M REPLACED VALVE 1

H97055 F013P REPLACED VALVE 1

H97056 F013R REPLACED VALVE 1

H97057 10 CRD'S REPLACED CONTROL ROD DRIVES 1

H97068 1FDV023 & 024 REPLACED VALVE (S) AND PIPE 1

H97077 1BVGV165,166 REPLACEMENT OF VALVES AND ASSOCIATED 1

PIPING H97078 F013E REPLACED VALVE, OUTLET STUD (ONE) AND 1

NUTS (THREE)

H97079 1PAB031H11 REPLACED DAMAGED STUD 1

H97080 1bE023H011 PERFORMED SYSTEM LEAKAGE TEST AFTER 1

WELD REPAIR TO NSB NOZZLE H97082 1BBSV4310 SEAL WELDED VALVE BONNET, FOLLOWING 1

REMOVAL OF BONNET H97083 1BBSV4311 SEAL WELDED VALVE BONNET, FOLLOWING 1

REMOVAL OF BONNET H97084 1PBB256 REPLACED FLANGE FASTENERS 1

H97085 10-S-208 REPLACEMENT OF 3 (THREE) DRYWELL HEAD 1

FASTENER (S)

Page 1 of 2

HOPE CREEK GENERATING STATION SEVENTH FUEL CYCLE LIST OF CLASS 1 & 2 CODE DATA REPORTS

" OWNERS REPORT FOR REPAIRS OR REPLACEMENTS" CODE JOB PACKAGE COMPONENT NUCLEAR NUMBER IDENTIFICATION WORK DESCRIPTION CLASS H97088 1RCSV89038 REPLACED VALVE DISC 1

H97091 F013L REPLACED VALVE 1

PH97016 1B8284 REPLACED PIPING 1

PH97017 PIPE MOD INSTALLED VENT PIPE, VALVES, AND SUPPORT 1

PH97065 1BCPSV11698 INSTALLED OVER PRESSURIZATION 1

PROTECTION BY WELDING AND BOLTING PH97095 SNUBBER DCP REPLACED SNUBBERS 1

H96043 1ABV529 REPLACED VALVES AND PIPE 2

H96044 1ABV527 REPLACED VALVES AND PIPE 2

H97035 1BHV008 REPLACED EXPLOSIVE CHARGE KIT 2

H97092 1GSV038 REPLACE VALVE 2

PH97063 PEN 29 SRV ADDED RELIEF VALVE IN LINE 1.ED-023-HBB-4" 2

PER DCP 4EC-3656 PKG 01 PH97064 1EDPSV11700 ADDED RELIEF VALVE 2

PH97076 1BJHV042 REPLACED VALVE AND PIPING AS PER DCP 4EC-2 3579 PKG 08 PH97096 SNUBBERS REPLACED SNUBBERS 2

PH97098 1HBPSV1171/74 ADDED RELIEF VALVES 2

PH97099 1HBPSV11702/3 REPLACED RELIEF VALVES WITH VALVES OF 2

DIFFERENT SET POINT AND MANUFACTURER PH97107 DF211 REPLACE BOLTING USED TO CONNECT 2

STRAINER DF211 TO PENETRATION P211A H97065 1FDPSE-D003-E41 REPLACE RUPTURE DISC 2

H97066 1FDPSE-D004-E41 REPLACE RUPTURE DISC 2

Page 2 of 2

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

Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 01/25/98 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet I

of 1

Address j

2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 940305244, CJP H94-066 REV. 3 Address Repair Orgeruzauon P.O. No., Job No.. etc.

3.

Work Performed by Public Service Electric & Gas Co..NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road. Hancocks Bridge. N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 1. REACTOR WATER CLEANUP 1BGV-170 VALVE-ASME III 1974 EDITION. ADDENDA S75 PIPE ASME III 1983 EDITION ADDENDA S83

5. (a) Applicable Construction Code SEE ABOVE 19
Edition, Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired.

ASME n

Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

VALVE-EDWARD AV-21 N/A N/A 1997 Replacement No STEM. DISC VALVES INC PIPE TIOGA PIPE N/A N/A N/A 1996 Replacement No 7.

Description of Work REPLACED VALVE STEM / DISC. REWELDED BONNET, REPLACED PIPE.

8.

Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure O Other O Pressure 1001 psi Test Temp. LOQ *F System Leakage Test NOTE: Supplemental sheets in form oflists, sketches, or drawings may be used, provided (1) size is 81/2 in. x II in., (2) information in items 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.

f 1

O( j (12/82)

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

J

f

[

FORM NIS-2 (Back)

't f

9.

Remarks nrrpnrNec AnArunn mm N. > rpnwrATF m nm n AT A nNnT Mn IDENTICAL NUCLEAR PAllTS AND APPURTENANCES Applicable Manufacturer's Data Reports to be susched w n osmncaa N-5: BBB-1-7 lbb CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ replacement conforms to the rules of the repair or replacement ASME Code, Sc.ction XI Type Code Symbol Stamp NA Certificat f Authorization No.

NA _

Expiration Date NA Signed WMI alfvAc /. ht Date

/ J6

, 19 kO ca Mner or Owner a Designee. Title CERTIFCATE 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 Prosinee of New Jersev and employed by Protecemn \\f fual ins Co

  • of Norwood M A have inspected the components deseribed in this Owner's Report during the period M-- f/- 9 ~7 to j /> 7 / 9Jr*. and state that to the best of my knowledge and belief the Owner has performed examinations and'taken c'orrective measurls 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 mnkes any marranty, 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 o. a lums of any kind arising from or connected with this inspection.

  • Factory Mutual Engr. Assn.

i Commissions 2O J6 M/ 6 J / 3 VJ/

Inspeetor's Signature National Board, bases Province and Endorsements Date

[ ~~~ 19 19 kI n

O l

FDRM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPL'ACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Busienss Unit Date 02/04/98 Name End of Buttonwood Road Hancocks Bridge, N.J. 08038 Sheet I

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station -

Unit # Hcrpe cree.k N me End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 950412135, CJP H95-034 REV. O

~

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

3.

Work Performed by Public Service Electric & Gas Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A

' End of Buttonwood Road. Hancocks Bridge, N.J. 08038 Expiration Date N/A Address

~ 4.

Identification of System NUCLEAR CLASS 1. RESIDUAL HEAT REMOVAL,1-BC-055-S02 VALVES,ASMEIII1974EDS75 ADD. PIPING & SOCKOLET,ASMElll1983 EDS83 ADD. PIPE CAP,ASMEIII1980EDS82 ADD.

5. (a) Applicable Constmetion Code SEE ABOVE 19
Edition, Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

VALVE YARWAY C 3293 N/A N/A.

1995 Replacement Yes CORP VALVE YARWAY C 3309 N/A N/A 1995 Replacement Yes CORP PIPE TIOGA PIPE N/A N/A N/A N/A Replacement No SUPPLY SOCKOLET TIOGA PIPE N/A N/A N/A N/A Replacement No SUPPLY PIPE CAP TIOG A PIPE N/A N/A N/A N/A Replacement No SUPPLY 7.

Description of Work INSTALLED VENT PIPING AND VALVES BY WELDING 8.

Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure SD Other O Pressure 1005 psi Test Temp. 299 *P System I.eakage Test NOTE: Supplemental sheets in form oflists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) Information in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered ar d the number of sheets is recorded at the top of this form.

(12/82)

This Form (E00030) may be obtained from the Order Dept.. ASME,345 E. 47th St., New York, N.Y.10017 4

e

s FORM NIS-2 (Baek)L t

Remarks RrrrnrwrF A"riLGIEn EQEM NPV 1 M AMifFAFTIIRCDC f1 ATA RFP()RT FOR 9.

NUCLEAR PUMPS OR VALVES.. Apr;. As Manufacurer's O c. Reports a ne att.s. ed M _o@id19119 DCP dl4E.QQE1 rA

' N 5: BCB-1 1 9 13 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ replacement confonns to the rules of the l

NPat of f*P acement ASME Code, Section Xi Type che Symbol Siwnp NA Certifica f Authorization No.

NA Expiration Date NA i

o ev. J f 6r 8%e is, s s a Date J 7-

, 19 9O Signed t 4*/?]

[t 60wher or Owner's Designee, Tstle

-- m CERTIFCATE OF INSERVICE INSPECTION 1, the undersigned, holding a va'iJ commission issued by the National Board of Boilu and Pressure Vessel Inspectors and the S Protection M utual Ins. Co

  • of Norwood. M A _ have inspected the components described in this Owner's of New Jersey and employed by/_f 5'/ 99to g / o / 9 7

. and state that to the best of my knowledge and belief, the Report during the period _g Owner has performed examinations and taken corrective measures dedribed in this Owner's Report in accordance with the ASME Code,Section XI.

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

  • Factory Mutual Engr. Assn.

I Commissions N. f2CI0 Ad/85 8 NYJ/

National Board, State, Province, and Endorsements

' Inspector's Signature 19 Y Date n

0

4 i

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

. 21ectric & Gas Company -

t 1.

Owner Nuclear Dutiness Unit Date 01/28/98 Name End of Buttonwood Road, IIancocks Bridge, NJ. 08038 Sheet 1

of 1

^d*"

2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek j

Nanw f

End of Buttonwood Road, Hancocks Bridge, NJ. 08038 CJP#H96-079, WO# 961125352 1

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

3.

Work Performed by Public Savice Doctric & Gu Ca-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road. Hancocks Bridge, NJ. 08038 Expiration Date N/A Addreas 4-Identification of System REACTOR COOLANT, IB-P 201, RECIRC. PUMP, NUCLEAR CLASS 1 ASME DPAFT CODE FOR PUMPS AND VALVE.1968 ED. S70 ADD.

ASME III,1974 EDITION, W74 ADDENDA

5. (a) Applicab!c Construction Code ASMElil 19 89 Edition, N/A Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83N389 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or NA SEAL BW/IP 324886 N/A N/A.

1996 Replacement Yes ASSEMBLY

. INTER. INC.

i 1

7, Description of Work REPi ' CED SEAL ASSEMBLY WITH ONE OF NEW DESIGN 8.

Tests Conducted: llydrostatic 0 Pneumatic 0 Nominal Operating Pressure @

Other @ Pressure LOOJ psi Test Temp. 200 *F System Leakage Test NOTE: Supplemental sheets in form oflists, sketches, or drawings may be used, provided (1) size is 81/2 in.

x 11 ia., (2)information in items 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.

(12/82)

This Form (Eo0030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y. Io017

- - - - - - - - - ^ - - - -

F 4

4 7,

FORM NIS-2 (Osck) jN t.

Remarks PfP8HoAm n omm?_ nPNFO.WWApplicable Manufsaura's Data RW to be -

9.

F A1.ki.? MAT A DFDORT A*TTACHFf3 C:

N-S i B38-1-8

. p u

CERTIFICATE OF COMPLIANCE 9

._ conforms to the rules of the g

We certify that the statements made in the report are conect and this _ replacement

-g

~t repast or, _,

W.-

ASME Code,Section XI

~

s NA Type Code' Symbol Stamp Expiration Date NA CertiGcate of Authorization No. NA

/- 2P

  • __, t 9 98_

SQO-i Mn/

YbN$1r*]J'upesewr+

Date cc.;c or Owner's Designes, Title t

CERTIFCATE OF INSERVICE INSPECTION i

f I, the undersigned, holding a valid comadssion issued by the National Board of i Owner's Report New Jersey and emplopd by Prc*W MutualIns Co

  • of Norwood. MA h

/ 7 - 7 8 0 1F 11 duringthe periofperformed examinations and taken corrective measuret'descri6ed in this Owner's i i d

By Signing this certificate neither the Inspector nor his employer makes any warra Section XI.

ll beliable in any manner for any corrective measures described in this Owner's Report. Furthermore, neither theInspector not his e personal irdury or property damage or a loss of any kind arising from or connected with this insp

  • FactoryMutualEngr. Asm.

Commissions f41 DSS U/M /E NWOl Nationat Daard, State. Provinos, and La -

Inspectors sipeture

~ l'sIO

.- 19 4 A Date 4"

t;'

. t.,

o t

i

?E N

l..

\\.

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

L-

~;. -, u

=-

0: w FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the ProYisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 01/28/98 New End of Buttonwood Road, Hancocks Bridge. N.J. 08038 Sheet I

of 1 Addren 2.

Plant Hope Creck Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 CJP#H96-084, WO# 961125352 Address Repair Orgamzaten P.O. Nc., Job No., etc.

3.

Work Performed by Public service I:lectric & Oas Co..NDU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road. Hancocks Bridge. N.J. 08038 Expiration Date N/A Address 4.

Identification of System REACTOR COOLANT,1 A-P-201. RECIRC. PUMP. NUCLEAR CLASS 1 ASME DRAFT CODE FOR PUMPS AND VALVE.1968 ED. S70 ADD.

ASME III,1974 EDITION, W74 ADDENDA

5. (a) Applicable Construction Code ASME E 19 89 Edition, N/A Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83. S83N389 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Scrial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

SEAL BW/IP 324833 N/A N/A 1996 Replacement Yes ASSEMBLY

. INTER. INC.

7.

Description of Work REPLACED SEAL ASSEMBLY WITH ONE OF NEW DESIGN 8.

Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operatine Pressure @

Other@ Pressure 1005 psi Test Temp. 2!00 '?

System Leakage Test NOTE: Supplemental sheets in form oflists, sketches, or drawings may be used. provided (1) size is 81/2 in.

x 1 I.n., (2) informadon in items I through 6 on this report is included on cach sheet, and (3) cach sheet is numbered and the number of sheets is recorded at the top of this form.

(12/82)

This Foan (ID0030) may be obtained from the Order Deg, AShtf,345 f 47th St., New York, N.Y.10017

t :w. sa;.g.n wi=ymy ?.

je~,z.e. ~yr.

.g n s;

a. s.

FORM NIS.2 (Back) 9.

Remsk: CJNiM6.ox4 wns 960num nrwaFn m6.n?

Applicable Manufacturer's Data Reports to be attached RF A1 N.? D AT A RFPnRT A*TT ACHFD 08; 12>P>t~$- l -63 C4 i mde, CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ replacement conforms to the rules of the

'*Pr neplacement ASME Code,Section XI Type Code Symbol Stamp NA Certifica Authorization No.

NA Expiration Date NA f Sat % win <. Date l*28' 19 Vb he Signed. b{lt[ Owner or Owncfs Designec, Title CERTIFCATE OF INSERVICE INSPECTION

1. the undersigned, holding a salid commission issued by the National Board of Boiler and Pressure VesscUnspectors and the State or Province of H.ew Jerwy and employed by Protectiott, Mutual Int Co
  • of Norwood. M A have inspected the components described in this Owner's Report

/-/4-7G to 2. * '/ - W

. and state that to the best of my knowledge and belief, the Owner has during the period performed examinations and taken coricctiic measures described in this Owner's Report in accordance with the requirements of the ASME Code.

Section XI.

By Signing this certificate neither the Inspxtor nor his employer males any wananty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the inspector nor his emphyr shall be liable in any manner for any personal ii. jury or property damage or a loss of any Lind arising from or connected with this inspection.

' Factory Mutual Engr. Atsn.

b Commissions M dC'S6 #/8M W/

Inspector's Signature National Board, State, Province, and Endorserreats 19 M N *~

~~

Date l

~

1 W'

l i

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

' As Required by the Provisions of the ASME Code Section XI PuMic Service Electric & Gas Compaay -

1.. Owner Nuclear Business Unit Date 12/02/97 I

Name

. End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit #. Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 940511017, CJP H97-045 REV. O Address Repair Organization P.O. No.. Job No.. etc.

3.

Work Performed by Public Service Electric & Gas Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge. N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 1, NUCLEAR BOILER & REACTOR RECIRC. ISNPSV-

. F013 A

5. (a). Applicable Constrrtion Code ASME Ill 19 68 Edition, S70 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 N/A 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired.

ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

SAFETY REL TARGET 350 N/A N/A 1980 Replacement Yes VALVE ROCK CORP s

o 7.

Description of Work REPLACED VALVE

' 8.

Tests Conducted: Hydrostatic 0 Pneumatic O Nominal Operating Pressure QC Other O Pressure 1005 psi Test Temp. M 'F g

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 1I in., (2) information in items I through 6 on this report is included on each sheet, and (3) each sheet l

is numbered and the number of sheets is recorded at the top of this form.

412 82)

. Thin Form eE00030> may he obtained from the order Dept.. ASME. 345 E. 4~th R. New Wrk N Y 100;"

l

S s

FORM NIS-2 (Back)

. 9.

Remarks nFFFnFNrF A'PTArMFD MV.1 M AMifFACTf fRFDR M ATA DUPnRT Applicable Manufacturer's Data Reports to be attached

'x n o. ins i in t ?

N5: BBB-t-8

'd CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this __ replacement conforms to the rules of the repair or replacenient ASME Code,Section XI Type Code Symbol Stamp NA N

Csrtificat Authorization No.

NA Expiration Date NA (99 3u TY /

/Ve?tt/tcmtad Sc.*cns,Jt.% Date

/ck < /2 -

, gg Q7 Signed' 04ner or Owndr's Designee, Title CERTIFCATE OF INSERVICE INSPECTION 1 the undersi ned, holding a valid commission issued by the National Board of Boiler and Pressurc Vessel Inspectors and the State or Province F

of I{gw Jersey and employed jb Protection Mutual Ins. Co.* of Norwood. M A have inspected the components described in this Owner's Report during the period __.De_/J

  1. 7 to / [ - /r'- 9 %. 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 examituations s.nd corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

' Factory Mutual Engr. Assn.

Commlulons & AOSC AlIGSIE Nftl3/

' l 11 Inspector's Signature National Bosrd, State Province, and Endorsements Date / 2 - /8" 19 4 7-

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 12/02/97 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet I

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road. Hancocks Bridge, N.J. 08038 W.O. 940511012, CJP H97-046 REV. O Address Repair Orgamzation P.O. No., Job No., etc.

3.

Work Performed by Public Service Electric & Gas Co..NBU Type Code Symbol Stamp N/A Name Authorizatian No.

N/A End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Expiration Date N/A Address

4.. Identification of System NUCLEAR CLASS 1, NUCLTAR BOILER & REACTOR RECIRC. ISNPSV.

F013B

5. (a) Applicable Construction Code ASME III 19 68 Edition, S70 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 N/A 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired.

ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

SAFETY REL TARGET 357 N/A N/A 1980 Replacement Yes VALVE ROCK CORP 7.

Description of Work REPLACED VALVE 8.

Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure QD Other O Pressure 1005 psi Test Temp. 290 *F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x !I in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

i12/82)

- This Form

  • E00030' may be oMained from the Order Dept.. ASNf E. N5 E. 47th St.. New YorL N.Y.1001~

I w{.

. FORM NIS-2 (Back) 9.

Remarks RFFFDFNCF ATTACMFD NV 1 M AMifFACTITRFRR D ATA RFPORT Applicable Manufacturer's, Data Reports to be attached W O Qan41101?

N5: BBB-t-8 fb CERTIFICATE OF COMPLIANCE.

We certify that the statements made in the report are correct and this _ replacement conforms to the rules of the repair or replacement ASME Code,Section XI -

Type Code Symbol Stamp NA Certificar f Authorization No._

NA Expiration Date NA Signed Uptic yed ]@vroter.

Date

$ ' A2 -

, !9 W

n wwner or Ownbr's Designee, Title CERTIFCATE 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 New Jersey and employed by Protection Mutual Inn. Co.* of Norwood MA have inspected the components described in this Owner's n.

Rrport during the period _J, _ff-9 9 to J2, - /fbf G.

. and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By Signing this certifica.e 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, neider the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

" Factory Mutual Engr. Assn.

Commissions lr 2 OSS A//8.T 3 4/S~9#3/

Inspector's Signature National Board State, Province, and Endorsements D:.te lA ~ W 1999 E

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 12/23/97 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 940511013, CJP H97-047 REV. O Address Repair Organization P.O. No., Job No., etc.

3.

Work Performed by Public Service Electric & Gas Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road. Hancocks Bridge N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 1, NUCLEAR BOILER & REACTOls RECIRC. I ABPSV-F013D

5. (a) Applicable Construction Code ASME III 19 68 Edition, S70 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

SAFETY REL TARGET 360 N/A N/A 1980 Replacement Yes VALVE ROCK CORP 7.

Description of Work REPLACED VALVE 8.

Tests Conducted: Hydrostatic 0 Pneumatic O Nominal Operving Pressure E Other O Pressure 1005 psi Test Temp. 200 *F NOTE: Supplemental sheets in form of lists, sketches, or drawings may ib a used, provided (1) size is 81/2 in. x 11 in., (2) information in items 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.

I12/83)

This Form (E00030i me te + toned from the Order Dert. ASME. 343 E. 4*th 5:.. New Wrk, N.Y.10017

  • , Nf FORM NIS-2 (Back) 9.

Remarks RFFFPFNFTr A'FFAPMFn NV.1 M ANT fF AFTITR FRC D ATA RFPORT

' Applicable Manufacturer's Data Reports to be attached W n can411n11 N 5: BBB-1-8 M

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ replacement conforms to the rules of the repair or replacement ASME Code,Section XI Type Code Symbol Starnp NA Certifi f Authorization No.

NA.

Expiration Date NA

/Qvw ff j

/UutikMAW JJhw.scA Date

/Z' EV 19 W Signed:~

UDwner or Owner's Designee. Title CERTIFCATE 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 New Jersey and employed by Protection Mutua! Ins. Co.* of Norwood. MA have inspected the components described in this Owner's Report during the period _b.J4 C S to g g / 9 /

. and state that to the best of my knowledge and t>elief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASM E Code,Section XI.

By Signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinatiens cnd corrective measr;es 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 toss of any kind arising from or connected with this inspection.

' Factory Mutual Engr. Assn.

h

& l JV Commissions /$ ?PSSUf6YJ AJTV3(

. Inspector's Signature National Board, State, Province, and Endorsements Date

/ "' [ w 19 T J

g.

f f.

m

..,r.

2 s.,

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 12/02/97

.Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet I

of 1

Addres6 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 940508057. CJP H97-048 REV. O Address Repair Organization P.O. No., Job No., etc.

3.

Work Performed by Public Service Electric & Gas Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road. Hancocks Bridge. N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 1, NUCLEAR BOILER & REACTOR RECIRC. ISNPSV-F013C

5. (a) Applicable Construction Code ASME 111 19 68 Edition, S70 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 N/A 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

SAFETY REL TARGET 366 N/A N/A 1980 Replacement Yes VALVE ROCK CORP 7.

Description of Work REPLACED VALVE 8.

Tests Conduced: Hydrostatic 0 Pneumatic O Nominal Operating Pressure DD Other O Pressure 1005 psi Test Temp. 200 *F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

l i

<12r82)

This Form (E00030 ma,5 be obtuned tr,m the Order Dept.. ASNIE. 345 E. 47th St...New Yors. N.Y 1001-

2, FORM NIS-2 (Back) 9, Remarks RFFFRFNFF ATTAFMFD NV 1 M AN11FAF'mRFR A D ATA RFPORT Applicable Manufacturer's Data Reports to be attached W O QAO90RD97

' N5: BBB-l.8 b

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ replacement conforms to the rules of the r* Pair or replacement ASME Code,Section XI Typs Code Symbol Stamp ' NA Certiri t of Authorization No.

NA Expiration Date NA l

L i/ ftCA CuMy.s c.%.-

Date

/A'lA' -

, I9 $

Signsd 71Y w/ Owner or Owner's Designee, Title CERTIFCATE OF INSERVICE INSPECTION I, ths undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vesse! Inspectors and the State or Province of New Jersey and employed b J'rotection Mutual ins. Co.* of Norwood. MA have inspected the components described in this Owner's Report during the period _ a,f./- f J to d. 1 - A f - 9 7.

, and state that to the best of my knowledge and belief, the Owntr has performed exammations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASM E Code, Section X1.

. 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 dan. age or a loss of any kind arising from or connected with this inspection!

  • Factory Mutual Engr. Assn.

lll1 YM Commissions $ 20SC W/ Gr5r 1RT"'Y3)

Inspector's Signature National Board, State, Province, and Endorsements

/t-[/F 19 9 9-Date L

lp

(

li-u i

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

,As Required by the Provisions of the ASME Code Section XI '

Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 12/23/97 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 940511016, CJP H97-049 REV. O Address Repair Orgamzation P.O. No., Job No., etc.

3.

Work Performed by Public Service Electric & Gas Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road. Hancocks Bridge, N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 1, NUCLEAR BOILER & REACTOR RECIRC. I ABPSV-F013F

5. (a) Applicable Construction Code ASME III 19 68 Edition, S70 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

SAFETY REL TARGET 368 N/A N/A 1980 Replacement Yes VALVE ROCK CORP 7.

Description of Work REPLACED VALVE 8.

Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure E Other O Pressure 1005 psi Test Temp. 200 *F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2

- in. x 1I in., (2) information in items 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.

(12'82)

Thin Form 'E00030 may be.+ tamed fr,m the Order Dept. ASME. 345 E. 47th St.. New York. N.Y 1001"

... ~

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

,As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 12/23/97 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of 1

Address

~2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 940511016, CJP H97-049 REV. O Address Repair Organization P.O. No., Job No.. etc.

3. ' Work Performed by Public Service Electric & Gas Co.-NBU Type Code Symbol Stamp N/A N.me Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 1, NUCLEAR BOILER & REACTOR RECIRC. I ABPSV-F013F 5.' (a) Applicable Construction Code ASME III 19 68 Edition, S70 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

SAFETY REL TARGET 368 N/A N/A 1980 Replacement Yes VALVE ROCK CORP 7.

Description of Work ____REPLACED VALVE -

- 8.

Tests Conducted: Hydrostatic O Pneumatic 0 Nominal operating Pressure 2 Other O Pressure 1005 psi Test Temp. 200 *F NOTE: Supplemental sheets in form oflists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information in items 1 through 6 on this report is included on eacis sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

-(12!83) -

This Form #E00030 nay be avaitted from the Order Dept.. ASME,345 E. 47th St.. New York. N Y 1001'

'. e FORM NIS-2 (Back) 9.

Remarks RFFFRFNCF A'PTACMFD MV 1 M AMifFArTHRFR A n ATA RFPORT Applicable Manufacturer's Data Reports to be attached W O 0d0911016' N 5: BBB-1-8 N

CERTIFICATE OF COMPLIANCE.

We certify that the statements made in the report are correct and this __ replacement conforms to the rules of the rePau or rephcenient.

ASME Code,Section XI Type Code Symbol Stamp NA Certificate of Authorization No.-

NA Expiration Date NA Signed hv

/

t/

Mo

.f e/%e ve rA Date

/ 2-2 /,19 77 Wwner or Owner's Designee, Title CERTIFCATE 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 New Jersey and employed by Protection Mutual Ins. Co.* of Norwood. M A have inspected the components described in this Owner's Report during the period _..h,/ / 7 to j A' / d P. and state that to the best of my knowledge and belief, the Owner has performed examinations and'takericorrective measur s des 6ritied 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.

" Factory Mutual Engr. Assn.

Commissions S 2086 M/d'I MIW

!4

Inspector's Signature National Board, State, Province, and Endorsements Date

[

19 # 7

/

~

z

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 12/23/97 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 940511009, CJP H97-051 REV. O Address Repair Organization P.O. No., Job No., etc.

3.

Work Performed by Public Service Electric & Gas Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road. Hancocks Bridge. N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 1, NUCLEAR BOILER & REACTOR RECIRC. l ABPSV-F013H

5. (a) Applicable Construction Code ASME Ill 19 68 Edition, S70 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

SAFETY REL TARGET 369 N/A N/A 1980 Replacement Yes VALVE ROCK CORP 7.

Description of Work REPLACED VALVE 8.

Tests Conducted: Hydrostatie 0 Pneumatic O Nominal Operating Pressure S Other O Pressure 1005 psi Test Temp. 200 'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 i

in. x II in., (2) information in items I through 6 on this report is included on each sheet, and (3) each sheet 4

is numbered and the number of sheets is recorded at the top of this form.

l l

.. (12/82)

This Form,E000302 may be an:4tr.,J : om the Order Dept, ASME. 345 E. 47th St. New Yori. N.Y.10017 1

FORM NIS-2 (Back)

+

9.

Remarks RFFFDFMPF ATTAPMFD NV.1 M AMT PACTYMFDR D ATA RFPORT Applicable Manufacturer's Data Reports to be attached W n QAA4110no N-5: BBB-18 0A CERTIFICATE OF COMPLIANCE We certify that the statements made in the repo'rt are correct and this _ replacement conforms to the rules of the repair or replacement ASME Code,Section XI.

Type Code Symbol Stamp NA Certifi of Authorization No.

NA Expiration Date NA Ib Su/'rfs vosen Date

/2-2V-

, I9 97 Signed z)f??Y

/

so LOwner or Owner's Designee, Title CERTIFCATE 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 New Jersey and ernployed by Protection Mutual Ins. Co.* of Norwood. MA have inspected the components described in this Owner's Report during the period,,,b_/_L,_p to,,_,/s [ 9 P'. 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 XL By Signing this certificato neither tha 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.

" Factory Mutual Engr. Assn.

/]/LAlb

  • u Commissions 10 2c5f,;. d/GS i:S

<b Y3)

~ ' ' Inspector's Signature '

National Board, State, Province, and Endorsements Date -

/- -.5' 19 9 /

[.

L ';

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

As Required by the Provisions of the ASME Code Section XI i

Public Service Electric & Gas Cornpany -

1 1.

Owner Nuclear Business Unit Date 12/23/97 Name j

End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of I

{

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 940511014, CJP H97-052 REV. O Address Repair Orgaruzation P.O. No., Job No., etc.

3.

Work Performed by Public Service Electric & Gas Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 1, NUCLEAR BOILER & REACTOR RECIRC. I ABPSV-F0131

5. (a) Applicable Construction Code ASME III 19 68 Edition, S70 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

SAFETY REL TARGET 363 N/A N/A 1980 Replacement Yes VALVE ROCK CORP 7.

Description of Work REPLACED VALVE 8.

Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure S Other O Pressure 1005 psi Test Temp. 200 *F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2

' in. x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

- f 12/82)

This Form E00030) may be obtained t' rom the Order Dept., ASME. 345 E Cth 5t. New York N.Y.10017 s

w FORM NIS-2 (Back) 9. Remarks RFFFRFMPE A*TTAFMFD NV 1 M ANTIFAPTIfRFRC: MATARFDADT

~

Applicable Manufacturer's Data Reports to be attached W O Qan%11(11d N-5: BBB-1-8 N

CERTIFICATE OF COMPLI ANCE We certify that the statemerts made in the report are correct and this _, replacement conforms to the rules of the l

repair r rep acent ASME Code,Section XI Type Code Symbol Stamp NA Certificat Authorizatio No.

,N A -

Expiration Date NA

/7?

c. // /md JvAess t.

Date

/2< 29-

, 19 97 Signed n

G#ner or Owner's Designee. Title CERTIFCATE 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 dew JerM*Y and employed y Protection Mutual Ins. Co.* of Norwood. M A _ have inspected the components described in this Owner's Report during the period _ df #$

to _,p_I-ff. and state that to the best of my knowledge and belief, the Owner has perfermed examinations and t'aken 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, concerninF the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector not his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

  • Factory Mutual Engr. Assn.

bid Commissions l? 20Sl'. AJ/65lb AJJ </3/

Inspector's Signature National Board, State, Province, and Endorsements Date

/~ b 19 Y ($

.- 1 O

d L

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 12/23/97 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet I

of I

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 940511008, CJP H97-053 REV. O Address Repair Organa.ation P.O. No., Job No., etc.

3.

Work Performed by Public Service Electric & Gas Co.-NBU Type Code Symbol Stamp NJA Name Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 1, NUCLEAR BOILER & REACTOR RECIRC. I ABPSV-F013K

5. (a) Applicable Construction Code ASME 111 19 68 Edition, S70 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement

.ccamped (Yes or No)

SAFETY REL TARGET 351 N/A N/A 1980 Replacement Yes VALVE ROCK CORP 7.

Description of Work REPLACED VALVE 8.

Tests Conducted: Hydrostatic 0 Pneumatic O Nominal Operating Pressure E Other O Pressure 1005 psi Test Temp. 2QQ *F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information in items 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.

I12/82)

This Form (E00030 may he..hiained frnm the Order Dept.. ASNtE. 3J5 E. 47th 5t.. New York. N Y.10017

..,-k.

.t FORM NIS-2 (Back) 9.

Remarks nrFFnFNrF ATTAFMFn MV 1 M AMWArTITRFRis DATA DUPnRT Applicable Manufacturer's Data Reports to to attached w n omismn N-5: BBB-1-8 M

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this,,,_ replacement conforms to the rules of the l

rep 8tr r rep acement ASME Code,Section XI Type Code Symbol Stamp NA Cartificar f Authorization No.,NA Expiration Date NA Signed Wtn I

fa ls>Sre44. Date -

M '2 6

, 19 97

. Q4vner or Owner's Designee. Title CERTIFCATE OF INSERVICE INSPECTION a-

!. the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of New Jerwy and employed by Protection Mutual Ins. Co.* of Norwood. M A have inspected the components described in this Owner's to

/ - < 9'7. and state that to the best of my knowledge and belief, the Report during the period,,,1,-ff - 9 4 3

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.

  • Factory Mutual Engr. Assn.

Y Commissions fa ADSS All 8 5 /

JW'Y3l Inspector's Signature National Board, State, Province, and Endorsements Date l-T 19 V $

m

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 12/23/97 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet i

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Nem.

End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 940511020, CJP H97-054 REV. O Address Repair Organnation P.O. No.. Job No.. etc.

3.

Work Performed by Public Service Electric & Oss Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road. Hancocks Bridge. N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 1, NUCLEAR Boll.ER & REACTOR RECIRC. l ABPSV-F013M

5. (a) Applicable Construction Code ASME 111 19 68 Edition, S70 Addenda.

N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

SAFETY REL TARGET 355 N/A N/A 1980 Replacement Yes VALVE ROCK CORP 7.

Description of Work REPLACED VALVE 8.

Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure 2 Other O Pressure 1005 psi Test Temp. 299 'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 j

in. x 1I in., (2) information in items I through 6 on this report is included on each sheet, and (3) each sheet i

is numbered and the number of sheets is recorded at the top of this form.

(12/82)

This Form # E00030i me be antamed tram the Order Dept,. ASME. 345 E,47th St. New York. N O 10017

~ L,.

FORM NIS-2 (Back)-

9, Remarks RFFFD PNFF A'TTAFMFD NV.1 M ANTfF AN TQFRR D ATA DFPART Applicable Manufacturer's Dats Reports to be attached w n can<1in9n

- N 5:BBB-1-8 CERTIFICATE OF COMPLIANCE We certify,that the statements made in the report are correct and this _ replacement conforms to the rules of the repair or replacement ASME Code.Section XI Type Code Symbol Stamp NA Certificat f Authorization No.

NA,

Expiration Date NA 4A-fee - JUB.runat. Date

/J.:W-

, 19 97 Signed y/prf gfner or Owner'4 Designee, Title b

CERTIFCATE 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 New Jersey and employed Protection Mutual Inc. Co." of Norwood. MA have inspected the components described in this Owner's R: port during the period _.- d f 9 7 to //S"/4 P

. and state that to the best of my knowledge and belief, the Owner has performed exam' tions and take6 corrective measu'rfs 'delcr'ibed 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, expresrd 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.

  • Factory Mutual Engr. Assn.

Wb Commissions / 2#5 (, N / dJ /3 Ngy f Inspector's Signature National Board, State. Province, and Endorsements D te

/

~ 5 --

19 N I

i

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

Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 12/23/97 Name End of Buttonwood Road. Hancocks Bridge, N.J. 08038 Sheet I

of 1

Address 2,

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 9405110l9, CJP H97-055 REV. O Address Repair Orgamzauon P.O. No, Job No.. etc.

3.

Work Performed by Public Service Electric & Gas Co..NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road. Hancocks Bridge. N.J. 08038 Expiration Date N/A Address 4

Identification of System NUCLEAR CLASS 1, NUCLEAR BOILER & REACTOR RECIRC. I ABPSV-F013P

5. (a) Applicable Construction Code ASME III 19 68 Edition, S70 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6..

Identification of Components Repaired or Replaced and Replacement Components 3

Name of Name of Manufacturer National Other Year

Repaired, ASME

)

Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

SAFETY REL TARGET 358 N/A N/A 1980 Replacement Yes VALVE ROCK CORP 7,

Description of Work REPLACED VALVE 8.

Tests Conducted: Hydrostatic 0 Pneumatic O Nominal Operating Pressure 2 Other O Pressure 1005 psi Test Temp. 200 *F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in, x 11 in., (2) information in items 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.

O (12/82)

> This Form (E000301 may be obtamed from the Order Dept.. ASME. 343 E. 47th St.. New York. N.Y.10017

FORM NIS-2 (Back)

O 9.

Remarks RFFFR FNFF A"FTAFMFD MV.1 M ANT TF AFT 1rR FR R M AT A R FPORT Applicable Manufacturer's Data Reports to be attached w n oansiinto N-5:BBB-1-8 M

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ replacement conforms to the rules of the l

r rep acement repair ASME Code,Section XI Type Code Symbol Stamp NA Ccrtificate of Authorization No.

NA Expiration Date NA signed A"

vu /I L' n wr sc Date

/ 4 2V

, 19 97 t /a Wner or Owner's Designee. Title CERTIFCATE OF INSERVICE INSPECTION I, the undersigned.. holding a valid commission issued by the National Board of Boiler and Pressure Vesse! Inspectors and the State or' Province of New Jersty, and employed by Protection Mutual Ins. Co

  • of Norwood. MA have inspected the components described in this Owner's Report during the peruxi Jgjf GG to g/<"/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 accoraance 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.

' Factory Mutual Engr. Assn.

A/J /

E Commissions / 9 56 @ 65/s 4/JVJ/

Insputor's Signature National Board, State Province, and Endorsements Date

//5 19 9 Y

/

O l

l

1 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 12/23/97 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet I

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 940511015, CJP H97-056 REV O Address Repair Organization P.O. No.. Job No., etc.

3.

Work Performed by Public Service Electric & Gas Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road. Hancocks Bridge, N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 1, NUCLEAR BOILER & REACTOR RECIRC. l ABPSV-F013R

5. (a) Applicable Construction Code ASME III 19 68 Edition, S70 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

SAFETY REL TARGET 367 N/A N/A 1980 Replacement Yes VALVE ROCK CORP 7.

Description of Work REPLACED VALVE 8.

Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure 2 Other O Pressure 1005 psi Test Temp. 299 *F NOTE: Supplemental sheets in form of lists, sk etches, or drawings may be used, provided (1) size is 81/2 in. _x 11 in., (2) information in items 1 througl 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is reco aed at the top of this form.

L i1782)

This Farm iE00030) mn.t be obtamed from *he Order Dep'. ASSIE. 443 E. 4**r. 5:. New Yori.. tY 10017 9

e

  • e, FORM NIS-2 (Back) i 9.

Remarks RFFFRFNcF A*TTAruFn Nv.1 M ANTIFAPTITRFR9 DATA RFPART Applicable Manufacturer's Data Reports to be attached W n 04n411015 N-5:BBB-1 -8 M

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this,,_ replacement conforms to the rules of the l

r rep acement repair ASME Code,Section XI Type Code Symbol Stamp NA Certificate <f Authorization No.

NA Expiration Date NA

$11h itt. //' re Ja&cv.cc.m Date

/2 ' N -

, i9 T*7 Signed -

vJwner or Owner's Designee, Title CERTIFCATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issutd by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of New Jersey and employed b Protection Mutual Ins, Co,* of Norwood. M A have inspected the components described in this Owner's to /- L 4V. and state that to the best of my knowledge and belief, the Report during the period,,,,.cf/- 0 4 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 end corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any rnanner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

  • Factory Mutual Engr. Assn.

b i ee Commissions N '2 O S (., A// d S / S Y.8[

National Board, State. Province, and Endorsements tnspector's Signature Dite

/'

19 88 L. _..

i

~

}

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMILNTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 02/11/98 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of 3

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 CJP H97-057 REV.0 WO# 950808304 Address Repair Orgamzation P.O. No., Job No., etc.

3.

Work Performed by Public service Electric & Gas Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Expiration Date N/A Address 4.

Identincation of System Control Rod Drive - Hydraulic Nuclear Class 1

  • ASME III 1971 87 N/A
5. (a) Applicable Construction Code
    • ASM E III 19 68 Edition, W69 Addenda, 1361 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 6.

Identincation of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME J

Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

  • BOLTS Cardinal N/A N/A N/A N/A Replaced No

" See N/A N/A N/A N/A N/A Replaced Yes Continuation 7.

Description of Work Replaced control rod drives and bolting 8.

Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure O Other S Pressure 1005 psi Test Temp. 205

'F System 12akage Test NOTE: Supplernental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information in items 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.

(12/32)

This Form (E000301 may be obtained from the Order Dept.. ASME. 345 E. 47:h St.. New Yert. N Y. ICn!"

]

H n*

, y. 4,.

FORM NIS-2 (Back)

. 9.

Remarks N/ A' Applicable Manufacturer's Data Reports to be attached-wns o<nanRVM MM M/A

$fiA-CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ replacement conforms to the rules of the repair or replacernent ASME Code.Section XI Type Code Symbol Stamp NA ion No.

NA.

Expiration Date NA Cartificaleyf Authori 1/4 ficICW'ut*Jor Date O'/ E *

, 19 90 Signed bli

-21 Uwneror Owner's Designee, Title CERTIFCATE 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 New Jersey and employed by Protection Mutual Ins. Co

  • of Norwood. MA have inspected the components described in this Owner's

[],rport during the period _,Mf-rg 8-7 to 1 - / 2 - 9 F. and state that to the best of my knowledge and belief, the

~ Q Awner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Se: tion XI.

By Signing Ois certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations t.nd corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damaFe or a loss of any kind arising from or connected with this inspection.

' Factory Mutual Engr. Assn.

t W

Commissions $$ 2C>5 6 4//C.Si-s AJN3/

Inspector's Signature National Board, State, Province, and Endorsements Date '

~[b 19 J

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

Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 01/13/98 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of I

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 960320248, CJP H97468 REV, O Address Repair Orgamzation P.O. No., Job No., etc.

3.

Work Performed by Public Service Dectric & Gu Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Expiratica Date N/A Address 4.

Identification of System NUCLEAR CLASS 1, HPCI TURBINE STEAM,lFDV-023,lFDV-024,lFD-210 VALVES ASME III 1986 EDITION, ADDENDA-NONE, CODE CASE N/A PIPING ASME 1111983 EDITION, ADDENDA S83, CODE CASE N/A

5. (a) Applicable Construction Code SEE ABOVE 19
Edition, Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

VALVE YARWAY C3264 N/A N/A 1995 Replacement Yes CORP VALVE YARWAY C3267 N/A N/A 1995 Replacement Yes CORP PIPE ENERGY N/A N/A N/A 1994 Replacement No

& PROCESS 7.

Description of Work REPLACED VALVE (S) At~ efPE 8.

Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure 2 Other O Pressure 9),2 psi Test Temp.120 *F System leakage Test NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) info,mation in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and tl.e 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)

M ATA R FPORT FOR 9.

Remarks Re-14xFMPF A'fTAFMFh FORM MPV.1 PFRTIFIFATF Mol MTRE:

NUCLEAR PUMPS OR VALVES REVISED REPORT ApplicaW Manufacturoh Data Reports to be attached w n oAn19n*4a ncP ark,nnnt.

N.5: BJA 1 1 b3 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 NA Certifica f Authorization No.

NA Expiration Dese NA A'

nr.)

S ure!rs/ tem Date

/ - / 4/-

, 19 M 5);ned M

' #Uwner or Owner's Designee Title CERTIFCATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the Stata a of New Jerjtu and employed by Protection Mutual Ins Co.' of Norwood. M A have inspected she c:..powents described in this Owner's v

Report during the period,,,,,_7,,ZA 8h to,,,,,,,Q-5 <1 ")

. and state that to the best of my knowledge and belief, the Owner has performed examintions and taken corrective measures described in this Owner's Report in accordance with the requireme ASME Code, $nction XI.

ily Signing this certificate neither the inspector por his employer makes any warranty, expressed or implied, concerning the examina 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 irdury or property damage or a loss of any kind aris ng from or connected with this inspection.

' Factory Mutual Engr. Assn.

Commissions Y /O Z U /-

  1. Y2M~I [NY National Board, state Province, and Endorsements

/

Insputor's Sig "ture Date U W Hunc+

19 8

t' '

N l

4 i

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

As Required by the Provisions of the ASME Code Section XI l

~

l Public Service Electric & Gas Company -

l 1.

Owner Nuclear Busiens Unit Date 02/04/98 Name End of Buttonwood Road, Hancocks Hridge, N.J. 08038

. Sheet 1

of.

1.

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 960202246, CJP H97-077 REV.01 Address Repair Orgamzstion P.O. No. Job No., etc.

, e Code Symbol Stamp N/A j

3.

Work Performed by Public ServPe Electric & 0 Co. NBU

)

$orization No.

N/A Name End of B sttonwood Read. Hancocks Bridge, N.J. 08038 Expiration Date N/A Address

- 4.

Identification of System NUCLEAR CLASS 1, REACTOR WATER CLEANUP,1BGV 165,lBGV-166,HC-BG-261 VALVES, ASMElIl 1986 EDITION NO ADDENDA PIPING, ASME Ill 1983 ED.S83 ADD, ASME Ill 1986 ED. NO ADD.

5. (a) Applicable Construction Code SEE ABOVE 19
Edition, Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identif.catim of Ccmpar. cats Repaired or Replaced and Replac ient Components Name of Name of Manufacturer National Otber Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

VALVE YARWAY C3268-N/A N/A 1995 Replacement Yes CORP VALVE YARWAY C3270 N/A N/A 1995 Replacement

--Nw g CORP

/E5 PIPE SCH/80 ENERGY &

N/A N/A N/A N/A Replacement No _

PROCESS PIPE TIOGA PIPE N/A N/A N/A N/A Replacement No SCII/160 SUPPLY 4

1 7.

Description of Work REPLACEMENT OF VALVES AND ASSOCIATED PIPING l

8.

Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure O l

Other O Pressure 1005 psi Test Temp.100 *F System leakage Test NOTE: Supplemental sheets in form ofli s, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information in item 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 1

l l

1 i

\\

\\

FORM NIS-2 (Back) b Remarks RFFFDFNPF ATTACHFh FnnV NPV.1 FFRTIFirATF Mnl hFDs: M ATA RFPot2T FnD 9.

NUCLEAR PUMPS OR VALVES Applicable Manufacturer's Data Reports to be attached W n OAnNman N-5: BGA-1 1 "DCP 4EC-3679-09 3

1 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and :his

_,_rer cement conforms to the rules of the l

f t'P acernent t'P" ASME Code,Section XI Type Code Symbol Stamp NA Certificate of Au

o. _, NA Expiration Date NA

.. e /n63NeA, ogg Asrm*W/"" Date L

, 19 9/

l Signed '

/ Otvnerfr owner's Designee, Title I

/

'2hS CERTIFCATE 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 P of New Jersey and employed by Pr*+ction Mutant inn. co

  • of.Norwood. M A _ have inspected the components described in this Owner's Report during the period ___j.p L @ '7 in,f,,/6/97

. and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures ekrihM in this Owner's Report in accordance with the requirements o ASME Code.Section XI.

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

' Factory Mutual Engr. Assn.

l'$10 N O/8NJ M/

Commissions National Board, State. Province, and Endorsements Inspector's Signature 2'5 19 f8 Date 9

^

~

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 01/07/98 N me End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of I

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 0803:

W.O. 940511018, CJP H97-078 REV. O Address Rrpair Organization P.O. No.. Job No., etc.

3.

Work Performed by Public Service Electric & Gas Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge. N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 1, NUCLEAR BOILER & REACTOR RECIRC. l ABPSV-F013E BOLTING-ASME III 1977 EDITION, S82 ADDENDA

5. (a) Applicable Construction Code ASME 111 19 68 Edition, S70 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6 Identification of Components Repaired or Replaced and Replacement Components g.

Name of Name of Manufacturer National Other Year Repaired.

ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

SAFETY REL TARGET 353 N/A N/A 1980 Replacement Yes VALVE ROCK CORP STUD ALLIED N/A N/A N/A N/A Replacement No NUT & BOLT NUTS ALLIED N/A N/A N/A N/A Replacement No NUT & BOLT 7.

Description of Work REPLACED VALVE, OUTLET STUD (ONE) & NUTS (THREE) l 8.

Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure B Other O Pressure 1005 psi Test Temp. 299 *F System Leakage Test NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information In items 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.

(12/82)

This Form G00030) may be obtained from the Order Dept., ASME. 345 E. 47th 5t.. New York. N.Y.10017

FORM NIS-2 (Back) 9.

Remarks nrrrDrwen ATTArlGD NV.1 M AMIIFArWDFRC M ATA DFPnDT Applicath Manufacturer's Data Reports to be attached w n oans t intst N 5:BBB-18 rd3s CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this,,_ replacement conforms to the rules of the f* Pair or replacement ASME Code,Section XI Type Code Symbol Stamp NA Certificate f Authorization No.

NA Expiration Date NA NO Signed FM Oc /

e Jew.ro Date

/~ 7 -

, 19 Q&ner or Owner's Designes. Tide CERTIFCATE OF INSERVICE INSPECTION I, ting undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of New Jersey and employed by protection Mutual Ins. Co.* of.Norwood. M A have inspected the components described in this Owner's Report during the period _,f.og _9 4 to_f/f/ff

. and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures deIscribed in this Owner's Report in accordance with the requirements of the A$ME Code Section XI.

/

Dy Si ning this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations F

and corrective measures described in this Owner's Report. Furtherrnore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

' Factory Mutual Engr. Assn.

O Commissions N 2a 86 4//83 / $

M Y 3'/

b N

Inspector's Signature Mational Board, State, Province, and Endorsements Date _

/'

19 97

F FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Busienss Unit Date 02/02/98 Name

~

End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Roat' Hancocks Bridge, N.J. 08038 W.O. 951206144, CJP H97-079 REV, O Address Repair Organizatson P.O. No., Job No., etc.

3.

Work Performed by Public Service Electric & Cas Co.-NBU Type Code Symbol Stamp N/A Natne Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 1. MAIN STEAM P-AB-031-HO11

5. (a) Applicable Construction Code ASME III 19 80 Edition, S82 Addenda, gA Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

STUD ALLIED N/A N/A N/A N/A Replacement No NUT & BOLT NUTS ALLIED N/A N/A N/A N/A Replacement No NUT & BOLT 7.

Description of Work REPLACED PIPE CLAMP FASTENERS 8.

Tests Conducted: Hydrostatic @ Pneumatic O Nominal Operating Pressure O Other D Pressure N]A psi

. Test Temp. NL/A 'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information in items I through 6 on this report is included on each J

-t, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/82)

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

FORM NIS-2 (Back) 9.

Remarks N' A Applicable Manufacturer's Data Reports to be attached w n ostwtu Dft 97/012 01B s 9802 09192 N-5:BBB-1-11/12 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ replacement conforms to the rules of the I

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

ASME Code,Section XI Type Code Symbol Stamp NA Certificat Authorization No.

NA Expiration Date NA Signed kfhRf/?

$'t fic J'J'Jrnhllate 7, 19 9['

V Otufer or Owner's Designee. Title CERTIFCATE OF INSERVICE INSPECTION I, the undersigned, holding a valid cornmission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province cf New Jersey and employed by Protection Mutual Ins. Co.* of Norwood. MA have inspected the components described in this Owner's Report during the period,,,,,, to = it

  • D to,,,,,1 ~ 8
  • 9 8

. 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 ud corrective measures described in this Owner's Report. Furthermore, neither the Inspector not his employer shall be liable in any manner

.I f:r any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

" Factory Mutual Engr. Assn.

5 Commissions 4#D I

[

Inspector's Sig re National Board, State, Province, and Endorsements Dite ED b8/MY 19 M

cm N

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

l.

Owner Nuclear Busienss Unit Date 02/02/98 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of 1 Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 CJP# H97-080, WO# 970220013 Address Repair Orgamzation P.O. No., Job No., c.c.

3.

Work Performed by Public Service Electric & Gas Co.-NDU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Expiration Date N/A Address 4.

Identification of System REACTOR COOLANT, N5B. RPV CORE SPRAY NOOZLE. NUCLEAR CLAT.31 ASME 111, W1968, EDITION, S70 ADDENDA Code Case

5. (a) Applicable Construction Code ASME III 19 74 Edition, W74 Addenda, (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 N389 N416-1 A * *
  • 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Buib Replaced, or Code No.

Replacement Stamped (Yes or No)

REACTOR GE/HITACHI 781662 N/A N.J. #726 1968 Repaired No VESSEL

/

7.

Description of Work PERFORMED SYSTEM LEAKAGE TEST AFTER WELD REPAIR TO N5B NO7.71 F 8

Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure @

Other @ Pressure 1005 psi Test Temp. 200 *F System Leakage Test NOTE: Supplemental sheets in form oflists, sketches, or drawings may be used, provided (1) size is 81/2 in.

x 11 in., (2) information in items 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.

(12/82) 1his Form (E00030) may be obtained from the Order Dept ASME. 345 E. 47th St., New York. f..Y.1 s t 7 1

A

F FORM NIS-2 (Back) -

9.

Remarks PIF# N07. ARA Wo# 070mn11 DPPE AFF.'tw M4 RRR,1.1 RRR.1.R Applicable Manufacturds Data Repara to be anached TH1R NIR.1 FORM (AMD ATTAPHk/FNTR) ADF GFNFD ATFn TO DOPY TMFNT TMF RVRTFM LEAKAGE AND VT-3 PRE-SERVICE EXAMINATION PERFORMED AFTER WELDED REPAIRS TO THE '

NSB RPV CORE SPRAY NO7.71 F PREFORMED UNDER THE QA PROGRAM OF FTI, USING THEIR CERTFIFCA~IE OF AUT110RIZATION (SEE ATTACHED NR-1 FORM AND REPAIR PLAN)

" CODE CASES FOR ORIGINAL, - 1644 REV,7,1683,1685,1686,1706,1728,1729,1734, N180, N108. "*

'ALL REPAIR CODE CASES ARE LISTED IN THE REPAIR PLAN.

I CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and.this repair conforms to the ruh:s of the ASME repair or repliicement g g Type Code Symbol Stamp NA Certificat Authorization No.. NA Expiration Date NA-Signed ZJtr?dV

$c?twJ

. renew ar~

Date 2'3

,19 98 Uwne orowned$gnee, Title CERTIFCATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issad by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of New Jersey and employed by Protection Mutual Ins. Co? of Norwood. MA. have inspected the components described in this Owner's Report during the period /# / r. 4 -J to 2/T/9f

. and state that to the best of my knowledge and belief, the Owner has performed examinations and ta' ken cbrrective measures 8escdbed 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 irduty or property damage or a loss of any kind arising from or connected with this inspection.

  • Factory Mutual Engr. Assn.

WS Commissions 0 t' O$$ AJ/8 5is sJ74 3l

~

. Inspectur's Signature National Board, State, Province, and Endorsements Date 2

.I - f 6' 19f)7 1

1

' i

u I

FORM NR-1 REPORT OF REPAIR O MODIFICATION X OR lalSTALLATION OF REPLACEMENT (S) O TO NUCLEAR COMPONENTS AND SYSTEMS IN NUCLEAR POWER PLANTS 1.

Work performed by Framatome Technolecies. Inc.

1230736 (name of organization)

(PO no., job no. etc.)

3315 Old Forest Road. Lynchburo. VA 24501

- (address) 2.

Owner Public Service Electric & Gas (name)

Nuclear Business Unit. End of Buttonwood Road. Hancocks Bridae. New Jerr;ev 08038 (address) 3, Name, address and identification of nuclear power ' plant Hooe Creek Nuclear Generatina Station Nuclear Business Unit. End of Buttonwood Road. Hancocks Bridae. New Jersev 08038 4,

System Reactor Coolant System 5.

a.

Component repaired, modified or replaced Reactor Vessel (Core Sorav Nozzle N5B/ Safe End Weld) b: Name of manufacturer General Electric /Hitachi c: Identifying numbers 781662 N.J.

No.726 (mf r,'s serial no.)

(Nat'l. Bd. No.)

(jurisdictional no.)

(other)

(year built) d: Construction Code ASME Section III 1968 See Remarks (1)

NONE A

(name/section/ division)

(edition)

(addenda)

(Codes Case (s))

(Code Class) 6.

ASME Code Section XI applicable for inservice inspection: 1983 Summer 1983 N504-1 See Remarks (2)

(edition)

(addenda)

(Code Cases (s))

7, ASME Code Section XI used for repairs, modifications, or replacements: 19 8 9 None See Remarks (3)

(edition)

(addenda)

(Code Cases (s))

8.

Construction Code used for repairs, modifications, or replacements:198 9 See Remarks (4 )

None 2142 & 2143 (edition)

(addenda)

(Code Cases (s))

9.

Desien responsibilities Framatome Technolocies Inc. (Structural Intecrity Associates)

10. Test conducted; hydrostatic a pneumatic o design pressure a pressure See Remarks (5) psi. Code Case (s) N-4161
11. Description of work Full circumferential weld overlav on the core scrav nozzle safe end (use of properly identified additional sheet (s) or sketch (es) is acceptable) attachment weld areas.

See attached Pecair Plan 51-5000738-02.

12. Remarks:

See Attached sheet CERTIFICATE OF COMPLIANCE l

f, ' James P.

Bartleman certify that the statements made in this report are correct and the repair, modification or replacement of the iterns described above conforms to Section XI of the ASME Code and to the National Board Ingection Code *NR" rules.

National Board Certification of Authoritation No.

NR-64 to se the "NR" stamp expires May 17. 2000 DatebEd. D.19d Segned Framatome Technolocies. Ini h

OA/OC Manacer (name or repair organizahon)

(authonzed persormel)

(title)

CERTIFICATE OF INSPECTION 1,

David L.

Daullarv holding a valid commission issued by The National Board of Boiler and Pressure Vessei inspectors, and certificate of competency issued by jurisdiction of New Jersev and employed by

  • Protection Mutual Insurance Co.

of Norwood. MA have inspected the repair, modification or replacement described in this report on 2.o.19 U and state that to the best of my knowledge and belief, this repair, modification or replacement has been made or constructed in accordance with Section XI of the ASME Code and the %tional Board inspection Code "NR" rules.

By signing tNs certificate, neither the undersigned nor my employer mat:s any warranty, expressed or implied, Concernmg the 'spair, modification er replacement described in thi. report. Furthermore, netther she inspector nor his employer shall be liable in any manner for any personal mjury or property damage or a foss of any kind arising from or cr,nnected with this inspection.

bO M

N b N. AM M

  • O- [,19725 oned d

Commissions A N k b 2 /O NSA Date a

[

(rJational Board hnct endorsementsh and Onspector)

V iurssneen we m i

m FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACENENTS i

As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 01/24/98 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 970407108,CJP H97-082 REV.0 Addrsv Repair Organization P.O. No., Job No., etc.

3.

Work Performed by Public Service Electrie & Gas Co.-NBU Type Code Symbol Stamp N/A Nam.

Authorization No.

N/A End of Buttonwcad Roar!. Hancocks Bridge, N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 1, NUCLEAR BOILER AND REACTOR RECIRC.-!BBSV.

4310

5. (a) Applicable Construction Code ASME III 19 80 Edition, W80 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National OQer Year Repaired.

ASME.

Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

VALVE VALCOR N/204140007-N/A N/A 1989 Repaired Yes ENGR.CO.

4 i

7.

Description of Work SEAL WELDED VALVE BONNET, FOLLOWING REMG 'AL OF BONNET 8.

Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure O Other O Pressure 1005 psi Test Temp. 200 *F System Leakage Test NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) Information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

'(12/82)

This Form GM10030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017 j

r~

.:-..g._..._................-......_......._......._..-

......-..........?

. ~..

. FORM NIS-2 (Back) 9.

Remarks WA Applicable Manufacturer's Data Reports to be attached W n 07aan7tnR N 5: BBB-t 7 Q\\S ~

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this,._ repair conforms to the rules of the ASME Code.Section XI r* Pair or rep acenient Type Code Symbol Stamp NA Certifi f Authori tion No.

NA-Expiration Date NA I /h/aa%/

0 v.e o r?'

Signed J urk.*rv,s, ~

Date

/ 2 f' ~,19 N

WOwner or Owner's Designee. Title CERTIFCATE 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 New Jeracy and employed by Protection Mutual Inn Co

  • of Norwood. M A have inspected the components described in this Owner's Report durinF the period _/.Rd P-9#

to - /- 2. 7- @. 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 laspector nor his employer shall be liable in any manner for any personal injury or property damaFe or a loss of any kind arising from or connected with this inspection.

" Factory Mutual Eng. Assn.

Commissions

$05b AJ/GSl5 Afft'S3 l laspector's Signature National Board, State, Province, and Endor'soments Date /' 2. ? -

19 98' 4. '

I

[

k'

., 1 ?i l-b wo,,

y n is i ir--

s

l 1

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 01/24/98 Nanw End of Buttonwood Road, Hancocks Bridge, N.J. 08038

. sheet 1

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Nanw End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 970504081,CJP H97-083 REV.0 Address Repair Organization P.O. No., Job No., etc.

3.

Work Performed by Public Service Electric & Oss Co. NBU Type Code Sy nbol Stamp N/A Nam.

Authorization No.

N/A End of Buttonwood Road. Hancocks Bridge, N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 1, NUCLEAR BOILER AND REACTOR RECIRC.-1BBSV-4311

5. (a) Applicable Construction Code ASME Ill 19 80 Edition, W80 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced. or Code No.

Replacen ;nt Stamped (Yes or No)

VALVE VALCOR

'2041'.0007-N/A N/A 1989 Repaired Yes ENGR,CO.

3 7.

Description of Work 2EAL WELDED VALVE BC. JET, FOLLOWING REMOVAL OF BONNET F.

Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure O Other O Pressure 1005 psi Test Temp. 295 *F Sptem leakage Test NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) Information in items 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.

(12/82)

This Form (ED0030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017

4 FORM NIS-2 (Back)

19. Remarks' WA

. Applicable Manufacturer's Data Reports to be attached w n omstunei N 5: BBB.17 38 CERTIFICATP OF COMPLIANCE We certify that the statements made in the report are correct and this, _ repair conforms to the rules of the ASME Code,Section XI MPa7 replacern Type Code Symbol Stamp NA Certificar f Authorization No.

NA Expiration Date NA 78 Signed ' O 4/

-;5,J Sv "'et Nut Date

/~.26r 19 W.

/ /c e

" Owner or Owner's Designee. Title CERTIFCATE OF INSERVICE I.NSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Provinse of New Jerney and employed by ' Protection Mutual Ins Co

  • of Norwood. M A have inspected the components described in this Owner's Report during the period,,,,/f) k 2,, if c?.G to _/,,,"1 ~7 - WA#, 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.

' Factory Mutual Engr. Assn.

Commissions fd 2054shMSlS A)J c;3 ;

inspector's Signature National Board, State. Province, and Endorsements Date

/-.2 #7 19 9,P' L

t hi f..

f l,

Y

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPL CEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1, Owner Nuclear Busienss Unit Date 01/30/98 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet I

of I

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Butto' wood Road, Hancocks Bridge, N.J. 08038 W.O. 971023238, CJP H97-084 REV. O n

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

Addrons 3.

Work Performed by Pubtic Service Electric & Cas Co..Nau _ Type Code Symbol Stamp N/A Authorization No.

N/A N.me End of Buttonwood Road, Hancocks Bridge. N.J. 08038 Expiration Date N/A Address Identification of System NUCLEAR CLASS 1. NUCLEAR BOILER & REACTOR RECIRC.-1-P-BB-256 4.

5. (a) Applicable Construction Code ASME 111 19 80 Edition, S82 Addenda, N/A Code Case 19 83 S83 (b) Applicable Edition of Section XI Utilized for Repairs or Replacements
6. Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year
Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

NUTS ALLIED N/A N/A N/A

'N/A Replacement No NUT & BOLT STUDS ALLIED N/A N/A N/A N/A Replacement No NUT & BOLT 7.

Description of Work REPLACED FLANGE FASTENERS 8.

Tests conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure Q9 Other O Pressure 1005 psi Test Temp. 200 *F System lnservice Test NOTE: Supplemental sheets in form of lists, sketches, of drawings may be used, provided (1) size is 81/2 in. x !I in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/82)

This Form (20030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017

IVRM NIS-2 (Back) -

9.

Rems:ks WA OL tl314E, ' APP ac*ble Maunufaturer's Data f ;^,5 o be w -t l

w n o,smwa N-5: BBB-l-14

^ Mo*

u; k kdr C -

CERTIFICATE OF COMPLIANCE conforms to the rules of the ~

We certify tbsithe statements me in the report are correct and this ' _replaca===d ASME Code,Section XI Type Code Symhel Stamp NA C 07

;" Autherisaties No. JdA Empiraties Date NA

! /

4 a d I6' N 4" %

2~J-19 I8 Signed oneer or owner's posignes, Tme

' CERTIFCATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid conimission issued by the Natieaal Bee d of Boiler and Pressure Vessel Inspectors and the State o of New Jeraer and employed by Pr-** Mutual Iss. Co.* of Norwood. MA have inspected the :

decribed in this Owner's Report during the period,,f],d, 4 7 to g,f / ##

, and seese that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures afencribed in this Owner's Report in accordance with the requirem ASME Code,Section XI.

.. By Signing this nortifiante neithee the inspector nor his employer makes any warranty, expressed or implied, concerning the examina and corrective measures described in this Owner's Report. Furthermore, neither the inspecto. por his employer shall be liable in any manner 3-for any personal injury or proporcy damage or a loss of any kind arising from or connected with this inspection 1

  • Factory Mutual Engr. Assn.

f}t/A>^

comminoionsA fos 4 HMJIr t.;rJ7/3/

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

.. As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 01/24/98 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 9705260ll, CJP H97-085 REV. 0 Addresa Repair Organizauon P.O. No.. Job No.. etc.

3.

Work Performed by Public service El.ctric & Ces Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge. N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS MC. METAL CONTAINMENT-10-S-208

5. (a) Applicable Construction Code ASME HI (MC) 19 74 Edition, W74 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Componer,ts Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Scrial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

BOLTS ALLIED N/A N/A N/A N/A Replacement No NUT & BOLT NUTS ALLIED N/A N/A N/A N/

Repheement No NUT & BOLT 7.

Description of Work REPL ACEMENT OF 3 (THREE) DRYWELL HF D FASTEt R(S) 8.

Tests Conducted: Hydrostatic E Pneumatic O Nominal Operating Pressure O O her O Pressure 48.2 psi Test Temp. 70 - *F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information in items I through 6 on this report is included on ca h sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

(12/82) his Fonn (000030) 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) 9, Remarks WA Applicable Manufacturer's Data Reports to be attached W n 070 06011 N-5: GPA-1-1 96 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this __ replacement conforms to the rules of the r*Panneplacement ASME Code,Section XI Type Code Symbol Stamp NA Certificate Authorization No.

NA Empiration Date NA Signed n /r' A[

v e/ /t f/

Ju/N1t*wroet Date

/'JO-

, 19 98 Ovner or Owner's Designee. Title CERTIFCATE OFINSERVICE 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 New Jersey and employed by Protection Mutual Inn. Co

  • of %rwood. MA have inspected the components described is this Owner's Report during the period Qhff - 47 ~7 4*7 /4 /

. and state that to the best of my knowledge and belief, the to Owner has performed examinations and taken et>rrective 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 marranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer chall be liable in any manner for any personal injury or property damaFe or a loss of any kind arising from or connected with this inspection.

' Factory Mutual Engr. Assn.

0 Commissions fa 5056 Of 0 5 A U5 'f3l Insputor's Signature National Board, State, Province, and Endonements

/' 19 19 M 8 Date

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FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the ProYisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit bate 01/13/98 Name

' End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of 1.

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name

' End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 971023151. CJP H97-088 REV.1 Address Repair Orgsmzeuon P.O. No., Job No., etc.

3.

Work Performed by Public service Elecwie & Gas Co.-NBu Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road. Hancocks Bridge. N.J. 08038 Expiration Date N/A Address

+

4.

Identification of System NUCLEAR CLASS 1. PROCESS SAMPLING. IRCSV-8903B

5. (a) Applicable Construction Code ASME III 19 80 Edition, W80 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 683 6.

Identification of Components Repaired or Replaced and Replacement Components r

Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board.

Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

VALVE DISC VALCOR BZ2 N/A N/A 1985 Replacement No ENG.CO.,

7.

Description of Wori. REPLACED VALVE. ISC 1

E.

Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure @

Other O Pressure h 35 psi Test Temp. 2.05 *F System Leakage Test 0

NOTE: Supplemental sheets in form oflists, sketches, or drawings may be used, provided (1) size is 81/2 1

in. x 11 in., (2) information in items 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.

.(12/82)

This Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York. N.Y.10017 1

I 4

FORM NIS-2 (Bick)

Remarks RFFFurNrF ATTA*MFM FADM N 7 M ANitFACTMRFR(; n ATA DFPORT FOR NUFI F AR 9.

PAMT AND APPURTENANCES Applicable Manufseturst's Data Reports to be attached W n 070171191 N-5: RCD-2-1 M

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ replacement conforms to the rules of the l

r r*P acement r*Patt A5' IE Code,Section XI Type Code Symbol Stamp NA Certificate of Authorization No.

NA Expiration Date NA Y

$1 C s'"* % Date l"W

, 19 N r*

Signed

!4 VOwner or Omiter's Designee. Title CERTIFCATE OF INSERVICE INSPECTION I, the undersigned, holdinit a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or P of New Jersey and employed by Protection Mutual Inn. Co

  • of Norwood. M A _ have inspected the components described in this Owner's Report during the period

/4 'b-Ci'?

to _ a7_2 6-9 8

. and state that to the best of rny knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirement ASME Code.Section XI.

By Signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerninF the examina and corroetive measures described in this Owr.er's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property danimpe or a loss of any kind arising from or connected with this inspection.

  • Factory Mutual Engr. Assn.

ELO7 IN d' W#D2O l

Commissions

/-

Inspector's Sig National Bosed, State, Province, and Endorsements Date 2 G N *t" M *? Y l9 90>

MN.

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1 4

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 12/23/97 Name End of Buttonwood Road, Hancocks Bridge, N.L 08038 Sheet 1

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 940511021, CJP H97-091 REV. O Address Repair Orgamzation P.O. No. Job No. etc.

3.

Work Performed by Public Service Electric & Gas Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge. N.L 08038 Expiration Date,

N/A Address

4.. Identification of System NUCLEAR CLASS 1. NUCLEAR BOILER & REACTOR RECIRC. I ABPSV-F013L
5. (a) Applicable Construction Code ASME III 19 68 Edition, S70 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

SAFETY REL TARGET 347 N/A N/A 1980 Replacement Yes VALVE ROCK CORP 7.

Description of Work REPLACED VALVE 8.

Tests Conducted: Hydrostatic 0 Pneumatic O Nominal Operating Pressure Z Other O Pressure 1005 psi Test Temp. 2.00 *F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information in items 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.

k (12/82)

This Form (E00030) me) be obtameJ trem the Order Dept.. ASME. 345 E. 47th St.. New York, N N 10617

a. *

.. FORM NIS-2 (Back)'

L' e

9.

Remarks nrFrnpNen ArrAFMFD MV ! M AMIIFANTRFDR MATA QFPORT Applicable Manufacturer's Data Reports to be attached W n QAM11071 N-5: BBB 18 b

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ replacement conforms to the rules of the repair or replacement ASME Code,Section XI Type Code Symbol Stamp NA Certifica f Authorization No.

[4A Expiration Date NA Si n'ed U h/

/ 4r D'*sA NuJate

/,,7.2 V

, 19 h/

WWner or Owner's Designeo, Title CERTIFCATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Piessure Venel Inspectors and the State or Province Protection Mutual Ins Co

  • of,1lorwood. M A have inspected the components described in this Owner's of New Jersey and employed by/-g-4 '7 Report during the period if_

to,,,,2,7 f"- 4 Y

. 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 toss of any kind arising from or connected with this inspection.

  • Factory Mutual Engr. Assn.

N Commissions h.' 20% AAds'is AJEV3/

Inspector's Signature National Board, State, Province, and Endorsements Date / ~ f "

1998 o

L i

N' a'

. p. i

FORM NIS-2 OWNEF'S REPORT FOR REPAIPS OR REPLACET.ENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Busienss Unit Date 02/23/98 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of 11 Addreas 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 CJP PH97-016 REV. 2 WO# 961227083 Address Repair Organization P.O. No.. Job No., etc.

3.

Work Performed by Public Service Electric & Gas Co.-NBt>

Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road. Hancocks Bridge. N.J. 08038 Expiration Date N/A Address 4.

Identification of System Nuclear Boiler & Reactor Recire. Nuclear Class I l-P-BB-029

      • ASME III 1983 N/A N/A
    • ASME III 1989 N/A N/A
5. (a) Applicable Construction Code *ASME 111 19 86 Edition, N/A Addenda. N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83S83 Code Case N-416-1 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

_ Repaired.

ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

  • VALVE Yarway Corp.

C2975 N/A N/A 1992 Replacement Yes (IBBV-284)

  • VAVLE Yarway Corp.

C2937 N/A N/A 1992 Replacement Yes (IBBV-285)

    • PIPE Tioga Pipe N/A N/A QAN-88719 N/A Replacement No Supply
      • TEE S/W Tioga Pipe N/A N/A QAN-87616 N/A Replacement No Supply
      • ELBOW Dubose N/A N/A QAN-83411 N/A Replacement No Energy 7.

Description of Work Installed vent line piping and valves by welding 8.

Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure O Other E Pressure 4.72 psi Test Temp. 2@ *F System leakage Test 7

NOTE: Supplemental sheets in form oflists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information in items 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.

(12/82')

This Form E00030) may be cbtained t' rom the Order Dept.. ASME. 343 5. 47th St.. New Ygt. N.Y.10017 I

4 FORM NIS-2 (Back)-

9.

Remarks' WE A7'TAND Applicehle Manufacturer's Data Reports to be attached WO# 961227083 DCP: 4EC-3458 PKG. 01 NS: BBB-1-9, DR. 980218258 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ replacement conforms to the rules of the f* pair or replacement ASME Code,Section XI Type Code Symbol Stamp NA Certificate of Authorization No.

NA Expiration Date NA Signed _

  1. fe/

cI.

S/ Afar use< Date 2'28*

, 19 N

TwndT or Owner's Designee, Title CERTIFCATE 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 New Jersey and employed by fyotection Mutual Ins Co

  • of Norwood. MA _ have inspected the components described on this Owner's Rrport during the period

_,"2-// - 97 10 __.2-24" f f

. and state that to tbe 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 not his employer makes any warranty, expressed or implied, concerning the examinations cnd 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.

  • Factory Mutual Engr. Assn.

/

Commissions d20

[ Inspector's Si ture National Board, State, Province, and Endorsements Date 24 Fe8 hey 19 9B Q

& s.

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f FORM NIS-2 OWNER'S REPORT R)R REPAIRS OR REPIhCEhiENI'S

' As Required by the Proylsions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Busienss " nit Date 02/03/98 Nams End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of 3 Addre rs 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Nem.

End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. %1227088, CJP PH97417 REV.01 Repair Organiution P.O. No., Job No., etc.

Addreas 3.

Work Performed by Public Service Electric & Gas Co.-NBU Type Code Symbol Stamp N/A Nann Authorization No.

N/A End of Buttonwood Road. Hancocks Bridge, N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 1, NUCLEAR BOILER & REACTOR RECIRC.,1-BB-031 V ALVES, ASM EIIl1986 ED,N O ADD,FITTIN G S, ASMEIII l 983 S83 ADD, PIP E PliTE, ASNE lil'8980,koA001989EDNOADD,1983EDS83 ADD,UBOLT,ASMEl111974S75 ADD,

5. (a) Applicable Construction Code SEE ABOVE 19
Edition, Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

. Replacement Stamped (Yes or No)

VALVE YARWAY C2977 N/A N/A.

1992 Replacement Yes CORP VALVE YARWAY C2984 N/A N/A 1992 Replacement Yes CORP PIPE TIOGA PIPE N/A N/A N/A N/A Replacement No ORIFICE DRAGON N/A N/A N/A N/A Replacement No RESTRICTR VALVE COUPLING TIOG A PIPE N/A N/A N/A N/A Replacement No i

7.

Description of Work' INSTALLED VENT PIPE. VALVES.AND SUPPORT 8.

Tests Conducted: Hydrostatic O Pneumatic O Nominal Operatinp Pressure O 4

Other O Pressure 186 psi Test Temp. ; Log *F System leakage Test NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) Information in items 1 through 6 on this report is inuuded on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

12/82)

His Form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York. N.Y.10017 L_,____

..... e e... r r s e.. q. u a. w

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FORM NIS-2 (Back)

M ATA DFPORT FOR Remarks R EFekFMFF A*rTAPHFh NPV 1 PFD"NFIF ATF MOf UFD4:

9.

NUCLEAR PUMPS OR VALVES Applicable Manufacturer's Data Reports to be snached W D Ofi1SSSARR BFDAFr*.tACRJ)?

N-5:BBB-19 Jav OS CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ replacement conforms to the rules of the repair or replacement ASME Code,Section XI NA Type Code Symbol Stamp Certificateof Authorization No.

NA Expiration Date NA 77-

_,19 90 hd

[t resJ fvier.6fa<s Date

w /

Signed

" Uwner or owner's pesignes, T ale CERTIFCATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Ves sf New Jersey and employed by Protection Mutual Ins. Co A of, lie wood. M A. have inspected the c. mpon Report during the period _ - L-Jf."'f 7

- to _,,!_'* ao-9 "J

. and state that to the best of my knowledge and belief, the

~

Owner has performed examinations and taken corrective measures des.. bed in this Owner's Report in a ASME Code,Section XI.

By Signing this certificate neither the Inspector nor his employer makes any warranty, exprened or and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be for any },ersonal injury or property damage or a loss o,'any kind arising from or connected with this inspection.

  • Factory Mutual Engr. Assn.

f Commissions NJ"/o2'O -

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National Board, State, Province, and Endorsements

/

Inspector's signs SMAM 19 98 Date lo O

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ND.QA-AP.ZZ-0025(Q) -

ATTACHMENT 7 Page 1 of 1 DATA REPORT CONTINUATION SHEET V.'

SAMPLE

- Page _3_ of _3_, -

- DATA REPORT CONTINUATION SHEET CJP No.: PJJj]_- 017 ' Rev.: Ol

- PRD-WP No. jd_-

Rev.:

1. Work performed by: Public Service Electric & Gas Co., Nuclear Business Unit End of Buttonwood Road, Hancocks Bridge, NJ 08038
2. Owner: Public Service Electric & Gas Co.

End of Buttonwood Road, Hancocks Bridge, NJ 08038

3. Location: HOPE OBFFk Nuclear Generating Station End of Buttonwood Road, Hancocks Bridge, NJ 08038
4. System:

Nuclear Class: class 1-AJor'/ FAQ Go tLT-4 /fFM R.ECIfC- /-BB-03l ID of Component Repaired / Replaced:

NA Name of Manufacturer:

Serial No.

Nat'l Bd.

Jurist. No.

Other Year Built ASME Code Stamped?

Original Const. Code:

Edition Addenda Code Class:

ID of Replacement:

13cLv-U AsceMMLY ASME N F*

Name of Manufacturer:

Al Ln n MUT' 4 GOLT C&. /DC.

N/A N/A N/A

' N /A N/A N/A Serial'No.

Nat'l Dd.

Jurisi. No.

Ot6er Yea'r Built ASME Code Stamped?

Original Const. Code: AMME TTT*

Edition 1974. Addenda S"M Code Class: 1 Code Cases:

N/A-ID of Component Repaired / Replaced:

N!A Name of Manufacturer:

Serial No.

Nat'l Bd.

Jurist. No.

Other Year Built ASME Code Stamped?

Original Const. Code:

Editicn Addenda Code Class:

ID of Replacement:

PLATE Name of Manufacturer:- DUMMF M47/oNAL ENEIM,Y SEf2VICE4 ht/A N/A '

At/A N/A N/A N/A Serial No.

Nat'l Gd.

Jurist.' No.

Ot6er Year' Built '

SME Code Stamped?

Criginal Const. Code: ASME Trr-*

Edition j9j$0 Addenda d_ Code Class:1

- Code Cases:

N/A QA-25

. Page 33 of 35.

Rev.9

.g 1..

x

~

I

,(

ND.QA-AP.ZZ-0025(Q) l ATTACHMENT 7 Page 1 of 1 l

DATA REPORT CONTINUATION SHEET SAMPLE Page _2._ of.a_

DATA REPORT CONTINUATION SHEET CJP No.: PHS7. /7._ Rev.: C/

PRD-WP No.

Rev.:

1. Work perfo ed by: Public Service Electric & Gas Co., Nuclear Business Unit

, End of Buttonwood Road, Hancocks Bridge, NJ 08038

2. Owner: Public Service Electric & Gas Co.

End of Buttonwood Road, Hancocks Bridge, NJ 08038

3. Location:
  1. a#F C#F_p'l(

Nuclear Generating Station End of ButTonwood Road, Hancocks Bridge, NJ 08038

4. System:

__LLAGS 1-NOVE4A A01/EA $$2K702 0ECJAC-l-86D3I Nuclear Class:

N!A ID of Component Repaired / Replaced:

Name of Manufacturer Serial No.

Nat'l Bd.

Jurist. No.

Other Year Built ASME Code Stamped?

Original Const. Code:

Edition Addenda Code Class:

ID of Replacement:

T*FE - SOCl/M'T" (M#LB *$-3000 Name of Manufacturer.

TinCA PIPE SOPPLY N/A N/A ht/A N/A_

N/A N/A Serial No.

Nat'l 8d.

Jurfst. No.

Other _

ea'r Bui'i ASME Co'de Stamped?

Original Const. Cod 9: ASME 777*

Edition 1983. Addenda SBS Code Class: 1 Code Cases:

N/A

/

N!A ID of Cr,nponent Repaired / Replaced:

Name of Manufacturer:.__

l Serial No.

Nat'l Bd.

Jurist. No.

Other Year Built ASME Code Stamped?

Original Const. Code:

Edition Addenda Code Class:

ID of Replacement:

EL!30M-90* ROCr/#7 (DELD Name9f Manufacturer:. bosase NATrcuAL Fot:J2GV sFtzvices N/A N/A N/A y/A,,

N/A N/A Serial No.

Nat'L Bd.

Jurist' No.

Otner Yedr Built ASME dode Stamped?

l Original Const. Code: ASME TTE Edition 1983 Addenda SB3 Code Class: 1 l

Code Cases:

N/A l

l QA-25 Page 33 of 35 Rev.9 l

I l

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

Public Service Electric & Gas Company -

1.

Owner Nuclear Busienss Unit Date 01/29/98 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 970321346, CJP PH97-065 REV. O Address Repair Organization P.O. No., Job No.. etc.

3.

Work Performed by Public semco Electric & Oss Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Expiration Date N/A.

Addrus 4.

Identification of System NUCLEAR CLASS 1, RESIDUAL HEAT REMOVAL-1 BC-003-DBA-6 VALVE ASME Ill 1974 ED. AD.W74, PIPING ASME III 1983 ED AD S83 FITrlNGS,ASMEll! 1986 ED AD. N/A, BOLTING ASME 1111980ED, AD kA

5. (a) Applicable Construction Code SEE ABOVE 19
Edition, Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component h".ufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped '

(Yes or No)

RELIEF CROSBY N89692 N/A N/A 1997 Replacement Yes VALVE VALVE 0001 PIPING ENERGY &

N/A N/A N/A 1997 Replacement No PROCESS FLANGE TIOGA PIPE N/A N/A N/A 1997 Replacement No BOL'11NG All. LED N/A N/A N/A 1.997 Replacement No NUT & BOLT i

SOCKOLET TIOGA PIPE N/A N/A N/A 1997 Replacement No 7.

Description of Work INSTALLED OVER PRESSURIZATION PROTECTION BY WELDING AND BOLTING 8.

Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure O Other O Pressure 200 psi Test Temp. 74.6 *F System Functional Test NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information in items 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.

(12/82)

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

i

f k

FORM NIS-2 (Back) t 9,

Remarks RFFFRFNCF A'PPArMFn FnRM MV.1 FOR RAFFTY AMn RAFFTY EtFIIFF V AI VER

~

Applicable Manufacturer's Data Reports to be attached W n 07n1911AA nep Apr.1A<A.nt N-5: BCB-1-1 R1S CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this,__ replacement -

conforms to the rules of the r* Pair or repkernent ASME Code,Section XI Type Code Symbol Stamp NA I

Certificat f Authorization No NA Expiration Date NA

/bi'Y 5tr rn St'P M WfrM-Date l'30'

, 19 SO Signed Cpwner or Owner's Designee, Title CERTIFCATE OFINSERVICE 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 New Jersey and employed by Protection Mutual Ins. Co.* of Norwood. MA_ have inspected the components described as this Owner's Report during the period _ f/_f,/, 7 - & GT to 1,J.- 9 f

. and state that to the best of my knowledge and belief, the Owner has performed examinaions and taken corr ctive 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 tnd 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 damsge or a loss of any kind arising from or connected with this inspection.

  • Factory Mutual Engr. Asan.

Commissions 6 2 O Td AJ/A3lS Aff Y3 /

Inspector's Signature National Board, State. Province, and Endorsements Date 2'1 19

[

9

+

9 e

m

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACENENTS As Required by the Provisions of the AShE Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 12/12/97 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 951016210,970711087, CJP PH97-095 R/0 Address Repair Organization P.O. No., Job No., etc.

3.

Work Performed by Public Service Electric & Gas Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 1-MAIN STEAM, FEEDWATER, NUCLEAR BOILER &

REACTOR RECIRCULATION, RESIDUAL HEAT REMOVAL, CORESPRAY, REACTOR WATER CLEANUP, STANDBY LIQUID CONTROL, RCIC TURBINE STEAM, HPCI TURBINE STEAM

  • N7l 15, N249-11. N247
5. (a) Applicable Construction Code ASME 111 19 83 Edition, S84 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

SNUBBER LISEGA SEE N/A N/A 1996 Replacement No ATTACHED 7.

Description of Work REPLACED SNUBBER'.

8.

Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure O Other O Pressure N/A psi Test Temp. NL/A *F NOTE: Supplen ental sheets in form oflists, sketches, or drawings may be used, provided (1) size is 81/2 in. x !1 in., (2) information in items 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.

(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, Remarkg. N/A Applicable Manufacturer's Data Repons to be attached W O C4101 A710 070711nR7 N-5:BBB112, BBB111,BBB113,BCB102.BEB102,BG A102, BHA 102, b3 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ replacement conforms to the rtiles of the

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

ASME Code,Section XI Type Code Symbol Stamp NA Ctrtificat f Authorization No.

NA Expiration Date NA Signed

/2'a/

//

GM Date

/'/S

, 19

[d Wner or Ownet's Designee Title CERTIFCATE OF INSERVICE INSPECTION I, the undersighed, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province e.f New Jersey and employed by Protection Mutual Ins. Co.' of florwood, N A have inspected the components described in thu, Owner's Report during the period,,.. @y / 1 - O ~7 to __.).- Co-4 PJP. and state that to the best of my knowledge and belief, the Owner has performed examinations and t&en 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 nos Es 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 fer any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

  • Factory Mutual Engr. Assn.

N

_ Commissions b ZDS6 P'f 6 sis UI VI/

Inspector's Signature National Board, State, Province, and Endorsemants Date

/ '" [O 19 9 [

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1

4 Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit '

Date 01/20/98 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet I

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 CJP H96-043 REV.0 WO# 960320257 Address Repair Organization P.O. No., Joh No., etc.

3.

Work Perfortaed by Public Sersice Electric & Cas Co.-NBU Type Code Symbol Stamp N/A N.m.

Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Expiration Date N/A

~ Addrers 4.

Identification of System Main Steam Nuclear Class 21 ABV-529 & 1 ABV530

5. (a) Applicable Construction Code ASME III 19 74 Editica, S75 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 Code Case N-416-1

- 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Neme of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No) val.VE Edward 92AJU N/A

.N/A 1997 Replacement Yes (I ABV 529)

Valves lac.

VALVE Edward 89AJU N/A N/A 1997 Replacement Yes (1 ABV-530)

Valves Inc.

PIPE Tioga Pipe N/A N/A QAN-78942 N/A Replacement No Supply Co.

7.

Description of Work Replaced valves and pipe 8.

Tests Condseted: liydrostatic 0 Pneumat.. t_] Nominal Operating Pr<ssure D Other @

Pressure 232 psi Test Temp. 310 *F System Leakage Test NOTE: Supplemental sheets in form of lis:s, sketches, or drawings may be used, provided (1) size is 81/2 in. x !I in., (2) information in items 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.

(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 N ^*TTANh '

Applicable Manufacturer's Data Reports to be anached wns o6n1'n947 N<

AttA.9.t DCP: 4ER 0055 PKG.01

/d 4 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

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

Type Code Symbol Stamp _. NA Certificate Authorization No.

NA Expiration Date NA 5igned n4tl b rwY Sue tvo ren Date

/* 2(p -

, 19 90

/

u G*ndor Owner's Desipec, Title CERTIFCATE 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 New Jersey and employed by.Prorcellon Mutual Inn. Co

  • of Norwand. MA have inspected the components described in this Owner's Report during the period jf _f. 'I - M to Qy 1 S

9 J". and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

1)y Signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the esamination.

and corrective measures described in this owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any marmer for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

' Factory Mutual Engr. Assn.

Commissions

4. S DId Al/A C /I UTYP/

Inspector's Signature National Board State, Pr'ovince, and Endorsemerits Date-; / -- 2 7 19 9 3' "4

l "

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%v 4.5% v' t

  1. 5*'

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1, Owner Nuclear Business Unit

  • Date 01/20/98 Name End of Buttonwood Road, Hancoci.s Bridge, N.J. 08038 Sheet I

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 CJP H96-044 REV.0 WO# 960320272

~

Addras Repair Orgamzation P.O. No., Job No., etc.

3.

Work Performed by Public service Electric & can co.-Nau Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Expiration Date N/A

~ Address 4.

Identification of System hjn Steam Nuclear Class 21 ADV-527 & 1 ABV528

5. (a) Applicable Construction Code ASME 111 19 74 Edition, S75 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 Code Case N-416-1 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

VALVE Edward 90AJU N/A N/A 1997 Replacement Yes (1 ABV-527)

Valves Inc.

VALVE Edward 91AJU N/A N/A 1997 Replacement Yes (l ABV-528)

Valves Inc.

PIPE Tioga Pipe N/A N/A QAN-78942 N/A Replacement No Supply Co.

7.

Description of Work Replaced valves and pipe 8.

Tests Conducted: Hydrost.uic O Pneumatic O Nominal Operating Pressure O Other O Pressure P)U psi Test Te

p. SLO *F System leakage Test NOTE: Supplemental sheets in form oflists, sketches, or dra'. :ngs may be used, provided (1) size is 81/2 in. x 11 in., (2) information in items 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.

..(12/82)

Tids Form (TD0030) nwy be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017

)

FORM NIS-2 (Back) 4 9,

Remarks <rn ArrA(Prn Applicable Manufacturer's Data Reports to be attsched W h# 0AO"470?71 MT A H A.9.1 DCP: 4ER-0055 PKG.01

/4 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 NA Cartificat of Authorization No.

NA Expiration Date NA v

A re e Swan ~m er Date l5-

, 19 90 Signed VJYb

(/ Owner or Uwner's Det,ignee, Title CERTIFCATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and th of New Jersey and employed by Protection Murva! Ins Co

  • of Narwood. M A have inspected the components described in th R: port durinF the period _/p22 h 47 7 to d - 2_ P */ #, and state that to the best of my knowledge and belief, the Owner has performed examinations and take'n corrective measures described in this Owner's Report in accordance with th ASME Code,Section XI.

By Signing this certificate neither the inspwtor nor his employer makes any warranty, expressed or implied, concernin and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any man for any personal injury or property damage or a lo6s of any kind arising from or connected with this inspection.

' Factory Mutual Engr. Assn.

exx/

Commissions At '9n S d A.ll(35 UVYN National Board, State, Province, and Endorunwnts Inspector's Signature Date

/~ E &

19 98 J

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

- As Required by the Provisions of the ASSE Code Section XI Public Service Electric & Gas Company -

l.

Owner Nuclear Business Unit Date 01/20/98 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of I

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 CJP H97-035 REV.0 WO# 960722043 Address Repair Orgamzation P.O. Ve., Job No., etc.

3.

Work Performed by Pubne smice Electric & Gas Co..NBU Type Code Symbol Stamp N/A Name Authorization No.

'N/A End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Expiration Date N/A 3

~ Address 4.

Identification of System Standby Liquid Control Nuclear Class 2 IBHV-008

5. (a) Applicable Construction Code
    • ASM E III 19 77 Edition, S77 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

Trigger body Conax Buffalo 5331 5331 N/A 1997 Replacement Yes subassembly Corp.

7.

Description of Work Peplaced explosive charge kit 8.

Tests Conducted: Ilydrostatic @

Pneumatic O Nominal Operating Pressure O OtherO Pressure 1560 psi Test Temp. 6s *F NOTE:. Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2)information in items 1 through 6 on this report is included on each sheet, and (3) each theet 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.100t7 i

1 1

FORS! NIS-2 (Itek) '

9, Remarks KrF A t rACMFD Applicable Manufacturer's Data Reports to be attached W nkO(ll?99tWI % ttM A.9.1

/*+

CERTIFICATE OF COMPLIANCE We certify that the statemem nade in the report are correct and this,,._ replacement conforms to the rules of the fcPair or replacensent ASME Code,Section XI Type Code Symbol Stamp NA Certificate f Authorization No, NA Expiration Date NA

/

  • M'-

, !9 00 Skgned W Mtl N

rial.fWvs4m Date i

43wner or Owner's Designee. Inic CERTIFCATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the

~

have inspected the components described in this Owner's of New Jer*ev and employed by Protection Murunt inn. Co

  • of _Norwood. M A
7/9&

. and state that to the best of my knowledge and belief, the Report during the period _%d, a? '7 to Own'er has performed examinations and taken corrective mens res desc'ribed in this Owner's Report in accordance with the ASME Code, section XI.

By Signing this certificate neither the ; :.pector nor his employer makes any warranty, expressed or implied, concerning t and corrective measures described in this Owner's Report. Furthermore, neither the Inspector not his employer shall be liable in any manner for any personal injury or property damage or a Ic,ss of any kind arising from or connected with this inspection.

  • Factory Mutual Engr. Assn.

Commissions b E* O $b lll0S Al$ V3/

+W National Board, State, Province, and Endorsements

)~

Inspector's Signature b

Date l ' 2,9 19 _ f,P I'

)..'

6 l

l L

4 e

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 01/23/98 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038

, Sheet 1

of.1 Address 2.

Plant Hope Creek Nuclear Generating Station Udt # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 971111258, CJP H97-092 REV. O Address Repair Orgamzation P.O. No., Job No., etc.

3.

Work Performed by Public Smice Electric & Gas Co.-NiiU Type Code Symbol Stamp N/A t mo Authorization No.

N/A End of Buttonwood Road, Hancocks P idge N.J. 08038 Expiration Date _

N/A

- Address 4.

Identification of System NUCLEAR CLASS 2, CONTAINMENT ATMOSPHERE CONTROL-lGSV-038

5. (a) Applicable Construction Code ASME Ill 19 74 Edition, S75 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Repts. cements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year.

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

VALVE C&S VALVE 95-2769-N/A N/A 1995 Replacement Yes CO.

g(g-04 w,m I

7.

Description of Work REPLACE VALVE 8.

. Tests Conducted: Hydrostatic 0 Pneumatic D Nominal Operat Pressure O Other O Pressure E! psi Test Temp.1

  • F System inservice Test NOTE: Supplemental sheets in form oflists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information in items 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.

. (12/82)

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

wr FORM NIS-2 (Bick) 9.

Remarks RFFFRFNCF A'ITArMFh FORsA NPV 1 FFRTTFir ATP MOT nFR4 n ATA RFPnRT Applicable Manufacturer's Data Reports to be attached W O 07111199R N-5: GBS-2 1 M4+E R To ?if6 % bit 2Yjn4 hhxA c,5- "./4 rece 04 eqicngAL t@V-1 tr rALMtT e

Fw urs.L-r s/4 h 'i5-2 ItR ot(M-tM (dM3 Il%YM CERTIFICATE OF COMPLIANCE We certify that the statements made in the report a-s correct and this __ replacement conforms to the rules of the l

r rep acement rePatt ASME Code,Section XI Type Code Symbc! Stamp NA Certificate Authorization No.

NA Expiration Date NA Signed lIlh)$

b V6n $It n

Supe:rer u ute 1.9G -

, 19 9f]

Owner or Owner's' Designee, litle

~

s-CERTIFCATE OFINSERVICE 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 New Jersey and employed by Protection Mutual Ins. Co.a. of Norwond. M A _ have inspected the components described in this Owner's Report during the period __f],-fA

  • 9'4-to _/J.*,fo-4"4

. and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By Signing this ecrtificate neither the Inspectv not his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector not his employer thall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

  • Factory Mutual Engr Assn.

r

  1. 7'926 e k 26.07 ~I'#4 Commissions tr--- '"

National Board, State, Province, end Endorsements

[ Inspector's Signa Date __ 2*1 ~~J~waan't 19 98 U

4

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Busienss Unit Date 02/13/98 Nome End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet I

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 CJP PH97-063 REV.0 WO# 970414117 Address Repair Organization P.O. No., Job No., etc.

3.

Work Performed by Public Service Electric a Gas Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Expiration Date N/A Address 4.

Identification of System Reactor Auxiliaries Cooling Nuclear Class 2 IEDPSV-Il699

5. (a) Applicable Construction Code *ASME Ill 19 74 Edition, W75 Addenda.

N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

  • VALVE Crosby Valve N89691 N/A N/A 1997 Replacement Yes

& Gage 0001 t (3 op. um 7.

Description of Work Added relief valve and re-rated Containment Penetration P29 per DCP 4EC-3656 PKG.01 8.

Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure @

Other O Pressure 110 psi Test Temp. 22 'F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in. (2) information in items I through 6 on this report is included on each sheet.tnd (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

O f12/82)

This Form.E00030> may be obtained tram the Order Dept.. ASNIE. 345 B. 4?th 5: New Y. rt. N Y.1001'

~

i..,

M

b

~

FORM NIS-2 (Back)

O

(

9.

Remark 3 GF ATTACHFD Applicable Manufacturer's Data Reports to be attached -

WOW (MO414117 nrp 4FFA646 PEG 01 N4. Un A.?.1 j'!k

~

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _replacetnent conforms to the rules of the repair or replacement ASME Code,Section XI Type Code Symbol Stamp NA Certificat Authorization No.

NA.

Expiration Date NA

/

. / G a 4 u 11 Signard 1/4

/(*'t/A4fn / L Wu'8+ Date

,>/ 3 -

, 19 9

UWner or Owner's Designee, Title CERTIFCATE 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 New Jersey and employed by Protection Mutual Ins. Co.* of forwood. MA have inspected the components described in this Owner's j'7tport during the period 1[Z-4 '1 to

$ * / (a-fA

. and state that to the best of my knowledge and belief, the t

)wner 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.

  • Factory Mutual Engr. Assn.

8

/

Commissions OZo

[.

Inspecto re National Board, State, Province, and Endorsements v

19 9fll3_

Date f 4 h m t

<-4 x

yQ.

l

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~ )M

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Busienss Unit Date 02/13/98 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet I

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 CJP PH97-064 REV.0 WO#970414118 Address Repair Organizabon P.O. No., Job No.. etc.

3.

Work Performed by Public Service Electrie & Gas Co. NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road. Hancocks Bridge. N.J. 08038 Expiration Date N/A Address 4.

Identification of System Reactor Auxiliaries Cooling Nuclear Class 2 IEDPSV-11700

5. (a) Applicable Construction Code *ASME III 19 74 Edition, W75 Addenda, N/A8 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83S83 3S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

  • VALVE Crosby Valve N89691 N/A N/A 1997 Replacement Yes

& Gage 0002 7.

Description of Work Added relief valve and re-rated Containment Penetration P30 per DCP 4EC-36' 6 PKG.01 8.

Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure @

Other O Pressure 110 psi Test Temp. 22 *F System Inservice Test p

NOTE: Supplemental sheets in form of lists, sketches. or drawings may be used, provided (1) size is 81/2 in. x 1I in., (2) information in items 1 through 6 on this report is included on each sheet. and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

O t12/82)

This Form t E00030* may be obtained trnm the Order Dept. AsME. 345 E. 4?rh st.. New Yors. N.Y.10017

1 1

FORM NIS-2 (Back) 9.

Remarks "U A'TTArunn Applicable Manufacturer's Data Reports to be stuched Wns 4704i1117R DPP 4Cr.1656 PYG 01 NS-Un A A1 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this,_ replacement conforms to the rules of the l

rep 8 r r f*P acement ASME Code,Section XI Typa Code Symbol St ap NA Certificate of Authorization No.

NA_

Expiration Date NA t ree JurbtWm Date 2'/3-

, 19 9

Signrd

/m/

QAner or Owncf's Designee, Title CERTIFCATE OF INSERVICE INSPECTION 1, ths undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province

/^tNew Jersey and employed by Protection ffytual Ins. Co.* of Norwood. MA have inspected the corrponents described in this Owner's

(

jort during the period ifG/f7 to _

8-//de /9A _,,,, and state that to the best of my knowledge and belief, the A dwnte has performed examinations and taken corrective measures descrlbedIn this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By Signing this certificate neither the Inspector ner 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.

  • Factory Mutual Engr. Assn.

Commissions M77Mb

[ Inspector's Signature {

National Board. State, Province, and Endorsements Date /4 MhV 19 TG

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FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business U,it Date 02/04/98 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08018 Sheet 1

of I

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 CJP PH97-076 REV.1 WO# 970321237 Address Repair Organizauon P.O. No., Job No., etc.

3. - Work Performed by Public Service Electric & Cas Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge. N.J. 08038 Expiration Date N/A Address 4.

Identification of System Torus Water Cleanup Nuclear Class 2 IBJV-080

5.. (a) Applicable Construction Code *ASME III 19 74 Edition, S75 Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 Code Case N-416-1

'6.

Identification of Components Repaired or Replaced and Replacement Components Name of

. Name of Manufacturer National Other Year

Repaired, ASME.

Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacemt.nt St< ped (Ye > No)

  • VALVE Edward 95AHP N/A N/A 1995 Replacement ses Valves Inc.

PIPE

. Tioga Pipe N/A N/A QAN-67378 N/A Replacement No Supply SOCKLET Tioga Pipe N/A N/A QAN-89792 N/A Replacement No Supply TEE Tioga Pipe N/A N/A QAN-64906 N/A Replacement No Supply ELBOW Tioga Pipe N/A N/A QAN-89587 N/A Replacement No Supply 7.

Description of Work Replaced valve and piping as per DCP 4EC-3579 PKG.08 8.

Tests Conducted: Hydrostatic 0 Pneumatic O Nominal Operating Pressure O Other E Pressure $12 psi Test Temp. AMB, *F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information in items 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.

(12/82)

This Form (E00030) may be obtained from the Order Dept.. AshtE. 345 E. 4?rh St.. New York N.Y,10017

FORM NIS-2 (Back) 9.

Remarks RFF AT'TACMFD Applicable Manufacturer's Dsta Reports to be susched Wns 07n191717 nep dFr.1970 PL'G OR NS FF A 7.1 h4 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ replacement conforms to the rules of the repair or replacement ASME Code,Section XI Type Code Symbol Stamp NA Certificate of Author' i o.

J4A Expiration Date NA Signed '

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.., 19 ft' V Ddher o wner's Designee, e

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CERTIFCATE OF ANSERVICE 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 New Jersey and employed b Aytcetion Mutual Ins. Co.* of Norwood. M A_ have inspected the components described in this Owner's to 1 6 - F 8'

. and state that to the best of my knowledge and belief, the Report during the period __ _n,J (, - # 4 Owner has performed exami iora and taken torrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

Dy 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.

  • Factory Mutual Engr. Assn.

Commissions (k f O $$ W/ 83 /f W 93/

Inspector's Signature National Board, State. Province, and Endorsements k-S-19 h 8 Date

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 12/12/97 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 951016210,970711087 CJP PH97-096 R/0 A1 dress Repair Organization P.O. No., Job No., etc.

3.

Work Performed by Public service r.i ciric & oss co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road. Hancocks Bridge N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 2-PROCESS SAMPUNG, FEEDWATER, NUCLEAR BOILER & REACTOR RECIRCULATION, RESIDUAL HEAT REMOVAL, REACTOR CORE ISOLATION l

COOUNG, CORE SPRAY, HIGH PRESSURE COOLANT INJECTION, FUEL POOL COOUNG &

CLEANUP, TORUS WATER CLEANUP, RCIC & HPCI TURBINE STEAM, CONTAINMENT ATMOSPHERE CONTROL, CONTAINMENT INSTRUMENT GAS, PLANT LEAK DETECTION.

  • N71 15, N249-11, N247
5. (a) Applicable Construction Code ASME III

,19 83 Edition, S84 Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Rept in or Replacements 19 83 S83 6.

Identification of Componers Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

SNUBBER USEGA SEE N/A N/A 1996 Replacement No ATTACHED 7,

Description of Work REPLACED SNUBBERS 8.

Tests Conducted: - Hydrostatic O Pneumatic O Nominal Operating Pressure O Other O Pressure N/A Psi Test Temp. F!A 'F

' NOTE: Supplemental sheets in form oflists sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in.. (2) information in items 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.

s a FORM NIS-2 (Back) 9.

Remarks N/A Applicable Manufacturer's Data Reports to be attached W n 04101671n 07071InR7 N $i AB A302, AEC202,BB B l 1 1.BCA202. APA202,EEA206,BCB102,BD A202,BEA202,BEB202,ECA202,BJ A202.G TA202,GSB202 M

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ replacement conforms to the rules of the r Pair or replacement ASME Code Section XI s

Type Code Symbol Stamp NA Certificate f Authorization No.

NA,

Expiration Date NA tr /

Juft9MDnDute l'lb-

, 19 $

Of%h Signed Uwner or Owner's Designee. Title 1.

CERTIFCATE OF INSERVICE INSPECTION 1

1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of New Jerwy and employed by fyotection Mutual Ins. Co.* of Norwood. M A have inspected the components described in this Owner's Report during the period 9 -Ik Y 7 to j =.f B- ??. and state that to the best of rny knowledge and belief. the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the ragt; ire =enta 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 desen'. bed 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.

  • Factory Mutual Engr. Assn.

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Inspector's Signature National Board, State, Province, and Endorsements

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Date 1

1.

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Busienss Unit Date 02/13/98 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet 1

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 CJP PH97-098 REV.0 WO#970414113 Address Repair Orgamzation P.O. No.. Job No., etc.

3.

Work Performed by swie service nectric & asi co.-NBu Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road. Hancocks Bridge, N.J. 08038 Expiration Date N/A Address 4.

Identification of System Liquid Radwaste Nuclear Class 2 IHBPSV-11701 & lHBPSV-11704

5. (a) Applicable Construction Code
  • ASMEHI 19 86 Edition, N/A Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identificatio) of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

  • VALVE (IHB Crosby Valve N89693 N/A N/A 1997 Replacement Yes PSV-11701)

& Gage 0001

  • VALVE (IHB Crosby N89693 N/A N/A 1997 Replacensent Yes PSV-Il704)

Valve & Gage 0004 7.

Description of Work Added relief valves and re-rated Containment penetration P25 per DCP 4 EC-3656 PKG.01 8.

Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure O i

Other 3 Pressure 48.4 psi Test Temp. AMB *F NOTE: Supplemental sheets in form oflists, sketches, or drawings may be used, provided (1) size is 81/2 in. x !! in. (2) information in items 1 through 6 on this report is included on each sheet. and (3) each sheet i

is numbered and the number of sheets is recorded at the top of this form.

O!

(12/82)

Thin Form iL90Eh may be onrained from the OrJer Dept.. ASME. 345 E J~th St.. New Wrk. N Y 1001~

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FORM NIS-2 (Bsck) n

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Remarks RFF A'rTAFMFD Applicable Manufacturer's Data Reports lo be attached Wn# 07041d111 nrP dFrv4A ped 01 N414R AM 1 CERTIFICATE OF COMPLIANCE

' We certify that the statements made in the report are correct and this _ replacement conforms to the rules of the repair or replacement ASME Code,Section XI Type Code Symbol Stamp NA Certificate of Authorization No.

NA Expiration Date NA Signed fgh*

V U oU 3VA'Jre k @ ate

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  1. wner or Owner's Designec, Title CERTIFCATE 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 Norwood. M A have inspected the components described in this Owner's of $w Jersey and employed bygJpojection Mutual Ins Co? of ~l %'94 Rrport during the periodL...f-/2-97 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

.- QASME Code,Section XI.

By Signing this certificate neither the inspector nor his employer makes any warranty, expressed or implied, concerning the examinations t.nd corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

' Factory Mutual Engr. Assn.

Commissions MNot O

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Inspector's National Board, State, Province, and Endorsements Date N SAzuetY' 19 9 db O_

FORM NIS-2 OWNER'S REPORT FOR REPA1RS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI O

Public Service Electric & Gas Company -

1.

Owner Nuclear Busienss Unit Date 02/13/98 Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Sheet I

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek f4a me End of Buttonwood Road, Hancocks Bridge, N.J. 08038 CJP PH97-099 WO# 970414166 Addreu Repair Orgamzation P.O. No., Job No., etc.

3.

Work Performed by PubHc Service Electric & Gas Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road. Hancocks Bridge. N J. 08038 Expiration Date N/A Address 4.

Identification of System Liquid Radwaste, IBHPSV-11702 & IDHPSV-11703, Safety Relief Valve, Nuclear Class 2

5. (a) Applicable Construction Code *ASM E III 19 89 Edition, N/A Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83S83 N389 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

VALVE CROSBY N89693 N/A QAN#90133 1997 Replacement Yes 0003 VALVE CROSBY N89693 N/A QAN#90133 1997 Replacement Yes 0002 7.

Description of Work Added relief valves and re-rated Containment Penetration P26 per DCP 4EC-3656 PKG.01 8.

Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure O Other S Pressure 48.2/48.4 Test Temp. AMB psi

  • F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information in items 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.

i!

(12/82)

Thin Form (LOOu30i may be obtamed from the order Dept. ASNIE 345 E. 47th St., New York. N.Y.10017

FORM NIS-2 (Back)

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Remarks crp puo7.noo wOs o7na1411 A nFor arf _ tA<A pen n1 N<s un A 7.1 *ODICTM Af CONF CASES 1516 2,1567,1677 Applicable Manufacturer's Data Reports to be attached

    • 'TNFRF V Af VFR ADF nFRIGNFn TO PROTFFT CONTAINMFNT PPNFTR ATinNR A9 PFR GI 06-
06. A LOCAL LEAK TEST WAS PERFORMEq OF A TYPICAL ASME XI PRESSURE TEST NV-1 DATA REPORTS ATTACHED CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this __ replacement conforms to the rules of the r* Pair or replacement ASME Code,Section XI Type Code Symbol Stamp NA Ccrtificat of Authorization No.

NA Expiration Date NA Signed / /)?

v4 c 4rv Sveteshre.o Date d'/3 19 kh

(/Jwrict or Own6r's Designee. Title CERTIFCATE OF INSERVICE INSPECTION

.[

the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province

(,4f New Jersev and employed by Protection Mutuniins. Co

  • of Norwood. M A have inspected the components described in this Owner's Report during the period,_____,,9-ff-4 ~7 to _.r,--/4-9 A

. 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 accordence 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 c.nd corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising, from or connected with this inspection.

  • Factory Mutual Engr. Assn.

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Commissions MIMEO

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Inspector' National Bo.rd, Stas, Province, and Endorsements lb 0$#u n! 'f 19 98 D:te W~

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FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Corr: iy-1.

Owner Nuclear Business Unit Date 01/20/98 Nanie End of Buttonwood Road. Hancor.s Bridge, N.J. 080T Sheet 1

of 1

A;Jress 2.

P' ant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 PH97-107, WO# 970807167, REV. 00 Address Repair Organization P.O. No., Job No., etc.

3.

Work Performed by Public $ mice Electric & Gas Co.-NBU Type Code Symbol Stamp N/A N mo Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Expira' ion Date N/A Address 4.

Identification of System Emergency Core Cooling System (Residual Heat Removal), Nue Class 2, DF211

5. (a) Applicable Construction Code ASME III 19 74 Edition, W74 Addenda, NA Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year

Repaired, ASME Component Manufacturer Seria! No.

Board Identification Built Replaced, or Code No.

Replacement Stamped (Yes or No)

STUD Nova Machine NA NA QAN# 85486 NA Replacement No Product Corp NUT Nova Machine NA NA QAN# 81135 NA Replacement No Product Corp 7.

Description of Work Replace bolting used to connect strainer DF211 to penetration P211 A

8. - Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure O OtherO Pres ute N_6 psi Test Temp. N_A *F NOTE: Su; picmental sheets in form of lists. Letches, or dras mgs may be used, provided (1) size is 81/2 in, x 11 in., (2; nformation 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)

Tha form (E00030) may be obtained from the Order Dept., ASME,345 E. 47th St., New York, N.Y.10017

FORAI NIS-2 (IIzck)

(9l Rernarks FIPW Pl407.tO7 WA# 070RO71 A1 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 _ replacement conforms to the rules of the r* Pair or repkenient ASME Code,Section XI.

Type Code Symbol Stamp NA Certificat of Authorization No.

NA Expiration Date NA

/-2 2-

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I v#a* wh Date ~

v Signed G/wnd or Owner's posignee, Title CERTIFCATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspecto have inspected the components described in this Owner's of New Jerwy and employed b _ Protection Mutual Ins. Co.* of Norwood. M A9#, and state that to the best of my knowledge Report during the period _,,d,7 - 9 '7 to J,, 1. 4 -

Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance w ASME Code,Section XI.

By Signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concer and corrective memnures described in this Owner's Report. Furthermore, neither the Inspector not his employer shall be liable in an for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

  • Factory Mutual Engt. Assn.

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D Commissions N d 0 #/d8 Y'N National Board, State, Province, and Endorsements Inspector's Signature Date

/~26-19 9 tf 9 '

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FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMEN"rS l

As Required by the Provisions of the ASME Code Section XI o

Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 01/07/98 a

Name End of Duttonwood Road, Hancocks Bridge, N.J. 08038 Sheet I

of 1

i Address 2.

Plant Hope Creek Nuclear Generatin/ Station Unit # Hope Creek N m.

End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.O. 971101048, CJP H97-065 REV. O Address Repair Orgaratsuon P.O. No., Job No., etc.

3.

Work Performed by Puhtic Service Doctric & Cas co -NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A End of Buttonwood Road, Hancocks Bridge, N.J. 08038 Expiration Date N/A Address 4.

Identification.A :;ptem NUCLEAR CLASS 2. HPCI TURBINE STIIAM. IFDPSE-D003-E41

5. (s) Applicable Construction Code ASME IU 19 77 Editise, N/A Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components g

Name of Name of Manufacturer National Other Year

Repaired, ASME Cornponent Manufacturer Serial No.

Board Identification Built Replaced, or Code g

I, Replacement Stamped No.

(Yes or No) og r N/A N/A N/A Replacement No se, RUP'rURE CONTINENT Myp DISC AL DISC J.70879

)

7 Description of Work REPLACE P.UPTURE, DISC 8.

Tests Conducted: Hydrostatic 0 Pneumatic 0 Nominal Operating Pressure S Other O Pressure 2]l psi Test Temp. #10 7 System Functional Test NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x 11 in., (2) information in items 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.

(12/82)

TM Form (E00030) may be otasined f,-om the Order Dept., ASME. 345 E. 47th St., New York. N.Y.10017

FORM NIS-2 (B:ck)

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Remarks mA Apphcable Manufacturer's Data Rer ins to be attached W D ei7110lOJR

, 4-5: BJ A-2-1 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ replacement conforms to the rules of the repair or replacement ASME Code.Section XI Type Code Symbol Stamp NA Certifica kuthorization No.

NA Expiration Date NA Q sw rf 70

/t/et'iricA no.l.S &*wwwre_u pate

/- 7

, l9 Signed

@wner or Ownef's Ucugnes,l nle CERTIFCATE OF INSERVICE INSPECTION I the undersigned, holding a valid commission issued by the Natiord Board of Boiler and Pressure Veu.el Inspectors and the $ rate or P ordew Je 'gg and employed by Prniection Mutual Ins. Co

  • of Norwond. M A _ bave inspected the components described in this Ow Riport durirg the period _,M,,n] - j7 "2 to l f ( f

, and state that so the best of my knowledge and belief, the r

Owner has performed examinations and taken corrective measures d sc it>2d in this Owner's Report in accordance with the require f

ASME Ccx't.Section XI.

By Si,.iing this certificate neither the Inspector nor his emplo3er makes any warrantf, expressed or implied, concerning the c.nd corrective measures described in this Owner's Report Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damspe or a loss of any kind arising from or connected with this inspection.

  • Factory Mutual Engr. Assn.

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Commissions National Board, State Province, and Endorssments Inspector's Signature Date

/" 8-19 9 &

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

As Required by the Provisions of the ASME Code Section XI Public Service Electric & Gas Company -

1.

Owner Nuclear Business Unit Date 01/07/98 Name End of Buttonwood Road, Hancorks Bridge, N.J. 08038 Sheet I

of 1

Address 2.

Plant Hope Creek Nuclear Generating Station Unit # Hope Creek Name End of Buttonwood Road, Hancocks Bridge, N.J. 08038 W.0. 971101049. CJP H97-066 REV. O Address Etpair Orgamzation P.O. No., Job No., etc.

3.

Work Performed by Public Service Electric & Gas Co.-NBU Type Code Symbol Stamp N/A Name Authorization No.

N/A f

End of Buttonwood Road. Hancocks Bridge. N.J. 08038 Expiration Date N/A Address 4.

Identification of System NUCLEAR CLASS 2. HPCI TURBINE STEAM. IFDPSE-D004-E41

5. (a) Applicable Construction Code ASMEHI 19 77 Edition, N/A Addenda, N/A Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 83 S83 6.

Identification of Components Repaired or Replaced and Replacement Components Name of Name of Manufacturer National Other Year Repaired.

ASME Component Manufacturer Serial No.

Board Identification Built Replaced, or Code No.

Replacement Stamped i-(Yes or No)

RUPTURE CONTINENT

- ! "/.

  • N/A N/A N/A Replacement No DISC AL DISC Z2087 7.

Description of Work REPLACE RUlrTURE DISC i

8.

Tests Conducted: Hydrostatic 0 Pneumatic O Nominal Operating Pressure E Other O Pressure 23.1 psi Test Temp. #20 *F System Functional Test NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81/2 in. x !I in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

)

(12/82)

This Form (E00030) may he obtained from the Order Dept.. ASME 345 E. 47th St.. New York, NL 10017

FORM NIS-2 (Brck) l 9.

Remarks N/A Applicsble Manufacturer's Data Reports to be attached I

W O 471101040 l

N-5: BJA-2-1 i

bb CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this _ replacement conforms to the rules of the r* Pair or replacemeat ASME Code,Section XI Type Code Symbol Stamp NA Certifica of Authorization No., NA Expiration Dare NA Signed b 0 $

$c br n +s-%

Date

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Twner or Owner's Designee,lule CERTIFC ATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and i

i Owner's of Ngw Jersey and employed by _ Protection Mutual Ins Co

  • of Norwood. M A _ have inspected the components described n th s Report during the period _/g= 'f -_ c7 Cl to _/rf-9 P

, and state that to the best of my kn miedge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance witt, m

/

ASME Code, Sectio XI.

By Signing this certificate neither the Inspector nor his employer makes any warranty', expressed or implied, concerning Furthermore, neither the Inspector nor his employer shall be liable in any mant.er and corrective measures described in this Owner's Report.

for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

' Factory Mutual Engr. Assn.

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Commissions S '2 O S(' M//75[$

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National Board, State. Province, and Endorsements Inspector's Signature

[~ b 19 9 [ '

Date j

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