ML20237E317

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ISI Summary Rept of Eleventh Refueling Outage Activities for Davis-Besse Nuclear Power Station
ML20237E317
Person / Time
Site: Davis Besse Cleveland Electric icon.png
Issue date: 08/21/1998
From:
CENTERIOR ENERGY
To:
Shared Package
ML20237E310 List:
References
NUDOCS 9808310140
Download: ML20237E317 (202)


Text

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SUMMARY

REPORT REFUELING OUTAGE.: 1IR OUTAGE START DATE: April 11,1998 j OUTAGE COMPLETION DATE: May 23,1998 REPORTING DATE: August 15,1998 DAVIS -BESSE NUCLEAR POWER STATION 5501 North State Route #2 Oak Harbor Ottawa County, Ohio 43449 OWNER: FIRSTENERGY CORPORATION i 76 South Main St. Akron, Ohio 44308 TOLEDO EDISON COMPANY 300 Madison Avenue Toledo, Ohio 43452 THE CLEVELAND ELECTRIC ILLUMINATING COMPANY 300 Pubhc Square Cleveland, Ohio 44101 l l NRC DOCKETNUMBER: 50-346 OPERATING LICENSE: NPF-3 COMMERCIAL OPERATION: November 21,1977 PAGE 1 of 202 j l 9808310140 980821 PDR ADOCK 05000346 G PDR , I f  ;

l1 RFO Inservica Inspection Summary Page 2 Tcledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 CommercialService Date: 11/27/77-TABLE OF CONTENTS

                                                                             . Section 1                                             x                                . . .               .                    .. .... Abstract Section 2 ... ... ..... .                                       .                                       Steam Generator Eddy Current Section   .                       .                 .                                  . . . . . . ..   . . NDE Manual Examinations Section 4   . . . . . . . . . . . . . . . . . . . . . . . . . .                              .               . . .  ... . .. . Pressure Te-ts Section 5 ..                    .                                                                     .   ... Repairs and Replacements l

l l l 1 I _ _ _ - . . - _ _ _ _ _ _ _ - _ _ Q

11 RFO Inservice Inspection Summary Page 3 Triedo Edison Company, 300 Madison Avenue, Tcledo, Ohio 43652 Commerci:J Service Date: 11/27/77 1 l l

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l ABSTRACT 1 1 l This report provides a sumuary of the Inservice Inspection nondestructive examinations, Steam Generator Tubing eddy current examinations, pressure tests, and repairs / replacements performed during Cycle 11 and

                                 - the 11* Refueling Outage at the Davis-Besse Nuclear Power Station.

The nondestructive examination (NDE) and pressure test program was performed by Toledo Edison and Framatome Technologies personnel from May,1996 through June,1998. This program is in compliance with the requirements of the 1986 Edition of the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code and the Davis Besse Nuclear Power Station Technical Specifications as described in the Second Ten Year Inservice Inspection Program Plan. These examinations complete the examinations required for the first outage in the third period of the Second Inservice inspection Interval. One outage remains to complete the examinations for the Second Inservice Inspection Interval. The NDE examinations consisted of Ultrasonic (UT), Liquid Penetrant (PT), Magnetic Particle (MT), and Visual ( VT 1, VT-2, VT-3). There were a total of 196 ASME Class I and 2 examinations performed including 14 augmented examinations,47 Preservice Examinations and 2 Post Heatup examinations of modified hangers. All examinations met the acceptance criteria of ASME Section X!. Pressure tests consisted of system leakq;e, functional, inservice, and hydrostatic tests. In addition to tests conducted in accordance with the Pressure Test Program, tests were also conducted following repairs / replacements. In total,77 ASME Class I and 2 pressure tests were successfully conducted. 100 percent of the tubing in both Once Through Steam Generators was examined by eddy current testing. A total of 18 tubes in Steam Generator 1-1 and 32 tubes in Steam Generator 1-2 were plugged. In addition, 1 tube in Steam Generator 1-2 was pulled to characterize an existing indication and that tube hole was then also plugged. All repairs / replacements performed at Davis-Besse are controlled via Toledo Edison's Maintenance Work Order system. Copies of Toledo Edison's Repair / Replacement forms for ASME Class 1 and 2 repairs / replacements are included in this report. All other records including testing and examination records are available in Toledo Edison's Records Management System for review. l l o

II RFO Inservice Inspection Summary Page 4 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-1 OWNER'S DATA REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules

1. Owner TGLEDO EDISON COMPANY. 300 MADISON AVENUE., TOLEDO . OHIO 43652 (Name and Address of Owner)
2. Plant DAVIS BESSE NUCLEAR POWER STATION, OAK HARBOR, OHIO 43449 (Name and Address of Plant)
3. Unit #1 4. Owner Certificate of Authorization (if required) N/A
5. Commercial Service Date 11/2107 6. National Board Number for Unit N/A
7. Cornponents inspected STEAM GENERATOR TUBING )

l Manufacturer Component or Manufacturer orInstaller State or National Appi:-tenance or Installer Serial No. Providence No. Board No. OT5G 1 1 BABCOCK & WILCOX 620 0014-055-11 N/A N-159 O'IbG 12 BABCOCK & WILCOX 620-0014-055-12 N/A N-158

                                                                                                                                                               !l l

i l 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 data report is included on each sheet, and (3) each sheet is numbered and the number of sheets recorded at the top of this form.

Pege5 II RFO Inservice inspection Sununary Toledo Edison Comp:ny, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-1 (back)

9. Inspection Interval from SEPT 1990 to
8. Examination Dates APR 1998 to APR 1991L SEPT 2000
10. Applicable Editions of Section XI 128(r Addenda None
11. Abstract of Examinations. Include a list of examinations and a statement concerning status of work required for current interval.

SEE 1998 EDDY CURRENT EXAMINATION REPORT e

12. Abstract of Conditions Noted.

SEE A'ITACHED

13. Abstract of Corrective Measures Reconunended and Taken SEE ATTACHED Certificate of Authorization No. (if applicable) EIA Expiration Date E/A We certify that the statements made in this report are correct and the examinations and corrective measures taken confarm to the rules of the ASME Code, Section XI.

By Date][Y k Signed TOLEDO EDISON CO. CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and/or the State or Province of OHIQ and employed by Protection Mutual Ins. Co.

  • of Park Ridge. Illinois have inspected the components described in this Owners' Data Report during the period MAY 1998 to MAY 1.293. and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures 6 scribed in this Owners' Data 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 Date 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. Date Q h% Ym M , & Commissions dBCG31/> N I ( , inspector's SrgnQure National Board, State, Provmce and No.

  • FACTORY MUTUAL ENGINEERING ASSOCIATES

11 RFO Inservice Inspection Summary Page 6 Tcledo Edison Company, 300 Madison Avenue, Tolrdo, Ohio 43652 Commerci:1 Service D:te: 11/27/77 STEAM GENERATOR EDDY CURRENT  ; 1 EXAMINATION RESULTS I The tubing in the Once Through Steam Generators (OTSG's) at the Davis-Besse Nurlear Power Station Unit #1 was examined in April,1998, during the 11* Refueling Outage. The examinations were conducted by Framatome Technologies to meet the requirements of the Second Ten Year Inservice Inspection Plan and the Davis-Besse Nuclear Power Station Technical Specifications. All examinations met the i requirements of techniques qualified in accordance with the PWR Steam Generator Examination Guidelines. { I ne eddy current examinations were performed utilizing a Bobbin Coil, a Rotating Plus Point and Pancake Coil (RPP), and a Rotating Pancake Coil (RPC). He bobbin coil technique was used to peiform the standard ASME code exarr.ination for flaw detection. His technique was applied to the complete length of all in service tubes. The ro:ating plus point and pancake techniques (RPP) were used to examine specific areas ofinterest. nese areas included upper tube end roll expansion regions, tubes bordering the lane & wedge region, non-stress relieved roll transitions and dent / ding locations. This technique was also used to characterize all indications reported by the bobbin technique and the pancake coil was used to provide final depth sizing of Tube Support Plate wear indications. Both plus point and bobbin techniques were used to examine the sleeves. The rotating plus point probe was applied to the rolled regions and lower sleeve end while the bobbin probe was used to examine the unrolled portion. He rotating pancake technique was used to examine plugs. He following examinations were performed on both Steam Generator 1-1 and Steam Generator 1-2.

              . Fulllength bobbin examination of allin service tubes e     Full length bobbin examination of all sleeves
  • Plus point examination of 20% of the sleeve roll expansions e Plus point examination of all sleeve geometric distortions
  • Plus point and pancake coil examination of 20% of the tube upper roll expansions e Plus point and pancake coil examination of all of the non-stress-relieved tube roll expansions
  • Pancake coil examination of 20% of the tube plugs e Plus point and pancake coil examination of the tubes bordering the sleeve region l
  • Plus point and pancake coil examination of all of the flaw-like indications reported from bobbin
  • Plus point and pancake coil examination of the dent / ding indications to include all those located above the 14* tube support plate and a 20% sample of the remaining population l l

There was one axial indication reported in the top transition of an upper tube roll in one tube in Steam l Generator 1-1. He tube was re-rolled at a location below the original roll. There were four tube end anomaly indications in the upper tube roll of 2 tubes in Steam Generator 1-1 and 3 tubes in Steam i Generator 1-2. Each of these tubes were re-rolled with the exception of one tube in Steam Generator 12 which was plugged. There were two volumetric indications in two tubes in center of the Steam Generator 1-2 tube bundle. Dese indications were utimated by bobbin, plus point and pancake techniques to be very shallow. Rese l tubes were removed from service with roll plugs. l 1 l L__

11 RFO Inservice Inspection Summary Page 7 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commsreid Service Date: 11/27/77 The regi 't in the vicinity of the repaired internal auxiliary feedwater header contained several shallow volumetric suffs and dings attributable to the repair. Plus point or pancake coil confirmed indications in twelve (12) to bes in Steam Generator 1-2 and 11 tubes in Steam Generator 1 1. These tubes were plugged. The central region m both Steam Generators contain small amplitude OD indications attributable to the introduction of service wa:er into the secondary side of the Steam Generators years ago. Twelve (12) tubes in Steam Generator 1-2 and 2 in tubes in Steam Generator 1-1 with confinned indications were removed from service with roll plugs. One tube in Steam Generator 1-2 was pulled from this region and plugged. Steam Generator 1 1 had 5 other confirmed indications and Steam Generator 1-2 had 6 other confirmed OD volumetric indications randomly distributed across the Steam Generator tube area. All of the indications were small amplitude indications and all the affected tubes were removed from service with roll plugs.

                                                         ' There were no flaw-like indications reported in the sleeves or plugs examined in either Steam Generator 1-1 or Steam Generator 1-2.

All periphery tubes in the region of the internal auxiliary feedwater head in both Steam Generator 1-1 and Steam Generator 1-2 were examined for proximity to the secured internal auxiliary feedwater header. All tubes were found to have a gap greater than 0.250 inches. Detailed examination results are contained in the i 1* Refueling Outage Steam Generator Eddy Current Inspection Report which is available for review in Toledo Edison's Records Management System. l

1I RFO Inservice Inspection Summary Pege 8 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 CommercialService Date: 11/27/77 FORM NIS-1 OWNER'S DATA REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules

1. Owner TOLEDO EDISON COMPANY. 300 MADISON AVENUE TOIinO . OHIO 43652 (Name and Address of Owner)
                                                                                 - 2. Plant D AVIS BESSE NUCLEAR POWER STATION, OAK HARBOR, OHIO 43449 (Name and Address of Plant)
3. Unit #1 4. Owner Certificate of Authorization (if required) N/A
5. Commercial Service Date 11/21n7 6. National Board Number for Unit N/A
7. ComponentsInspected MANUAL NDE EXAMINATIONS Manufacturer Component or Manufacturer or installer State or National Appurtenance or Installer Serial No. Providence No. Board No.

REAC. TOR VESSEL BABCOCK & WILCOX 620-0014-51,52 N/A N-156 O'I3 G l-1 BABCOCK & WILCOX 620 0014-59 N/A N-159 CLASS I PIPING BABCOCK & WILCOX VARIOUS N/A N/A CLASS 2 PIPING ITT GRINNELL VARIOUS N/A N/A Note: Supplemental sheets in form oflists, sketches, or drawings rnay be used provided (1) size is 81/2 in. x 11 in.,(2) information in iterns I through 6 on this data report is included on each sheet, and (3) each sheet is numbered and the number of sheets recorded at the top of this form. u______ . . . . . _ _ _ _ _ . _ _ _ . .

Page 9 11 RFO Inservice Inspection Summary Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-1 (back)

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9. Inspection Interval from SEPT 1990 to
8. Exammation Dates MAY 1996 to JUNE 1998 SEPT 2000 l
10. Applicable Editions of Section XI 1986 Addenda E9At
11. Abstract of Examinations. Include a list of examinations and a statement concerning status of work required for current interval.

SEE 1998 INSERVICE INSPECTION REPORT

12. Abstract of Conditions Noted.

SEE ATTACHED

13. Abstract of Corrective Measures Recommended and Taken SEE ATTACIIED Certificate of Authorization No. (if applicable) E/A Expiration Date ElA We certify that the statements made in this report are correct and the examinations and corrective measures taken conform to the mies of the ASME Code, Section XI.

Date 7 j!N Signed TOLEDO EDISON CO. By 6 m CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors and/or the State or Province of OHIO and employed by Protection Mutual Ins. Co.

  • of Park Ridge. Illinois have inspected the components described in this Owners' Data Report during the period MAY 1996 to JUNE 1998. and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners' Data 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, conceming the examinations and corrective measures described in this Owner's Date 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. Date Q  % YtrpuJ M Commissions NB 4'55% k c . National Board, State, Provmce and Na Inspector's SfgrQture

  • FACTORY MUTUAL ENGINEERING ASSOCIATES

II RFO Inservice Inspection Summ:ry Page 10 Toledo Edison Company, 300 Madison Avrnue, Toledo, Ohio 43652 Commercial Service Datet 11/27/77 \ NONDESTRUCTIVE EXAMINATIONS The Nondestmetive Examinations were completed by Toledo Edison and Framatome Tech'n ologies l personnel from May,1996, to June,1998, during Cycle 11 and the Il' Refueling Outage for the Davis- l Besse Nuclear Power Station Unit #1. One hundred ninety six (196) ASME Class I and 2 examinations were completed during Cycle i 1 and the 11* Refueling Outage. His includes 14 augmented and 47

                                                                                                             )
 . preservice examinations.                                                                                  I During Cycle 1I the Class I portions of the High Pressure Injection lines were examined in response to a leak discovered in an un-isolable portion of the High Pressure Injection system at the Oconee Nuclear Power Station. nese 14 augmented examinations are included in the attached table.

The 47 preservice examinations were performed on pipe and component supports. Four of the examinations were the result of modifications while the remaining were performed upon the reinstallation of snubbers following testing. The total number of components for which all examinations have been completed in the Second Ten Year Inservice inspection Interval is 799 or 77 percent of the required examinations. These examinations i complete the examinations required for the first outage in the third period of the Second Inservice f Inspection Interval. One outage remains to complete the examinations for the Second Inservice Inspection interval. i Examination of Class MC components did not indicate any conditions which require reporting in j accordance with 10 CFR 50.55a. l L The nondestructive examinations were conducted in accordance with the requirements of the 1986 Edition of the ASME Boiler and Pressure Vessel Code as described in the Second Ten Year Interval inservice ( Inspection Program Plan.- ne attached tab!e summarizes the examination data for the ASME Class 1 and 2 components. No components exhibited indications exceeding the ASME Section XI acceptance standards. An entry in the PCAQ Number column identifies the Potential Condition Adverse to Quality Report used to evaluate and disposition indications.~ Detailed examination results are contained in the 1998 Inservice Inspection Report which is available for review in Toledo Edison's Records Management System. L l

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11 RFO Inservice Inspecti:n Summary Page 35 Toledo Edison Ccmpany, 300 Mrdison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 i FORM NIS-I OWNER'S DATA REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules 1 1.' Owner TOtrnO EDISON COMPANY. 300 MADISON AVENUE.. TOLEDO . OHIO 43652 (Name and Address of Owner) W

2. Plant DAVIS BESSE NUCLEAR POWER STATION, OAK HARBOR, OHIO 43449 (Name and Address of Plant)
3. Unit #1 4. Owner Certificate of Authorization (if required) N/A
5. Commercial Service Date 11/21m 6. National Board Number for Unit N/A l , 7. ComponentsInspected

! SYSTEM PRESSURE TESTS l Manufacturer l Component or Manufacturer or Installer State or National ! Appurtenance or installer Senal No. Providence No. Board No. CLASS I BABCOCK & WILCOX VARIOUS N/A N/A PIPING / COMP l CLASS 2 11 T GRINNELL VARIOUS N/A N/A ! PIPING / COMP l i I I I I' i l l Note: Supplemental sheets m form of hsts, sketches, or drawmgs may be used provided it) size is 8 t/2 m. x il m.,(2) mformation m stems I through 6 on this data report is meluded on each sheet, and (3) each sheet is numbered and the number of sheets recorded at the top of this form. ( L_______-_-_-_------___--___-_-----__- _ _ - _ - - -

Page 36 11 RFO Inservice Inspection Summary Toledo Edison Comp:ny, 300 Madison Avenue, Tcledo, Ohio 43652 Commercial Service Date: 11/2757 FORM NIS-1 (back)

8. Exammation Dates MAY 1996 to MAY 19.18 9. InspectionInterval from SEPT 1990 to SEPT 2000
10. Applicable Editions of Section XI 1986 Addenda None
11. Abstract of Examinations. Include a list of exammations and a statement concerning status of work required for current interval.

SEE ATTACHED PAGES

12. Abstract of Conditions Noted.

ALL CORRECTIVE MEASURES ARE IDENTIFIED IN THE SPECIFIC TEST PACKAGES AND ARE AVAILABLE FOR REVIEW IN TOLEDO EDISON'S RECORDS MANAGEMENT SYSTEM.

13. Abstract of Correenve Measures Recommended and Taken ALL CORRECTIVE MEASURES ARE IDENTIFIED IN THE SPECIFIC TEST PACKAGES AND
            ' ARE AVAILABLE FOR REVIEW IN TOLEDO EDISON'S RECORDS MANAGEMENT SYSTEM.

Certificate of Authorization No. (if applicable) E/A Expiration Date E/A 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. Date )!/7!f[

              /

Signed TOLEDO EDISON CO. By - CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and/or the State or Province of OHIO and employed by Protection Mutual Ins. Co.

  • of Park Ridge. Illinois have inspected the components described in this Owners' Data Report during the period MAY 1996 to MAY 1998.

and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners' Data 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 er implied, concerning the examinations and corrective measures described in this Owner's Date 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. Date kh@ g .. ono Tyygg h[g Commissions QQ3h k 1b (W. Inspector's 5tgr11turg Nauonat ifuard, State, l'rovmce and No.

  • FACTORY MUTUAL ENGINEERING ASSOCIATES

II RFO Inservice Inspecem Summary Page 37 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 SYSTEM PRESSURE TESTS The following pressure tests were perfonned for Class 1 and 2 components from May,1996, during the 1l' Operating Cycle through the Il'hRefueling Outage which was completed on May 23,1998. Code Case N-498-1 (authorized by Relief Request RR-A15) and Code Case N-522 (authorized by Relief Request RR-B8) were utilized in the perfonnance of these tests. These tests were performed in accordance with ASME Section XI and the Inservice Testing Program and were perfonned on the dates given below. These tests do not include those associated with the repairs / replacements addressed in the Repair and Replacement Section of this report. Test Zone Zone Description Test Type Date Approved COMPONENT COOLING WATER - COMMON TO ALL TRAINS CC003 CCW CTMT Header Hydrostatic 4/18/98 CC004 CCW CTMT P12 Hydrostatic 4/18/98 CONTAINMENT PURGE SYSTEM CV002 H2 And Airbome Radiation Sample Lines From (CTMT Hydrostatic 4/23/98 P71b) CV003 H2 And Airbome Radiation Sample Lines From (CTMT Hydrostatic 4/23/98 P68b) CV004 H2 And Airbome Radiation Sample Lines From (CTMT Hydrostatic 4/23/98 P73b) CV005 H2 And Airbome Radiation Sample Lines From (CTMT Hydrostatic 4/23/98 P74b) CV006 H2 And Airbome Radiation Sample Lines Return (CTMT Hydrostatic 4/23/98 P42b) CONTAINMENT SPRAY SYSTEM CS001 CS Pump 1-1 Suction Hydrostatic 10/27/97 CS002 CS Pump 1-1 Discharge Hydrostatic 10/27/97 CS004 CS Pump 1-2 Suction Hydrostatic 12/2/97 CS005 CS Pump 1-2 Discharge Hydrostatic 12/2/97

11 RFO Inservice Inspection Summary P ge 38 Toledo Edison Company, 300 Mr.dison Avenue, Tcledo, Ohio 43652  ; i Commercial Service Date: II/27n7 Test Zone Zone Description Test Type Date Approved CONTAINMENT VESSEL GAS MONITORING SYSTEM CV007 H2 And Airborne Radiation Sample Lines Retum (CTMT Hydrostatic 4/23/98 P43b) CV008 CTMT Purge Exhaust (CTMT P34) Hydrostatic 6/3/98 CV009 CTMT Purge Supply (CTMT P33) Hydrostatic. 6/3/98 CV022 CTMT Vacuum Bkr(P8a) Functional 4/23/98 CV023 CTMT Vacuum Bkr(P8b) Functional 4/23/98 CV024 CTMT Vacuum Bkr(P8c) Functional 4/23/98 CV025 CTMT Vacuum Bkr (P8d) Functional 4/23/98 CV026 CTMT Vacuum Bkr(P8e) Functional 4/23/98 CV027 CTMT Vacuum Bkr(P8f) Functional 4/23/98 CV028 CTMT Vacuum Bkr(P8g) Functional 4/23/98 CV029 CTMT Vacuum Bkr(P8h) Functional 4/23/98 CV030 CTMT Vacuum Bkr (P8i) Functional 4/23/98 CV031 CTMT Vacuum Bkr (P8j) Functional 4/23/98 CONTAINMENT VESSEL NORMAL SUMP DR001 Station Drainage (CTMT P13) Hydrostatic 6/3/98 CORE FLOOD SYSTEM CF001 Core Flood Tank 1-1 Inservice 4/16/98 CF002 Core Flood Tank 1-2 !aservice 4/16/98 CF004 CFT 12 Fill Line (CTMT P44a) Hydrostatic 6/3/98 CF005 Common CFT Bleed Line (CTMT P47a) Hydrostatic 6/3/98 CF006 CFT 1-1 Fill Line (CTMT P71c) Hydrostatic 6/3/98 CF007 CFT l-1 Discharge To RCS Hydrostatic 5/26/98 CF008 CFT l-2 Discharge To RCS Hydrostatic 5/26/98 CF009 CF And DH Train 1 Injection Lines To R/X Vessel Leakage 5/26/98 CF010 CF And Dli Train 2 Injection Lines To R/X Vessel Leakage 5/26/98 i s

II RFO Inservice Inspection Summary Page 39 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 Test Zone Zone Description Test Type Date Approved DECAY IIEAT & LOW PRESSURE INJECTION DH001 BWST Supply To ECCS Functional 1/9/98 DH002 BWST Common Supply To ECCS Trains 1 & 2 Suction Hydrostatic 1/9/98 DH003 BWST Supply To ECCS #1 Suction Hydrostatic 1/9/98 DH004 RCS Supply To DHP l-1 Suction Functional 5/13/98 DH005 DHP l-1 Discharge Functional 5/13/98 7H006 DHP l-1 Sample Source Hydrostatic 5/4/98 110 DHP l-2 Sample Source Hydrostatic 4/23/98 Dru.. DH Pressurizer Spray Line (CTMT P74c) Hydrostatic 4/20/98 DH012 Refuel Canal Fill (CTMT P49) Functional 6/3/98 DH014 , RCS To DHP Suction Leakage 5/26/98 DH015 RCS To DHP Suction Leakage 5/26/98 DH016 Pressurizer Spray Line Leakage 5/26/98 DEMIN WATER TRANSFER & STORAGE DW001 Demineralize 5d Water Supply To CTMT (CTMT P21) Hydrostatic 6/3/98 EMERGENCY CORE COOLING HIGH PRESSURE INJECTION HP001 HPI Pump 1-1 Suction Functional 11/21/97 HP001A HPI Pump 1-1 Return To BWST Functional 11/21/97 HP002 HPI Pump l-1 Discharge Hydrostatic 11/21/97 HP003 HPI Pump 1-1 And MU Inj To RCS (CTMT P50) Hydrostatic 4/30/98 IIP 004 HPl Pump l-1 Inj To RCS (CTMT P22) Hydrostatic 5/5/98 IIP 005 HPI Pump 1-2 Suction Functional 10/13/97 HP005A HP1 Pump 1-2 Return To BWST Functional 10/13/97 HP006 HPI Pump 1-2 Discharge Functional 10/13/97 HP007 HPl Pump 1-2 Inj To RCS (CTMT P19) Hydrostatic 5/5/98 HP008 HPI Pump 1-2 And MU Inj To RCS (CTMT P20) Hydrostatic 5/5/98 MAIN STEAM SYSTEM MS001A MS Lines Outside Shield Bldg. (Train 1) Hydrostatic 11/14/97 MS001B OTSG l-1 And MS Lines inside Shield Bldg. (Train 1) Hydrostatic 5/26/98 MS002A MS Lines Outside Shield Bldg. (Train 2) Hydrostatic 12/17/97 MS002B OTSG l-2 And MS Lines Inside Shield Bldg. (Train 2) Hydrostatic 5/26/98 MS002C MS Line 2 To AFW 1-1 Hydrostatic 3/9/98 MS003 SG Chem. Cleaning (CTMT P59) Hydrostatic 6/3/98

Page 40 1I RFO Inservice Inspection Summary Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 Test Zone Zone Description Test Type Date Approved MAKEUP & LETDOWN SYSTEM MU001 Makeup (CTMT P14) From Letdown Coolers Hydrostatic 6/3/98 MU002 Makeup (CTMT P54) From Seal Inj Filters To RCP l-1-1 Hydrostatic 6/3/98 MU003 Makeup (CTMT P55) From Seal Inj Filters To RCP l-1-2 Hydrostatic 6/3/98 MU004 Makeup (CTMT PS2) From Seal Inj Filters To RCP l-2-1 Hydrostatic 6/3/98 MU005 Makeup (CTMT P53) From Seal Inj Filters To RCP l-2-2 Hydrostatic 6/3/98 MU006 Makeup (CTMT P56) From RCP Seal Cig To Makeup Hydrostatic 6/3/98 REACTOR COOLANT SYSTEM RC00lb Primary Reactor Coolant System Class 1 Pipe For Leakage 5/26/98 Leakage Test RC003 Sample From Rcs,(CTMT P1) Hydrostatic 6/3/98 RC004 From RCP Seal Cavities To Gas Radwaste,(CTMT P16) Hydrostatic 6/3/98 RC005 Pressurizer Quench Tank To Cire Pump,(CTMT P48) Hydrostatic 6/3/98 RC006 Quench Tank Pump To Quench Tank, (CTMT P41) Hydrostatic 6/3/98 RC007 Drains To RC Drain Tank,(CTMT P32) Hydrostatic 6/3/98 SERVICE WATER PUMPS & PIPING SW005 SW To CAC 1-1 Inservice 5/5/98 SW012 SW To CAC 1-2 Inservice 5/5/98 SW018 SW To CAC 1-3 Inservice 5/5/98

11 RFOInservice laspection Summary Page 41 Toledo Edison Ccmpany, 300 MIdison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 REPAIRS AND REPLACEMENTS The following repairs and replacements on ASME Class 1 and 2 components were performed on Davis Besse Nuclear Power Station Unit #1 since May,1996 which marked the completion of the 10* Refueling Outage and completion of the 11* Refueling Outage in May,1998. The appropriate Code Data Form is attached for each of these repairs. Complete documentation for these repairs and replacements is available for review in Toledo Edison's Records Management System. , MAINTENANCE WORK ORDER # SYSTEM DESCRIPTION 1 96-0139-00 Decay Heat Replaced Hanger 33B-CCB-6-H1 Snubber with Like for Like Replacement. l 1-96-0400-00 Steam Generator Replaced Secondary Manway/Handhole Cover Bolting on J Steam Generator 1 1. I 1 96-0400-01 Steam Generator Replaced Secondary Manway/Handhole Cover Bolting on Steam Generator 12, 1-96-0400-17 Auxiliary Feedwater Replaced Auxiliary Feedwater Header l Bolting on Steam Generators 1-1 and J 1-2. 1-96-0773-00 Containment Vessel Modified spare Emergency Personnel Lock Equalizing Valve and returned to stock. 1-96-0626-28 Reactor Coolant Replaced Hanger 30-CCA-8-H4 Snubber with Like for Like ,! Replacement. 1-96-0626-34 Main Feedwater Replaced Hanger EBB-3-SR24B  ! Snubber with Like for Like Replacement. 1 96-0626-35 Main Feedwater Replaced Hanger EBB-3-SR8 Snubber with Like for Like Replacement. 1-96-0626-37 Steam Generator Replaced Hanger 7-EBB-5-H8 Snubber with Like for Like Replacement. l 1-96-0626-38 Steam Generator Replaced Hanger 7-EBB-5-H10

 ,                                                                   Snubber with Like for Like                               l Replacement.                                             i I

l l l l l

11 RFO Inservice Inspection Summary PJge 42 Toledo Edison Company, 300 M:dison Avenue. Toledo, Ohio 43652 Commercial Service Date: 11/27/77 , MAINTENANCE WORK ORDER # SYSTEM DESCRIPTION 1-96-0626-39 Steam Generator Replaced Hanger 7-EBB-5-H13 Snubber with Like for Like Replacement. 1-96-0626-40 Steam Generator Replaced Hanger 7-EBB-5-H15 Snubber with Like for Like Replacement. 1-96-0626 41 Steam Generator Replaced Hanger 7-EBB-5-H18 Snubber with Like for Like Replacement. 1 96-0626-43 Main Feedwater Replaced Hanger EBB-3-SR26C Snubber with Like for Like Replacement. 1 96-0626-44 Main Feedwater Replaced Hanger EBB-3-SR26D Snubber with Like for Like Replacement. 1-96-0626-45 liigh Pressure Replaced Hanger 33C-CCB-2-H47 Injection Snubber with Like for Like Replacement. 1-96-0626-47 Steam Generator Replaced Hanger 7-EBB-5-H2O Snubbcr with Like for Like Replacement. 1-96-0626-48 Steam Generator Replaced Hanger 7-EBB-5-H23 Snubber with Like for Like Replacement. 1-96-0626-49 Steam Generator Replaced Hanger 7-EBB-5-H25 Snubber with Like for Like Replacement. 1-96-0626-50 Steam Generator Replaced Hanger 7-EBB-5 H32 Snubber with Like for Like Replacement. 1-96-0626-51 Steam Generator Replaced Hanger 7-EBB-5-H34 Snubber with Like for Like Replacement. 1-96-0626-54 Auxiliary Feedwater Replaced llanger 6C-EBB-4-H9 Snubber with Like for Like Replacement. 1-96-0626-59 Low Pressure Replaced Hanger 33B-CCA-6-li5 Injection Snubber with Like for Like Replacement. 1-96-0626-60 Main Steam Replaced Hanger EBB-1-SR4 Snubber with Like for Like Replacement o

II RFO Inservice inspection Summary Page 43 Tolcdo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27n7 MAINTENANCE WORK ORDER # SYSTEM DESCRIPTION 1-96-0626-62 Low Pressure Replaced Hanger 33B-CCA-6-H6 Injection Snubber with Like for Like Replacement. 1-96-0626-63 Core Flood Replaced Hanger 33B-CCB-5-II3 Snubber with Like for Like Replacement. 1-96-0626-64 Core Flood Replaced Hanger 33B-CCB-5-H4 Snubber with Like for Like Replacement. 1 96-0626-65 Core Flood Replaced Hanger 33B-CCB-5-H6 Snubber with Like for Like Replacement. 1-96-0626-66 Core Flood Replaced Hanger 33B-CCB-5-H5 Snubber with Like for Like Replacement. 1-96-0626-67 Decay Heat Replaced Hanger 33C-CCA-4-H10 Snubber with Like for Like ] Replacement.

                                                                                             )

1 97-0650-06 Main Steam Replaced Hanger 3A-EBB-1-H4 Snubber with Like for Like Replacement. 1-97-0650-07 Main Steam Replaced Hanger EBB-1-SR19 Snubber with Like for Like Replacement. 1 97-0650-08 Main Steam Replaced Hanger EBB-1-SR19 Snubber with Like for Like Replacement. 1-96-0650-15 Decay Heat Replaced Hanger 33B-GCB-1-H22 Snubber with Like for Like Replacement. 1-96-0650-17 Decay Heat Replaced Hanger 33B-GCB-1-H43 Snubber with Like for Like Replacement. 1 96-0650-18 Decay Heat Replaced Hanger 33A-HCB-1-H4 Snubber with Like for Like Replacement. 1-97-0650-19 Main Steam Replaced Hanger EBB-1-SR47 l Snubber with Like for Like I Replacement. I 1

I1 RFO Inservice Inspection Smumary PJge 44 . Tcledo Edison Company, 300 Madison Avenue, Tolldo, Ohio 43652  ! Commercial Service Date: 11/27/77 MAINTENANCE WORK ORDER # SYSTEM DESCRIPTION l 97-0650-21 Main Steam Replaced Hanger EBB-1-3-H3 l' Snubber with Like for Like Replacement. 1-96-0650-24 High Pressure Replaced Hanger 33C-CCB-2-H36 Injection Snubber with Like for Like Replacement. 1-97-0650-26 Main Steam Replaced Hanger EBB-1-SRI Snubber with Like for Like Replacement. 1-97-0650-27 Makeup & Replaced Hanger 31-CCA-18-H6 Purification Snubber with Like for Like Replacement. 1-97-0650-28 Main Feedwater Replaced Hanger EBB-3-SR21 Snubber with Like for Like Replacement. 1 97-0650-29 Main Feedwater Replaced Hanger EBB-3-SR21 Snubber with Like for Like Replacement. 1-97-0650-30 Main Feedwater Replaced Hanger EBB-3-SR23 Snubber with Like for Like Replacement. 1-97-0650-31 Main Feedwater Replaced Hanger EBB-3-SR23 Snubber with Like for Like Replacement. 1-97-0650-33 Core Flood Replaced Hanger 33B-CCB-5-H1 Snubber with Like for Like Replacement. 1-97-0650-34 Decay Heat Replaced Hanger 33C-CCA-4-H7 Snubber with Like for Like Replacement. 1-97-0650-35 Steam Generator Replaced Hanger 7-EBB-5-H6 Snubber with Like for Like

                                                                                                    'l Replacement.

7-95-0355-10 Containment Vessel Replaced Containment Vacuum Relief Isolation Valve CV5077. 1 97-0650-37 Main Steam Replaced Hanger EBB-1-SR4 Snubber with Like for Like Replacement j 1-97-0650-40 Main Stearn Replaced Hanger MI170/H12 Snubber with Like for Like Replacement 1 97-0650-45 Auxiliary Feedwater Replaced Hanger MI155/H6 Snubber l with Like for Like Replacement i

11 RFO Inservice Inspection Summary Page 45 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 MAINTENANCE WORK ORDER # SYSTEM DESCRIPTION 1-97-0654-10 Main Steam Replaced Hanger EBB-1-SR4 Snubber with Like for Like Replacement 1-97-0654-13 Steam Generator Replaced Hanger MI147/H4 Snubber with Like for Like Replacement 1-98-0040-00 Reactor Coolant Repaired Thermowell RC03A3 seal weld. 2 94-0019-02 Decay Heat Drilled relief hole into DH64 valve wedge. 2-97-0019-02 Steam Generator Rerouted secondary sampling and blowdown piping on Steam Generator 1-1. 2-97-0019-04 Steam Generator Rerouted secondary sampling and blowdown piping on Steam Generator 1-2. 2 97 0019-05 Steam Generator Removed snubbers from hangers EBB-5-3-H2, EBB-5-3-H3, and EBB-5 H4 and replaced with struts. 2-97-0068 01 Decay Heat Modified supports on Decay Heat Coolers 1-1 and 1-2 and modified Anchors A059 and A060. 3-96-4610-01 Decay Heat Replace bonnet nut on valve BW26. 3-96-4642-01 Reactor Coolant Refurbished and tested Pressurizer Code Safety Valve RC-13A. 3-96-4805-01 Reactor Coolant Refurbished and tested Pressurizer Code Safety Valve RC-13B. 3-98-2415-01 Reactor Coolant Replaced Reactor Coolant Pump 1-2 Seal Cartridge. 3-98-5078-01 Reactor Coolant Replaced Pressurizer Code Safety Valve RCl3A and outlet flange bolting. 3-98-5079-01 Reactor Coolant Replaced Pressurizer Code Safety Valve RCl3B and outlet flange bolting. 3-98-5556-01 Main Steam Replaced Main Steam Safety Valves SPl7A2 and SPl7A7. 7-95-0355-09 Containment Vessel Replaced Containment Vacuum Relief Isolation Valve CV5072. 7-97-0580-03 Main Steam Replaced Main Steam Safety Valve SPl7B7 and flange bolting.

11 RFO InserviceInspection Summary Page 46

                             ' Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77
                               . MAINTENANCE WORK ORDER #                                                           SYSTEM                                                                 DESCRIPTION l

Framatome Task 5.2 Steam Generator 1-1 Plugged Tubes and stabilind following Eddy Current Testing Framatome Task 5.2 Steam Generator 1-2 Plugged Tubes and stabilized following Eddy Current Testing Framatome Task 5.2 Item #11 Steam Generator 12 Remote Weld Tube Plugging After Tube Pull.

                               .2-97-008-01                                           Main Steam                                                                                Replaced disc, drilled out valve body 2-98-0013-01                                                                                                                                    holes and installed heli-coils, repaired 3-98-4519-01                                                                                                                                    valve body bore, and replaced bonnet bolting on Main Steam Isolation Valve MS100.

Welding Services Inc. Main Steam Repaired by welding and machined Main Steam Isolation Valve MS100.

11 RFO Inservice Inspection Summary Page 47 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77

                                                                                                                                                                                                                                       ~

FORM NIS-2 / NR-1/ NVR4 OWNER'S REPORT FOR REPAIRS OR REPl.ACEMENTS

                             ~

As Required by the Provisions of the ASME Colle Season XI I .

1. Owner _  :

Toledo Edison Co.m. n. nany 'Date e/13ss

                              -300 Madison Ave.. Toledo. OH m'M

__ ~ Sheet 1 of 1 l I 2. Plant _ Davls-Besse a N"Mc -. ==C~i -

                                                                                                                                         #
  • Onit #1 l

5501 N. SR 1aOa.k == Harbor. OH 43M9 MWO 1-964139-00 nepas t-- 1 mon P.o. No, Job No., etc. l 3. Work Performed By Tole,do,, Edison Comnanv Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. as 20 Expiration Date 7-17 98 {

4. Identification of Systems D.Hlcooler # 1 Discharoe to RCS 33B-CCB 6-H1 (A-79)
5. (a) Applicable Construction Code ANSIB31.1 Edition 19 SI Addendum H% Code Case N/d' (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITTGdnnell i 6. Identification of Components Repaired or Replaced and Replacement Components i

i Mame .( Ceepenent tiene .f tianufacturer i tianufacturer'. Blat 1.nal other Year Repair.4 Replac.d [ Serial No. 3.ard Iso. Identification / puilt .r R. placement ASMr. Juri.dictl.nal NO. Cod. St.ap.d l j Snubber ITT Grinnell 17220 N/A A-79 N/A Replaced i Snubber ITT Grinnell WA 13262 N/A A-79 1

                                                                                                                                                                                                . N/A       Replacement         N/A il l

l I i

7. Description of Work l IIT Grinnell hydraulic anubber S/N 17220 was removed and replaced with a like forlike snubber S/N 13262-l Replacement snubber was rebuilt under MWO 7-91-0409 02. Snubber was functionally tested satisfactory l prior to installation.

i l

                                                                                                                                                                                                                             'A%,

l i

8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A psi

  • Test Temperature N/A 'F Pressure" Relief Valves: ~

Service N/A Size N/A Opening Pressure N/A ' Blowdown (if applicable) N/A

   ,.                     ,a         Set Pressure and Blowdown Adjustments,Made Using                                                                N/A at N/A                                                                                                                                               iv-.

moni su,pt t. in th. s.r .e laats .k.tehen, er dr. wine.e iui l

e. tat .h h 6 y b. u d, pr.v a. eur.ds and sa th.in.2:
     . cmas.r       ta s. An.se,                                  this r.p.rt 1. includ.d .a .e.h .h t, and W .ach .id.d                                                                    ed 20-11/4* NUTS                  VARIOUS                       NA             NA                NA                 NA 1

REPLACEMENT No i 20-11/4* STUDS VARIOUS NA NA NA NA I REPLACEMENT No 241

  • NUTS VARIOUS NA NA NA NA RGPLACEMEl(I No 23-1* STUDS VARIOUS NA NA NA NA REPLACEMENT N2
7. Description of Work REMOVED SECONDARY STEAM GENERATOR MANWAYMAND HOLE COVERS. REPLACED SEVERAL STUD $ AND NUTS THAT WERE STUCK DuRING THE REMOVAL. INSTALLED NEW GASKETS AND ToRoWED COVERS. PERFORMED A VT 2 INSERVICE AFTER INSTALLATION.
 *CC 13324 ANo 14074

! 8. Tests conductod: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (YES) Other (NO) l Pressure NOP psi Tost Temperature NOT .p Pressure Relief Valves: l r Service. NA Size NA Opening Prossure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Using NA

                                                                                                             .       e.,

at, NA aue Notes supplemental sheets in the form of lists, sketches, or drs= rings may be used, provided (11 site is 8% st 11 in, it) Informative number in items of shoots 1 through is recordec 5 on at the this top of report is included on each aboet, and (3) each sheet is numbered and the this form.

11 RFO Inservice inspection Summary Page 50 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43632 Commercial Service Date: 11/27/77 FORM NIS-2 /NR-1/m".M-

s. nessAnscs ****'* 6"ad***** D== r=== = 6. ammed fWA CERDRCATE OF COMPLIANCE We certify that the statements made in the repott are correct and this replaemment conforms to the nJles of the ASME Code Section XI.

Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date 7*17 88 Signed ,

                                 !                  L            NucleaM & Inapecten Manager Date                                   19 Y o n. -

CERT 1RCATE OFINSERVICE INSPECDON 1, tie undersigned, holdng a valid commission issued by the Nanonal Board of Boiler and Pressure Vessel Inspectors in the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridae. tilinds have inspected the components described in this Owner's Report during the period 4 SolMto Lf14R , and state '

tiat to the best of my knowledge and belief, the Owner has performed examinations and'taken oorrective 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, concoming the examinations and corrective measures described in the Owner's Report. Furthermore, neHher the inspector nor his employer shall be liable in any manner for any personalirqury or property damage or a loss of any kind arising from or connected with this inspectiort Nhu $ Inspe'c '

                  ~                                             48 Commissions I paio                                                                               M.

ors Sagnature - G Natmal BoeM, State. Province and Endorsemeras CERDRCATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section lil of the ASME Code arx! the National Board rules as defined in publications ND45 and NS 102, current editions. Certificate of Authorization No. 316 to use the 'VR* stamp expires Dec.13 19 9.0_,,, Certificate of Authorization No. 20 to use the 'NR' stamp expires July 17 19L, Nuclear Safety & . Date 19 . Signed Toendo Edison inspection neanager n pee us.m iem ame,u.e mp,. mew. 1m. CERURCATE OFINSPECTION ( l, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors, and certificate of competency issued by the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridae, minois have inspected the repair, modification, or replacement described in this report on 19_ and state that to the best of my knowledge and belief, this repair, modif. cation, or replacement has been made or constructed in accordance with Section XI and SecGon 111 of the ASME Code and the National Board rules as defined in the publication NB45 and NB-102, current editions.

By signing this certificate, neither the trapector nor his employer makes any warranty, expressed or irnplied, concoming the repair, modifica0on or replacement described in this report. Furthermore, melther the inspector nor his employer shall be { i liable in any manner for any personalirjury or prope1y damage or a loss of any kind arising from or connected with this inspectiort I Commissions Authoti2pd Inspector's Signoture Dale National Board. State, Province and Endorsemerse

  • Factory Mutual Engineering Associgion I

11 RFO Inservice Inspection Summary Page 51 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 / NR-1/ ""/". tOWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI l l 1. Owner Toledo Edison comoany Date 5/27/98 a _J00 Madhon Ave . Toledo. OH 43652 Sheet 1 of 1 a

2. Plant Davis-Besse Nuclear Power Station Unit a1 5501 N. SR 2. Oak Harbor. OH 43449 MWO# 1-96-040041 a

n.p.e oremanen en me, Joe me, .m.

3. Work Performed By Toledo Edison Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 ae Expiration Date 7-17-98
4. Identification of Systerns STEAM GENERATOR 1-2 SECONDARY HANDHOLE/MANWAY BOLTING
5. (a) Applicable Construction Code ASMElit C12 Edition to SR Addendum jifa Code Case *,

(b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Desigt s ' responsibilities BABCOCK & WILCOX

6. Identification of Components Repaired or Replaced and Replacement Components Came of Conponent Name of Manufacturer Manufacturer's National other Year Repaired ASME Serial NO. Board 380. 2 identification / Duilt Replaced or Code Jurisdictional 180 Replacement Stamped 4-1 1/4" NUTS VARIOUS NA NA NA NA REPLACEMENT No 4-11/4" STUDS VARIOUS NA NA NA NA REPLACEMENT No 24-1
  • NUTS VARIOUS NA NA NA NA REPLACEMENT No 24-1* STUDS VARIOUS NA NA NA NA REPLACEMENT No
7. Description of Work REMoVLD $EcoNDARY STEAM GENERATOR MANWAY/ HAND HOLE COVERS. REPLACED SEVERAL STUDS AND MrTS THAT WERE stuck DURING THE REMOVAL, eNsf ALLED NEW GASKETS AND TORQUED COVERS. PERFORMED A VT-2 INSERVICE AFTER ins 7ALLATION.
 *CC 1332 4 AND 1407-1
e. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (YES) Other (NO)

Pressure NOP pst Test Temperature NOT .p Pressure Rehet Valves: Service NA Si2e NA Opening Pressure NA Blowdown (if apphcable) NA Set Pressure and Blowdown Adjustments Made Using NA

                                                                                                                    ..e at NA e-      e HofEs supplemental sheets in the form of lists, sketches, or drawings sney 1.e used, provided (11 mise in tw a 11 in.

136 1ssternat6en nuadser of sheetsinisitems a through recorded at the6 top on this report of this is incitMied on each sheet, aind (3) each sheet is numbered and the form.

11 RFOlnservice Inspection Summary Page 52 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/2797 FORM NIS-2 /NR-1/MYf44-

                                                                                                                                                                                           . Dem Hopen m 6. Amn.d
9. REMARKS WA CERTIRCATE OF COMPl. LANCE We certify that the statements made in the report are correct and th!s replaemment confonns to the rules of the ASME Code section XI.

Type Code Symbol NR Cert 5cate of Authortza6on No. 20 Expiration Date 7'1N Signed i Nuesear saw & inspeceen Manager Date N 19 Y

                                                                                                                 . ~ . -

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the Na6onal Board of Boiler and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutual

  • of . Park Ridos. tilir>ois ,

have inspected the components described ir, this Owners Report during the period 4IMl@ to 5129 MR, and state that to the best of my knowledge and belief, the Owner has perfonned examinations and talen correcthle missures described in this Owners Report in accordance wit's the requirements of the ASME Code, Seceon XI. By signing this certificate, neither the inspector nor Ns employer makes any warranty, expressed or implied, concoming the exarninations and corrective measures desenbod in the Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising frorn or connected with this inspection. hO Inepectors Sagnemure Q b48 Commissions 4Bq3sd 'rk ,[A' 8 Dae D. National Board. Stae, Provmco and Endornaments CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Sec6on XI and Section lit of the ASME Code and the National Board rules as defined in publications NB-65 and NS 102, current editions. Certificate of Authorization No. 316 to use the "VR' stamp expires Dec.13 .te L Certificate of Authorization. No. 20 to use the 'NR* stamp expires. July 17 _1 g_gq_, Nucisar Safety & Date 19 Signed Toledo Echon inapection Manager me ors. numb.n aunau.4 my . um. CGTIFICATE OF INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel Inspectors, and certificate of competency issued by the State or Province of N and employed by Protection Mutual

  • of Park Rados,liknois have inspected the repair, modification, or replacement described in this report en 19_ and state that to the best of my knowledge and belief, this repair, modifica6on, or replacement has been made or constructed in accordance with Sec6on XI and Section lit of the ASME Code and the Na6onal Boa d rules as defined in the publication NS45 and NB-102, cunent editions.

By signing this certificate, neither the inspector not his employer makes any warranty, expressed or implied, concoming the repair, modification of replacement described in this report. Furthermore, neither the Inspector nor Na employer shall be liable in any manner for any personal injury or property damage of a loss of any kind arising from or connected with this inspection. Commissions Authenzod laspector's Signature Date National Board, State. Provmco .and Endorsements

  • Factory Mutual Engineering Association

I1 RFO Inservice inspection Summary Page 53 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/2707 FORM NIS-2 /NM /MVM 4-OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisbns of the ASME Code Section XI

1. Owner Toledo Edison Comenny Date 5/2C/98 n

300 Madison Ave.. Toledo. OH 43652 Sheet 1 of 1

a. Plant Davis-Besse Nuclear Power Station Unit e1 5501 N. #9 2. Oak Harbor. OH 43449 MWO# 1-96-0400-17 a e=

n.pu one numen p.a me, Joe ne, a

3. Work Performed By Toledo Edison Company Type Code Stamp N9 5501 N. SR 2. Oak Harbor. OH 43449 Authorization NO. 20 m

Expiration Date 7-17-98

4. Identification of Systems E-24-1&2 AUXfLIARY FEfDWATER HEADER STUD / NUT REPLACEMENT
5. (a) Applicable Construction Code ASME 111CL2 Edition 19 $1 Addendum SES Code Case *

(b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities B ABCOCK AND WILCOX. FRAMATOME TECHNOLOGIES INC.

6. Identification of Components Repaired or Replaced and Replacement Components Name of component Name of Manufacturer Manufacturer's Stational other Year Repaired AOS serial NO. Board 100. Ide3%1tication/ Built Replaced or Code Jurisdictional No. Replacement stamped NUTS 1'-8-UNC NOVA VARIOUS NA NA NA REPLACEMENT No STUDS 1" -84JNC NOVA VARIOUS NA NA NA REPLACEMENT No
7. Description of Work RCM. ACED AUXIUARY FEEDWATER HEADER STUDS AND NUTS As FoUND DURING DISASSEMBLY. WORK WAs PERFORMED B7 FRAM AToME TECHNOLOGIES INC. PER process TRAVELER so-1231s79940. FRAMAToME TECHNOLOGIES COMPLETED NR-1 FORM FoR CoMPLET1oN oF THis WORK.
  • CC-1332 4,14071.
8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (YES) Other (NO)

Pressure NOP psi Test Temperature NOT op Pressure Relief Valves: Service NA Size NA Opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Using NA at NA NoTsi supplemental sheets in the f orm of lists, sketches, or drawin may be used, provided (1) size is 0% x 11 in. (3) Information number in items of sheets a through is recorded 6 on at the topthis report of this is included on each abeet. and (3) each sheet is museered and the form.

11 RFO Inservice Inspection Summary Page 54 Tolido Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2.9" t !'"'" *

9. REMARKS **""* D"* h*PWW W b. Armeh.d NfA l

CERTIFICA1E OF COMPUANCE i We certify that the statements rnade in the report are correct and this replacarnant conforms to the rules of the ASME Code Section XL Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date 7 17-98 , Signed , Nuclear Sarey & Inspecean Manager Date 19 N w- .~. o , CERTIFICATE OF INSERVICE INSPECTION t, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protectior: Mutual

  • of _ m Pi rk Ridae. tilir ois a have inspected the components described in this Owners Report during the period 31M % to (o %I9h, and state that to the best of my knowledge and belief, the Owner has performed examinations and ta con correctivo measures described in this Oivners 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, concoming the examinations and corrective measures described in the Owners Report. Furthertrere, 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 as inspen.

                                )                             ,                                                        ..     ..               .

tan 11 Inspector's 6ignature -4fdL.- b b Commissions & NI A' O - Q ' I Mte Nauonal Board, State, Province and Endorsements CERTIFICATE OF COMPUANCE We certify that the statements rnade in this report are correct and the repair, modification, or replacement of the pressure

                                                                                                                                                            )

relief device described above conforms to Section XI and Section lli of the ASME Code and the National Board sules as defined in publications NB-65 and NB-102, current editions. Ceritficate of Authorization No. 316 to use the *VR' stamp expires Dec.13 19JLe, . Certificate of Authorization No. 20 to use the *NR* stamp expires MV 17 -19 L Nuclear Safety & Date -19 Signed Toledo Edisor. Inspecnon Manager me e n amena.a mp w. 1a. J CERTIFICATE OFINSPECTION I {

       , the undersigned, holding a valid cornmission issued by the National Board of Boller and Pressure Vessel inspectors, and certificate of competency issued by the State or Province of             Ohio    and employed by      Protection Mutual
  • of Pe* Moe, minois i have inspected the repair, modification, or replacement described in this report on
                           - 19_ and state that to the best of my knowledge and belief, this repair, modification, or replacement has t>een made or constructed in accordance with Section XI and Section 111 of the ASME Code and the National Board rules as defined in the publication NB-65 and        '

NB-102, current editions. l By signing this certificate, neither the inspector nor his ernployer makes any warranty, expressed or implied, concoming the repair, modification or replacement Jescribed in this report. Furthermore, neither the inspector nor his employer shall be l liatAe in any manner for any personal triury or property damage of a loss of any kind arlsing from or connected with this inspect ott Commissions Authonzed inspector's Signature Dale Nahonal Board, State. Prov6nce and Endorsements

  • Factory Mutual Engineering Association

II RFO Inservice Inspection Summary PJge 55 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 i Commercial Service Date: 11/27/77 l l l ! FORM NR-1 REPORT OF REPAIR MODIFICATION OR FSTAI LATION OF REPLACEMENT (S)[ TC$ NUCLEAR COMPONENTS AND SYSTEMS IN NUCLEfMI PCWER PLANTS l 1. Work performed by Fe smetome Technologies Inc. T.E. Coeurset IM605600092 .Tesk 9.0 item (7 (name of orGeruzeuon) (PO no., job no. etcJ 3315 Old Forest Rood tvnehburo. VA 24502 Laddress)

2. Owner Toledo Edison Company (nome) 300 Medison Avenue. Toledo . Ohio 43652  ;

(address)

3. Neme, address and identification of nuclear power plant Devis-Besse Nuclear Power Station 5501 N. SR 2. Ook Harbor Ohio 43449
4. System Steem Generefor FE24-1 .

l

5. e. component repaired, anodified or replaced Auxiliarv Feedwater Heeder Stud 1 Nut Roolacement b: Name of manufacturer f 21 Bebeock and Wilcor Comoenv. f 31 Frematome Technologies c: Identifying numbers 620-0014-55-12 158 N/A N/A 1972 imdr.'s sensi neJ (Nat'L Bd. No.1 E " noJ loeist) (year buirt) d: Construct:en Code ASME 1968 ED 5. 68 Add 1332-4,1407-1 N/A (nemo/secten/dwision) (edmoni (oodende) (Codes GeestsH (Code Claul l i

1 1986

6. ASMC Code Section XI applicable for inservice inspection: No No 4editen) (addendel (Code Ceeestsi) l
   */ . ASME Code Section XI used for repairs, modifications, or replacements:                            1986                       No                     No            i (editioni                    leddende)            (Code Casestsu
8. Construction Code used for repelrr, enodifications, or reptocements: 1986 No No _

tedmont leddendal (Code Casestsu

9. Design responsibilities 17] Bobrock and Wilcox Comnenv. f 31 Frematome Technologies Inc.
10. Test conducted: 111 hydrostatic O pneumatic O design pressure O pressure poi. Code Cosets)
11. Desenption of work Rentece Auxiliary Feedwater Header Stmh and Nuts as found durina disessembiv. See Process Treveler (use of property identified addttional sheet (s) or sketchleal is noceptablel 5012318799 00 for B Steam Generator locations. Additionenv. ese OCIR 98-378 for acceptance of owner sucofied materief.
12. Revnerks:

f11= Owner. f 21= Orioinal Manufacturer. (31= Manuf acturer of replacement certs The materialidentified above has been certified by the criainst manuf acturer es meetina the enoliesble code requirements and are interchenaeoble with the criairget eouipment supolied. Note: Effective Dec. 15.1995 the BWNT Name was efficielty chanced to Fremotome Technologies Inc. CERTIFICATE Of COMPLIANCE 4, Victor P. Montelbene ceruty that the statements snede in1his report are oestect and the repair, modification er repiecernent of the itema described ebeve conforme to Section XI of the ASME Code and to the National Board bspection Code ANR@ rules. National Bosed Coftsfication of Authorization No. C4 t NR$ expires Mov17 22QQ Date Hey 1 .19L Sion Fremotome Technotonies Inc. a - O A/0C Superv6sor (name of repair ergentration Vetor f. Montalbanoleuthertrod personnel) itatle) CERTIFICATE OF INSPECTION t, Thomes L spe . heading a valid commission issued by The National Board of Boiler and Psoseure Vessel inspectors, and eartifmete of competency leaved by jurlediction of Ohio end employed by Protection Mutuel Inc. Co.

  • of Port f%dae Ill have Inspected the repair, modification er repieceenent described in thle report on (Wid f ,1998 and state that to me best of my knowledge and belief, this repair, modifmetion er replacement has been made er eenstructed in accordance with Section XI of the ASME Code and the National Board inspection Code ANR$ rules.

By signing this eertifeste. neither the undersigned nor my employer makes any warranty, expressed or implied, conoemin0 the repair, snodification er at d.=,ibed in ihi. repect. Furtherrnore, neither the inspector not his employer shall be Sable in any menner for any personal Onjury of peeperty d.meo. er e io.e ef en, und .ine i,em o, conn.cted with ini. inspecuan.

                                                                                                                                                    .. ., m oote Mwr                  . on sien.d          Yemva dl A)svt                                                      Co,mm.sion. AM330 4IC
                                                                             ' Q                                           iN.uenei no.ed fence .ndors.msnesi, and f

juriodstion, and no.1 oWO e Factory Mutual Eng. Assoc.

\ 11 RFO Inservice Inspection Summary Pzge 56 Tol do Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 f l Commercial Service Date: 11/27/77 1 FORM NR-1 REPORT OF REPAIR MODIFICATION OR INSTALLATION OF REPLACEMENT (S)[ - TO NUCLEAR COMPONENTS AND SYSTEMS IN NUCtEAR POWER P[ ANTS Fremotome Technologies (ne. T.E. Contreet #C605600091.Tesk 9.0 item F7

1. Work performed by (nome of orgeruzetaord (PO no., job no. etc.)

3315 Old Forest Road b..v. buro. VA 2d502 (ed:fres,s)

2. Owner Toledo Edison Company (namel 300 L'--:-n Av: ==. Toledo . Ohio 43652 (address)
3. Neme, address and identification of nudeer power plant Davis-Besse Nuclear Power Station 5501 N. SR 2. Ook Harbor. Ohio 434d9
4. System Steam Generator #E24-2
5. a. component repaired, rnodified or replaced Aurifierv Feedwever Heeder Stud f Nut Reelecament b: Name of enanufacturer f 21 Babcock and Wileor Company. f 31 Frematome Technologies c: Identifying nurnbers ,620-0014-55-11 159 N/A N/A 1972 shatt Bd. No.) L . 'noJ tother) tyear budt)
                 ,                             emer.'s sensi no.3 1968 CD                              S. 68      Add                      1332-d.1407-1                             N/A d: Construction Code ASME                                                                              (oddendel                                (codes ca etsla                (Code class)

Inameteect.on/devisient tednaans ASME Code Section XI applicable for inservice inspection: 1986 No No 6. tedhiord (addendal (Code Casests)) ASME Code Section XI used for repairs, modifications, or reptocements: 1986 No No 7. fedasord (addendal (Code Cases (s)) Construction Code used for repairs, modifications, or replacements 1986 No No 8. leddsont toddendel (Code Cases (sil S. Design responsibilities f 21 Babeeck and Wilcox Companv. f 31 Frematome Technologies Inc.

10. Test conducted: [1] hydrostatic O pneumatic O desion pressure O pr ure pai. Code Cosets)
11. Description of work Reolece Auxiherv Feedwater Header Stude end Nuts es found durino disaseembiv. See Process Treveler twee of property identified additaonal sheet (s) er sketch 4eelis acceptabiel
                  $04 2318799-00 for A Steam Generator locations. Additionativ. see OCIR 98-376 for oceeptance of owner supolied meterlef.
12. Remarks:

fil= Owner. f 21= Orioinal Manuf acturer. [31= Manufacturer of roofecement parts The rnaterial identified M+s has been certified by the crioinal manuf acturer as meetino the ecolicable code requirements and are interchenoeeble with the oriainaf eauipment sunolied. Notr Effective Dec. 15.1995 the BWNT Name was officially chanced to Frematome Techno'coies Inc. CERTIFICATE OF COMPLIANCE 4, Victor P. Montalbano certify that the statements made in this report are correct and the repair, modification or replacement of the itema descdbed above conforme to Section XI of the ASME Code and to the National Board inspection Code ANR$ rules. Netional Board Certification of Authorization No. fM to use the ANR$ etemp up May 17 2g00 Q A/OC Supervisor Date Mov 1.19L Sign Fremstome Techteloeies Inc. _df - ineme of repair ergenizationi Victor P. Montelbano teuthortred personnell (titial CERTIFICATE OF $NSPECTION L homes taes , holdine e valid commiselon issued by The National Board of Beret and l'ressure Vessel Inspectors, and certificate of competency issued by jurledicteon of Ohio and employed by Protection MutuelIns. Co.

  • of Peek Ridoe ti have inepected the repair, snedefication er . descraped in this report on IDAT 'I .1998 and state that to the best of my knowtedge end belief. thle repair, snodeficatson or roptocement hoe been made et constructed in eocord'ents with Section XI of the ASME Code end the Netsonal Board inspection Code ANA@ rules, By signme this certificate, neither the undersi 0ned nor my employer makes any warranty, empreseed er implied, concoming the sopeir, modification er replacement described in this report. 74. , neither the inspector nor his eenployer she# be Emble in any scanner for any personal kQury or property demece or e lose of any kind arisine from er connected with this inspection.
                                                                                                                                                                                           .. , as e ea Date MM[ 6                 .19M Segned            MWh.4-              r                                                      e                                _- Ni30           NEA
                        '                                                             O                                                        (National Board (inci endorsements, and jurtedicuan, and no.:                              OMO
  • Factory Mutual Eng. Assec. CtMR.

11 RFO Inservice Inspection Summary Page 57 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 /AsNR-1/ "!R ' OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS Required by the Provisions of the ASME Code Section XI

1. Owner _.. Toledo Edison {0,moany Date 12#196 300 Madison Avgoledo. OH 43652 Sheet 1 of 2
2. Plant Davis-Besse n. Nucl.
                                                      . ear Power Station                  Unit           #1 5501 N. SR 2. Oak mm Hartor. OH 43449                                        MWO# 1-96-0773-00 R.past Ogaruzation P.O. No., Job No., etc.
3. Work Performed By _ Toledo Edison Company
m. Type Code Stamp NR 5501 N. SR 2.mOak. Harbor. OH 43449 Authorization No. 20 Expiration Date - 7-17 9a
4. Identification of Systems EMERGENCY PERSONP(EL LOCK EOUAUZING VALVE (P80)
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 M Addendum M Code Case M (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities NELES.JAMESBURYCORP.
6. Identification of Components Repaired or Replaced and Replacement Components n or e p.n..e u .t manut.cture uru's u tion.
g. ,vg n.gir.4m.pa.e.4 g Juri.41ction. NO. St p.6 2* BALL VALVE NELES4AMESBURY NA NA NA UNK REPLACEMENT NA
7. Description of Work VALVE (STOCK CODE # 323473) WAS MODIRED PER FPR 964773401. MODIRCATION CONSISTED OF CUTTING TWO INCHES OFF THE DISCHARGE END OF THE VALVE. VALVE WAS THEN PRESSURE TESTED AT
                                            ~

MINUTES WITH ZEric SEAT LEAKAGE NOTED. VALVE WAS RETURNED TO WAREHOUSE AS A UK REPLACEMENT SPARE.

8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (YES)

Pressure se psi Test Temperature NA *F Pressure Relief Valves: Service _ NA Size __. NA Opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Using NA at NA iv ,

             .ms.     ..p,2    ...i .    .t. i. <s. .. ., ii.t..                           '
                                                                               ., 4,..i.

n'*C !*".'".il*L*.l't,*M.; *" al' '1"' ".s.t.s... '"**"*' *" *"" *. 7. ,, i. 0

                                                                                                    <> > .i.. i. .. . i t io .""'"'""*"'"""*""""''"*<2,  '

I1 RFO Inservice Inspection Summary Page 58 , Toledo Edison Company, 300 Madison Avinue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77

                                                                                                                                                                    ~
                                 -            ~                    ~                                                                                                      ~~

f '--FORM Ni$:27N517#. n-i f 9. REMARKS Appacabie Manufacturers Data Reports to be Anached N/A CERDFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this rentacement conforms to the rules of the ASME Code Section XI. Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date 7-17-98 Signed , Nuclear Safety & inspection Manager Date Det . 3 19 96-Owner or Owners Desipee, Title

                                                                /

CERTIFICATE OFINSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors in the State or Province of chin and employed by prae.,eian uuenor a of park nun, minoin have inspected the components described in this Owners Report during the period NCN.14.Vfdo IR 3 W1L and state that to the best of my knowledge and belief, the Owner has performed examinations and take'n corrective nisasures described in this Owners 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, conceming the examinations and corrective measures described in the Owne.fs 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.

                                                                                                                                                         ..           cato M ,ua S                                              11   3l%        Commissions dE 4"Md                  4.. .T      A *'       ec m .

inspeitore senature Q Da e Netonal Board.' state, Province and Endorserneras CERUFICATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section til of the ASME Code and the National Board rules as defined in publications NB-65 and NS-102, current editions. l Ceritficate of Authorization No. 316 to use the 'VR' stamp expires Dec.13 ,1998 Certificate of Authorization No. 20 to use the 'NR' stamp expires July 17 1g 98 , Nuclear Safety & Date 19 SignedToledo Edison inspection Manager Repair organization Authortzed Representative Tale CERTIFICATE OFINSPECTION f, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel Inspectors, and certificate of competency issued by the State or Province of Ohio and employed by Protection Mutual

  • of park Ridne !!!inoin have inspected the repair, modification, or replacement described in this report 1 on .19 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 and Section ill of the ASME Code and the National Board rules as defined in the publication NB-65 and NB 102, current editions.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concerning the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Authorized inspectors sgnature Date National Board. stale, Province and Endorsernents

  • Factory Mutual Engineering Association i

l

11 RFO Inservice Inspection Summary Page 59 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2As/ Required NR-1/f!"n 1 OWNER'S by the Provisions of the ASME REPORT Cd Mon XI FOR REPAIRS OR REPLACEME

1. Owner Toledo Edison comoany
                                           -                                   Date                       4/28/98 300 Madison Ave.. Toledo. OH 43652                             Sheet 1 of 1
                                          ==
2. Plant . Davis-Besse Nuclear Power Station Unit #1 5501 N. SR 2. Oak Harbor. OH 43449
                                          ==                                              MWO 1-9*-0626-28 mapak orpaahmuon P.O. No, Job No, em.
3. Work Performed By Toledo Edison Company Type Code Stamgi NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization NO.

m 20 Expiration Date 7-17-98

4. Identification of Systems PRESSURf2ER (SUS 064 04130-CC^ S-M4 C-125
5. (a) Applicable Construction Code ANSIB31.1 Edition 19 fil Addendum M Code Case NA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITTGRINNELL
6. Identification of Components Repaired or Replaced and Replacement Components Name of Cccuponent Name of Manufacturer Manufacturer's National Other Year serial NO. Board No. Repaired ASME 3 identification / Built Replaced or Code Jurisdictional NO. Emplacement Stamped SNUBBER ITT GRINNELL 11815 NA C-125 NA REPLACED SNUBBER NA ITT GRINNELL 11188 NA C-125 NA REPLACEMENT NA
7. Description of Work i

TT GRINNELLL HYDRAuLtc SNuSSER $/N 11815 WAs REMOVED AND HEPLACED WITH A UKE FoR UKE SNuBSER s/N 11188, REPLACEMENT SNUSBER WAs FUNCHoNALLY TESTED PHloE To INSTALLATION.

8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperatint, Pressure (NO)

Pressure Other (NO) NA psl Test Temperature NA op Pressure Relief Valves-Service _ NA Size NA Opening Pressure NA Blowdown (if applicable)_ NA Set Pressure and Blowdown Adjustments Made Using NA at NA .. NON Supplemental sheets in the form of lists, aketches, (2) or drawin n*mber of sheets is recorded at the top of this form.Information in itsens a through and (3) each 6 onsheet this report is included is numbered on each sheet,y be used, provided and the

1 l 11 RFO Inservice Inspection Summary Page 60 Toledo Edison Company, 300 Mrdison Avenue, Toledo, Ohio 43652 Commercial Senice Date: 11/27/77 FORM NIS-2 /NR-1/4"!P t

9. RLMARKS ' ~ ""** * " W'a*d MA CERTIFICATE OF COMPLIANCE We certify that the stat 2.nents made in the report are correct and this F - = ==a conforms to the rules of the ASME Code section XI.

NR Certificate of Authorization No. 20 Expiration Date 7*17 98 Type Code Symbol { Signed -- Nuclear safety & inspeccon Manager Date M 19Y ou o_,.o e re. CERT 1RCATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued try the National Board of Boiler and Pressure Vessel inspectors in the State or Province of Ohio . and employed by Protection Mutual

  • of Park Ridae. tilinois have inspected the components described in this Owners Report during the period /@9P to F->9-f>' , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate, neither the inspector nor his employ or makes any warranty, expressed or Inytied, m,,-44 the examinations and corrective measures described in the Owner 3 Report. Furthermore, neltbar the inspector nor his employer shall be liable in any manner for any personal injury or property clarnage or a loss of any idnd arising from or connected with this inspection. Ins 6edorpigKature

                                                     +n+                            l-                           WW"     Dale Commissions hA 9PCs
                                                                                                                                                                            -  ~s A 5 A' E<}f? arcs-**?

National Board, Stsie. Provina and Endorsernents CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Secton ill of the ASME Code and the National Beard rules as defined in publications NB45 cnd NB-102, current editions. CeritSate of Authorization No. 316 to use the *VR* starnp expires Dec.13 19 98 Certificate of Authorization No. 20 ~ to use the 'NR' stamp expires July 17 19_9g,,_. . f Nuclear Eafety & Date ,_,19 Signed Toledo Edison inspection Manager CERTIFICATE OF INSPECTION l t, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors, and certificate of competency issiued by the State or Province of NO and employed by Protection Mutaal

  • of Park Fhdge,imnois have inspected the repair, modification, or replacement described in this report on , 19._,_ and state that to the best of my knowledge and belief, this repair, modification, or replacement has been made or l

comiructed in accordance with Section XI and Section til of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102 current editions. By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or imp'ied, concoming the repair, modification or replacement described in this report. Furthermore, neither the inspector not his employer chall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Authorized inspedor's Segnature Date Natenal Board. State. Provtr,ca and Endorsernents

  • Factory Mutual Engineering Association t

{ 11 RFO Inservice Inspection Summary Page 61 Toledo Edison Company, 300 Madison Avenue, Toledo. Ohio 43652 Cornmercial Service Date: 11/27/77

FORM NIS-2 / NR-1/ "!M OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI i
1. Owner Toledo Edison Comnany Date 5/4/9s 300 Madison Ave Toledo. OH 43652 Sheet 1 of 1 r

a

2. Plant Davis-31Sae Nuclear Power Station __

Unit a1 m 5501 N. SR 2. Oak Harbor. OH 43449 MWO 107-0626-34

  • a'*a= a o- - en se J.e N.,.i
3. Work Performed By Toledo Edison Company Type Code Stamp - NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 Expiration Date 7-17-98
4. Identification of Systerns MAIN FEEDWATER STM GEN 1-2 (04341) EBB-3-SR24B C-180 .
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 E Addendum M Code Case M (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITTGRINNELL
6. Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manufacturer's N ational other Year Repaired ASME serial NO. Board No. Identification / Built Replaced or Code Jurisdictional No. Replacement Stamped SNUBBER ITT GRINNELL 12485 NA C-180 NA REPLACED NA SNUBBER ITT GRINNELL 24088 NA C-180 NA REPLACEMENT NA i
7. Description of Work i 1

ITT GRINNEll.L HYDRAuuC SNUB 8ER S/N 124a5 WAs REMOVED AND REPLACED WITH A UKE FoR UKE SNUSSER S/N 24084. REPLACEMENT r.NUBBER WAS FUNCTIONALLY TESTED prior To INSTALLATION.

s. Tests conducted: Hydrostatic (NO) Pneumatic (NO) Nominal Operating Pressure (NO) Other (NO)

Pressure NA psi Test Temperature NA .p Pressure Relief Valves: Service NA Size NA Opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustrnents Made Using NA at . NA se0TE: supplemental sheets in the form of lists, sketches, or drawin may be used, provided (1) aize is 8% 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 te recorded at the top of this form.

11 RFO Inservice Inspection Summary Page 63 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Ccmmercial Service Date: 11/27/77 FORM NIS-2 /NR-1/ "V" O I N ""d**' D*" 8hP " " M"*d*8

9. REMARKS NrA CERDFICATE OF CGMPLIANCE We certify that the statements made in the report are correct and this replacaenant '

conforms to the rules of the ASME Code Section XI. NR Certificate of Authorintion No. 20 Expiration Date 7-17-98 Type Code Symbol Signed _

  • W "*P****" "*"*8" Date 19E w . - a.

CERTIFICATE OF INSERVICE INSPECDON 1, me undersigned, holding a valid commission issued by the National Board of Boner and Pressure Vessel inspectors in the* State or Province of Ohio and employed by Protec6an Mutual

  • of Park Ridae, Illinois have inspected the components described in this Owner's Report during the period F/rfJ"to f"V7P, and state ,

that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures l 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 rneasures described in the Owner's Report. Furthermore, neither the inspector nor his employer shad be Rable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this in tion. e/ . [Y [ Commissions Od 72kk / f' Nnal Board, State, Province and Endorsements bM inspefor's Signaldre Date l l i CERDFICATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure reGef device described above conforms to Section XI and Section ill of the ASME Code and the National Board rules as i defined in publications NB-65 and NB-102, current editions. I Ceritficate of Authorization No. 316 to use the *VR' stamp expires Dec.13 19 98 Certificate of Authorization No._?0 to use the 'NR' stamp expires July 17 19 98 Nuclear Safety & Date 19 Signed Toledo Edison Inspedian Manager Hepan u,peruskon Aumoriaed r Ime CERDFICATE OFINSPECDON l l 1, Sne undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors, and certificate of mmpetency issued by the State or Province of Ohm and employed by Protection Mutual

  • of Pa4 Ridge,INinois have inspected the repair, modification, or replacement descrihed in this report on 19_,,,,,_ and state that to the best of my knowiedge and beHef, this repair, modification, or replacement has been made or constructed in accordance with Section XI and Gection 111 of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, current editions, By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming me repair, modifk:ation or replacement described in this report. Furthermore, neither the inspector nor his employer shall be

, liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ) i __ Commissions Authortrod inspedor's Signaiure Date National Board, State. Province and Endorsements

  • Factory Mutual Engineering Association 1

i

11 RFOInserviceInspection Summary Page 63 Toledo Edison Company, 300 Midison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 / NR-1/-NVA.4-OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Toledo Edison Comnany Date 5/2/98 300 Madison Ave.. Toledo. OH 43652 Sheet 1 of 1 ue
2. Plant Davis-Besse Nuclear Power Station Unit #1 5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-97 0626-35 nessa. Repet orsentanhan P.O. No., Job No., ete,
3. Work Performed By Toledo Edison Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 me ,
                                                                                                . Expiration Date 7-17-98
4. Identification of Systems Main Feedwater to SG 1-2 EBB-3-SR8 C-182
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 fZ Addendum t#A Code Case t#A (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITT Grinnell
6. Identification of Components Repaired or Replaced and Replacement Components l

Name of Component Name of Manufacturer Manufacturer's National Other Year Repaired ASME I seraal No. Board No. Identification / Built Replaced or Code Jurisdictional NO. Replacement Stasped Snubber ITT Grinnell 12851 N/A C-182 N/A Replaced No~ Snubber ITT Grinnell 12476 N/A C482 N/A Replacement No l l

7. Description of Work itT Grinnet hydraune snubber a/N 12051 was removed and repleoed with a like for like snubber S/N 12476.

Replacement snubber was rebutit under MWO 197451542. Snubber was functionality teeted satstectory prior to instans90n. j l l l

8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A psi Test Temperature N/A .p Pressuro Relief Valves: Service N/A Size N/A Opening Pressure N/A Blowdown (if applicabi,e) N/A Set Pressure and Blowdown Adjustments Made Using N/A i fes. hedium B at N/A ! NOTE: supplemental sheets in the form of lista, sketches, or drawir may be used, provided (1) size is 8% a 11 in. l (2) Information in items a through 4 on this report is included on each sheet, and (1) each sheet is numbered and the ! number of sheets is recorded at t.be top of this fom. t L._.___.___________________.

11 RFO Inservice inspection Summary Page 64 Toledo Edison Company, 300 Mrdison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 /NR-1/4VR4

9. REMARKS - Nw' M A*pwn be meanee SWA CERTIFICATE OF COMPUANCE We certify that the statements made in the report are correct and this reptemment conforms to the rules of the ASME Code Section XI.

Type Code Symbof NR Certificate of Authorization No. 20 Expiration Date 7-17-88 Signed , d- Nuclear W & Inspec#en Manager Date 19 ob erowners oseegnee. Tale CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holdng a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors in the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridae. Illinois have inspected the components described in this Owners Report during the period _h & to 57 J -V, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Section XI.

By eigning this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the examinations and corrective measures described in the Owner's Report. Furthermore, nellher the inspector nor his ernployer shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this action dor's Signature J~~3 W Date Commissions IVA WM WYW $0 h M E Natsonal Board. State, Prownce and Endorsements CERTIFICATE OF COfulPUANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief dev6ce described above conforms to Section XI and Section ill of the ASME Code and the National Board rtdes as defined in publications NB-65 and NB-102, current editions. Coritficate of Authorization No. 316 to use the *VR* stamp expires Dec.13 19L. Certificate of Authorization No. 20 to use the 'NR* stamp expires Jutv 17 1996 Nuclear Safety & Date 19 . Signed Toledo Edison inspechan Manager n pu orperuseon mmeruse :- in CERTIFICATE OFINSPECTION )i l, he undersigned, holding a valid cornmission issued by the National Board of Boller and Pressure Vessel Inspectors, and certificate of competency issued by the State or Province of Ohio and employed by Protection Mutual

  • of Park Fudos. IEnois have inspected the repair, modification, or replacement described in this report on 19 _ 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 and Section ill of the ASME Code and the National Board rules as defined in the publication NB-65 and NB 102, current editions.

l By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the repair, modification or replacement described in this report. Furtherrnore, neither the inspector nor his employer shall be

                  ,     liable in any snanner for any personal tr(ury or property damage or a loss of any kind arising from or connected with this inspection.

Commissions 'l tuthorized inspedor's Signature Date Nahonal Board, State. Provmco and Endorsemords

  • Factory Mutual Engineenng Association l~
                                                                                                                                                      . _ _ . _ . .                                                          _______.______._____________.J

11 RFO Inservice Inspection Summary Page 65 Toledo Edison Compiny, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM-N464/ NR-1/ "!S 1 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Toledo Edison Comoany Date 4/22/98 m-300 Madison Ave Toledo. OH 43652 Sheet 1 of 1 ue
2. Plant _.._. Davis-Besse Nuclear Power Station Unit #1 n-5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-97-0626-37 ue n.sw ors.e== p.a N., J.e N.,
3. Work Performed By Toledo Edison Company Type Code Stam..p. NR 5501 N. SR 2. Oak Harbor. OH 43419 Authorization NO. 20 ue Expiration Date 7-17-98 Y
4. Identification of Systems SG 1-2 Drain System 7-EBB-5-H8 C-210
5. (a) Applicable Construction Code ANSI B31.1 . Edition 19 EI Addendum !#A Code Case ly.A (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITT Grinnell
6. Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manufacturer's National other Year Repaired ASME serial No. Board No. Identification / Built Replaced or code Jurisdictional No. Replacement Stanced Snubber ITT Grinnell 13802 N/A C-210 N/A Replaced No Snubber ITT Grinnell 17158 N/A C-210 N/A Replacement No
7. Description of Work iTT Grinnell hydraulic snubber SIN 13402 was replaced with m ilke for like snubber 54417158. Replacement snubber was rebutit under WWo 147451547 snutiberwas functionary tested satisfactory prior to instatistion.
8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A psi Test Temperature N/A .p l Pressure Relief Valves: Service N/A Fze N/A Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Using N/A

                                                                                                                                    .       .i at N/A a-i sKrrE r supplemental sheets in the form of lists, sketches, or drawings may be used, provided til size is 0% x 11 in, t23 Information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the nusber of sheets is recorded at the top of this form.

L_________________________

11 RFO Inservice Inspection Summary Page 66 Toledo Edison Company, 300 MIdison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM 4Hs aVNR-1 int'i: 1

9. REMARKa Den 8%.n. m e. Annen.4 NfA CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacernant conforms to the rules of the ASME Code Section XI. ~

Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date 7*17*88 M* ,[ Nudear SaW hopeceon Manager Signed

                                                  . (mm.,o.a.es o ea m.                       ?

Date 19 2 CERDRCATE OF INSERVICE INSPECTION 1, the undersigned, hokfmg a valid h..,lseien issued by the Na6onal Br,ard of Boiler and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protec6cn Mutual

  • of Park Ridae. Illinois have inspected the components described in this Owner s Report during the period I @@ to WW4P' , and state that to the best of my knowledge and belief, the Owner has performed exarninations 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 employe makes any warranty, expressed or implied, concoming the examinations and corrective measures described in the Owner's Report. Furthermore, neither the inspector nor his ernployer shall be liable in any ma r for any personalirQury or property damage or a loss of any kind arising from or connected with this insp D WWO Commissions bWNtV WY V &/$a C"A.- Date National Board. State, Province and Endorsements Inspecor'ogaturY CERTIFICATE OF COMPLlANCE We certify that the statements made in this repost are correct and the repair, modification, or replacement of the pressure reDef device described above conforms to Section XI and Section ill of the ASME Code and the National 1.ioard rules as defined in publications NB45 and NS-102, current editions. Certificate of Authorization No. 316 to use the *VR* stamp expires Dec.13 19_Q3 _, Certificate of Authorization No. 20 to use the 'NR* stamp expires Jutv 17 19,90 Nuclear Safety & Date 19 . Signed Toledo Edison Inspeaian Manager use o.s.fushan hah Med Hope sHA.We Im CERTIRCATE OF INSPECTION - 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors, and certificate of competency issued by the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridge, minois have inspected the repair, modification, or replacement described in this report on 19_ , and state that to the best of my knowledge and befief, this repair, modification, or replacement has been rnade or constructed in accordance with Section XI and Sec6on ill of the ASME Code and the National Board rules as defined in the publication NB45 and NS 102, current editions.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or irnplied, concoming the repair, anodification or replacement described in this report. Furthermore, neither the inspector nor Ns employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Authortred Inspecor's Signature Date Natmnal Board. State. Province and Endorsernents

  • Factory Mutual Engineming Association

r l 11 RFO Inservice Inspection Summary Page 07 l Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 l Commercial Service Date: 11/27/77 i l FORM NIS-E-/ NR-1/NVR4 OWNER'S REPORT FO As Required by the Provisions of the ASM RPg - _ _ _ _ . R REPLACEMENTS

1. Owner Toledo Er8%n Comnany Date 4/22/98 300 Madison Ave Th Off 496S? Sheet 1 of 1
2. Plant Davis-Besse- NA- k_ . *4n Unit - #1 5501 N. SR 2. Oak Harbor. OH 4?449 l ==e MWO 197 0626-38 meek orynatrasion P.CL No., Job No, etc.
3. Work Performed By Toledo Edison Company Type Code Stamp. NR -

5501 N. SR 2. Oak Harbor. OH 49449 Authorization No. m 20 Expiration Date 7-17-98 4, identification of Systems SG 1-2 Drain System 7-EBS-LM10 C-211 T

5. (a) Applicable Construction Code ANSI B31.1 Edition 19 RZ Addendum N/A Code Case lyA (b) Applicable Edition of Section X1 Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITT Grinnell
6. Identification of Cawnents Repaired or Repland and Replacement Components i

Mame of Component Name of Manufacturer Manufacturer's National other Year Repaired Serial No. Board No. ASME Identification / Built Replaced or Code Jurisdictional No. Replacement stamped 1 Snubber ITT Grinnell 13803 WA C-211 N/A Replaced No Snubber ITT Grinnell 24067 WA C-211 WA Replacement No l i

7. Description of Work iTT Grinnell hydraulic enubber S/N 18803 was replaced tutth a Hke for the snubber S/N 24067 Replacement snubber u was reb ut under Mwo147-051545.anubber was S- ^^
                                                         ,- tested sensfactory prior to instmalation.
8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A psl Test Temperature N/A sp l Pressure Relief Valves: Service N/A Size N/A Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Using N/A n e. . at N/A IsoTEs e- i supplemental sheets in the form of lists, sketches, or drawings may be used. provided (1) size is ou a 11 in. (2) Information nunber of sheetsinisitems 1 through recorded at the6 top on this report of tLis form.is included on each sheet, and (3) each sheet is numbered and the E_-_---_-------.----.------. - .]

11 RFO Inservice Inspection Summary Page 68 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM 444S4/NR-1/NVR+

e. ItEndARKS Mmme De Supww m be mneed l

NfA CERTIRCATE OF COMPUANCE We certify that the statements rnade In the report are correct and this gaglanamani conforms to the rules of the ASME Code Section XI. - Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date 7 17-88 Nuclear Safey & hpeceen taanager Signed

                                                                                                                                                ,. o ~                                                                                            7 Date                    191 CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors in the State or Province of                                              Ohio and employed by                                                                                      Protection Mutua! ' of Park Ridae. Ottinois have inspected the components described in this Owner's Report during the period /-DFM to WMP, and state that to the best of my knowledge and belief, the Owner has performed examina6ons and taken corroctive 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, concoming the examinations and corrective measures described in the Owner's Report. Furthermore, neither the inspector nor his employer ehed be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this tion. ,

                                                                                                                                                                                                                                                                               =. . a.                                      <
                   .o     a                                                                    VM 99                                                                                      Commissions Nbtsw Al Z A ' bac cum
  • l InspedorfSignafure - Date Nahonal Board. Stae, Provem and Endorsements l

CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, rnodification, or replacement of the pressure relief device described above conforms to Section XI and Section ill of the ASME Code and the National Board rules as defined in publications NB 65 an'd NB-102, current edrtions. Ceritficate of Authorization No. 316 to use the "VR* stamp emires Dec.13 _19 L Certificate of Authorization No. 20 to use the 'NR' stamp ogiros Jutv 17 19L. , Nuclear Safety & Da'te 19 Signed Toledo Edison 'insped6an Manager Haper mys=zenen anwnssa Hapmertstre les l CERTIFICATE OFINSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors, and certificate of competency issued by the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridge, tumois have inspected the repair, rnodification, or replacement described in this report on 19_._ 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 and Section til of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, current editions.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or impHed, concerning the repeir, modification of replacement described in this report. Furthermore, neither the inspector nor his employer shau be

 -   liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

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

  • Factory Mutual Engineering Association
                                 . _ _ _ _ . . . _ _ . _ _ _ . _ _ . . . . _           __ . . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . _ _ _ _ - _ _ _ _ _ _                                                                                  __mA

11 RFO Inservice Inspection Summary Page 69 Tol:do Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM S 2 / As NR-1 Requiredl'W".4 OWNER'S by the Provisions of the ASME REPORT Code Section XI FOR REPAIRS OR REPL

1. Owner Toledo Edison cemnanv n

Date 4/22/98 300 Madison Ave.. Toledo. OH 43652 Sheet 1 of 1 ue

2. Plant Davis-Besse Nuclear N Cation Unit e1 6501 N. SR 2. Oak Harbor. OH 43449 me= MWO 1-07-0626 39 n seto ,mammuunp.a he,Je u.,eu.
3. Work Performed By Toledo Edison Company Type Code Stamp._ NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No.

ue 20 Expiration Date . 7-17-98

4. Identification of Systems . SG 1-2 Drain System 7-EBB-5-H13 C-214 y \

l S. (a) Applicable Construction Code ANSI B31.1 Edition 19 SZ Addendum N/A Code Case tyA (b) Applicable Edition of Section XI Utilized for Repairs or Replacernents 10 as (c) Design Responsibilities ITTGrinneII

6. Identification of Components Repaired or Replaced and Replacement Cvimunents e

{ Name of Cogonent Name of Manufacturer Manufacturer's National other Year Repaired serial No. Board No. ASME Identification / Built Replaced or code Jurisdictional No. Replacement stamped Snubber ITT Grinnell 13804 N/A C-214 N/A Replaced No Snubber ITT Grinnell 15099 N/A C-214 WA Replacement No l

7. Description of Work ITT Grinnell hydraulic anubber $/N 13804 was replaced with a like for Ilke,enubber S/N 15999. Reptecoment enubber was rebuttt under Mwo 197 061547. Snubber was funcGonally tested satisfactory prior to installation.

4

8. Tests conducted: Hydrostatic (NO)

' Pneumatic (NO) NominalOperating Pressure (NO) Other (NO) Pressure Pressure Relief Velves: N/A psi Test Temperature N/A .p f Service. N/A Size WA Opening Pressure N/A Blowdown (if applicable) MA Set Pressure and Blowdown Adjustments Made Using N/A n-, at_ . N/A [ NOTE: a~e t supplemental sheets in the form of listo, sketches, or drawings may be used, provided (1) size is 0% x 11 in. D) Information j number of sheetsin is items I through recorded 6 top at the on this report of this form.is included on each sheet, and (1) each sheet is nund>ered and the

                                                                                                                                                       .f

11 RFO Inservice Inspection Summary Pige 70 Toledo Edison Comp 1ny, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: I1/27/77 FORMelS-G-/NR-1 !"".T 1 i i

s. ReasARICS Appeasels om nope,n o te Amenhoe NrA  !
                                                                                                                      ~

CERTIRCATE OF COMPUANCE We certify that the statements made in the report are correct and this replanomaar conforms to the rules of the ASME Code Section XI. . Type Code Symbol NR Certificate of Authodzation No. 20 Empiration Date 7*17"88 Signed b.E .h Nuessa sassay s enspecean ssannee' Date I-192 w r. a. 2 CERTIRCATE OFINSERVICE INSPECTION 1, the undersigned, holding a valid commismon issued by the National Boasd of Boner and Pressure Vesselinspectors in the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridae. Illinois have inspected the components described in this Owners Report during the period /@M to M"WW, and state that to the best of my knowledge and belief, the Owner has performed examination and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, SectKin XI.

By signing this certNicate, r either the inspector nor his employer makes any warranty, expressed or implied, ocncoming the examinations and corrective measures desodbed in the Owners Report. Furthermore, neither the inspector nor his employer shaR be liable in any manner for any personal irqury or property damage or a lues of any idnd arising from or connected with this 7 o n. e ., ine,.mo<. segrpure 4-M-99 Dee Commissions A'8% A' E $ 'bwi. c~ Naional Board, Stae, Prowice and Ci/ Es CERTIRCATE OF COMPLIANCE We certify that the statements maos in this report are correct and the repair, modificatim, or replacement of the pressure relief device described above conforms to Section XI and Section til of the ASME Code and the National Board rules as defined in publications NB-65 and NB-102, current edibons Ceritficate of Authorization No. 316 to use the 'VR* stamp expires Dec.13 19_gg Certificate of Authorization No. 20 to use the *NR* stamp expires July 17 19 98 . Nucisar Safety & Date 19 Signed Toledo Edison inepomion namnaw paper asemassea ammaa.en.p.es w. 1am CERTIRCATE OFINSPECTION . I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors, and certificate of competency issued by the State or Province of No and employed by ProtecWon Mutual

  • of Park Ridge, Illinois have inspected the repair, modification, or replacement described in this report on 19._,,_ and state that to the best of my knowledge and belief, this repair, modification, of replacement has been rnade or constnJcted in accordance with Sechon XI and Sechon ill of the ASME Code and the National Board rules as defined in the publication NS-65 and NB-102, current editions.

By signing this certifcate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the repair, modification or rociacement descatbed in this report. Furthermore, neither the inspector nor his employer shall be Eable in any manner for any personal iriury or property damage or a loss of any kind arising from or connected with this inspection. Commissions As iceued Inspector's Segnadure Date National Board. State. Province and Endoreerneres

  • Factory Mutual Engineering Association

II RFO Inservice Inspection Summary Page 71 Toledo Edison Company, 300 Madison Avenue, Toledo. Ohio 43652 Comrnercial Service Date: 11/27n7 FORM MIS-2 / NR-1/NVR-1 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Toledo Edison comoanv Date 4/22/98 300 Madison Ave.. Toledo OH 43652 Sheet 1 of 1 a
2. Plant Davis-Beane Nuclear Power Station Unit e1 5501 N. SR 2. Oak Harbor OH 43449 MWO 1-97-0626-40 ass.m Repes C . P.O. No Jub No., ets.
3. Work Performed By Toledo Edison Company Type Code Stamp. NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization NO. 20 a

Expiration Date 7-17-98

                                                                                                /
4. Identification of Systems SG 1-2 Drain Svatem 7-EBB-5-H15 C-215
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 $1 Addendum HIA Code Case N/A (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITTGrinnell
6. Identification of Components Repaired or Replaced and Replacement Components pane of cosiponent Name of Manufacturer Manufacturer's National Other Year aspaired AENE Serial No. Board No. Identification / Built Replaced or code Jurisdictional MO. replacement stamped j Snubber ITT Grinnell 13805 MA C-215 N/A Replaced No Snubber ITT Grinnell 21305 N/A C-215 N/A Replacement No
7. Description of Work (TT Grinnell hydraunc enubber SM 13006 was repteoed with a like for Nke snubber SM 21305, flop 6acement snubber was rebuut under Mwo 147451546. Snubber was funceona#y tested seestactory prior to instattagon.
8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A psi Test Temperature N/A .p ! Pressure Relief Valves-Service N/A Size N/A Opening Pressure WA Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Usina N/A e ei at N/A 4 6 essen f IUrEn Supplemental sheets in the form of lists, sketchs.s, or drawings may be used, provided (1) size is e% st 11 in. (2) Information in items 1 through 6 en this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. I I I L_-__--________-_-_____

i 11 RFO Inservice Inspection Summary Page 72 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM 4HG4/NR-1/ ".":

                                                                                                                                                                                                                      ****'                a== a=== = ** a===*

s.nemanus CERTIRCATE OF COMPWANCE We certify that the statements made in the report are correct and this replansmant conforms to the rules of the ASME Code Secton XI. 20 Expiration Date 7*17-06 Type Code Symbol NR Certificate of Authorization No. 3 ,[ Euesear sessey & Inspecean tsanager Date E 19 Y qcg / oen."r er oumer's De.ien.e. Ym. CERTIFICATE OF INSERVICE INSPECTION 1, the d 4-M, holding a valid commission issued by the National Boasd of Bouar and Pressure Vesselinspectors in the Ohio . - and employed by Protection Mutual

  • of Park Ridae,luinois State or Province of have inspected the components descdbed in this Owner's Repo.t during the period /M9' to WY-U" ,and state met to the best of my knowledge and beBef, he Owner has performed examinations and taken correceve measures desodbed in this Owner's Report in accordance with the requirements of the ASME Code. Section XI.

By signing this certihcate, neither the inspector nor his employer makes any warranty, expressed or implied, ec.c.c ..; 4 the examinations and corrective measures described in the Owner's Report. Furmermore, neither the inspector nor his employer shal be Emble in any manner for any 'wroonal injury or property damage or a loss of any kind arising frorn or connected wim this in .

                                                                                                                                                                                                             . ,.,*                  i.
                                                                    =                           N-M-9P                 Commissions ArWce                                                                     n1#                   oh cad in.p        ugensure                                                             oce                                                                           Nai.onai saara. stm.. erovinos and endar.emoni.

CERTIFICATE OF COMPUANCE i We certify that the statements made in this report are correct and the repair, rnodification, or replacement of the pressure I reuel device described above conforms to Section XI and Section 111 of the ASME Code and the National Board rules as denned in publications NB45 and NS-102, current edtions. 316 to use the 'VR* stamp expires Dec.13 19 96 Certtlicate of Authorization No. Certificate of Authorization No. 20

  • to use the *NR* stamp expires Jufv 17 19 L Nuclear Salsty &

Ire =t Manager Date .19 Signed Toledo Edison - me=. ise niene o,esmassoa sweases eme CERTIFICATE OFINSPECTION 1, the undersigned', holding a vaHd commission issued by the National Board of Boller and Pressure Vessel inspectors, and Ohio and employed by Protodion Mutual

  • certificate of competency issued by the State or Province of ,

of ParkRidge,Imnois have inspected the repair, modification, or replacement described in this report { on 19 ,, _ and state that to the best of my knowledge and belief, this repair, modification, or replacement has been made or constructed in accordance with Sechon XI and Section lli of the ASME Code and the National Board rules as defined in the publication NB45 and NS-102, current editions. By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, cor.c.ci,;is the repair, modification or replacement described in his report. Furthermore, neither the inspector nor Ns employer shall be

                         -  liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

Commissions Authorized inspedor's Signature Dale National Board. State, Pnmnce and Endorsements

  • Factoty Mutual Engineering Association

i l l- 11 RFOInservice inspection Summary Page 73 Toledo Edison Comp 1ny, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27n7 i FORM N46-2 / NR-1/MVR4 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI l

1. Owner Toledo Edison %a-w Date
                                                                                 ==.

4/22/98 I 300 Madison Ave.. Toledo. OH 43M2 Sheet 1 of 1 u

2. Plant Davis-Besse N= l==* Power Station Unit #1 m-.

J01 N. SR 2. Oak Harbor. OH 4?449 MWO 1-97-062641 i u n.p.irorenum nP.o. % Jen .m.

3. Work Performed By Toledo Edison Company Type Code Stamp.

NR 5501 N. SR 2. Oak Narbor. OH 43449 Authorization No. 20 me Expiration Date 7-17-98

                                                                                                                                't *
4. Identification of Systems SG 1-2 Drain Svatem 7-EBB-5-H18 C-217
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 EZ Addendum N/A CodeCase NIA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITT Grinnell
6. Identification of Components Repaired or Replaced and Replacement Components Name of component Name of Manufacturer Manufacturer's National other Year Repaired AsME serial NO. Board NO. Identification / Built Replaced or Code Jurisdictional No. Replacement Stamped Snubber ITT Grinnell 13807 MA C-217 N/A Replaced No
  • Snubber ITT Grinnell 17599 MA C-217 N/A Replacement No
7. Description of Work ITT Grinnett hydraulic snubber S/N 13807 was replaced with a Nke for Nke snubber &JN 17599. Replacement snubber was rebuilt

( under Mwo 147451r>47. Snhbber was fua^^-. ally tested sassfactory prior to installation.

a. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A psl Test Temperature N/A .p g Pressure Relief Valves: ' Service N/A Size N/A { Opening Pressure N/A Blowdown (if applicable) N/A 1 Set Pressure and Blowdown Adjustments Made Using N/A  :

                                                                                                                                                        .      .>                            i et N/A e s-     e No'rs:                Supplemental sheets in the form of lists, sketches, or drawings may be used, provided t11 size is 6% x 11 in.

l

42) Information in is items 1 through at the6 top on this report is included on each sheet, and t3) each sheet is numbered and the  ;

nundar of, sheets recorded of this forna. I j I l

11 RFO Inservice Inspection Summary Page 74 Toledo Edison Company, 300 M.tdison Avenue, Toledo, Ohio 43652 Commercial Service Date: ll/27D7 FORM 4HS-2-/NR-1/"/C 1 s.neuARKs *=e====. o== 8apen m 6. anumee WA CERTIFICATE OF COMPUANCE We cer6fy that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code Section XI. ~ Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date 717 9a Signed M, [ mar sarety a wpuson Manager Date N 1 19 a- _. > CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding 4 valid commission issued by the Nabonal Board of Bo8er and Pressure Vessel inspectors in the State of Province of Ohio and employed by Protection Mutual

  • of Park Ridae. Imnois -

have inspected the components described in this Owners Report during the period f-PfA to WM9k , and state that to the best of my knowledge and belief, the Owner has performed examina6cas and taken correcove measures described in this Owners Report in accordance with the requirements of the ASME Code Sec6on XI. By signing this certificate, neither the inspector nor his employer makes any warrardy, expressed or implied, concoming the examinanons and corrective measures described in the Owners Report. Furthermore, neither the inspector nor his employer shall be liable in any rnanner for any personalinjury or property damage or a loss of any idnd arising from or connected with this insp

                                /                                                                                 .          u 1                               4'~ M N            Commissions M9for                    a. T W. Mo cos~< e inspedor's pigrfEture                                     Date                     National Board, State. Provmco and Endorsements CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section lli of the ASME Code and the National Board rules as defined in publications NB45 and NB-102, current editions.

Ceritficate of Authorization No. 316 to use the *VR* stamp expires Dec.13 19 98 Certificate of Authorization No. 20 to use the 'NR" stamp expires July 17 19R_ _. Nuclear Safety & Date 19 . Signed Toledo Edison inspection Manager n p s ces. amen aimenase is. CERTIFICATE OFINSPECTION - 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors, and certificate of competency issued by the State or Province of Ohio and employed by Protection Mutual' of Park Ridge,Isinais have inspected the repair, modification, or replacement described in this report l on 19,__,. 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 and Section lli of the ASME Code and the National Board rules as defined in the publication NB-65 and NS 102, current editions.

                                                                                                                                                               )

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, conceming the I repair, modification or replacement described in this report. Furthermore, neither the inspector not Ns 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                                     i this inspection.

Commissions l Authorized inspedor's Signature Date National Board. State. Province and Endorserrents

  • Factory Mutual Engineering Association i

______.________________________._.______._________.-___.---_._.-_____._____._____U

11 RF0InserviceInspection Summary Page 75 Toledo Edis:n Company, 300 MIdison Avenue, Toledo, Ohio 43652 Conunercial Service Date: 11/2707 FORM NIS-2 / NR-1/ '"!." As Required i OWNER'S REPORT by the Provisions of the FOR ASMEREPAIRS Code Mi~t XIOR REPLACEMENTS

    '1. Owner        Toledo Edison Company

_ Date 5n198 300 Madison Ave Toledo.OH 43652 Sheet 1 of 1 me

2. Plant Davis-Besse N"% powerme-eton Unit #1 a

5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-97-0626-43 Ma** host Oganksen PA b,, M b., sea.

3. Work Performed By Toledo Edison Company Type Code Stamp NR a

5501 N. SR 2. Oak Harbor. OH 43449 Authorization NO. 20 u

  • Expiration Date 7-17-98
4. Identification of Systems MAIN FEEDWATER TO STEAM GENERATOR f045-01) EBB-3-SR26C C-239
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 $Z Addendum H& Code Case NA l

(b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19. 86 (c) Design Responsibilities ITTGRINNELL

6. Identification of Components Repaired or Replaced and Replacement Components game of component Name of Manufacturer Manu f acture r's National Other Year Repaired ASME serial No. Board No. Identification / Built Replaced or Code Jurisdictional No. Replacement Stamped SNUBBER ITT,GRINNELL 12490 NA C-239 NA REPLACED, NA SNUBBER ITT GRINNELL 12487 .NA C-239 NA REPLACEMENT NA 1

l

7. Description of Work ITT GRINNELLLHYDRAuuC snub 6ER SM 12490 WAS REMOVED AND REPLACED WITH A UKE FoR UKE SNuSSER s/N 12447.

REPLACEMENT SNuSBER WAs FUNcT10NALLY TESTED prior To INSTALLATION.

8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure NA psl Test Temperature NA ep Pressure Relief Valves: Service. NA Size NA Opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Using NA e, at_ NA asoTE: ' supplemental (2) Information sheets in items in the form 1 through 6 on of lists, this sketches, or drawings may be used, provided (11 site is 0% x 11 in. report number of sheets is recorded at the top of this form. is included on each sheet, and (3) each sheet is numbered and the

11 RFO Inservice Inspection Summary Page 76 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27n7 FORM NIS-2 /NR-1/NVR t-

9. REMARKS 89Phoebte Memdeese,s Dem M h be Ansehed N/A CERTIFICATE OF COMPUANCE We certify that the statements made in the report are conect and this replacement confonns to the rules of the ASME Code Section XI.

Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date M-98 Signed d Hudear Sarey & MsWon Manap Date 19 u -. o ~

                                             ~

CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid comtnission issued by the National Board of Boller and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridae. Illinois have inspected the components described in this Owners Report during the period /'WfP to r"-I-ff, , 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 wananty, expressed or irnplied, concoming the examinations and corrective measures described in the Owners Report. Furthermore, neither the inspector nor his employer shall be liable in any rnanner for any personalinjury or property damage or a loss of any idnd arising from or connected with this insp ' n.

                                                                                                       ,, .. . . . ~
             >O'                                M *W               Commissions M 9 fos                NYA Amis am*

InspeNple Segnature Date National Board, State, Province and Endorsements CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section ill of the ASME Code and the National Board rules as defined in pub!ications NS-65 and NB-102, cunent editions. Ceritficate of Authorization No. 316 to use the "VR* stamp expires Dec.13 19 98 Certificate of Authorization No. 20 to use the *NR* stamp expires Jufv 17 19 98 Nucinar Safety & D:te 19 Signed Toledo Edison insoedion Manager men u s.,ua.n am nma wee. ,n.u.. 4 sw CERTIFICATE OFINSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vesselinspectors, and certificate of competency issued by the State or Province of _ Ohio and employed by Protection Mutual

  • rf Park Flidge flhnois have inspected the repair, modification, or replacement described in this report on \

19_ and state that to the best of my knowledge and belief, this repair, modification, or replacement has been rnade or  ! constructed in accordance Wth Section XI and Section fit of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, cunent editions. l I By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, conceming the repair, rnodification or replacement described in this report. Furthermore, neither the inspector nor Ns ernployer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with th!s inspection. Commissions Authorized inspedor's Signature Date National Board, State. Province and Endorsements

  • Factory Mutual Engineering Association f

I i

11 RFO Inservice Inspection Summary Page 77 Tolido Edison Company, 300 Mrdison Avenue, Tolrdo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 / NR-11.'.".'." As Required by the i OWNER'S REPORT Provisions of the ASME CodeFOR M% XI REPAIRS OR REPLACEMENTS

1. Owner Toledo Edison Comnany Date i

En>as 300 Madison Ave . Toledo. OH 43652 Sheet 1 of 1 u

2. Plant Unit s1 Devia-Besse N".4 Power *=*!an 5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-970626-44 Rep.h ogeaission P.o. Ms, Je6 es m6
3. Work Performed By Toledo Edison Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization NO. 20 me
                                                                                  ~ Expiration Date 7-17-98
4. Identification of Systems MAIN FEEDWATER TO STEAM GENERATOR (045:01) Ega-3-5RicoD C-240
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 EZ Addendum M CodeCase M (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITTGRINNEl.L
6. Identification of Cviivonents Repaired or Replaced and Replacement Components Name of component Name of Manufacturer Manufacturer's National other Year Repaired AstEE serial No. Board No. Identification / Built Replaced or Code Jurisdictional No. Replaceanent S t _* W SNUBBER ITTGRINNELL 12491 NA C.240 NA REPLACED NA SNUB 8ER ITT GRINNELL 14659 NA C-240 NA REPLACEMENT NA
7. Description of Work rTT GRtNNELLt. HYDRAuuC SNuSSER 84112491 WAs REMOVED AM) REPt.ACEo Wi?H A UKE FoR UKE SNuBSER stN 140s9.

REPLACEMENT snub 8ER WAs FUNCTIONALLY TESTED prior To INSTALLATION.

s. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure NA psi Test Temperature NA .p Pressure Relief Valves: Service NA Size NA Opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Using NA e .e at NA i s- i 1807E: supplesmontal eboots in the form of lists, sketches, or drawings snay be used, provided (11 size is 9% m 11 in. (3) Information nussber in itsens of sheets 1 through is recorded 4 on at the topthis report of this is included on each sheet, and (3) each sheet is nusdaered and the form. ' i

r_. _ _ _ _ _ - _ _ _ _ _ _ _ _ . _ _ . - - - - _ - _ _ - _ - __ _ _ _ - _ - - - - _ _ _ - - _ _ - _ - . _ - _ _ - - - _ - - - _ . _ - - _ . . _ - _ . . _ _ _ - - . _ i 11 RFO Inservice Inspection Summary Page 78 j Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 l FORM NIS-2 /NR-1/MVR+

e. REMARKS *****"***'- ** - * * * * * .
  • WA
                                                                                                                       .                                CERTIRCATE OF COMPT.tANCE We certify that the statements made in the report are correct and this rantwment                                                                                                                            conforms to the rules of the ASME Cooe Section XI.

NR 20 Expiration Date . 71798 Type Code Symbol Certificate of Authorization No. Signed Nuclear safety & Inspecean Manager g[ g9p ow(/reron.e.tmwweum CERT 1RCATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid comtnission issued by the National Board of Boner and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridae. Illinois have inspected the components described in this Owner's Report during the period /-D 7/' to 5 .T'7# . and state that to the best of rny knowledge and belief, the Owner has performed exarninations and taken correctivo measures desertbed in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate, neither the inspecbr nor his employer makes any warranty, expressed or implied, conceming the examinations and corrective measures described in the Owner's Report. Furthermore, neither the inspector nor his ernployer shan be liable in any manner.for any personalinjury or property darnage or a loss of any kind arising from or connected with this insp tion.

                                                                                                                                                                                                                                  -      ,,      ,             o.

Au- 4 YII Commissions [ Md/ [ ,4 8/N (.uM ' Date Nahonal Board, State, Frovince and Endorsernents Inspedfs Signature CERDRCATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section lit of the ASME Code and the National Bnard rules as defined in publications NB45 and NB-102, current editions. Ceritficate of Authorization No. 316 to use the *VR* Stamp expires Dec.13 19 98 20 to use the *NR* stamp expires July 17 .19 98 Certificate of Authorization No. Nuclear Safety &

                                                                                                                            . Signed Toledo Edison                                                                                      inspedion Manager Date                                                                                  .19                 seu aymma                         am.amas.pe.                                    w.                      um CERTIFICATE OFINSPECTION t, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors, and Oh3'  and employed by                                      Protection Mutual
  • certificate of competency issued by the State or Province of of Park Ridge, minois have inspected the repair, rnodification, or replacement described in this report on 19_ 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 and Section lit of the ASME Code and the National Board rules as defined in the publication NB-65 and NB 102, current editions.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the repair, modification or replacement described in this 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 frorn or connected with this inspection. Commissions Authorized inspedor's Signature Date National Board. State. Province and Endorsernents

  • Factory Mutual Engineering Association

11 RFO Inservice Inspection Summary Page 79 Toledo Edison Company, 300 Mcdison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27n7 FORM NIS-2 / NR-1/-NVA-4 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Toledo Edison comoany Date s/a/es 300 Madison Aire . Toledo. OH 43652 Sheet 1 of 1 4.e
2. Plant Davis-Besse Nuclear Power Station Unit s1 5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-97-0626-45 ame= n. pee organimen n PA No, Job No,etc.
3. Work Performed By Toledo Edison Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 Expiration Date 7-17.e8
                                                                                                                                       #f7 @ / f
4. Identification of Systems HPI to RC inlet Loon 1-2 33C4CB-2-Ha7 T60 -244
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 SZ Addendum NA Code Case IfA (b) Applicable Edition of Section XI Utilized for Repairs or Repfdcements 19 86 (c) Design Responsibilities iTTGrinnell
6. Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturst Manufacturer's National Other Year Repaired ASME serial NO. Board NO. Identification / Sullt Replaced or Code Jurisdictional No. Replacement stamped Snubber ITT Grinnell 21303 N/A C-244 . N/A Replaced No Snubber ITT Grinnell 13269 N/A C-244 N/A Replacement No
7. Description of Work ITT Grinnell hydraulle snubber SIN 21303 was removed and replaced with a like for like snubber S/H 13269.

Replecoment snubber was rebuilt under MWO 1.e7.oS15-03. Snubber was funcuonapy tested sausfactory prior to installeson. I

8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A psi Test Temperature N/A ep , L Pressure Relief Valves: Service N/A Size N/A i Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Using N/A

                                                                                                                                                             .e         s at N/A ems NOTE: supplemental sheets in the form of lists, sketches, or drawings may be used. provided til size is 8% x 11 in.

(2) Information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is puebered and the number of sheets is recorded at the top of this form. ___._____________.._.__m

11 RFO Inservice Inspection Sununary Page 80 Toledo Edison Comp 1ny, 300 Madison Avenue. Toledo, Ohio 43652 Conunercial Service Date: 11/27n7 FORM NIS-2 /NR-1/4HMM-

s. MaasARKs ****"** D*^ - '* be Amnase N/A CERTIFICATE OF COMPUANCE:

We certify that the statements made in the report are correct and this replanament conforms to the rules of the ASME Code Section XI. 20 Expiration Date 7*17*88 Type Code Symbol NR Certificate of Authorizatie No. Signed M e !f "* W ' oeGr er owners oespos. Tas Date 19 W CERDFICATE OFINSERVICE INSPECDON 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vesselinspectors in the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridae. Illinois have inspected the cornponents riescribed in this Owner's Report during the potiod h >> 'f# to i*P-9P, and state that to the best of my knowledgs 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, empressed or implied, concerning the examinations and corrective measures described in the Owner's Report. Furthermore, neHher the inspector nor his employer shal1 be liable in any manner for any personal injury or property damage or a loss of any kind arising trorn or connected whh this in

                         -                           $5fP              Commissions NA We/                      W National Board State Provinos and C.-4,. _

b)ADCaqsr ' s ingrT5sgnature Date CERTIFICATE OF COMPUANCE We certify that the statements made its this report are correct and the rep 61r, rnodification, or replacement of the pressure relief device described above conforms to Section XI and Section 111 of the ASME Code and the National Board rules as defined in publications NS-65 and NB-102, current editions. Ceritficate of Authorization No. 316 to use the "VR* stamp expires Dec.13 .19L, 20 to use the "NR' stamp expires July 17 19 98

     'Hlficate of Authorization No.

Nuclear Salsey & inspection Manager as .19 Signed Toledo Edison mp., a ,umoa a,mana.s me nm in CERTIFICATE OF INSPECTION t, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors, and Ohio and employed by Protechon Mutual

  • certificate of -n,4My issued by the State of Province of Ef Park H6dge, tilinois have inspected the repair, rnodification, or replacement described in this report on 19_,_ and state that to the best of my kwJwledge and belief, this repair, modification, or replacement has been made or constructed in accordance with Section XI and Section til on the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, current editions.

By signing this certificate, neither the inspector nor his ernployer makes any warranty, expressed or implied, concoming the repair, modification or replacement described in this report. Furthermore, neither the inspector not his erriployer shall be liable in any rnanner for any personal triury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Authorized inspedor's Signature Date National Board. State, Province and Endorsements

  • Factory Mutual Engineenng Association I _ ._ . _ - . - _ _ _ _ _ _ _ _ _ - _

11 RFO Inservice Inspection Summary Page 81 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIG-2 / NR-1/MVR4 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Toledo Edison Comnany Date 4/22/98 m

300 Madison Ave _. Toledo. OH 43652 Sheet 1 of 1 ae

2. Plant Davia-Benae Nuclear Power M-% Unit e1 5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-97 062647 asse.s Repair Organushan P.CL No Jeb No., ele.
3. Work Performed By Toledo Edieon Comparty Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 ane Expiration Date 7-17-98
                                                                                                                                         'l                                                                    1
4. Identification of Systems SG 1-1 Drain Svatem 7-EBB-5-H2O C-246

{

5. (a) Applicable Construction Code -ANSI B31.1 Edition 19 til Addendum NA Code Case NA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 10 86 (c) Design Responsibilities ITT Grinnell
6. Identification of Components Repaired or Replaced and Replacement Components Naims of Component Name of Manufacturer Manufacturer's National other Year Repaired AsNI serial NO. Board No. Identification / Built Replaced or Code Jurisdictional NO. Replacement stamped Snubber ITT Grinnell 138G8 N/A C-246 N/A Replaced No Snubber ITT Grinnell 18001 N/A C-246 N/A Replacernent No
7. Description of Work ITT Grinnell bydrauHe enubber S/N 13000 was replaced with a Hke for Eke snubber S/N 18001. Replacement snubber was rebuut )

under Mwo 1417 051545. Snubber was funceonamy tested easstectory prior to instaHatton. 1

8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A psi Test Ternperature N/A ep Pressure Relief Valves: Service N/A Size N/A Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Using N/A at N/A a ws s NOTE: supplemental sheets in the form of lists, sketches, or drawings may be used, provided til size is 0% a 11 in. (2) Information in itsens 1 through 6 en 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.

I1 RFO Inservice Inspection Summary Page 82 Toledo Edison Compcny, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 r. i-FORM 4HG4/NR-1/ NVR 1 p -- Den % w

9. REMARKS MdA CERTIFICATE OF COMPUANCE rardacament conforms to the rules of We certify that the statements made in the report are conect and his ..

the ASME Code Section XI. 7 17-98 20 Expiration Date Type Code Symbol NR Certificateof AuthodzationNo. M N'**'W"*P****""*"*8*' Date E 19 N Signed .

                                                # b erosmers Designse, Tiles                 k CERTIFICATE OF INSERVICE INSPECTION t, the undersigned, holdng a vaud commission issued by the National                                ParkBoard    of Boiler and Pressure Vessel inspectors in the Ridae. tilinois Ohio . and employed by             Protection Mutual
  • of State or Province of / 50# to _ N-M M , and state have inspected the components described in this Owner's Report during the period that to the best of my knowledge and beEst, the Owner has performed examinations and taken corrective measures described in this Owner's Reportin accordance with the requirements of the ASME Code, Sec9on XI.

By sigring this certificate, neither the inspector nor his employer makes any wananty, expressed or impned, concoming the examinations and corrective measures described in the Owner's Report Furthermore, neither the inspector nor his employer shall be Eable in any manner for any personalinjury or property damage or a loss of any Idnd arising trorn or connected with this inspection. o 4 4"Md/ Commissions A//3 9PC/

                                                                                       ' Neuonal Y           b#        hMcCwf *
  • Board, Stee, Provina and LL . ,.;s Dale Inspedors Sigrfure CERTIFICATE OF COMPUANCE We certify that the statements made in this report are conect and the repair, rnodification, or replacement of the pressure reDef device described aboys conforms to Section XI and Section ill of the ASME Code and the National Board rules as defined in publications NB45 ant! NB-102, current edtions.

316 to use the'VR* starnp expires Dec.13 .19 98 Ceritficate of Authorization No. 20 to use the *NR* stamp expires July 17 .19 98 . Certificate of Authorization No. Nuclear Safety & inspedian Manager Date 19 . Signed Toledo Edison __ mm.as.s me ai.w. . am me ure CERTIFICATE OFINSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessol inspectors, and N' Protection Mutual

  • and employed by esrtificate of competency issued by the State or Province of of Park Mae,litinois have inspected the repair, modification, or replacement described in this report on 19 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 and Section 111 of the ASME Code and the National Board rules as defined in the publicaJ NP 102, current editions.

By sigrdng this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the repair, rnodificaUon or replacement described in this report. Furthermore, neither the inspector nor his employer shall be Emble in any manner for any personal iriury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Natinnal Board. State, Province and Endorsements } Authort2nd inspector's Sipature Date i

  • Factory Mutual Engmeenng Association

I1 RFO Inservise Inspection Sumrnary Page 83 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/2707 FORIHHG4/ NR-1 As l'"!n 1 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS Required by the Provisions of the ASME Code Section XI

1. Owner Toledo Edison Comnany Date 4/22198
                                                                                        ==.

300 Madison Ave Toledo. OH 43652 Sheet 1 of 1 ame

2. Plant Da "- M*-- Power M-*!en Unit #1 m

5601 N. SR 2. Oak Harbor. OH 43449 MWO107.na % ae== m pen Organuman P.0, No., Je No., see.

3. Work Performed By To6edo Edieon Company Type Code Sta,mp. NR 5501 N. SR 2 Oak Harbor. OH 43449 Authorization NO. 20 aan.

Expiration Date 7-17-98 Y

4. Identification of Systems SG 1-1 Drain Svatem 7 8m-54t23 C-247
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 gI Addendum NA Code Case N/A (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITTGrinnell
6. Identification of Components Repaired or Replaced and Replacement Components Name of component Name of Manufacturer Manufacturer's National other Year Repaired ASME serial No. Board No. Identification / Built Replaced or Code Jurisdictional No. Replacement Stamped Snubber ITT Grinnell 13809 WA C-247 WA Replaced No Snubber ITT Grinnell 13266 N/A C447 N/A Replacement No
7. Description of Work iTT Grinnell hydraulic anubber s/N 13000 was replaced with a Nks ter the snutbar SM 12266. Replacement snubber was rebuilt under WWo 197 0516-04. snubber was funcuonany tested westactory prior to Instahanon.
8. Tests Conducted. Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A psi Test Temperature N/A op Pressure Relief Valves: Service N/A Size N/A Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Usina N/A f fees endte B at N/A ea =a s poTE: supplemental sheets in the form of lists, sketches, or drawings may be used, provided (1) size is 8% 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.

11 RFO Inservice Inspection Summary Page 84 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORMW864/NR-1/NVM 9. REMARKS #P""*" "*'"d***'em Den % m me Ansee e N/A CERTIRCATE 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. + Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date 7*17*88 Signed ,d Nuesear sateer & Inspecuen Maneser Date 192 b er owners oesgnee, Tine II CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a vand commission issued by the National Board of Boiler and Pressure Vessel inspectors in the State or Province of Ohio and erreloyed by Protection Mutual

  • of Park Ridae. Illinois have inspected the componen's described in this Owners Report during the period # 50 # to 4'M 91', and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Repon 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, concoming the examinations and corrective measures described in the Owners Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Inapector'spagnature S'930f Date Commissions d'6990) N National Board, State. Province and Endorsement W 'fAo&tW E CERDFICATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, modution, or replacement of the pressure relief device described above conforms to Section XI and Section 111 of the ASME Code and the National Board rules as defined in publications NB-65 ainNB 102, current editions. Carltficate of Authorization No. 316 to use the 'VR* stamp expires Dec.13 19L. Certificate of Authorization No. 20 to use the *NR* stamp expires Jutv 17 19 96__. Nuclear Safety & Date 19 . Signed Toledo Edison inepeaion Manager n.p ors..um,.. = men a n.p.. .. 1s. CERTIFICATE OFINSPECDON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure \ t $sel inspectors, and certificate of competency issued by the State or Province of Ohm and employed by P. ' Mual

  • of Park Ridge, minois have inspected the repair, rnodification, or replacement described in bas report on 19_ 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 and Sedion 111 of the ASME Code and the National Board rules as defined in the publication NS 65 and NB 102, current editions.

By signing this certificate, fielther the Inspector nor his employer makes any warranty, expossed or implied, concoming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be Emble in any manner for any personal triury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Aunertzed Inspeciars Signature Dale Naimnal Board State. Province and Endorsernents

  • Factory Mutual Engineering Association

1I RFO Inservice Inspection Summary Page 85 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM 4HG4/ NR-1/-NVR4-OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Toledo Edison Company Date 4/22/98 e

300 Madison Ave Toledo. OH 43652 Sheet 1 of 1

2. Plant Davis-Benas Nha Power Station Unit e1 5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-07-0626-49
                                                                                                            "=

napu ognatansa Pa No, Jeb No., et,

3. Work Performed By Toledo Edison Company Type Code Stamp.

e, . NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 Expiration Date Z 17-98 t'

4. Identification of Systems SG 1 1 Drain System 7-EBB-5-H25 0 248
5. (a) Applicable Construction Code ANf' S31.1 Edition 19 $Z Addendum ffA Code Case N/A (b) Applicable Edition of SM' a XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITTGrinnell
6. Identification of Components Repaired or Replaced and Replacement Components Kame et component Name of Manufacturer Manufacturer's National other Year Repaired ASME serial No. Board No. Identification / Built Replaced or Code Jurisdictional No. Replacement Stanped Snubber ITT Grinnell 13810 WA C-248 MA Replaced No Snubber ITT Grinnell 13806 WA C-248 N/A Replacement No
                                                                                     ~

j

7. Description of Work i I

fTT GrinneH hydraulic enubber s/N 13e10 was replaced with a elke for Nke snubber s/N 13806. Replacement enubber was rebuHt under Mwo 1-07 o515-10. snubber was funceonauy tested sausfactory prior to installation. I l l l

8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure WA psl Test Temperature N/A sp Pressure Relief Valves: Service _ WA Size WA Opening Pressure WA Blowdown (if applicable) WA Set Pressure and Blowdown Adjustments Made Using WA

                                                                                                                                                                                                .~        ,

at WA n m.i Norgs supplemental abeets in the form of lists, sketches, or drawings may be used, provided (1) size is 89 x 11 in. (2) Information in items 1 through 6 on this report is included on each sheet, and (3) each abeet is numbered and the Eumber of sheets is recorded at the top of this form, i J f E________._________ __ _. .

I1 RFO Inservice Inspection Sununary Page 86 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM 4866-24NR-1/ T!M

s. namA u s d*'"'" D**a******""***

f&A CERTIFICATE OF COMPUANCE We certify that the statements made in the report are correct and this gaglacement conforms to the rules of Wie ASME Code Section XI. ~ Type Code Symbol NR Cert lAcateof AuthortzationNo. 20 Expiration Date I'1N Signed MI -

                                                    .[ Nueieer Salutif & Inspecten Manager Date                   N              19E o , ., w -                               7 CERTIFICATE OF INSERVICE INSPECTION t, the undersigned, holding a valid commission leeued by the National Board of Boner and Pressure Vessel inspectors in the State or Province of          Ohio and employed by             Protecdon Mutual
  • of Park Ridae. tilinois ,

have inspected the cornponents described in this Owners Report during the period / ~3e9# to 'M3 -h, us state 3)at to the best of my knowledge and belief, the Owner has performed examinations and taken correceve measures . described in this Owner's Report in accordance with the requirements of the ASME Code, Secton XI. By signing this corblicate, neither the inspector nor his employer makes any warranty, expressed of implied, si,Wa,;.s the exammations and correcUve measures described in the Owrmfs 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 witi this in Inspectors Syriarbre 4/ W Y P Date Commissions AMh NY de Guev* # National Board, State, Province and Endorsements CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, modification, or replacernent of the pressure relief device described above conforms to Section XI and Section !!! of the ASME Code and the National Board rules as defined in publications NB45 and NB-102, current edtions. . Coritficate of Aunorization No. 316 to use the "VR* stamp expires Dec.13 - 19_9,,g,,,,,,, Certifi . ate of Authorization No. 20 to use the *NR* stamp expires July 17 19 L Nuclear Safety & Date 19 Signed Toledo Edloon inspection Manager aspen oremmainen amenase - me CERTIFICATE OFINSPECTION l l, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors, and certificate of competency issued by the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridos, minois have inspected the repair, modification, or replacement described in this report on 19_ 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 and SecUon til of the ASME Code and the National Board rules as defined in the publication NB45 and NS-102, current editions.

By signing this cerUficate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be l liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with j this inspection. Commissions Authortand inspector's Signature Date National Board. State. Province and Endorsemorts

  • Factory Mutual Engiwering Association )

I

II RFOInserviceInspection Summary Page 87 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 , Commercial Service Date: 11/27/77 { FORM 4HS-NAsNR-1/""" i OWNER'S REPORT FOR REPAIRS OR REPLACEMENT Required by the Provisions of the ASME Code Section XI 1 i J

1. Owner Toledo M- m ? - - -

i Date am>ss l 300 Madison Ave . Toledo. OH 43652 Sheet 1 of 1 I

                                                                                                ^"'"
2. Plant [

DavisA-= N* N .; him Unit - #1 ) i 6501 N. SR 2. Oak Harbor. OH 43449 MWO 107.ast*8MW) neemt orenahahm P.o. NJ., Job No, ees.

3. Work Performed By Toledo Edison Company
                                                                                                ,                                       Type Code Sta..m. p                    NR 5501 N. SR 2. Oak Harbor. OH 43449                                    Authorization No.                   20 an.e.

Expiration Date 7-17 es

4. Identification of Systems y i SG 1-1 Drain Svatem 7-ERE EM32 C-250 -

l

5. (a) Applicable Construction Code ANSI B31.1 f Edition to gZ Addendurn Ma i

code Case NA { (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19. 86 (c) Design Responsibilities ITTGrinnell s

6. Identification of Cwivenents Repaired or Replaced and Reimment Ccirpenents 1 j

l w.m. of component same of manufacturer manufacturer's mational other 1 rear Repaired serial mo. soard po. Asus Idenet<Mation/ autic neplaced or code Jurisdictional No. Replacement stamped Snubber ITT Grinnell 13812 N/A C 250 N/A Replaced No Snubber ITT Grinnell 13268 .N/A C-250 N/A Replacernent No 1 l I J

7. Description of Work I

TT Grinnett hydraulic anubber am 13812 wee replaced with a like for ske snubber SM 13268. Replacessent snubber was rebuttt u nder MWo 197451543. snubber was funceonaNy tested satisfactory prior to installation. 1 l 1 l l

8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO) l Pressure N/A psi Test Temperature N/A ep l Pressure Relief Valves:

Service ' N/A Size N/A Opening Presc,ure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Using N/A e .i at N/A 6 nomenaan 3 Notas supplemental sheets in the form of lists, sketches, or drawings may be used, provided (1) site 1. e% x 11 in. (2) Infoximation in items 1 through 6 on this report is included on each sheet, and (3) each abeet is numbered and the number of sheets is recorded at the top of this form. I

n .. _ _ - - - - - _ - _ _ _ - _ _ _ . _ _ _ _ - _ _ - _ _ - . _ - _ - - _ _ _ _ _ _ _ _ _ _ _ _ _ _- _ _ - _ _ _ _ _ _. _ l 11 RFO Inservice Inspection Summary Page 88 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 i FORMMG4/NR-1 HWR+

                                                                                                                                                                                         ***"'8"" f** b w b. an.sh.e
s. REMARKS NIA 9

CERTINCATE OF COMPUANCE We certify that the statements made in the report are correct and this replannnant confonns to the rules of

                                                                                                                                                         ~

the ASME Code Section XI. Nil,,_ 20 Expiration Date 747-98 Type Code Symbol Certificate of Authorization No. i k. Huo4*ar W &InW~i Manager Date L 19 M Signed w - .-. % ;r

                                                                                                              ~

CERTIRCATE OFINSERVICEINSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridae. Imnois have inspected the components descdbed in this Owner's Report during the pedod AD to v-Ah, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owncr's Report in accordance with the requirements of the ASME Code, Secilon XI.

By signing this certificate, neither the inspector nor his employer nakes, any warranty, expressed or implied, concoming the examinations and corrective measurew described in the 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 idnd artsing from or connected with this inspectkA

                                                                /-                                         k~M M'             hissions 865ifD/               YIM SA% M*

National Board, State Province and Endorsements Date inspeaor's Sagnpo CERTIFICA11" OF COMPLIANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device descrited abow a conforms to Section XI and Section ill of the ASME Code and the National Board rules as defined in publicati0ns NB SS and NS-102, current editions. Ceritficate of Authorization No. 316 to use the 'VR* stamp expires Dec.13 19,gp_, I Certificate of Authorizatica No. 20 to use the *NR* stamp expires Jutv 17 1p_9lL_, Nuclear Safety & 19_,,,_, Signed Toledo Edison inspedian Manager Date n.pu premawa um.n=e u., m. n CERTIFICATE OFINSPECTION - 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspec, tors, and certificate of competency issued by the State or Province of "" and employed by Protection Mutual

  • of Park Ridos, Wmois have inspected the repair, modification, or replacement described in this report on 19 ,,,,,,, and state that to the best of my knowledge and belief, this repair, modification, or rep *3 cement has been made or constructed in accordance with Section XI and Section til of the ASME Code and the National Board rules as defined in the publication NB-65 and NS-102, current editions.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the repair, modification or replacement described in this report. Fu 1hermore, neither the inspector nor Ns employer sha!! be liable in any 'nanner for any personalirjury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Authortred inspector's Signature Date National Board, State, Prov6nce and Endorsements

  • Factory Mutual Engincedag Association
 - _ - - _ - _ _ - _ - - _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -~--- -~-                                                                                                ~

I l l 11 RFOInserviceInspection Semmary Pige 89 i Toledo Edison C.a.pmy, 300 MIdison Avenue, Toledo, Ohio 43652 l CommercialSemv Date: 11/27/77 i l I FORM Nhi-2 / NR-1/MVR4 As Required by theOWNER'S Provisions of theREPORT ASME Code Section FORXIREPAIRS OR REPLACEMENTS l

1. Owner Toledo Ed- -- - -

Date 4r22/es 200 u.m-~i Aum- Toledo. OH M652 Sheet 1 of 1 as

2. Plant c__' "- -- Narimar Power Stadon Unit
                                                                                                                                                          -                                                                 s1 l,

5501 N_ BR 2. Oak Harbor. OH 42449 MWO 1.ny.nasc41 a=== l ne, e o,-eammen P.a n., aan n., see. l

3. Work Perfonned By Toledo Edison Company Type Code Stamp NR -

5501 N. SR 2. Oak Narbor. OH '?ita Authorization No. 20  ; Expiration Date 7-17 es

4. Identification of Systems Y {

3G 1-1 Drain Swatam 7 Enn4.H24 C-251

5. (a) Applicable Construction Code ANSIB31.1 Edition 19 AZ Addendum N0k Code Case N/A (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 l

(c) Design Responsibilities ITTGrinnell

6. Identification of Components Repaired or Rep! aced and Replacement Components '

i Name of component Name of Manufacturer Manufacturer's I National other Year Repaired AsME serial No. Board No. Identification / Built peplaced er code Jurisdictional No. Replacement Stamped Snubber l* T Grinnell 13813 MA l C 251 N/A Replaced No Snubber ITT Grinnett. 12264 N/A

                                                                                                                                                                                                 .                        C-251             N/A         Replacement       No I

I 1

7. Description of Work l 4TT Grinnell hydraul6c snubber am 13813 was replaced tutth a ilke for Nke snuther SM 13264. Replacement snubber was rebuilt under MWo 1-97 oS15 04. Snubber was funcuonaNy tested sausfactory prior k installation.

I

8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressuro (NO) Other (NO)

Pressure WA pal Test Temperature N/A op i Pressure Relief Valves: Service N/A Size N/A Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustrnents Made Using N/A

                                                                                                                                                                                                                                     .i at N/A
                                                                                                                                                                                                            .-      e NOTES (2) Information           Supplemental sheets in the form of lista, sketches, or drawings may be used, provided (1) size is eu u 11 in.                                                                                              !

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

i 1 11 RFO Inservice Inspection Summary Page 90 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercit! Service Date: 11/27/77 FORM-NIG4/NR-1 HMM-Mmfeeme Dem Asp.n. en 6. aneesed

9. REMARKS N/A l 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.

Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date 76 Signed b ,l_ Nuotear saw a inspecuon Manager Date Z- 19 N ou.,- - - CERTIRCATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors in the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridae. Illinois have inspected the components described in this Owners Report during the period /-3#ff to #W 9P, 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 Reportin 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 impliod, w.m.;.,g the examinations and corrective measures described in the Owners Report. Furthermore, neither the inspector nor his employer shall be liable in any rnanner for any personal Wury or property damage or a loss of any idnd arising from or connected with this inspection. M /Ni@ Date Commissions hf5W MYM h/4 Cus"

  • National Board, Stale. Province and Endorsements Inspedors yUre CERTIFICATE OF COMPUANCE We certify that the statements rnade in this report are correct and the repair, rnodification, or replacement of the pressure relief device described above conforms to Section XI and Section ill of the ASME Code and the National Board rules as defined les publications NS-65 and NB-102, current editions.

Ceritficate of Authorization No. 316 to use the 'VR" stamp expires Dec.13 19,gg _, Certificate of Authorization No, 10 to use the 'NR* stamp expires Juhr17 1930,,_,,,,, l Nuclear Safety & Date -19 . Signed Toledo Edison inspemon Manager me., o v.,u.u.a aum a.o . m... i i CERTIFICATE OF INSPEC110N 1 I, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors, and certificate of competency issued by the State or Province of No and employed by Protection Mutual

  • of Park Fudge, minois have inspected the repair, modification, or replacement described in this report on 19,,,,,,,,,,, and state that to the best of my knowledge and belief, this repair, modification, or replacement has been rnade or constructed in accordance with Section XI and Section 111 of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, current editions, By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the i repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be I liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with I

this inspection. Commissions Authortzed inspedore Signature Date Nationei Board, State, Provmco and Endorsements l

  • Factory Mutual Engineering Association I

1 t

I1 RFO Inservice Inspection Summary Page 91 Toledo Edison Company, 300 Msdison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27n7 FORM NIS-2 / NR-1/-NVR-4 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Toledo Edison Comoany Date s/10/9s e

300 Madison Ave. Telado. OH 43652 Sheet 1 of 1 e

2. Plant Davia-Besee N=4==* Power st=e!on Unit #1 m-5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-97 0626-54
                                                                         ****=                                                      n.,.e ors.nemnm p.ct no ae n , .i
3. Work Performed By Toledo Edison Company Type Code Stamp NR e

5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 a Expiration Date 7-17-98 ' WEff- Y-Nf =4'1

4. Identification of Systems Aur Feedwater to SG 1-2 t2222:r D
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 El Addendum MA Code Case N/A (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITTGrinnell
6. Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manufacturer's National other Year Repaired ASNE Serial No. Board No. Identification / Built Replaced or Code Jurisdictional NO. Replacement Stamped Snubber ITT Grinnell 74440215/48 N/A C-260 N/A Replaced No Snubber ITT Grinnell 17910 N/A C-260 N/A Replacement No 1

l

7. Description of Work iTT Grinnen hydraullo snubber s/N 74440216/48 was removed and replaced with a like for like anubber S/N 17910.

Snubber was funcUonaNy tested saOstactory prior to instalianon. 1 1 ! i l l 8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO) l Pressure N/A psi Test Temperature N/A .p i t ! Pressure Relief Valves- i Service N/A Size N/A j Opening Pressure N/A Blowdown (if applicable) N/A ) Set Pressure and Blowdown Adjustments Made Using N/A

                                                                                                                                                     .   -i at N/A ee NOTES supplemental sheets in the form of lists, sketches, or drawings sney be used, provided (1) size is 8% 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.

i i I i1 RFO Inservice Inspection Summary Page 92 I Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 f Commercial Service Date: 11/27/77 FORM NIS-2 /NR-1/WVR l 1

9. REMAMKS "f""**8""*'s Deu R.po.w h k Mm hed N/A I

l CERTIRCATE OF COMPl. LANCE We certify that the statements made in the report are correct and this taplacement conforms to the rules of the ASME Code Section XI. Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date 7*17-88

                                                                               "*                               "*8**8*""*"*8*'

Signed i dpfnnow er.D , a Tam Date 19E CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid cornmission issued by the National Board of Boiler and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutuaf

  • of Park Ridae, filinois have inspected the components described in this Owners Report during the period /- FfPlo r-v*
  • P#, and state that to the best of my hwiedge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate, neither the inspector nor his ornployer makes any warranty, expressed or implied, concoming the examinations and corrective measures described in the Owners Report. Furthermore, neither to inspector nor his employer shall be liable in any manner for any personal injury or property damage cr a loss of any idnd arising from or connected with this insp .

                                                                                                                                              < ,       *e                                                o, a

inspectorp6egnature PM *if Dale Cvi,,,,;  ;;,,,, N A 9aF21/ NIY Natonal Board, State, Province and Endorsements

                                                                                                                                                                                                     $A* Cs& "

CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, modification, or replacerrent of the pressure relief device described above conforms to Section XI and Section 111 of the ASME Code and the National Board rules as defined in publications NB45 and NB-102, current editions. Ceritficate of Authorization No. 316 to use the *VR" stamp expires Dec.13 192 L_. Certificate of Authorization No. 20 to use the *NR' stamp expires Jutv 17 _191g_,,,,,, Nuclear Safety & Date -19 _ Signed Toledo Edison inspection Manager

                                                            =p., o.e.waem                                 a.ama.an.p           m.w.                     m.

CERTIFICATE OFINSPEC110N I, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors, and certificate of competency issued by the State or Province of Oh'* and emoloyed by Protection Mutual *

   - of Park Ridos, Illinois have inspected the repair, modification, or replacement described in this report on                      19,,,,,,,,,,, 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 and Section !!! of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102 current editions, By signing this c9rtificate, neither the inspector nor his employer makes any warranty, express (d or implied, concoming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personallnjury or property damage or a loss of any kind arising from or connected with this insoection.

Commissions Authorized inspector's Signature Date Nahonal Board, State, Province and Endorsements

  • Factory Mutual Engineering Association

11 RFO Inservice Inspection Surnmary Page 93 Toledo Edison Compony, 300 Madison Avenue, Toledo, Ohio 43652 Cornmercial Service Date: 11/27U7 FORM NIS-2 / NR-1/-HVR4 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Toledo Edison Company . Date 4/21/98 300 Madhon Ave Toledo. OH 43052 Sheet 1 of 1 m
2. Plant Davis-Besse Nuclear Power Station Unit #1 5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-97-0626-59 aa==

n.p.e oiventisike en un, a.e n., .is.

3. Work Performed By Toledo Edison Company Type Code Stamp NR -

5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 u Expiration Date 7-17-98 T

4. Identification of Systems LOW PRESSURE INJECTION f051-01) 33B-CCA 6-H5 C-274 l

1

5. (a) Applicable Construction Code ANSI B31.1 Edition 19 EZ Addendum NA Code Case NA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITTGRINNELL
6. Identification of Components Repaired or Replamd and Replacement Components Came of Component Name of manufacturer Manufacturer's National othar Year Repaired ASME Serial No. Board No. Identification / Built Replaced or Code Jurisdictional NO. Replacement Stamped SNUBBER ITT GRINNELL 14204 NA C-274 NA REPLACED NA SNUBBER ITT GRINNELL 21311 NA C-274 NA REPLACEMENT NA I
7. Description of Work iTT GRINNELLL HYDRAuuc SNUBBER S/N 142o4 WAs REMOVED AND REPLACED WITH A UKE FoR UKE snub 8ER S/N 21311.

REPLACEMENT SNUBBER WAS FUNCTIONALLY TESTED prior To INSTALLATION.

8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure NA psi Test Temperature NA .p Pressure Relief V&es: Service NA - Size NA 1 Opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Using NA at NA i -- e ! NOTEa Supplematetal sheets in the f orm of lists, sketches, or drawings may be used, prM

  • ded (1) site is 0% x 11 in.

l (1) 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. t I

11 RFO Inservice Inspection Summary Page 94 Toledo Edison Comp:ny, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date- 11/27/77, FORM NIS-2 /NR-1/2."C

                                                                                                                         "*adm***.D.m O m6.      ._
9. ftEMAf;KS NrA CERTIFICATE OF COMPUANCE conforms to the rules of We certify that the statements made in the report are correct and this raptacament -

the ASME Code Section XI. 20 Expiration Date 7*T7"88 Type Code Symbol NR Certificate of Authorization No. Signed , Nuclear Safety 5 Inspecean Manager Date / 1918

                                               'oJ., w o==< o ien.s Tm.                   ?

CERTIFICATE.0F INSERVICE INSPECTION 1, the undersigned, holding a valid cornrnission issued by the National Board of BoHer and Pressure Vessel inspectors in the P ark Ridae litinois. Ohio and employed by - Protection Mutual

  • of State or Province of i111 9R to 41Ml% ,and state have inspected the components described in this Owner's Report during the period that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective rneasures described in this Owners Report in accort'ance 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, concoming the examinations and corrective measures described in the Owners Report. Furthermore, neither the inspector nor his ernployer shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising frorn or connected with this inspection. , , , , , , b)& Inspector's SignatureV y I 22. i Date Cornmissions 33N NI b Natanal Boafd, State Provmco and Endorsements 1 CER11FICATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described abovp confomis to Section XI and Section ill of the ASME Code and the Nationaf Board rules as defined in publications NS-65 arid NB-102, current editions. 316 to use the *VR* stamp expires Dec.13 .19,2f,_,,, Centtficate of Authorization No. 20 to use the *NR* stamp expires Jutv 17 . t 9L. Certificate of Authorization No. Nuclear Safety & inspection Manaoer Date 19 . Signed Toledo Edison w .u.o . a um a.pu u,,..a== CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission issued by the National Boa'd of Boiler and Pressure Vesset inspectors, and NO and employed by Protection Mutual

  • f.ertificate of competency issued by the State or Province of of Park Rdge, stimons have inspected the repair, modification, or replacement described in this report on 19_ 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 and Section ill of the ASME Code and the National Board rules as defined in the publication NB45 and NB-102, current editions.

By signing this certificate, neither the inspector nor his employer maket any warranty, expressed or implied, conceming the repair, modification or replacement described ln this report. Furthermore, neither the inspector not his employer shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspectiort Comrnissions Authonzad inspeaor's S)gnature Date National Board State. Provmco and Endorsements

  • Factory Mutual Engineering Association

I1 RFO Inservice Inspection Summary Page 95 Tol do Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 / NR-1/+WRe.1 OWNER'S As P 'uired by the Provisions REPORT of the ASME Code SectionFOR XI REPAIRS OR REPLACEMENT

1. Owner _. Toledo Edison comnanv Date 5/10/98 300 Madison Ave.. Toledo. OH 43652 Sheet 1 of 1 a
2. Plant Davls-Besse Nuclear Power sfation Unit #1 5501 N. SR 2. Oak Harbor. OH 43449 MWO # 1-97-062G40 me Repak Open P.a No, Job h, as
3. Work Perf r med By Toledo Edison Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization NO. 20 me Expiration Date 7-17-98
4. Identification of Systems Main Steam EBB-1-SR4 C-169
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 GI Addendum Dla Code Case Dla (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities _ Usega
6. Identification of Components Repaired or Replaced and Replacement Cornponents Name of Component Name of Manufacturer Manufacturer's National other Year Repaired ASME serial No. Board No. Identification / Built Replaced or Code Jurisdictional No. Replacement Stasq>ed Snubber Usega 61252/54 n/a C-169 n/a Replaced No Snubber Usega 61252/40 n/a C-169 n/a Replacement No
7. Description of Work LisEGA HYDnAuuC SNUBBER 6/N 61252/64 WAs REMOVED AND REPLACED WITH A LIKE FoR UKE SNUBBER S/N 61252/40.

REPLACEMENT SNUBBER WAs FUNCTIONALLY TESTED prior To INSTALLATION.

8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A psi Test Temperature N/A ap Pressure Relief Valves: l Service N/A Size N/A Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Using N/A f toen made I at_ N/A f

                                                                                   . - .                                                                                 (

MOTET Supplemental (2) Information sheets in the form of lists, sketches, or drawings may be used, provided (1) size is 8% a !! in, in items j rmumber of sheets is recorded 1 through 6 en at the topthis report of this is included on each sheet, and (3) each sheet is numbered and the form.  ! l [ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

11 RFO Inservice Inspection Summary Page 96 Toledo Edison Company, 300 Mtdison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 /NR-1/-NVfM-

9. REMARKS 88'P i meMe ko.udamesers D.ta % 4. h hM rMA CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are ccrrect and this replacement conforms to the rules of I the ASME Code Section XI.

Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date 7 17-96 Signed , Wdear saw nspecean Manager Date 19 -

                                            ~ q S .,.,o    <.o % ra.

CERTIRCATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutuaf

  • of ,Pafk Ridos, Illinoi!

have inspected the components described in this Owners Report during the period M M to . Shi # , and state that to the best of my knowledge and belief, the Owner has performed examinations anc take~n correctile theasures described in this Owners 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, concoming the examinations and corrective measures described in the Owners Report. Furthemiore, neither the inspector nor his employer shall be liable iri any manner for any personalinjury or property damage or a loss of any idnd arising from or connected with this inspection. Mne.$ b dW 6 Al N Commissions M 933 Date Nahonal Board, State. Province and Endorsernents inspedor's f ignaturY g CERTIFICATE OF COMPLIANCE We certify that he statements rnade in this report are correct and the repair, rnodification, or replacement of the pressure relief device described above conforms to Section XI and Section lit of the ASME Code and the National Board rules as defined in publications NB-65 and NB-102, current editions. Ceritficate of Authorization No. 316 to use the 'VR* stamp expires Dec.13 19 98 Certificate of Authorization No. 20 to use the 'NR* stamp expires Jutv 17 _19 98 Nuclear Safety & Date 19 . Signed Toledo Edison inspedion Manager s.Pu uiv.nu.a un.,u.a u .. uw. im. CEREFICATE OFINSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors, and certificate of competency issued by the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridge, Illinois have inspected the repair, modification, or replacement described in this report on 19_ 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 and Section til of the ASME Code and the Nabonal Board rules as defined in the publication NS-65 and NB-102, current editions.

By signing this certificate, neither the Inspector not his employer makes any warranty, expressed or implied, conceming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Authorized inspector's Ggnature Date Nabonal Board. State, Province and Endorsernents ,

  • Factory Mutual Engineering Association

11 RFO Inservice Inspection Summary Pege 97 Toledo Edison Company, 300 Madison Avenue Toledo, Ohio 43632 Commercial Service Date: 11/27/77 FORM NIS-2 / NR-1/ Z" A OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Tolado Edison Comnany Date 4r21/98 m-.

300 Madison Ave _ Toledo. OH 43652 Sheet 1 of 1 m

2. Plant D;i S:n Nel- Power Station Unit #1 5501 N. SR 2. Oak Harbor. OH 43449 MWO 107-062642 hper Opmuanne PA h, Je No, ou,
3. Work Performed By Toledo Edison Company Type Code Stamp- NR -

5501 N. SR 2. Oak Harbor. OH 43449 Authonzation No. 20 m Expiration Date 7-17-98 T

4. Identification of Systems LOW p*1ESSUREINJECTION (05101) 23B-CCA4416 C-280
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 SZ Addendum M Code Case M (b) Applicable Edition of Section XI Utilized for Repairs or Replacements to a6 (c) Design Responsibilities ITTGRINNELL
6. Identification of Cornponents Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manufacturer's National other Year Repaired AEME serial No. Board mo. Identification / Duilt Replaced or Code Jurisdictional NO. Replacement Stanq>ed SNUBBER ITT GRINNELL , 9441 NA C-280 NA REPLACED - NA SNUBBER ITT GRINNELL 10128 NA C280 NA REPLACEMENT NA
7. Description of Work ITT GRINNELLL PYDRAuuc SNUBBER S/N 9441 WAs REMOVED AND REPLACED WITH A UKE FoR UKE SNUBBER s/N 10128.

REPLACEMENT sNuBeER WAs FUNCTIONALLY TESTED prior To INST ALLATioN. ! s. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO) Pressure NA psi Test Temperature NA .p Pressure Relief Valves: I Service NA Size NA Opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Using NA

                                                                                                                                      . m. i et NA e n -.- e mote: supplemental sheets in the form of lists, sketches, or drawings may be used, provided (1) size is e% x 11 in.

f (2) Inforination in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the l number of sheets is recorded at the top of this fotia..

I1 RFO Inservice Inspection Summary Page 98 Toledo Edison Company, 300 Midison Avenue, Toledo, Ohio 43652 Conunercial Service Date: 11/27/77 FORM NIS-2 /NR-1 lV". i

9. REMARKS #8'Phceb# teenadantmess Dem fesperm W be Ashched N/A CERTIRCATE OF COMPUANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code Section XI. -

Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date 7*17*88 Signed / Nucleam Wspechn Manager Date U 19 l oefer er owners Desegnee, Tano / CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler ressure Vesselinspectors in the State or Province of Oblo and employed by Protection Mutual

  • of ric Ridae. It ino s have inspected the components described in this Owner's Report during the periodl4I31% to 4 11@ , and state that to the best of my knowledge and belief, the Owner has performed examinations and ta con correctrve ineasures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate..neither the inspector not his employer makes any warranty, expressed or implied, concoming the  ; examinations and corrective measures described in the Owner's Report. Furthermore, neither t!'e inspector nor his ernployer j shall be liable in any manner for any personal injury or property damage or a loss of any idnd arising from or connected with this inspectiort j-tyte4 bWLL inspector's Signature' y Date Commissions MMO '[t A eb Naimnal Boa'd, Stale, Provmco and Endorsements CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, rnodification, or replacement of the pressure relief device described abovp conforms to Section XI and Section til of the ASME Code and the National Board rules as defined in publications NB-65 arid NB-102, current editions. Certt;.'cate of Authorization No. 316 to use the "VR* stamp expires Dec.13 19_qq_. Certificate of Authorization No. 20 to use the *NR* stamp exWres JuN 17 19 98 Nuclear Safety & Date 19 Signed Toledo Edison inspection Manager aspeo o.ven.w,en wwueue mo me CERTIRCATE OF INSPECTION 1, the undershed, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors, and certificate of competency issued by the State or Province of Oh* and employed by Protection Mutual

  • of Park Ridoe,lltinois have inspec'ed the repair, rnodification, or replacement described in this report on 19_ 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 and Section lli of the ASME Code and the National Board rules as defined in the publication NS-65 end NB-102, current editions.

By signing this certificate, neither the inspector nor his employer makes any warranty, expresseo vplied, concoming the repair, modification or replacement described in this report. Furthermore, neither the Inspector nos tus employer shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Authorized inspedor's Signature Date National Board, State. Provnce and Endorsements

  • Factory Mutual Engineering Association

11 RFO Inservice Inspection Summary Page 99 Tolido Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 )

                                                                                                                                                                                                      )

Commercial Service Date: 11/27/77 FORMNIG-E-/ NR-1/48VR-4 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Toledo Edison Comnany Date 4/21/98 n

300 Madison Ave.. Toledo. OH 43652 Sheet 1 of 1 a

2. Plant __ Davie-Besse Nuetaar Power Station Unit #1 m

5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-07-062643  !

                                       **=                                                 sies== oresseins== PJ:L N , Jan N., .is.
3. Work Performed By Toledo Edieon CompenY Type Code Stamp
  • NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 Expigtion Date 7-17-98
4. Identification of Systems CORE FLOOD (051-01) 23BCCB4-H3 C-281
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 SZ Addendum B Code case n (b) Applicable Edition of Section X1 Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITTGRINNELL
6. Identification of Components Repaired or Replaced and Replacement Components Name of Corsponent Name of Manufacturer Manufacturer's National other Year Repaired ASME serial No. Board NO. Identification / Built Replaced or Code Jurisdictional NO. Replacement Statiq>ed SNUBBER ITT GRINNELL 10151 NA C-281 NA REPLACED NA SNUBBER ITT GRINNELL 9442 NA C-281 NA REPLACEMENT NA
7. Description of Work ITT GRINNELLL HYDRAuuc SNUBBER S/N 10161 WAs REMOVED AND REPLACED WITH A UKE FoR UKE SNUBBER s/N 9442.

REPLACEMENT SNUBBER W As FUNCTIONALLY TEsTEo prior To INSTALLATION.

                                                                                                                                                                                                       \
8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO) l Pressure NA psi Test Temperature NA .p l Pressure Relief Valves:

See *'a. Size NA Opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Using NA s ., at NA

                                                                                      -i NOTE: Supplemental sheets in the form of lists, sketches, or drawinOs may be used, provided (1) sige is 8% 3 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 j number et sheets is recorded at the top of this form. i l [ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . - - _ _ _ _ _ _ _ _ _ _ _ U

11 RFO Inservice Inspection Summary Page 100 Toledo Edison Company, 300 Medison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORIHHS-34NR-1 !""f" * .

                                                                                                                                                              #P'*amm            _ osa shp.n. m S. annesed S. REAAARKs NfA CERTIFICATE OF COMPUANCE We certify that the statements made in the report are correct and this empiamrnant                          conforms to the rules of
                                                                                                                                               ~

the ASME Code Secton XI. Type Code Symbol NR CertHicate of Authorization No. 20 Expiration Date 7*17"# Signed ,

                                                                                                            ""*'**'N"*P****""*"*8*'                 Date                  19 I omfw n o.=es o=ie.m., ra.                  /

CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid comnussion issued by the National Board of Boller and Pressure Vessel inspectors in the State of Province of Ohio and employed by Protection Mutual

  • of Park Ridae. INinois have inspected the components described in this Owners Report during the period /-MM to v'M-94 and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Secton XL By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or irr@ed, concoming the examinations and corrective measures described in the Owners Report. Furthemere, neither the inspector nor his employer shall be liable in any manner for any personal irqury or property damage or a loss of any kind arising from or connected with this in o s o o. s a inspectors &gnature WW"Date CommissionsgfA 9/2> N % A- S//* 6t@t #

Netsonal Board, Stato, Province and Endorsernents CERTIFI'CATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, rnodification, or replacement of the pressure relief device described above conforms to Section XI and Section !!! of the ASME Code and the National Board rules as defined in publications NB-65 and NB 102, current editions. Ceritficate of Authorization No. 316 to use the *VR* stamp expires Dec.13 19 M Certificate of Authorization No. 20 to use the *NR* stamp expires Jutv 17 19 98 Huc6sar Safety & Date 19 . Signed Toledo Edison inspecian Manager n.p.e o,.mam,.a ur nmaH.p .u w. i s= CERTIFICATE OFINSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel Inspectors, and certificate of competency issued by the State or Province of Ohio and employed by Protection Mutual

  • of Park Flidos,Imnois have inspected the repair, modification, or replacement described in this report on 19 , and state that to the best of my knowledge and belief, this repair, modification, oi replacement has been made or constructed in accordance with Section XI and Section 111 of the ASME Code and the National Board rules as defined in the publication NS65 and +

NB 102, current editions.

  • By signing this certificate, neither the inspector nor his ernployer makes any warranty, expressed or implied, concoming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his ernployer shall be
                       .                       liable in any manner for any personal irjury or property damage or a loss of any kind arising from or connected with this inspection.

l Cornmissions Authorized inspedors Signature Date National Board. State. Province and Endorsements

  • Factory Mutual Engineering Association I i

11 RFO Inservice Inspection Summary Page 101 Toledo Edison Company, 300 Mrdison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORRHelG-eV NR-1 f.'."."' FOWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Secuon XI

1. Owner Toledo Edlaon Comment Date 4/21/98 e

300 Madison Ave.. Toledo. OH 43652 Sheet 1 of 1. me ,

2. Plant Cd M 1 Nuclear Power Station Unit #1 5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-97 0626 64
                                           **=                                                Awak ogenhusem PA No.Je No. m
3. Work Performed By Toledo Edison Cornpeny Type Code Stamp NR 5501 N. SR 1. Oak Harbor. OH 43449 Authorization No. 20 m

Expiration Date 7-17-oe f .

4. Identification of Systems Core Flood (05101) 23B-CCB 6-H4 C-282
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 fZ Addendum H& Code Case NA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITTGRINNELL
6. Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manufacturer's National other Year Repaired ASME serial NO. Board NO. Identification / Built Replaced or Code Jurisdictional NO. Replacement Stamped SNUBBER ITT GRINNELL 10152 NA C 282 NA REPLACED NA  ;

SNUBBER ITT GRINNELL 8907 NA C 282 NA REPLACEMENT NA i t I l 7. Description of Work ITT GRINNELLL HYDRAUUC SNUBBER s/N 10152 WAs REMOVED AND REPLACED WITH A UKE FoR UKE SNUBBER s/N 8907. j REPLACEMENT SNUBBER WAs FUNCTIONALLY TESTED prior To INSTALLATION. 1

                                       -                                                                                                          l t

i l l l

8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure NA psi Test Temperature NA .p Pressure Relief Valves: Service NA Size NA Opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Using NA i. at NA e-NOTE: supplemental sheets in the form of lists, sketches, or drawings may be used, provided (1) size is 0% a 11 in. (2) Information in items 1 through 6 on this report la included on each sheet, and (3) each sheet is numbered and the number of sheets la recorded at the top of this form.

11 RFO Inservice Inspection Summary Pcge 102 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORENtS+/NR-1/ *19 ?

                                                                                                                                                                                                                                                      -. o a      t,. :
s. neuancs NIA CERTil1CATE OF COMPUANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of
                                                                                                                                                                                  ^-

the ASME Code Secton XI. 20 Expiration Date 7*17-88 Type Code Symbol NR Certificate of Authorization No.

                                                                                                , [.      Nuclear Safety & inspecson Manecer Date I'                                                                   E     19 M s;;,,w o f.c o.mu.o c                To.                                                  ?
   -                                                                                                    CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the Na6onal Board of Boller and Pressure Vessel Inspectors in the Ohio and employed by                                      Protection Mutual
  • of Park Ridae. Illinois State or Province of have inspected the components described in this Owners Report during the period /*N# to &#VM ,and state that to the best of my knowledge and belief, the Owner has perfomied examhations and taken correceve measures descitbed in this Owners Report in acmrdance 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, concoming the examinations and corrective measures described in the Owners Report. Furthermore, neither the inspector nor his ornployer shall be liable in any rnanner for any personalinjury or property damage or a loss of any kind arising from or connected with this on. u o 4fW/* Commissions AM9/W Y,Y OYw us% Date National Board. State Provence and Endorsernents Inspectorf Signature CERTIFICATE OF COMPUANCE We certify that tr o statements made in this report are correct and the repair, rnodification, or replacement of the pressure relief device described above conforms to Section XI and Section 111 of the ASME Code and the National Board rules as defined in publications NB-65 and NB-102, current editions. Ceritficate of Authorization No. Sie to use the 'VR' stamp emires Dec.13 19 98 Certificate of Authorization No. 20 to use the 'NR* stamp expires Jutv 17 19_9_8_. Nuclear Safety & inspedian Manager Date 19 Signed Toledo Edison . n.p om.aw u.am u uw. CERTIFICATE OF INSPECTION 1, the undersigned, holding a valid comrnission issued by the National Board of Boiler and Pressure Vessel Inspectors, and Ohi* and employed by Protection Mutual

  • certificate of competency issued by the State or Province of of Park Ridos, minois have inspected the repair, rnodification, or replacement described in this report on 19 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 and Section 111 of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, current editions.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or irnplied, conceming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Authorhed inspedor's S6gnature Date National Board, State. Province and Endorsements

  • Factory Mutual Engineedng Association

l l 11 RFO Inservice Inspection Summary Page 103 Toledo Edison Company, 300 Madison Avenue, Toledo. Ohio 43652 Cemmercial Service Date: 11/2707 FORIHHGef NR-1 i L"J.7 As Required by the Prowlsions OWNER'S of the ASME REPORT Code Section XI FOR REPAIRS OR REPLACEME

1. Owner Talado " " = e- --

e Date 4/21ms 300 na.m.aa Ame_ Talado. OH rance Sheet 1 of 1 as

2. Plant . . Davis-amans " ' =-

sm Unit #1 5501 N. SR 2. Oak Harbor. OH 4?? ase== MWO 1.G7 062645 nes

  • o s sensa p.ck he, Jan m., sea.
3. Work Performed By Toledo Edisone u -i s=.

Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH '?MS Authorization No. ase 20 Expiration Date . 7-17 es

4. Identification of Systems 1 CORE FLOOD #051011 ==M E T c.2as
5. (a) Applicable Construcbon Code ANalast.1 Edition 19 EZ Addendum M Code Case E j (b) Applicable Edition of Sechon XI Utllized for Repairs or Replacements 19 86 (c) Design Responsibilities ITTGRINNELL f
6. Identification of Cu-+ ets Repaired or Replaced and R='=+ ment Components l Name of Component Name of Manufacturer tsanufacturer's National other 1 rear aepaired serial 30. Board No. Identification / Built . Replaced or AENs code Jurisdictional No. Replacement Stamped SNUBBER ITT GRINNELL 10150 NA C-283 NA REPLACED NA SNUBBER ITT GRINNELL 9319 NA C.283 NA REPLACEMENT NA
7. Description of Work ITT GR#edERL HYDRAuuC SNuS85R SM 10150 WAs REMOVED AND REPLACED Wrm A UKE FoR UKE SNUSS REPLACEMENT SNUB 8ER WAs FUNCTIONALLY TESTED prior To INsTAMAftoN.

1 l l

8. Tests conducted: Hydrostatic (NO) 1 Pneumatic (NO) NominalOperating Pressure (NO)

Pressure Other (NO) NA psi Tost Temperature

  • NA ep Pressure Relief Valves:

I Service NA I Size NA j Opening Pressure NA l Blowdown (if apphcable) NA l Set Pressure and Blowdown Adjustments Made Using NA l t at NA .i notes e e (2) Inforenation in iteses 1 through 6 en this report is included on each sheet,suppleasantal sheets in the forsa of lis e.untser of sheets is reconded at the top of this forsa. and (3) each sheet is nussbered and the.

11 RFO Inservice Inspection Summary Page 104 Toledo Edison Comp:ny, 300 Midison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM-HIG-NNR-1 P"!." i

s. REMARKS N "**"o ha 6,epe se k Ama e N/A CERTIFICATE OF COMPUANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code Section XI. ~

Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date M -98 Signed ,/ Nuchar safety & hspecnon Manager Date 2- 19 N b et oumers Desqp.e, ime / CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holdir g a valid comtnission issued tr/ the National Board of Boller and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridae. filinois have inspected the components described in this Owners Report during the period MMP to u-M+P , and state that to the best of my knowledge and boGef, the Owner has performed examinations and taken corrective measures described in this Owners Roport 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 ohmplied, conceming the examinations and corrective measures described in the Owner's Report. Furthermore, neither the inspector nor his ernployer shall be liable in any manner for any personal injury or property damage or a loss of any idnd arising from or connected with this insp .

                                                                                                        *a sa            e
                          -                     VUY Date           Commissions N0WN                   N 5 $. O}ft e loMW National Board, State. Provina and Endorsernants Inspector's Spature CERTIRCATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, rnodification, or replacement of the pressure relief device described above conforms to Section XI and Section til of the ASME Code and the National Board rules as defined in publications NB-65 and NB-102, current editions.

1 Ceritficate of Authorization No. 316 to use the 'VR' stamp expires Dac 13 19 98 Certificate of Authorization No. 20 to use the *NR* stamp expires Jutv 17 _ 19.98 l Nuclear Safety & l Date 19 Signed Toledo Edison inspedion Manager j

                                                ..p., ov.w.u n             m.,u.e e,.p . m.w.e                     i.

1 l CERTIFICATE OFINSPECTION - 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors, and certificate of competency issued by the State or Province of Ohio and employed by Protection Mutual

  • i of Park Rdge. Ilknois have inspected the repair, modification, or replacement described in this report )

i 1 on 19.,,_ and state that to the best of my knowledge and belief, this repair, modification, or replacement has been made or j constructed in accordance with Section XI and Section lit of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, current editions. By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the repair, modification or replacement described in this report. Furthermore, neither the Inspector nor his employer shall be j liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with I this inspection. l l 1 Commissions  ! l Authorized inspedor's Segnature Date National Board State. Prowhee and Endorsernents l

  • Factory Mutual Engineering Association i

i

11 RFO Inservice Inspection Summary Page 105 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43632 Conunercial Service Date: 11/27/77 FORM NIS-2 / NR-1/ NV."M -OWNER'S REPORT FOR REP AIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner - Toledo Edison comoany Date 4/21/98 e

300 Madison Ave.. Toledo. OH 43652 Sheet 1 of 1 se

2. Plant Davis-Bease Nuclear Power station Unit s1 e

5501 N. SR 2. Oak Harbor. OH 43449 MWO 197 062646

                                                                                      ****=

n,.e ory.namu en n., a,e n

3. Work Performed By Toledo Edison Company Type Code Star,np- NR -

5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 a Expiration Date 7-17-98 Y

4. Identification of Systems LPIICORE FLOOD fo49-02) 33B-CCB-6-H5 C-284 ,
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 SI Addendum NA Code Case NA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITTGRINNELL
6. Identification of Components Repaired or Replaced and Replacement Components Name of Coaponent Name of Manufacturer Manufacturer's National other Year Repaired ASHE serial No. Board No. Identification / Built Replaced or Code Jurisdictional No. Replacement stamped SNUBBER ITT GRINNELL 10116 NA C-284 NA REPLACED NA SNUBBER ITT GRINNELL 17911 NA C-284 NA REPLACEMENT NA
7. Description of Work iTT GRINNELLi.HYDRAuuC $NuBBER $/N 10116 WAS REMOVED AND REPLACED WITH A UKE FoR UKE SNuSBER S/N 17911.

REPLACEMENT SNUBBER WAS FUNCTIONALLY TESTED prior To INSTALLATION.

8. Tests Conducted; Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure NA psi Test Temperature NA .p Pressure Relief Valves: Service NA Size NA Opening Pressure NA Blowdown (if applicable) NA l Set Pressure and Blowdown Adjustments Mado Using NA i I at NA l i-.- NOTE: supplemental sheets in the form of lists, sketches, or drawings may be used, provided (1) size is eu 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. C___.___ _ _ _ _ _ _ _ _ _ . - _ .

11 RFO Inservice Inspection Summary Page 106 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date:. 11/27/77 FORM NIS-2 /NR-1 !""J." t - N D** i - m b. -

s. REMARKS WA CERTIFICATE OF COhiPLIANCE We cergfy that the statements made in the report are correct and this raptacament conforms to the rules of the ASME Code Secton XI.

7 17-98 Type Code Symbol NR Certficate of Authorization No. L Expiration Date Hear SaW & insWon Manager Date 19 Signed , 7 4 .eero w. + re. CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors in the Ohio and employed by Protec6on Mutual

  • of . Park Ridoe, tilinois.

State or Province of have inspected the s~,,v c isats described in this Owner's Report during wie period .X3199 to 4/21.148 , and state that to the best of my imowledge and belief, the Owner has performed examinations and taken corrective enessures described in this Owner's Report in accordance with the requirements of the ASME Code, Secton XI. By signing this cordficate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the examina#ons and correceve measures desertbed in the Owner's Report. Furthermore, neither the inspector nor his employer shat be liable in any rnanner for any personal injury or property darnage or a loss of any idnd arising from or connected with this inspection. ok,o Q 4 11% d I A b r%M - ,) ate Commissions ABW5d co*MA.- Natsonal Board, Stale, Provirus and Endorsements Inspecors Segnature ~ G CERTIFICATE OF COfAPUANCE We certify that the statements made in this report are correct and the repair, rnodificatim, or replacement of the pressure relief device described abovp conforms to Section XI and Section til of the ASME Code and the National Board rules as defined in publications NB-65 arid NB-102, ciarent editions. Ceritficate of Authorization No. 316 to use the *VR* stamp expires Dec.13 _19 98 Certificate of Authorization No. 20 to use the *NR* stamp expires July 17 19,20,_. Nuclear Safety & inspedian Manaoer Date 19 Signed Toledo Edison i an. me ap.msn.a auinoaani s.p.. ni.i . d CERTIFICATE OF INSPEC110N I, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors, and Ohi0 and employed by Protection Mutual

  • certificate of competency issued by the State or Province of of Park Ridos, Illinois have inspected the repair, modification, or replacement described in this report on 19_._,,, and state that to the best of my knowledge and belief, this repair, modification, or replacement has been rnade or constructed in accordance with Section XI and Section ill of the ASME Code and the National Board rules as defined in the publication NB45 and NB-102, current editions.

By signing this certificate, neither the inspector nor his employer rnakes any warranty, expressed or implied, conceming the repair, modification or replacement described in this report. FurthermJte, neither the inspector nor his ernployer shall be

  • liable in any rnanner for any personal irQury or property damage or a loss of any kind arising from or connected with this inspection.

Commissions Authortzed inspecor's Signature Date National Board. State. Province and Endorsements

  • Factory Mutual Engmeenng Association

11 RFO Inservice Inspection Summary Page 107 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43632 Commercial Service Date: 11/27/77 FORM NIS-2 / NR-1 l'" i OWNER'S REPORT FOR REPAlRS OR REPLACEMENTS As Required ty the Provisions of the ASME Code Section XI

1. Owner Toledo Edison Conarw Date 4/21/98 m-.

300 Madison Ave _ Toledo. CH 43652 Sheet 1 of 1 e e

2. Plant Davls-Besse Nuclear Power 9tation Unit #1 5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-97-0626-67
                                                                                                                  =                                                                        nopet ceramemee P.n Na,Je No eu.
3. Work Performed By Toledo Edison Compary Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization NO. 20 as Expiration Date 7-17-98 1*
4. Identification of Systems DECAY HEAT REMOVAL (04042) 23C-CCA-44110 C-286
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 EZ Addendum M CodeCase B (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86
                                                                                ,(c) Design Responsibilities !TTGRINNELL
6. Identification of Components Repaired or Replaced and Replacement Components Name of Component plane of Manufacturer Manufacturer's National Other Year Repaired Asts serial 300 Board spo. Identification / Built Replaced or code Jurisdictional MO, Replacement stamped SNUBBER 11T GRINNELL 10179 NA C-286 NA REPLACED NA SNUBBER ITT GRINNELL 11817 NA C.286 NA REPLACEMENT NA l
7. Description of Work ITT oRINNELLL HYDRAuuC sNueeER s/N 10179 WAs REMOVED AND REPLACED WITH A UKE FoR UKE sNueeER stN 11817.

REPLACEMENT sNueeER WAs FUNCTIONALLY TESTED prior To INSTALLATION. y l l l

8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO) l NA psi Test Temperature NA ep l Pressure Pressure Relief Valves:

Service NA Size NA Opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Using NA ew.. at NA e- s 18&rE s supplemental sheets in t.be form of lists, sketches, or drawings may be used, provided (1) size is eu a 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 l number et sheets is recorded at the top of this form. I l ______ ____________J

11 RFO Inservice Inspection Summary Page 108 i Toledo Edison Cornpany, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 1i/27/77 FORM NIS-2 /NR-1 ! .T!". P teemd.ewom beu : 1 e are Amaine

9. REMARKS i

N/A , . CERTIFICATE OF COMPLIANCE We certify that the statements made in the toport are correct and this replacarnant conforms to the rules of the ASME Code Section XI. .. 20 Expiration Date 7-17-08 Type Code Symbol NR Certificate of Authorization No. Signed / Nuclear SaW & hspecean Manage' Date U 19 Y a-~ r CERTIFICATE OF INSERVICE: INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors in the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridae. fifinok have inspected the components described in this Owners Report during the period WR to M214A - , and state that to the best of my knowledge and boGef, the Owner has performed examinations and taken correcti've measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or irnplied, concoming the examinations and corrective measures descdbed in the Owners Report. Furthermore, neither the inspector nor his employer shed be Emble in any manner for any personal triury or property damage or a loss of any idnd arising from or connected with this in,spection. # ** Otilo lbewn h) w 4'M % Commissions t4B 9330 R I A' co u, inspeaors Signature Dd to National Board, State, Provmco and Endorse nonts Q CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section lli of the ASME Code and the National Board rules as defined in publications NB-65 and NB-102, current editions. Ceritficate of Authorization No. 316 to use the *VR' stamp expires Dec.13 19 98 Certificate of Authorization No. 20 to use the 'NR* stamp expires Jutv 17 . t 9 98 , Nuclear Safety & Signed Toledo Edison tespeaion Manager Date 19 mp u,v==,.a ,,m.nm m, ami,,. 1m. CERTIFICATE OFINSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel Inspectors, and N* and employed by Protection Mutual

  • certificate of competency issued by the State or Province of of Park Ridos, Illinois have inspected the repair, rnodification, or replacement described in this report on - 19_ and state that to the best of my knowledge and belief, this repair, modification, or replacement has been rnade or constructed in accordance with Section XI and Section !!! of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, current editions.

By signing this certificate, neither the inspector nnr his employer makes any warranty, expressed or implied, conceming the repair, rnodification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal triury or property damage or a loss of any kind arising from or connected with this inspection. Cornr tissions Authorized Inspectors Signature , Date National Board. State. Province and Endorsements

  • Factory Mutual Engineering Association

11 RFO Inservice Inspection Summary Page 109 Toledo Edison Cornpany, 300 Mcdison Avenue, Toledo, Ohio 43652 Comm.rcial Service Date: 11/27/77 FORM NIS-2 / NR-1/ NVR-1 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Toledo Edison comoany Date 5/13/98 e

300 Madison Ave _ Toledo. OH 43652 Sheet 1 of 1 u

2. Plant Davis-Besse Nuclear Power Station Unit #1 e

5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-97-0650 06 me.= n., ors.enn.n p.a n , a.e n em.

3. Work Performed By Toledo Edison Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization NO. 20
                                                                             ~

Expiration Date 7-17-98

4. Identification of Systems Main Steam from Stm Gen 1-1 3A-EBB-1-H4 A.19
5. (a) Applicable Construction Code ANSI B211. Edition 19 E Addendum NA Code Case NA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITT Grinnell
6. Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manufacturer's National other Yaar Repaired ASME serial No. Board No. Identification / Built Replaced or code Jurisdictional No. Replacement Stamped Snubber ITT Grinnell 18281 NA A 39 N/A Replaced No Snubber ITT Grinnell 14735 N/A A 39 N/A Replacement No
7. Description of Work ITT Grinnell hydraulle snubber 84418201 was removed and repieced with a Hke for aske snubbur $/N 14735.

Replacement snubber was rebultt under MWo 197 0514-00. Replacement snubber was funcuonaNy tested saustectory prior to installation.

8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A psi Test Temperature WA .p Pressure Relief Valves: Service N/A Size N/A l Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Using MA i.. at N/A

a s NOTE: suppleseental sheets in the form of lists, sketches, or drawings may be used, provided (1) size is 0% 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.

11 RFO Inservice Inspection Sununary Page 110 Toledo Edison Company, 300 Midison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 /NR-1/WWH l

9. REMARKS * ***"'em D.m Rep ns W be An.Wei N/A 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.

Type Code Symbol NR Certificate of Authodzation No. 20 Expiration Date 71788 Signed , Nuclear SeMy & hopecton Manager Date 19 own.Yeto.avece Tam CERTIFICATE OF INSERVICE INSPECTION 1, the underdgned, holdng a valid commission issued by the Natkmal Board of Boller and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutual

  • of Pa k Ridos. Illinola have inspected the components described in this Owners Report during the period Ii14 47 to Ill3MR ,and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective rnessures described in this Owners Report in accordance with the requirements of the ASME Code, Section XI.,

By signing this certificate, neither lhe inspeckr nor his employer makes any warranty, expressed or implied, concoming the examinadons and corrective measures described in the Owners Report. Furthermore, neither the inspector nor his employer shall be liable in any inanner for any personal injury or property damage or a loss of any idnd arising from or connected with this inspection. N Inspedor's Segnature' Q i I Date Commissions AB Au6 I A" Ab. Natsonal Board. Staio, Provmco and Endorsements CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section 111 of the ASME Code and the National Board rules as defined in publications NB-65 and NS-102, current editions. Coritficate of Authorization No. 316 to use the "VR* stamp expires Dec.13 19 98 Certificate of Authorization No. 20 to use the "NR" stamp expires Juhr 17 19.glL_, Nuclear Safety & Date 19 Signed Toledo Edison inspection Manager mp o,,.,-o.a un u.a mpe amw. sm. CERTIFICATE OFINSPECTION I, the undersigned, holding a valid comrnission issued by the National Board of Boiler and Pressure Vessel Inspectors, and e rtificate of competency issued by the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridge,litmois have inspected the repair, modification, or replacement described in this report on 19._ 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 and Section 111 of the ASME Code and the National Board rules as defined in the publication NB-65 and NB 102, current editions.

By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concoming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Authori2ed Inspector's Signature Oase National Board. State, Province and Endorsernents

  • Factory Mutual Engmeenug Association

I i 11 RFO Inservice Inspecti:n Summary Page 111 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 I FORM NIS-2 / NR-1/.NVR,1 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Toledo Edison ComnaDY Date a S/9/08 300 Madison Ave.. Toledo. OH 43652 ase Sheet 1 of 1
2. Plant Davis-Besse Nuclear Power Station Unit #1 6501 N. SR 2. Oak Harbor. OH 4M'a MWO 1-97 0650 07 h

Aspek Orgmeanhan P.o. No, Job No., one.

3. Work Performed By Toledo Edison Company Type Code Stamp NR i

l 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 Expiration Date 7-17-98

4. Identification of Systems " - S ~ -- . rtc,m S G 1-2 EBB-1-SR19 A 48
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 fiZ Addendum N/A Code Case HIA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITTGrinnell
6. Identification of Cornponents Repaired or Replaced and Replacement Components' '

Name of component Name of Manufacturer Manufacturer's National Other Year Repaired ASME Serial No. Board No. Identification / Built Replaced or Code Jurisdictional NO. Replacement Stamped Snubber ITT Grinnell 12492 N/A A 48 WA Replaced No Snubber - ITT Grinnell 12493 N/A A 48 N/A Replacement No I l

7. Description of Work iTT Grinnell hydraulic anubber 8tN 12492 was removed and replaced with a titie for like enubber S/N 12493.

Replacement snubber was rebuHt under Mwo 1417 0514 00. Reptamment snubber was funcuonany tested satisfactory prior to installation.

8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure WA psi Test Temperature N/A ep Pressure Relief Valves: ! Service N/AA Size N/A Opening Pressure N/A Blowdown (if applicable) N/A I Set Pressure and Blowdown Adjustments Made Using N/A ee . at N/A e- e NOTEi supplemental sheets in the form of lists, sketches, or drawings any be used, provided til size is 8% a 11 in. (2) 2nfomation in itene 1 through 4 on this report is included on each sheet, and (3) each sheet to numbered and the number of sheets is recorded at the top of this fom.

11 RFO Inservice Inspection Summary Page 112 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27n7 FORM NIS-2 /NR-1 MfYfM

9. REMARKS "f*""* M**** "" O " h **'8 N/A CERTIRCATE OF COMPUANCE We carefy that the statements made in the report are correct and e is taBlaeament conforms to the rules of the ASME Code Section XL NR Certificate of Authorization No. 20 Expiration Date 717-es Type Code Symbol Signed , Nuclear **8s4 & Inspeouen Meneser Date N 19 b odw w o ave o.menes, in.

CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding a vand E _ ._ _ M=, issued by the Na6onal Board of Boiler and Pressure Vessel Inspectors in the State or Province of Ohio ard employed by Protecton Muluel

  • of Park R6 dos. lilinois have inspected the components described in this Owners Report during the period h--y-f 7 to f70 W , and state that to the best of my kE _t O and be6ef, the Owner has performed examina8ons and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code Secton XL By signing this certl6cate. neither the Inspector nor his employer makes spy warranty, expressed or Implied, concoming th'e' examinations and correctrve measures described in the Owners Report. Furthermore, neither the inspector nor his employer shall be Emble in any manner for any personalinjury or property damage or a loss of any kind arleing trorn or connected with this in
                                                                                                       <' < e           *        *
                                 ~

Swf? Commisalons A&91% A/ Z A* A$Cwd one Neuenas soard, suno, Prov6mos and Endorsemords inspeaaryn i CERTIRCATE OF COMPUANCE i We certify that the statements made in this report are correct and the repair, modification, or replacernent of the pressure . relief device described above conforms to Section XI and SectNm 111 of the ASME Code and the National Board rules as  ! defined in publications NB-65 and NS-102, current editions. , Certificate of Authorization No. 316 to use the 'VR* stamp expires Dec.13 19L. Certificate of Authorization No. 20 to use the 'NR* stamp expires July 17 19,30,,_,,, l Nucisar Safety & I Date 19 Signed To6edo Edison inspeaton Manager me.ms.,sianir am.n eme m. i CERT 1RCATE OFINSPECTION I 1, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel Inspectors, and Ohio certificate of competency issued by the State or Province of and employed by Protecten ku{ of Pa* Ridge,lilinois have inspected the repair, modification, or replacement described in this report on - 19,, 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 and Section !!! of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, current editions. By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or irnplied, concoming the repair, enodification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be Emble in any manner for any personal injury or property damage or a loss of any idnd arising from or connected with . this inspection. Commissions Authort2ed inspedor's Signature Date Nahonal Board Stue, Province and Endorsements

  • Factory Mutual EnE"'"' tog Association

I1 RFO Inservice Inspection Sununary Page 113 Tol1do Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS 2 / NR-1/-NVA4 OWNER'S As Required by the Provisions of REPORT the ASME Code FORSectionREPAIRS XI OR REPLACEMENTS

1. Owner Toledo Edt-an Comoany Dato
                                                                                  -                                                                    saves 200 hd1-~i Ave Toledo. OH 496g;                                      Sheet 1 of 1

_ f

2. Plant Davis-Besse NA-- pi_.- Station Unit - #1 mm.

E501 N. SR 2. Oak Harbor. OH 4?f ?? - MWO 1070650 08 I daa = nese organusuen P.O. No., Je No, etc.

3. Work Performed By Toledo Edison Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 4?ii? Authorization No. 20 a

Expiration Date 7-17-9s {

4. Identification of Systems " ' ~ - m TiLi.. SG 1-2 EBB-1-SR19 A-49
5. (a) Applicable Construction Code ANSI B21.1 Edition 19 $Z Addendum t#A CodeCase tyA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86
                                        -(c) Design Responsibilities ITTGrinnell                                                                                                  -
6. Identification of Components Repaired or Replaced and Replacement Cornponents Name of Component Name of Manufacturer Manufacturer's National other Year Repaired Amat j

serial No. Board 30 Identification / Built Replaced or Code Jurisdictional No. Replacernent stamped Snubber ITT Grinnell 11444 N/A A-49 NA Replaced No Snubber iTT Grinnell 1240 N/A A-49 N/A Replacement No I i l 1

7. Description of Work j

ITT erinnen hydraulle anubber am 11444 wee removed and rW with e like for like enubber SM 12480. _..t enunter woe rebuilt under Wwo 197 051440. Replacement snubber was fu. -- ; tomted eagefectory prior to installauon. 1 I' i l

8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO) l Pressure N/A psi Test Ternperature N/A ep Pressure Relief Valves:

Service N/AA Size N/A Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Using N/A

                                                                                                                                                          . ~ . .

at N/A Nofte supplemental aboots in the form of lists, sketches, or drawin may be used, provided (1) size is 0% x 11 in. (2) Information number of sheets in items 1 through is recorded 6 on at the topthis report of this is included on each sheet, and (3) each sheet is numbered and the form.

11 RFO Inservice Inspection Summary Page 114 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 i- .. --- FORM NIS-2 /NR-1 !"."'

                                                                                                                                "*"d'#'**'s Den 4c en he r _
9. REMARKS l

N/A CERUFICATE OF COMPUANCE conforms to the rules of We certify'that the statements made in the report are correct and this replaemment the ASME Code Section XI. 20 Expiration Date 7*1N Type Code Symbol NR Certificate of Authorization No. s N""'**'**""*P*d*""*"*8*' Date O 19d Signed lamer er oemer's Designee, Tirie CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boller and Proesure Vessel inspectors in the Ohio and employed by Protection Mutual

  • of Park Ridae. Illinois State or Province of hWf'7 to f~-r d 9/ , and state have inspected the components described in this Owners Report during the period that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Section XI, By signing this certificate, neither the inspector nor his employer makes any wananty, expressed or implied, concom examinations and corrective measures described in the Owners Report. Furthermore, neither the inspector nor his employer shad be liable in any manner for any personal injury or property damage or a loss of any idnd affelng from or connected with this inspection.
                                                                                                                    ,-u       ,       ,,

j~44 Q Commissions MI9M W l~ M- h/do ed%A " Date Na4onal Eboard, State, Provmos and Endorsements Inspectorpegnature CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and fhe repair, rnodification, or replacement of the pressure relief device described above conforms to Section XI and Section lit of the ASME Code and the National Board rules as defined in publications NB45 and NB-102, current editions. 316 to use the *VR* stamp expires Dec.13 19_pjl Ceritficate of Authorization No. 20 to use the 'NR* stamp expires Jutv 17 19 98 Certificate of Authorization No. Nuclear Safety & , Toledo Edison inspection Manager Date .19 . Signed- meseo, =ema um u.a me,e aw . im CERT 1FICATE OF INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors, and O* and employed by Protection Mutual

  • certificate of competency issued by the State or Province of of Park Ridge,Imno6s have inspected the repair, modification, or replacement described in this report on 19 ,,,,,, 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 and Section 111 of the ASME Code and the National Board rules as defined in the publication NS-65 and NB-102, current editions.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the repair, rnodification or replacement described in this report. Furthermore, neither the Inspector nor Ns 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. Cw,sd.I, kris Authodzod inspector's Signature Date Natior al Board, State, Province and Endorsernents

  • Factory Mutual Engineering Association

1 i 11 RFO Inservice Inspection Summary Page 115 Toledo Edison Comp .ny, 300 Midison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27n7 FORM NIS-2 / NR-1 !!"!M OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Toledo Edison c-w Date 4/27198 n

J00 M'adison Ave . Toledo. OH 43652 Sheet 1 of 1

2. Plant Davis 4 esse Nuclear Power Station Unit e1 I mi 5501 N. SR 2. Oak Harbor. OH 43449 MWO 107 065015 names Reper organhasuen PA No., Job fee,, een.
3. Work Performed By Toledo Edison Company Type Code Stamp' NR e

5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 ue Expiration Date 7-17-98

4. Identification of Systems DECAY HEAT PUMP 1 1 DISCHARGE t.lNE 33B-GCB-1-H22 iSUSO4942) A-103 .
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 $I Addendum M CodeCase B (b) Applicable Edition of Section XI Utilized for Repairs or Replacernents 19. 86
                                                                   '(c) Design Responsibilities ITTGRINNELL
6. Identification of Components Repaired or Replaced and Replacement Components Masna of Component Name of Manufacturer Manufacturer's National other Year Repaired ASNI serial No. Board No. Identification / Built Replaced or Code Jurisdictional No. Replacement stamped SNUBBER ITT GRINNELL 8319 NA A-103 NA REPLACED NA SNUBBER .llT GRINNELL 9869 NA A-103 NA REPLACEMENT NA
7. Description of Work ITT GRtNNELLL HYDRAUUC SNUBBtR alN s319 WAs REMOVED AND REPLACED wfTH A UKE FoR UKE SNUBBER SM 9089.

REPLACEMENT $NUSBER wAs FUNcT1oNALLY TESTED prior To INST ALLATION. '

8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

NA psi Test Temperature NA ep I Pressure Pressure Relief Valves: l Service NA Size NA opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Using NA

                                                                                                                                                                        .e at NA
                                                                                                     ,                                         ea      e
                                                              'asoTE: supplemental sheets in the form of lists, sketches, or drawings may be used, provided (1) size is 0% a 11 in.

(2) Inforunation in items a through 6 en this report is included on each sheet, and (3) each sheet is numsbered and the museber of sheets is recorded at the top of this form.

11 RFO Inservice Inspection Surnmary Page 116 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 /NR-1 H4VR-4  !

                                                                                                                        ' unwoowws com hopwm a be r -

' e. MMAM N/A CERTIFICATE OF COMPUANCE We certify that the statsments made in the report are correct and this replacement conforms to the rules of the ASME Code Section XI. 20 7*17-88 Type Code Symbol NR Certificate of Authorization No. Emiration Date

                                                  ,h             Ndar SaW & Inspecean Manager Date               v/>7             19                  N                  ,

Signed

                                                 'M or owners Des 4pme,, Two CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors in the Ohio and employed by               Protection Mutual * . of Park Ridae, firinois.

State or Provlnce of to N2ANA ,and state have inspected the components described in this Owners Report dudng the period .11 that to the best of my knowledge and belief, the Owner has performed exarninations a en correctfve theasures described in this Owners Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate, neither the inspector nor his empl.yer makes any warranty, egressed or implied, concoming the exarninations and corrective measures described in the Owner's Report. Furthermo o, neither the Inspector nor his employer shall be liable in any manner for any personallnjury or property damage or a loss of any idnd arising frorn or connected . with this inspection. ,,,,,,,., YDUAM, b M- N Commissions NB4~530 N1A M M.

                                                              ~ Dale Natonal Board, state, Provina and Endorsernents Inspeaor's signaturd' y CER11FICATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section lit of the ASME Code and the National Board rules as defined in publications NB-65 and NB-102, current editions.

316 to use the 'VR* stamp emires Dec.13 _19 98 Ceritficate of Authorization No. to use the *NR* stamp epires Jutv 17 _ i gjg_,,,,,, I Certificate of Authorization No. . 20 f Nuclear Safety & I inspeaion uanager Date 19 . Signed Toledo Edison urie usa ssenwamu . l noper u ommuon s CERT 1FICATE OFINSPECTION t, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel lnspectors, and C#'38 and employed by Protection Mutual

  • certificate of competency issued by the State or Province of of Park Fudoe,Ittinois have inspected the repair, modification., or replacement described in this report i

on 19 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 and Section til of the ASME Code and the National Board rules as deined in the publication NB-65 and NB-102, current oditions. By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal triury or property damage or a loss of any kind adsing from or connected with this inspection. Commissions Oate National Board. State. Province and Endorsernards Authorized inspedor's Signature

  • Factory Mutual Engineering Association

11 RFO Inservice Inspeedon Summary Page 117 Toledo Edison Company, 300 Mcdison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 / NR-1 HWfM CWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Hequired by the Provisions of the ASME Code Section XI

t. owner 7"
  • r~ e -

Date wims 200 u hm Ave _ TM. OH Mac? Sheet 1 of .1 mes.=

2. Plant C_-
                                              - M*- Powerandm                          Unit                  s1 l                                                   ===

l ! 5501 N_ SR 1 Oak Harbor. OH '?'?? aan== kWO 1-07 mere'17 neene assammen P.n N ,Je No, een,

3. Work Performed By Toledo Edison O- . _. i Type Code Starnp NR l

l 5501 N. BR 1 Oak Harbor. OH '?t'? Authorization No. 20 l ***== Expiration Date 7-17 es

4. iden9fication of Systems T

h Hmme Pa- 1 1 F - '___ ** h N 1 H42 A-107 J

5. (a) Applicable Construction Code ANSI B31.1 Edition 19 gZ Addendum Ngt Code Case Na (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Des!r.Rupna!b!!!!b ITT Grinnell
6. Identification of Components Repaired or Replaced and t O m ts Name of component Name of Manufacturer Manufacturer's National other Year Repaired AaMit serial No. Board No. Identification / Built Replaced or code Jurisdictional No. Replacement Stamped Snubber ITT Grinnell 10164 WA A-107 WA Replaced No Snubber ITT Grinnell 11191 MA A-107 ~ WA ." : ; ' - :nt No
7. Desalption of Work .

ITT Grinnet hydraune enunter am 19 tee wee reseoved and repteone west a nke for she enuhter am 11191.  !

enunter was renunt unser uwo 1.e7.osis os. snummer was suncueneny sesses eaussectory ener se sneiansaan. j i

l

a. Tests conducted: Hydrostatic (NO) Pneumatic (NO) . NominalOperating Pressure (NO) Other (NO) 1 Pressure WA pal Test Temperature WA 'F Pressure Relief Valves:

SerMce WA Size WA Opening Pressure WA Blowdown (if apphcable) WA Set Pressure and Blowdown Adjustments Made Using WA at WA I Nots supplemental sheets in the form of lists, sketches, or drawi may be used, provided Q) size is su a 11 in. (3) Information in items 1 throueh a on this report is included on each sheet, and 4) each sheet is numbered and the number of sheets is recorded at the top of this form. _ _ _ _ _ _ _ _ _ . _ _ _ _ _ _ _ _ _ - - - - - - - - - - ---J

11 RFO Inservice Inspection Summary Page 118 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 /NR-1 ! T,'n ! l

                                                                                                                              " *""'D**
  • M"S*'*d
e. REMARKS P&A l

CERTIFICATE OF COMPLIANCE , We certify that the statements made in the report are correct and this raptar amant conforms to the rules of the ASME Code Secuan XI. 20 Expiration Date 7*17-98 Type Code Symbol NR Certificate of Authorizauon No. Signed Nuclear safey & Inspecton Manager Date

                                                                                               /

19 8  ! 6fa n., or o.a.r. o en.a Tm. 4 I CERT 1RCATE OF INSERVICE INSPECDON 1, the undersigned, holdng a valid commission issued by the National Board of Boiler and Prosaure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutual

  • of Paric Ridos. Illinds have inspected the cornponents described in this Owner's Report during the period d 111141 to +lsi40 - , and state j that to the best of my knowledge and belief, the Owner has performed exarninations an'd ta'k en correctse measures ,

described in this Owners Report in accordance with the requirements of the ASME Code, Secilon XI. By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the I 8 examinations and corrective measures described in the Owners Report. Furthermore, neither the inspector nor his employer I sha!! be liable in any rnenner for any personalinjury or property damage or a loss of any kind arising frorn or connected with this inspectiot thmmt b[ m #6 1 Commissions D .

                                                             #0 ate                       National Board, state. Pronnce and Endorsernents mapectors segnature - ()

CERTIRCATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, rnodification, or replacement of the pressure relief device described above conforms to Section XI and Section 111 of the ASME Code and the National Board rules as defined in publications NS-65 and NB 102, current edtions. Certificate of Authorization No. Sie to use the 'VR' stamp expires Dec.13 19JlL_. Certificate of Authorization No. 20 to use the *NR* stamp expires Jufv 17 19.2{L. Nuclear Safety & inspedian Manager Date 19 . Signed Toledo Edison Autherded Hep eeentaWW. I Als Hopes Urg.ns24 hon CERTIFICATE OFINSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors, and N* and employed by Protecten Mutual

  • certificate of competency issued by the State or Province of of Park Ridge. Imnois have inspected the repair, rnodification, or replacement desc.-ibed in this report on 19 ,_ 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 and Section lit of the ASME Code and the National Board rules as defined in the publication NB-65 and NB 102, current editions.

By signing this certificate, neither the inspector por his employer makes any warranty, expressed or implied, concoming the repair, modification or replacernent described in this repc,rL Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or proper y damage or a loss of any kind arising from or connected with this inspection. Commissions AuthorL7sd inspedor's Signature Date NaHonal Board, State, Pronnce and Endorsemeras

  • Factory Mutual Engineering Association

11 RFOInservice Inspection Summary Page 119

         ~

Toledo Edison Company, 300 Mrdison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77

                                                                                                                                                                                                                                 \

l FORM NIS-2 / NR-1/ As Required'"!M OWNER'S by the REPORT Provisions of the ASME Code FOR Section XIREPAIRS OR REPLACEMENTS

1. Owner Toledo Erfiaan comnany Date 4/12 1 300 Madison Ave.. Toledo. OH 43652 Sheet 1 of 1 me=
2. Plant Davis-Besse Nwl= N a 9' den Unit _

{ e.- e1 j t 5501 N. SR 2. Oak Harbor. OH 4?tto MWO 1-07MW18 aa== f neset oesensa.n P.o. N., Joe m,

3. Work Performed By Toledo Edison Company J Type Code Stamp NR l l

6501 N. SR 2. Oak Harbor. OH 4?I10 Authorization No. 20 uo Expiration Date 7-17-e8 I

4. Identification of Systems CTMT Emeraenew Sumn to DH Pumn 1 33A-HCB-1-H4 A 118
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 JZ Addendum HE Code Case He (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITT Grinnell
                                                                        .                   i
6. Identification of Componen'i Repaired or Replaced and Replacement Coirvenents Name of component Name of lianufacturer 18 manufacturer's National other Year Repaired ABEI serial No. Board No. 3 identification / Built Rep 16.:ed or Code Jurisdictional No. Replacement Stamped Snubber ITT Grinnell 8314 NA A-118 , N/A Replaced No Snubber ITT Grinnell 12035 N/A A-118 N/A Replacement No
7. Description of Work lTT Grinneu hydraune snubber SIN 8314 was removed and replaced with a Nke for Hke snubber S/N 12035.

snubber was funcuona#y tested sa6stectory prtor to instmustion.

8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A psi Test Temperature N/A ep Pressure Relief Vahres: Service N/A Size N/A Opening Pressure N/A Blowdown (if applicable) _ N/A 1 g Set Pressure and Blowdown Adjustments Made Using N/A

   .                          at N/A i
                                                                                              .ui fiHCrra s supplemental sheets in the form of lists, sitetches. or drawings may be used. provided til size is' 0% x 11 in.

s susber (3) 2nformation of sheetsinisitems 1 through recorded 6 en at the topthis report of this form.is included on each abest. and (3) nach sheet is numbered and the I l _ _____ _ _ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

11 RFO Inservice Inspection Summary Page 120 Toledo Edison Compcny, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27n7 FORM NIS-2 /NR-1 HWM-t h*8"s Dem v m t. r- --

9. REMARKS NrA CERTIFICATE OF COMPLIANCE We artify that the statements made in the report are correct and this raptarmment conforms to the rules of the ASME Code Section XI.

20 Expiration Date 7*17*88 Type Code Symbol NfL. Certificate of Authodza6on No. Signed W W & Inspecuen Manager Date 7

                                                                                                                   /         19 8 h .,owneso ,           re.

CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a vand commiselon issued by the National Board of Boller and Prosaure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutual

  • of 3aric Ridae. (ffinois 40,- , and state have inspected the components described in this Owner's Report during the pedod 11' In % to kl1 that to the best of my knowledge and belief, the Owner has pedonned examinations and taken corrective rrensures described in this Owner's Report in accordance with the requirem - c of the ASME Code, Secuon XI.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the examinations and corrective rneasures deoctlbed in the Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal trQury or property damage or a loss of any Idnd adsing from or connected with this inspection. h .hSet inepecor's 6gnature 4k1B Dale C ., = 4Bsud Tr i " Nahonal Board, State. Province and Endorsemerus 20% , (J CERTIFICATE OF COMPUANCE We certify that the statements made ln this report are correct and the repair, modification, or replacement of the pressure relief device desedbed above conforms to Section XI and Section lit of the ASME Code and the National Board rules as defined in publications NB-65 and ND 102, current ediuons. Ceritficate of Authorization No. Sie to use the 'VR' stamp expires Dec.13 19,fL_,. 20 to use the 'NR' stamp expires July 17 19L. Certificate of Authodzation No. Nucisar Safery & inspection Manager Date .19 Signed Toledo Edison m . CERTIFICATE OFINSPECTION 1 the undersigned, holding a valid commission bsued by the National Board of Boiler and Pressure Vessel Inspectors, and certificate of competency issued by the State or Province of Ohi' and employed by Protocuon Mutual

  • of Park Rdos. Enois have inspected the repair, modification, or replacement described in this report on 19 _ and state that to the berd of my knowledge and belief, this repair, modification, or replacement has been made or constructed in accordance with Section XI and Section Ill of the ASME Code and the National Board rules as defined in the publication NB-65 and l NB-102, current editions.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the I repair, modification or replacement described in this report. Furthermore, neither the Inspector nor his employer shall be liable in any rnanner for any personal irjury or property damage or a loss of any kind arising from or connected with f this inspection, i Commissions Authodzed inspedor's Signature Dele National Board. State. Province and Endorsernents l l

  • Factory Mutual Engineering Association

( l

11 RFO Inservice inspection Summary Page 121 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27n7 FORM NIS-2 / NR-1 R"!." i OWNER'S REPORT FOR REPAfRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Toledo Edison Comnany Date 3/30/98 e

__ 300 Madison Ave.. Toledo. OH 43652 Sheet 1 of 1 see

2. Plant Davia-Besse N=E- Power Station Unit #1 e

5501 N. SR 2 Oak Harbor. OH 43449 MWO 1-07-065019

                                                   **=                                                  nesse cremaisensa P.o. No Jet No., see.
3. Work Performed By Toledo Edison Company Type Code Stamp e

NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 m Expiration Date 7-17-es

4. Identification of Systems MS from SG 1-1 EBB-1-SR47 (A-289)
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 E Addendum NA Code Case NA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITTGrinnell
6. Identification of Components Repaired or Replaced and Replacement Components Name of Ccaponent Naame of Manufacturer Manufacturer's National Other Year sepaired ASME Serial No. Board No. Identification / Built Replaced or Code Jurisdictional NO. Replacement Stamped Snubber ITT Grinnell 24069 NA A-289 NA Replaced N/A Snubber ITT Grinnell 17904 MA A-289 MA Replacement N/A
7. Description of Work iTT orinneu hydreuuo enubber s/N 24069 was removed and rep 6 aced with a lisse for like enubber atN 17904.

Replacement snubber was rebuut under MWo 107451440 snubber was funcuonany tested sansfactory prior to instanacon.

8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A psl Test Temperature WA *F Pressure Relief Vanes: Service WA Size N/A Opening Pressure N/A Blowdown (if applicable) N/A I Set Pressure and Blowdown Adjustments Made Usino WA at N/A e- e NOTES supplemental sheets in the form of lists, sketches, or drawings may be used, provided (1) size is ou x 11 in.

12) Information in items 1 through 5 on this report is included on each sheet, and (3) each sheet is numbered and the l number of sheeta is recorded at the top of this form.

L __ - _- - . . _ _ . ._ -

11 RFO Inservice Inspection Summary Page 122 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 /NR-1/ Z"W-

                                                                                                                              ~ **8****'dem r   r a be mmme 9.HEMARKS NIA CERTIFICATE OF COMPUANCE We certify that the statements made in the report are correct and this replanament                             confonns to the rules of the ASME Code Section XI.

Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date 7*1N 0 Signed , h SaW & M8Pec8cn Manneer Date 192 Voumer er owns /s oessense. Tme / CERTIFICATE OF INSERVICE INSPIICTION 1, the undersigned, holdng a valid comrnission issued by the National Board of Boiler and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutual

  • of Rart( Ridae. Illinois have inspected the components described in this Owner's Report during the period utel4~) to 4fEl4A , and state that to the best of my knowledge and belief, the Owner has performed examinations ar d tAken correcthis rheasures described in this Owner's Report in accordance with the requirements of the ASME Code Secton XI.

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

                     $                                  3 3[96 Commissions MBqud                                               A         N, inspedor's Signature v     Q,                              Eale                       Nahonal Bderd, State, Province and Endorsemeras CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, modification, of replacement of the pressure                               l rollef device described above conforms to Section XI and Section lli of the ASME Code and the National Board rules as defined in publications NB45 and NB 102, current editions.

Certificate of Authorization No. Sie to use the *VR* stamp expires Dec.13 19_2!L Certificate of Authorization No. 20 to use the *NR* stany expires July 17 19 9.,@_ j Nuclear Safety & Date 19 . Signed Toledo Edison inspedion Manager nepen orpensashen manenn.s nep,. niEs,e une CERTIFICATE OFINSPECTION ^ I, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors, and certificate of competency issued by the State or Province of N and employed by Protection Mutual

  • of Park Ridge,Imnois have inspected the repair, modification, or replacement described in this report on 19 _ and state that to the best of my knowledge and belief, this repair, modification, or replacement has been rnade or constructed in accordance with Section XI and Section 111 of the ASME Code and the National Board rules as defined in the publication NB-65 and NB 102, current editions.

By signing this certificate, neither the inspector nor his employer makts any warranty, expressed or implied, conceming the repair, modification or replacement desertbed in this report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal Iriury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Authorized Inspedor's Signature Date National Board. State, Province and Endorsements

  • Factory Mutual Engineering Association

11 RFO Inservice Inspection Sununary Page 123 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Conunercial Service Date: 11/27/77 FORM NIS-2 / NR-1 H4VR4 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS ' As Required by the Provisions of the ASME Code Section XI

1. Owner Toledo Edlaan C-w Date 2/20/98 200 Madison Ave.. Tot-do. OH 49ac; Sheet 1 of 1 a
2. Plant c .:_% >A- Powera. sm Unit e1 sen.

5501 N. SR 2. Gak Harbor OH 42449 MWO 107-0650-21 a== nes.* oom m.n en m., aan n.. Toledo Edison ?_-

3. Work Performed By -

_,- .i Type Code Stamp NR e 5501 N. BR 2. Oak Harbor. OH 43449 Authorization No. 20 a.o Expiration Date 7-17-es

4. Identification of Systems "" '-- EBB-1-3442 A m u
5. (a) Applimble Construction Code . ANSI B31.1 Edhn 19 $Z Addendum N/A Code Case NIA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements to 86 (c) Design Responsibilha Liseos i
6. Identification of Components Repaired or Replaced and Replacement Components Name of component Name of tsanufacturer Manufacturer's National other Year sepaired Aaets serial No. soard No. Identification / Built Replaced or Code Jurisdictional No. Replacamunnt Stamped Snubber Usega 61195/91 NA A-404 NA Replaced No Snubber usage 61191i/103 WA A-404 WA R-- --4 No
7. Description of Work useen hydraNo enubber am s110We1 was removed and repleend wiei a Nile for INro Usege enubber aM e1196/1e3.

Replacement snubber wee funcWoneNy tested es#efectory prior le inst lNeuen. j 8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO) L Pressure N/A pel Test Temperature NA 'F Pre'ssure Relief Valves: Service N/A Size N/A Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustrnents Made Using N/A

                                                                                                                                                                                                                                                                                     <~        e at N/A ee

! NOTE: supplemental sheets in the forum of lists, sketches, or drairings may be used, provided (1) site is 9% x 11 in. l (*! Inters ation in items 1 through 6 en this report is included on each abest, and (U each sheet is numbered and the m uber of sheets is recorded at the top of this formt. k-___m _____ _ _ . _ _ _ _ _ . _ _ _ _ _ _ _ . - _ . _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ . _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ - _ _

I i 11 RFO Inservice Inspection Summary Page 124 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77

                                                                                                                                                             -~

FORM NIS-2 /NR-1/ NVR-1

e. REAAARKS -
                                                                                                                                                       **"** *
  • C MA CERTIFICATE OF COMPUANCE We cer6fy that the statements made in the report are correct and this rapianement the ASME Cze Sec6on XI. conforms to the rules of Type Code Symbol NR Certificate of Authodzation No. 20 7*17*88 Expiration Date Signed ,h Nuclear safey & Inepeccon Manager Date 2O gg M
                                                                    ' Vo.nn n o.n.e. r . . Tm.

CERTIFICATE OF INSERVICE INSPEC110N I, the undersigned, holding a valid commission issued by the Nanonal Boavd of Boiler and Proesure Vessellnspectors in the State or Province of Ohio and employed by Proteccon Mutual

  • of Pa ric Ridos. lHinoi::

have inspected the components described in this Owner's Report during the period f 11 % to lin 495 , and state that to the best of my knowledge and bouef, the Owner has performed examinaUons at d ta con correctf6 theasures described in this Owners Report in accordance with the requirements of the ASME Code, Seceon XI. By signing this cerglicate, neither the inspector nor Ns employer makes any warranty, expressed or impued, concoming the examinauons and correcuve measures described in the Owners Report. Furthermore, neither the inspector not his employera shalt be Sable in any inanner for any personalinjury or property damage ora loss of any kind arising from or connected with this inspection. Meswtaa I b D Commissions NB933d A _e , inspector's Signaluie " J ' Date Nahonal Belard, State, Province and Endorsernetts CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device defined described in publicahs NS-65 and above conforms NB-102, current to Section editions. XI and Section ill of the ASME Code and the National Board rules as Certificate of Authorization No. 316 to use the 'VR* stamp egires Dec.13 19,gg.__. Certificate of Authorization No. 20 to use the *NR* stamp expires July 17 19,glL,,,,, Nuclear safety & Date 19 . Signed Toledo Edson neper uryne.comon inspedian Manager ausmas s mp auw. in CERTIFICATE OFINSPECTION 1

          , the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vesselinspectors, and c ertificate of competency issued by the State or Province of                          Ohio and employed by        Protecdon Mutual *
f Park Ridge,Illinok have inspected the repair, modification, or replacement described in this report on 19.,,,,
       .c                                             and state that to the best of my knowledge and belief, this repair, modification, or replacement has been made or Nonstructed S 102, current in ediuons.

accordance with Section XI and Section lli of the ASME Code and the National Board rules as defined in the publication NB-65 and rBy signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, conceming the l epair, modi 6 cation or replacement desettbed in this report. Furthermore, neither the inspector nor his employer shan be iable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with t his inspection. Commissions Authortzed inspector's signature Date Nabonal Board, State, Province and Endorsernents

  • Factory Mutual Engineering Association

___._ - - - - - - l

11 RFO Inservice Inspection Summary Page 125 Toledo Edison Company, 300 Medison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 / NR-1 l'"!n i OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Toledo Edlaon comnany Date e

4/21/98 300 Madison Ave Toledo. OH 43652 Sheet 1 of.1 i me

2. Plant Davis-Besse Nuclear Power Station Unit s1 5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-07 0650-24
                                       ***=

nesse oomemesa P.a Ns, Jet he,ein.

3. Work Performed By Toledo Edison Company Type Code Starnp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 u

Expiration Date 7-17-98

4. Identification of Systems HPl TO RC INLET LOOP 2-2 (052 01) 33C-CCB-2-H36 C-208 -

5 (a) Applicable Construction Code ANSI B31.1 Edition 1g SI Addendum B - Code Case M (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITTGRINNELL

6. Identification of Cornponents Repaired or Replaced and Replacement Components Name of component Name of Manufacturer Manufacturer's National other Year Repaired ASME serial No. Board No. Identification / Built Replaced or code Jurisdictional No. Replacement stamped SNUBBER ITT GRINNELL 24076 NA C-208 NA REPLACED NA SNUBBER ITT GRINNELL 24080 NA C40s NA REPLACEMENT NA
7. Description of Work (TT GRINNELLL HYDRAuuC SNUBBER s/N 24078 WAs REMOVED AND REPLACE.D WITH A UKE FoR UKE SNuBSER s/N 24080.

REPLACEMENT SNue8ER WAS FUNCTIONALLY TESTED prior To INSTALLATION.

                                                                .4
8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure NA' psi Test Temperature NA .p l Pressure Relief Valves: l Service NA Size NA Opening Pressure NA Blowdown (if appfcable) NA Set Pressure and Blowdown Adjustments Made Using NA

                                          *                                                               ~ . .

at NA NOTES supplemental sheets in the form of lists, sketches, or drawin may be used. provided (1) size is au a 11 in. I (2) Information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the ) l number of abeets is recorded at the top of this form. t i l .

l. ___________.__._________o

1 I 11 PJO hiservice Inspection Summary Page 126 Toledo Edison Comp 1ny, 300 Midison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 l l 1 I FORM NIS-2 /NR-1 ! W/.7 P

9. REMARKS - M*aad**"s D.en b.L a. a. an.orw 1

WA

                                                                                                                                                                                  )

1 CERTIFICATE OF COMPUANCE We certify that the statements made in the report are correct and this e-ac m=0 conforms to the rules of the ASME Code Section XI. NR 20 Expiration Date 7*17*88 Type Code Symbol Certificate of Authorization No. Signed _ M- ( ,j Nuclear Safety & lospeccon Manager Date dd 19 M o-., co

                                                                   - r CER11FICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission lasued by the National Board of Boller and Pressure Vessel inspectors in the State or Province of           Ohio and employed by               Protection Mutual
  • of Park Ridae. Illinols have inspected the components described in this Owner's Report during the period /* M *M- to #W-PP , and state that to the best of my knowdedge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate, neither the inspector nor his ernployer makes any warranty, expressed or implied, concoming the examinations and corrective measures described in the Owners Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected w!th this inspec . N 3 *4r o %foi & n s- *

                  ,                              M#VM                 Commissions 8afffW                                             ner,.

Inspector s S3dhature Date National Board, State, Province and Endorsernents

                                                                   - CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device der.cribed above conforms to Section XI and Seebon til of the ASME Code and the National Board rules as defined in publications NB-65 and NS-102. current editions.

Ceritficate of Authorization No. 316 to use the "VR* stamp expires Dec.13 19.,20,_, Certificate of Authorization No. 20 to use the 'NR* stamp expires July 17 19 L Nuclear Safety & Date 19 . Signed Toledo Edison inspection Manager n.p.e o,v avowna.a w.,,. m.u i si. CERTIRCATE OF INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors, and 4 certificate of competency issued by the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridoe, mirio's have inspected the repair, rnodification, or replacement described in this report on 19 ,,, and state that to the best of'niy knowledge and belief, this repair, modification, or replacement has been made or cons'aucted in accordance with Section XI and Section til of the ASME Code and the National Board rules as defined in the publication NB-65 and ND-102, current editions.

By signing this certificate, neither the inspector nor his ernployer makes any warranty, expressed or implied, conceming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Authortred Inspector's Signature Date National Board, State. Province and Endorserneras

  • Factory Mutual Engineering Association

I1 RFO Inservice Inspection Summary Page 127 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 l Commercial Service Date: 11/27D7 j ! FORM NIS-2 / NR-1/ '".'C 1 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Toledo M-m comoany Date 4/29/98 l

300 Madison Ave . Toledo. OH 43652 Sheet 1 of 1 I ****

2. Plant Davia-Besse Nieta= Power Station Unit e1 5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-07-0650-26
                                                                                                    -                                                   n p.e orsee uen P.o. m Joe w,.a-
3. Work F erformed By Toledo Edison Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 i Expiration Date 7-1'748
4. Identification of Systems -5 Mm Svatem EBB-1-SR1 c-220
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 $Z Addendum MA Code Case MA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 .

(c) Design Responsibilities ITT Grinnell

6. Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manufacturer's National other Year Repaired ASME serial No. Board No. Identification / Built Replaced or code Jurisdictional No. Replacement stanped Snubber ITT Grinnell 14734 WA C-220 WA Replaced No" Snubber ITT Grinnell 24083 WA . C-220 N/A Replacement No
7. Description of Work (TT Grinnett hydraulic anubber S/N 14734 was removed and replace with a Nke for like snubber &fN 24o83.

Replacement snubber was rebuilt under MWO 1-97 051440. Snubber was funceonaey toeted seesfactory prior to instansdon.

8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A psi Test Temperature N/A op Pressure Relief Valves: Service N/A Size N/A Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Using WA s--, at N/A WoTE: supplemental sheets in the form of lists, sketches, or drawings may be used, provided (1) size is 8% x 11 in. (2) Information in items a through 5 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.

I1 RFO Inservice Inspection Summary Page 128 Toledo Edison Comp:ny, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 j l FORM NIS-2 /NR-1/ N'."; i 1

e. REMARKS W"**""*D****""

N/A CERTIFICATE OF COMPUANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code Section XI. 20 Expiration Date 7-17 98 Type Code Symbol NR Certificate of Authorization No. Signed M ,j Nuclear safety & inapection Manager Date / 19 3 ownTer owner's Desgnes. Tme CERT 1FICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridae, Illinois have inspected the components described in this Owner's Report during the period /47# to P/M , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the examinations and corrective measures described in the Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any rnanner for any personalinjury or property damage or a loss of any idnd arising from or connected with this insp ion.

                                                                                                    ~    r,    ..            o
         .4     ,                                  OY               Commissions /VM/W                A/ I #               ##n Natonal Board, State. Provoce and Endorsements C**^

Date triipecap Esgnature CERTIFICATE OF COMPLIANCE We certify that the statements rnade in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section 111 of the ASME Code and the National Board rules as defined in publications NB45 and NB-102, current editions. Ceritficate of Authorization No. 316 to use the *VR' stamp expires Dec.13 19 98 Certificate of Authorization No. 20 to use the 'NR' stamp expires Juiv 17 19L. Nuclear Safety & Date 19 Signed Toledo Edison inspection Manager me.. o.s.,um wou.4 w. w. m. I CERTIRCATE OFINSPECTION t, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel Inspectors, and certificate of competency issued by the State or Province of No and employed by Protecten Mutual

  • of Pa* Ridge, tilinois have inspected the repair, rnodification, or replacement described in this report on 19_ and state that to the best of my know' edge and belief, this repair, modification, or replacement has been made or  !

constructed in accordance with Section XI and Section lli of the ASME Code and the National Board rules as defined in tr.e publication NB-65 and i ; NB 102, current editions. t By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Authortied inspector's 66gnature Date Nahonal Board. State, Province and Endorsements

  • Factory Mutual Engineering Association l

II RFO Inservice Inspection Summary Page 129 Toledo Edison Company, 300 M.rdison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 / NR-1/-NVR4 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Toledo Edison Comnany Date 5/8/98 m

300 Madison Ave.. Toledo. OH 43652 Sheet 1 of 1 u

2. Plant ' Davis-Besse NA. Power Station Unit #1 -

OfGO 5501 N. SR 2. Oak Harbor. OH 42449 M*** MWO 1-07 ~'20 27 WYQBq Repair Oroentamusa P.Q No, JA No, ou,

3. Work Performed By Toledo Edison Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 -

Authorization No. 20 me Expiration Date 7-17-98

4. Identification of Systems Latdown from RCP 1-1 Suction Line 31MA-18 H6 C-243
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 El Addendum N/A Code Case N[A (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITTGrinnell
6. Identification of Components Repaired or Replaced and Replacement Components i
                                                                                                                                                       \

rame of Ccaponent Name of Manufacturer Manufacturer's National other Year Repaired ASME l serial No. Board No. Identification / Built Replaced or Code Jurisdictional No. Replacement stamped Snubber ITT Grinnell 11190 N/A C-243 WA Replaced No Snubber ITTGr:rc :: 13276 N/A - C-243 N/A Replacement No

7. Description of Work iTT GrtnneR hydroutic snubber $/N 11iMVas rwnoved and rM with a Mke for like snubber S/N 13276.

l Rephiooment snubber was rebuut under WWO 1-97 0515 03. Snubber was ? - - C, tooted saastectory prior to instanaton.

8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A psi Test Temperature N/A ep Pressure Relief Valves: i i Service N/A Size N/A Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Using fi/A i=.. at__ N/A i-. WoTE supplemental sheets in 'the form of lists. sketches. er drawings may be used, provided (1) size is 8% x 11 in. (2) Information in items 1 througte 6 on this report is included on each sheet. and (3) each sheet is numbered and the sunber of sheets is recorded at the top of this form.

11 RFO Inservice inspection Summary Page 130 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 /NR-1/-NVR4 M**'" D** e. b. asiseed

9. REMAFtKS N/A CERTIFICATE OF COMPl. LANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code Section XI.

NR Certificate of Authorization No. 20 Expiration Date 7-lh88 Type Code Symbol Signed ' . Nudsar SaW & hsNon Manage' Date I 19N w-.~. - CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid comrnission issued by the National Board of Boller and Pressure Vessel Inspectors in the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridan. tilinois have inspected the components described in this Owner's Report during the period /97'/F to f"/~M and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate, neither the. inspector nor his employer makes any warranty, expressed or implied, concoming the examinations and corrective measures described in the 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 Idnd arising from or connected with this in tion. s Signature

                                                 .S~f9/'

Date Commissions /W M'H YYY o CoM National Board, State Province and Endorsernents In CERTIFICATE OF COMPLlANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section lli of the ASME Code and the National Board rules as denned in publications NB-65 and NB-102, current edtions. Ceritficate of Authorization No. 316 to use the 'VR* stamp expires Dec.13 19.93,,__. Certificate of Authorization No. 20 to use the 'NR* stamp expires Jutv 17 19_ta,,,,_. Nuclear Safety & f Signed Toledo Edison inspection Manager t Date 19 u . ov.=m.a w am u.,,. u.. u.  ; CERTIFICATE OFINSPECTION t, the undersigned, holding a valid cornmission issued by the National Board of Boiler and Pressure Vessel Inspectors, and c:rtificate of competency issued by the State or Province of Ohi* and employed by Protection Mutual

  • of Park Ridge, Illinois have inspected the repair, rnodification, or replacement described in this report on 19_ and state that to the best of my knowledge and belief, this repair, modification, or replacement has been made or constructed in accordance with Sectxm XI and Section til of the ASME Code and the National Board rules as defined in the publication NS 65 and NS-102, current editions.

By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concoming the , repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal Irjury or property damage or a loss of any kind arising from or connected with this inspection. Commissions i Authostzed inspedor's Signature Date Natiorud Board. State, Province and Endorsernents ,

  • Factory Mutual Engmeenng Association

11 RFO Inservice Inspection Summary Page 131 ToIIdo Edison Company, 300 Madison Avenue Toledo, Ohio 43652 Commercial Service Date: 11/27n7 FORM NIS-2 / NR-1/"!R 1 OWNER'S REPORT FOR REPAIRS OR REPl.ACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner Toledo Edison Comnany Date 5/4/98 n

300 Madison Ave.. Toledo. OH 43652 Sheet 1 of 1 a

2. Plant Davis-Besse Nuclear Power Station Unit e1 5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-07-0650-28 a=== noen opw p.o. n., m u.,
3. Work Performed By Toledo Edison Company Type Code Stamp NR e

_,, 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. ' 20 4 Expiration Date 7-17-98

4. Identification of Systems Main Feedwater to Stm Gen 1-2 EBB-3-SR21 C-255
5. (a) Applicable Construction Code ANSI B11.1._ Edition 19 EZ Addendum HlA Code Case N/A (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITT Grinnell
6. Identification of Components Repaired or Replaced and Replacement Components Name of couponent Name of Manufacturer Manufacturer's National other 1 rear Repaired ASME serial No. Board No. Identification / Built Replaced or code Jurisdictional No. Replacement stamped Snubber ITT Grinnell 12282 MA C-255 N/A Replaced No Snubber ITT Grinnell 21315 MA C-255 N/A Replacement No l

1

7. Description of Work I trT Grinneu hydraulic anubber &#412282 was removed and replaced wte; a I!ke for like snubber and 21315.

Floplacement enubber was rebuilt under MWo 1-97451545. snubber was funceonally tested satisfactory prior to installation. , l

8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A psi Test Temperature N/A .p Pressure Relief Valves: l Service _ N/A Size N/A

     .                                                Opening Pressure                   N/A                       Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Using N/A s     es at N/A
                                                                                                                <-      n NOTES supplemental sheets in the form of lists, sketches, or drawings may be used, provided (1) size is 0% 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 itumber of obeets is recorded at the top of this form. ( I C ___ _ _ _ _ _ _ _ _ _ _ - . . _ _ _

t i1 RFO Inservice Inspection Sununary Page 132 Toledo Edison Company, 300 Madison Av:nue, Toledo, Ohio 43652 l Commercial Service Date: 11/2767 ]

                                                                                                                                                                     )

FORM NIS-2 /NR-1/ *!*: 1 M***88*a*'s Dets E ; n a 6. an n.4

9. REMARKS IWA I

CERTIFICATE OF COMPLIANCE . We certify that the statements made in the report are correct and this rapinesmant conforms to the rules of the ASME Code section XI. NR 20 Expiration Date 7-17 98 Type Code Symbo! Certificate of Authorization No. Signed f Nuclear safety & Inyeceen Manager Date b 19 3 o 4, fo <. o a re. CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid comrnission issued by the National Board of Boller and Pressure Vessel inspectors in the State or Province of Ohio and err. ployed by Protection Mutual

  • of Park Ridae. lilinois have inspected the components described in this Owners Report during the period 1- A 7-9/-to J-NOP, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Renort in acmrdance 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, concoming the examinations and corrective measures described in the Owner's Report. Furthermore, neither the inspector nor his ' employer shal be liable in any manner for any personalirqury or property damage or a loss of any idnd arising from or connected with this inspection. o f"V Y/' Commissions NA YO/ 'N N ~o//,o cd%8 Inspectpfs Signature Date National Board. State. Province and Endorsernente CERTIRCATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section 111 of the ASME Code and the National Board rules as defined in publications NB45 and NS-102, current editions. Ceritficate of Authorization No. 316 to use the *VR' stamp expires Dec.13 19 9(I , Certificate of Authorization No. 20 to use the 'NR* stamp expires July 17 193{L_. Nuclear Safety & Date 19 Signed Toledo Edison inspection Manager nep.e ore.nunoa a,m na.s s.,=.ai w. im CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission issued by the National Boand of Boller and Pressure Vesa,el inspectors, and certificate of competency issued by the State or Province of Ohi0 and employed by Protection Mutual

  • of Park FUdon,ininois have inspected the repair, modification, or replacement described in this report on 19_,_ 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 and Section lit of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, current editions.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the l repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal triury or property damage or a loss of any kind arising frorn or connected with this inspection. Commissions , Authorized inspector's Sipature Date National Board. State. Province and Endorsernents 4

  • Factory Mutual Engmeenng Association

11 RFO Inservice Inspection Summary Page 133 Toledo Edison Company, 300 Mcdison Avenue, Toledo, Ohio 43632 Commercial Service Date: 11/27/77 FORM 4HS4/ NR-1 !.TJC 1 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS , As Required by the Provisions of the ASME Code Section XI I

1. Owner Toledo Edison Comnany s/4/9s

( e Date 300 Madison Ave Toledo. OH 43652 Sheet 1 of 1 ses

2. Plant Davia-Benae Nuclear Power Station Unit #1 5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-07-0650-29 A8**" fissek Orgonhunen P 11 No, Job No., see.
c. Work Performed By Toledo Edloon Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 a.o Expiration Date 717-9s
4. Identification of Systems Main Feedwater to Stm Gen 1-2 EBB-3-SR21 C-256
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 $Z Addendum N/A Code case fyA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 l

(c) Design Responsibilities ITT Grinnell

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

Name of Cenponent Name of Manuf acturer Manufacturer's National other Year Repaired ASME l Serial 300 Board 30. Identification / Built Replaced or Code Jurisdictional No. Replacement stamped Snubber ITT Grinnell 18289 N/A C-256 N/A Replaced No Snubber ITT Grinnell 30518 N/A C-256 N/A Replacement No

7. Description of Work ITT Grinnell hydreune snubber a/N 18289 was removed and replaced witt e Hke for Hke snubber alN 3051a.

Rep 6acement snubber was rebuilt under MWO 107-0615 06.anumber wee functonelly tested saastectory prior to instenation.

a. TestsConducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A psi Test Temperature N/A .p Pressure Relief Valves: Service N/A Size N/A Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Using N/A at N/A i-i NOTE: suppleanental sheets in the form of lists, sketches, er drawings may be used, provided (1) size is 4% a 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.

11 RFO Inservice Inspection Summary Page 134 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27n7 FORM N4G-2 /NR 1/ "".'.5 i

s. neuAnus *pa==== *==d ~~'= o== * = wa===*

N/A CERTIFICATE OF COMPUANCE We certfy that me statements made in the report are correct and this tagiacamaci conforms to the rules of the ASME Code Section XI. Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date 7 17-98 Signed M Nuclear W & w Manager Date N 19 I o.au no. ave o isa Tim. CERTIRCATE OFINSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors in the State or Province of Ohlo and employed by Protection Mutual

  • of Park Ridae. Illinois have inspected the components described in this Owner's Report during the period / MH" to f*"V-f#', 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, concoming the examinations and corrective measures described in the Owner's Report. Furthermore, neither the inspector nor his employer shal beliable in any ma r for any personalinjury or property damage or a foes of any idnd arising from or connected with this in tion. o-Irisped a Sqlnature PYW Date Commissions RA9FW W Y $* Yo co"

  • National Board, State Provsnce and Endorsernards CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section lll of the ASME Code and the National Board rules as defined in publications NS-65 and ND-102, current editions.

Ceritftcate of Authorization No. 316 to use the *VR' stamp expires Dec.13 19,,g!L, Certificate of Authorization No. 20 to use the 'NR* stamp expires Jutv 17 19 L Nuclear Safety & Date 19 Signed Toledo Edison . Inspection Manager n.pu os.nuan a me nas n p,. amw. uu. CERTIFICATE OFINSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vesselinspectors, and certificate of competency issued by the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridge, Ninois have inspected the repair, modification, or replacement described in this report on 19_ and state that to the best of my knowledge and belief, this repair, modification, or replacement has been made or constructed in a:cordance with Section XI and Section 11! of the ASME Code and the National Board rules as defined in the publication NB45 and NB-102, current editions.

By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concoming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be Emble in any snanner for any personal injury or property damage or a loss of any kind arising from or connected with this hspection. Cornmissions Authodzed Inspedor's Signature Date Natanal Board, State, Province and Endorsernents

  • Factory Mutual Engineering Association 1

______________________u

I1 RFO Inservice laspection Summary Page 135 Toledo Edison Compcny, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27U7 FORM NIS-2 / NR-1 l'"1"A OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. Owner T" "* -

Date 5/4/es 300 Madison Ave _. Toledo. OH yac; Sheet 1 of 1 r l

2. Plant C_.'_"---"='-- A _ _; & ". Unit s1 s,

5501 N_ SR 2 Oak Harbor. OH 43449 MWO 1-07-0650-30 a.== nes r o, mmmann p.o. n.,J e n

3. Work Performed By Toledo Edloon Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 a

Expiration Date 7-17-98

4. Identification of Systems MAIN FunWATER STM GEN 1 1 (043y1) EBB-3-SR23 C-258 . . .
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 El Addendum JM Code Case jn (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITTGRINNELL
6. Identification of Components Repaired or Replaced and Replacement Components name of component hans of Manufact;urer tsanufacturer's National other Year Repaired ASME serial No. Board mo. Identification / suilt amplaced or code Jurisdictional No. Replacement stamped SNUBBER ITT GRINNELL 12497 NA C-258 NA REPLACED NA SNUBBER ITT GRINNELL 24192 NA C-258 NA REPI). CEMENT NA
7. Description of Work
    !TT GRINELLL HYDRAUUC eNUSSER WM 124s? WAS REMOVED AND REPLACED WITH A UKE FoR UKE SNUSSER a46 341tL REPLACEMENT SNUBBER wAS FUNCTIONALLY TESTED prior To INSTALLATION.

l

a. Tests Conducted: Hydrostatic (No) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure NA psi Test Temperature NA .p Pressure Relief Valves: Service NA Size NA Opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustrnents Made Using NA a, at NA

                                           .                                          an==.    :

18075: supplemental sheets in the form of lists, sketches, or drawings may be used. provided (1) size is 6% a 11 in. (2) Information in items 1 through 5 on this report is included on each sheet, and (3) each sheet is numbered and the mWr of sheets is recorded at the top of this form.

11 RFO Inservice Inspection Summary Page 136 Toledo Edison Comp:ny, 300 Madison Avenue, Tolrdo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 /NR-1 l'"!" '

e. REAAARKS Aphet" De* A9"* * ** d"*8*8 OGfA CERTIFICATE OF COMPl. LANCE We that he statements made in the report are correct and his implaGament conforms to the rules of the ASM Code Section XI. -

Type Code Symbol NR Cerglicate of Authorization No. 20 Expiration Date 7-17-es Signed Nucceer sasety a inspeemen stanager Date 19 N o ,Ko ,.o Te. CERMFICATE OFINSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the Nanonal Board of Boiler and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protecton Mutual

  • of Parte Ridae. Illinois have inspected the components described in this Owner's Report during the period /- MP to f"'A ff , and state hat to tie best of my b ' 7 and belief, he Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code. Secton XI.

By signing this cetWAcate, neither the inspector nor his employer makes any warranty, expressed or implied, w,s.c ... ,,u the examinations and correceve measures described in the Owner's Report. Furthermore, neither he inspector nor his errployer shaR bellable in any nner for any personal lrduty or property damage of a loss of any idnd arising froen or connected with this as .. inspeay.sionmure J*Y49 om. Commissions AdffW A' Z . A. ' JA*o d Nanones so.nt, simo Provinos and Endorsemerne i CERTIFICATE OF COMPLIANCE We cer6fy that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conkwms to Section XI and Section ill of the ASME Code and the Nadonal Board rules as defined in pubfcations NB45 and NB-102, current edtions. Corithcate of Authorization No. Sie to use the "VR* stamp expires Dec.13 - 19.9g Certficate of Authoriza6cn No. 10 to use the 'NR* stamp expires Juiv 17 19.gg _, Nudear Safety & Date 19 Signed Toledo Edson inspea6an Manager seene cas.es unenne ram l CERTIFICATE OFINSPECTION 1, the undersigned, hokfmg a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors, and cIrti6cate of competency issued by the State or Province of 0* and employed by Protecdon Mutual

  • of Park R6 dos, tenois have inspected the repair, modincation, or replacement described in this report on - 19 and state hat to the best of my knowledge and benef, this repair, modification, or replacement has been made or constructed in accordance with SecGon XI and Sec6cn lit of the ASME Code and the Nadonal Board rules as defined in the publication NS-65 and NB-102, current editione.

By signing this certificate, nelhor he Inspector nor his employer makes any warranty, expressed or irnplied, concoming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be j . liable in any manner for any personallrtury or psoporty damage or a loss of any kind arising frorn or connected with l his inspectiort Commissions Autherland inapoctor's Sii piature Dee Nathmal Board. State. Province and Endorsements

  • Factory Mutual Engmeermg Association
                                                                                                                                                                                                                    )

11 RFO Inservice Inspection Summary Page 137 Tolido Edison Company, 300 Midison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 / NR-1/444R-1 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS ' As Reotarcd by the Provisions of the ASME Code Section XI

1. Owner Toledo Edison Comnany Date 5/4/98 ,

300 Madison Ave.. Toledo. OH 43652 Sheet 1 of 1 a

2. Plant C i "---- Nuclear Power s*M!m Unit e1 m

5501 N. SR 2. Oak Harbor. OH 43449 MWO 107-0650-31 a== nesen ovennuman P.n Nr , Job No.,em,

3. Work Performed By Toledo Edison Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20
                                                                                -     Expiration Date 7-17-98
4. Identification of Systems u-% "::f;; Mr to Sim Gan 1-1 EBB-2-SR22 C-259
5. (a) Appilcable Construction Code ANSI B31.1 Edition 19 gI Addendum N/A Code Case N/A (b) /.pplicable Edition of Section XI Utilized for Aepairs or Replacements 19 86 (c) Design Responsibilities ITT Grinnell
6. Identification of Components Repaired or Replaced and Replacement Components Narne of Component Name of Manufacturer Manufacturer's National other Year Repaired ASHE Serial No. Board No. Identification / Built Replaced or Code Jurisdictional NO. Replacement stamped Snubber ITT Grinnell 12498 N/A C-259 MA Replaced No Snubber ITT Grinnell 30520 MA C-259 WA Replacement No
7. Description of Work (TT Grinnell hydraulic enubber S/N 12490 was removed and replaced with e like for llke snubber a/N 30520.

Replacement snubber was rebuilt under MWo 1-97 051546.8nubber wee funesenalty tasted sagsfactory prior to Installation. I J l l

8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A psi Test Temperature MA op l Pressure Relief Valves-l Service N/A Size N/A

 .                           Opening Pressure                    N/A                            Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Using N/A i ,      e. .

at N/A e u.i 90TE: Suppleumantal sheets in the form of lists, sketches, or drawings may be used, provided (1) size is 9% a 11 in. (3) 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

11 RFO Inservice Inspection Summary Page 138 Toledo Edison Company, 300 Midison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 /NR-1/ N"". i ) D*'*E"*-^^

9. REMARKS NrA CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this renlaemment conforms to the rules of the ASME Code Section XI.

20 Expiration Date 7'II"88 Type Code Symbol NR Certificate of Authorization No. Signed . ) ^ o n."- *****'W ' b'P**8'" "*"*8*' CERTIFICATE OF INSERVICE INSPECTION Date 9 19 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors in the Ohio and employed by Protection Mutual

  • of Park Ridae iffinois State or Province of have inspected the components described in this Owners Report during the period /-MM to f"WM', and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the examinations and corrective measures described in the 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 idnd arising from or connected with this in tion. s . J'* Y ~Yl' Date Commissions JVf$ 9h/ YYW WC@ " Natonal Board State, Province and Endorsements Inspecs segriature CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, rnodification, or replacement of the pressure relief device described above conforms to Section XI and Section ill of the ASME Code arxi the National Board rules as defined in publications NB45 and NS 102, current editions. Ceritficate of Authorization No. 316 to use the "VR* stamp expires Dec.13 19 L Certificate of Authorization No. 20 to use the *NR* stamp expires Jutv 17 19jg__. Nuclear Safety & inspedian Manager Date 19 Signed Toledo Edison mm.nawn.p n.p.s ory.wm, a nesw. im CERTIFICATE 0FINSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors, and Oh* and employed by Protecten Wual

  • certificate of competency issued by the State or Province of of Park Ridge. Illinois have inspected the repair, rnodification, or replacement described in this report on .19_ 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 and Section til of the ASME Code and the National Board rules as defined in the publication NS-65 and NB-102, current editions.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, conceming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal irjury or property damage or a loss of any kind arising from or connected with this inspection. i Comrnissions Authorized inspector's Signature Dale National Board, State. Province and Endorsements l

  • Factory Mutual Engineering Association

11 RFO Inservice Inspection Summary Pcge 139 Toledo Edison Company, 300 Malison Avenue, Toledo, Ohio 43632 l Commercial Service Date: 11/27/77 i l -49 RAH 4HbH NR-1 l;".'";4 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Secton XI

1. Owner Th 8 '8m e- -; Date 4/21/es
                                                                      =

200 uh Ava- T- i OH AMo Sheet 1 of 1 me

2. Plant Devia-Banan ph Pawar **-atm Unit e1 a

5501 N. SR 2. Oak H;=vbor. OH 43449 MWO 1-WT'a='M

                                                                     ====                                                ass == o mmmenpa n.,we
3. Work Performed By Toledo Edloon Company Type Code Stamp
                                                                                                                            *                   ~

NR 5501 N. SR 2. Oak Narbor. OH 43449 Authorization No. P

                                                                     ~,

Expiration Date 7-17-es j

4. Identification of Systems CORE R.OOD TANK n8* MANGE #GE1-OH 22B CCB-5-H1 C.275
5. (a) Applicable Construction Code ANsf B31.1 Edition 19 E Addendum NA Code Case NA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilrhes ITTGRINNELL
6. Identification of Components Repaired or Replaced and Replacement Components

, same of Component Name of Manufacturer Manufacturer's National other 1 rear Repaired ASMs i serial No. Board No. Identification / suilt soplaced or code Jurisdictional No, soplacement Stamped SNUBBER IIT GRINNELL 14665 NA C-275 NA REPLACED NA SNUB 8ER ITT GRINNELL 21308 NA C 275 NA REPLACEMENT NA

7. Description of Work ITT oRINNELLL HYDRAUUC SNUB 8ER s4:140s5 wAs REMOVED AND REPLACED wtTN A UKE FoR UKE SNUBBER s/N 2130s.

REPLACEMENT SNUBSER WAs FUNCTIONALLY TESTED prior To INSTALLATION. e i l

8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) Nominal Operatirg Pressure (NO) Other (NO) {

Pressure NA psi Test Temperature NA .p Pressure Relief Valves: Service NA Size NA Opening Pressure NA Blowdown (if apphcable) NA Set Pressure and Blowdown Adjustments Made Using NA at NA a- e

 .         NOTES Suppleanntal sheets in the fosin of lists, sketchre, or dreerines may be used, provided (1) size is su x 11 in. .

(2) Information in items 1 through 6 on this report is included on each sheet, and O) each sheet is numbered and the number of sheets is recorded at the top of this foria. J_--_.___-_____________-_..-- _ _ _ - . - . _ _ - . - _ - . - --

i 1 l 11 RFO Inservice Inspection Summary Page 140 Toledo Edison Compar.y, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 fGRAHHS NNR-1 !""" i

s. neuAnus ****'**' D'" "'" . n. mm.o NfA CERTIRCATE OF COMPLIANCE We certify that the statements made in he report are correct and his melanament cordorms to the rules of the ASME Code Section XI.

NR Cere8cate of Authorization No. 20 Expiration Date 7*17'88 Type Code Symbol N E' 0 "*** Y a~."-.'""'"4'"" Signed Date / 19 CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a vaEd commission issued by the National Boani of Boner and Pressure Vessel Inspectors in the State or Province of Ohio and employed by Protection Mutual

  • off Pask Ridos. Ilunois have inspected the components described in this Owners Report during the pedod.AilltJM to 4 11 4R ,and state that to the best of my % __ _ t and belief, he Owner has performed examinanonDer#WEhoorree lve roeneures '

described in this owners Report in accordance wih the requirements of the ASME Code, Secdon XI. By signing this cerencate, neithw the inspootor not his employw makn any wananty, expressed orimpEed, concoming the examinations and corrective measures described in to Owners Report. Furtermore, neither he inspector nor his employer shaA be Rable in any manner for any personalir$ny or property damage or a loss of any idnd asteing from or connected wth this inspection. h11b In.pedor's Sapunure y. 4 d46 Commissions AS4%d YI'A " Utse Neuonal Board, sisle, Province and :'.a -s

                                                                                                                                                                                ^

CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are conect and the repair, modifica6on, or replacement of the pressure reDef device described above conforms to Sec6on XI and Secean 111 of the ASME Code and the National Board rules as denned in publications NB45 and NB.102, current edeons. Certificate of Authorization No, 316 to use the 'VR' stamp expires Dec.13 19,3g, Certificate of Authortratim No. 20 to use the 'NR' stamp expires July 17 19 gg._, Nuclear Soluty & Date 19 . Signed Toledo Edison in.pect6on Manager nues meneessa -- i CER11FICATE OFINSPECTION 1, the undersigned, holding a valid commission issued by the National Board of BoRer and Pressure Vessel inspectors, and certificate of competency issued by the State of Province of ON0 and employed by Protection Mutual

  • of Park Ridge,lehnais have inspected the repair, modification, or replacement described in this report on 19_ and state that to the best of my imowledge and belief, this repair, modification, or replacement has been made or constructed in accordance with Secton XI and Sec6on lit of the ASME Code and the National Board rules as defined in the publication NB45 and NS 102, current editions.

By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or impEed, cer,7 i..',i,ii the repair, modification or replacement described in this report. Furthermore, neHher the inspector nor his employer shah be Eable in any manner for any personalirqury or property damage or a loss of any kind arising imm or connected with this inspection. Commissions Amorued in.,eciars s4,unu,e o.ie N rm isoard sinse,provinoe and and r.emoni.

  • Factory Mutual Engmeering Association

11 RFO Inservice Inspection Summary Page 141 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 / NR-1 lYCby1the As Required OWNERS Provisions of REPORT the ASME Code FORNM XI REPAIRS OR REPLACEMENTS

1. Owner Toledor += e-- - - Date 4/211os
                                                                                                                                                         =

200 Madison Ave Toledo. OH 43652 Simet 1 of 1

2. Plant Devia-Bena. Nw Powero-% Unit #1 4

6501 N. SR 2. Oak Harbor. OH 4?"0 MwO 107.naAs4

                                                                                                                                                        ==.=

n.,.e ossam mm.pn se% a t. m.,, ear.

3. Work Performed By Toledo Edison Cc. -.., Type Code Sig-NR -

5501 N. SR 2. Oak Harbor. OH ^?"9 Authorization No. 20 u tjon Date 7-17 es

4. Identification of Systems RCS TO DH PUMPS f049 02) 23C Ce* ' M7 C-285 :s
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 AZ Addendum E Code Case n (b) Applicable Edition of Section XI Utilized for Repairs or Replacements to 86 (c) DesignResponsibilities ITTGRINNELL
6. Identification of Cviiw,ents Repaired or Replaced and Replacement Components asame of Cenpanent Name of Isanufacturer Manufacturer's IIational other Tear Repaired ASEs serial No. Board No. Identification / Built Replaced or code Jurisdictional 300. Replacement stamped SNUBBER ITT GRINNELL 18869 NA C-285 NA REPLACED NA SNUBBER ITT GRINNELL 13261 NA C-285 NA REPLACEMENT NA
7. Description of Work ITT GRINNELLL HYDRAUUc SNUBSER s/N 18069 wAs REMOVED ANo REPLActo wrTH A UKE FoR UKE SNUBSER S/N 13261.

REPLACEMENT SNUppER wAs FUNcDONALLY TESTED prior 70 INSTALLATION. I 1

8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure NA psl Test Ternperature NA ep L Pressure Relief Valves: j Service _NA Size NA i i Opening Pressure NA Blowdown (if applicable)- NA Set Pressure and Blowdown Adjustments Made Using_NA

                                                                                                                                                           '                                                                 :=-i at NA                                                                                                                                         ,

e e-===i= a NOTan (2) 2nferination supplemental sheets in the form of lists, sketches, or drawings may be used. provided (1) size is s% x 11 in. in iteams 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 t.be top of this form. l l

II RFO Inservice Inspection Summary Page 142 1 Toledo Edison Company, 300 M:dison Avenue, Toledo, Ohio 43652 { Commercial Service Date: 11/27/77 i FORM NIS-2 /NR-1/ "",'n i

s. neuARKs ******* D=r assea= *
  • da.e d N/A CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are conect and this replaemment conforms to the rules of the ASME Code Section XI.

Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date 7dh88 Signed -, par saw & Inspecson ganager Date ci.4,ero.a re o ,n '

                                                                                                                                               /     19 N re.

CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a vaEd commission issued by the National Board of Bouer and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutual

  • of Ps rk Ridae lificois, have inspected the components described in this Owners Report dudng the period ilM M . to 4Il3J46 , and state that to the best of my knowledge and beEef, the Owner has performed exarninations an'd ta con cor octMe m'easures described in this Owners Report in accordance with the requirements of the ASME Code, Section XL By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or irnpEed, concoming the examinations and corrective measures described in the Owner's Report. Furthermore, neither the inspector nor his employer ahan be Rable in any rnanner for any personalinjury or property damage or a loss of any idnd arising from or connected with this inspection.

BMad Inspedor's Sagrwture M- N Commissions M DN G ' I ate Nahonal Board, Stale Provmm and Endorsements CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure reHet device described abo 0e coriforms to Section XI and Section ill of the ASME Code and the National Board rules as defined in publications NB-65 and NB-102, current edtions. Coritficate of Authorization No. 316 to use the *VR' stamp expires Dec.13 19 98 Certificate of Authorization No. 20" to use the *NR' stamp expires Jutv 17 19 98 Nudoar Safety & Date 19 Signed Toledo Edison inspection Manager n.p.. are ,uanon- a,an.ame n.m a.w. . CERTIFICATE OF INSPECTION' 1, the undersigned, holding a valid commission issukt by the National Board of Boller and Pressure Vessel inspectors, and certificate of competency issued by the State or Province of N' and employed by Protection Mutual

  • of Park Fudos, Illinois have inspected the repair, modification, or replacement described in this report on 19_ ,,, and state that to the best of my knowledge and benef, this repair, modification, or replacement has been rnade or constructed in accordance with Section XI and Section lit of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, current editions.

By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concoming the l repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shau be j liable in any manner for any personal iriury or property damage or a loss of any kind arising from or connected with ' this inspection. Commissions Authortred inspedor's Signature Dale National Board, State. Province and Endorsements

  • Factory Mutual Engmeenng Association

11 RFO Inservice Inspection Sununary Page 143 Toledo Edison Compsoy, 300 Madison Avenue, Toledo, Ohio 43652 Commercia1 Service Date: 11/27/77 FORMNIG-2 / NR-1/MVR4 OWNER'S Rh0RT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Sec%n XI

1. Owner Toledo Edinan comnany Date EnWes m-300 " =, Ave _ T- h OH 43652 Sheet 1 of 1 me
2. Plant Dawls.Beane Wh Poweraw% Nnit #1 m

5501 N. BR 2. Oak Harbor. OH 43449 MWO 197-065635 me== mpen oiseauman p.a No, me H., em.

3. Work Performed By Toledo Edison ConvenY Type Code Stamp NR 5501 N. BR 2. Oak Harbor. OH 43449 Authorization No. 20 me Expiration Date 7-17-08
4. Identification of Systems SG 1 1 Drain Svatem 7-EBB-5-H6 C-287
5. (a) Applicable Construction Code ANSI B31.1 Edition 19 fl Addendum N/A Code Case t#A (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities ITT Grinnett
6. Identification of Components Repaired or Replaced and Replacement Components ~

Mame of component Name of Manufacturer Manufacturer's National other Year Repaired ASNs serial No. Board N0. Identification / Built Replaced or Code Jurisdictional No. Replacement Stasped Snubber ITT Grinnell 13801 N/A C-287 N/A Replaced No Snubber ITT Grinnell 13275 N/A C-287 N/A Replacement No l

7. Description of Work rTT Grinnell hydraulle snubber amt 13e01 was removed and replaced e a Hke for Nke enubber S/N 1s275.

Replacement snubber wee rebuilt under NWo 197-061543. snubber was functionary tasted eatsfactory prior to installason.

8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)

Pressure N/A pal Test Temperature N/A op Pressure Relief Valves: I I Service N/A Size N/A Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Usina N/A

                                                                                                                                                                                                                       .     .i at N/A ei  u.i NOTE     Supplemental sheets in the form of lists, sketches, or drawings may be used, previded (1) size is 9% x 11 in.

(2) Information in items 1 through 6 on this report is included on each sheet, and (1) each sheet is numbered and the number of sheets is recorded at the top of this form. C________________.____.-. _ _ _ _ _ _

11 RFO Inservice Inspection Summary Page 144 Toledo Edicon Company, 300 Mcd son Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 I FORMMG-24NR-1/4WR4-m De taperm mbean.ded

9. REMARKS N/A CERTIRCATE OF COMPUANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code Sectson XI.

NR Certificate of Authorization No. 20 Expiration Date 7 17-98 Type Code Symbol Signed / Ndar SaW & hspeccon Manager Date 19 N o nFwow sone re. CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutual

  • of Park Ridae, tilinois have inspected the components described in this Owner's Report during the period /~& W to fro"PP , 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 not his employer n t' akes any warranty, expressed or implied, concoming tho' examinations and corrective measures described in the Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personat injury or property damage or a loss of any kind arising from or connected with this ins tion.

  • Sheet 1 of 1 as
    2. Plant ed " - - - - Na- Powere*-Ha i Unit #1 a
    5501 N. SR 2. Oak Harbor. OH 4*"^ MWO 7 ^' Mcc-10 ****= asset o anusunn P.o. ek, Jan see,ess. s
    3. Work Performed By
    • Toledo Edison Cm Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 42449 Authorization No. 20 ane Expiration Date 7-17-e8
    4. Identification of Systems cOwrAlpascNT VACULua pra serISO BUTTERFLY VALVE ftUS 000 01) cV5077
    5. (a) Applicable Construction Code 'ASME M CL2 Edition 19 Z1 Addendum Na Code Case Na (b) Applicable Edition of Section XI Utilized for Repairs or Replacements is 86 (c) Design Responsibilities _ TOLEDO EDISON. VALTEKINC.
    6. Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer tsanufacturer's National other Year Repaired AstIE serial leo. Seard 100. Identification / Built poplaced er Code Jurisdictional No. Replacesnent stasped 8* BUTTERFLY VLV FISHER CONTROLS 5110736 838 CV 5077 1974 REPLACED Yee 8* BUTTERFLY VLV */ALTEK INC. 77386.001.7 NA CV 5077 1991 REPLACEMENT Yes
    7. Description of Work REPLACED E.XisTING s" FISHER sUTTEMPLY VALVE wlTH AN 8" VALTEK BUTTERFLY VALVE
    8. Tests Conducted: Hydrostatic (NO) Pneumatic (YES) NominalOperating Pressure (NO) Other (NO)
    Pressure 38 PSIG pal Test Temperature NA .p Pressure Relief Valves: Service NA Size NA Opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Usina NA at NA a u.a poTsa supplasmantai sheets in the form of lists, sketches, or drawings may be used, provided (1) site is 8% x 11 in. (2) Information in itemis a through 6 en this report is included en each sheet, and On each sheet is numbered and the musuber of sheets is recorded at the top of this 202M. 11 RFO Inservice Inspection Summary Pege 146 Tolrdo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 s FORM NIS-2 /NR-1 l'"/. 1- '""'** D'" & * ** d""
    e. neuanks Nvp.1 VALTEK INC. s* SUTI'nFLV CoNTdOL. VALVE - am 7r306.0e1.7 CERTIRCATE OF COMPUANCE We certfy that the stater 6ents made in the renorr are correct and this replanament conforms to the rulee of l the ASME Code Section XI.
    # Expiradon Date 7*17*88 Type Code Symbol NR Certificateof AJthorizalonNo. Signed , Nuotear sasser & inspeamen Manape' Date f 19 M o w. ~ ' ., CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a vand commisalon issued by the Nabonal Board of Boller and Pressure Vesselinspectors in the [ State or Province of Ohio and employed by Protecton Mutual
    • of . Padc Rldoe. Illinoll l have inspected be components described in this Owners Report during the period alMMA to S26 # , and state i
    8 that to the best of my knowledge and benef, the Owner has performed examinadons arit taken corrective haasures ' doectibed in this Owners Report in accordance with the requirements of the ASME Code, Secton XI. e By sigrSg this cer6ficate, neither the inspector nor his employer m'akes any warrardy, expressed or impied, concoming the examirm bre ar d corrective measures described in the Owners Report. Furthermore, neither the inspector nor his employer shall be le W b any manner for any personal injury or property damage or a loss of any kind arising from or connected wft + this inspec h , ,,,,,,,,.* , ,, hin&L N Cm . . . ' : ~,; bD N 1 A National Board, Sles, Prowmos and Endorsemeras l Inepodor's Signature ~ _G 8 Dao { CERTIFICATE OF COMPUANCE We certify that thi statements made in this report are correct and the repair, modification, or replacement of the pressure reuef device described above conforms to Sec6on XI and Sec6on Ill of the ASME Code and the National Board rules as defined in publica6ons NB45 and NB-102 current editions. 316 to use the 'VR' stamp expires Dec.13 19 98 Certificate of Authorization No. 20 to use the'NR' stamp expires Jutv 17 19.gg_,,, Certificate of Authorization No. Nuclear Safety & inspection Manager Date 19 . Signg Toledo Edmon - n p.s us.mm n mm.name ium CERTIFICATE OFINSFECTION t, the undersigned, holding a valid commission issued by the National Board of hloRer and Pressure Vessel Inspectors, and Ohio and employed by Protection Mutual
    • certificate of competency issued by the State or Province of of Park nidos. Ilknois have inspected the repair, modifica6on, or replacement descrtbed in this report on 19_ ,,, 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 and Section ill of the ASME Code and the Nabonal Board rules as defined in the publication NB 65 and NS t02, current editions By signing this certtheate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be Emble in any manr.er for any personal Iriury or property damage or a loss of any kind arising from or connected with this inspection.
    Commissions AuthertJed insped ar's Sagnature De* National Board, State. Province and Endorsements
    • Factory Mutual Engmeermg Association
    I1 RFO Inservice Inspection Sununary Page 147 Toledo Edison Company, 300 Madison Avenue. Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM pePV t AAANUFACTUREA$* DATA // g VALVES * , 4Aemaguared by'elie Provi*iaa. *' ** A5Ms c fiEPORT FORT.e@e.seen.fudFS'04 - - . m. me. 41
    s. uen,,seceu,an a,, 'YAttrr 1;!C.. Min Soringt ekwv. Serinav111e. UT 94663 .
    ei ..
    3. men,emsunseser htman artiarm. thaar _samh mia me e ase,ess ee e w ser e. W.
    3, % ,,#i,,eissene, runris - - - w-- > station. 5501 N. State, Rt. 2, Oak flattxYe
    4. ,,,,,',, vasee Cont M a Y ascer aa'taim 5 a inn' w _ a ..incts m Maplet fee EM Wenufacturers 't'C4"e+88 sense ne. sees, ersau.o- .a o s ie .n um s,, se ,r ,
    or free ho %e he w Class ta suo seiu j til Um1A44 'FTtstC_ W _7 WA ATM M 7 efM M1  ; s2l - . - =' 7 h (31 b tal L gg3 , tel M .'N sal . 198 6 Y tiol 5 'E sener esecrohen es semco ser en.cn oevemen, was essense y Sw DesignCondstons psi *F or Velve Pressure Close 150' itt (3
    c. o e em.,e
    7. Coed Wortdng Pressure 450 pe, et too F. g S. Pressure Retartung P6eces e
    -) l Mort No. Matenal Spec. No. Menufocautor Romerte j ) tal Castings 1 FAT EXE y11g32. SA 21(r-4dtB >=adress Fbundrv T.10t ytEqh SA 3SI-CFIM >=Hrmn PmW II)G  ; I i l ' l os s"N \ *$.h thiFore.aos
    • s
    ~. 5Q 1  : I ( % i R l j y s - ws g i ! I'%  ; VI m . .u,,ie e, e.e in o,rri o, u . e,eie,,e, or o,..r,.e ,.e, .e .r- m wi, w . u:. m into,,ou. i., . ;reme i, a ene s en true oss repo= is enctueen on eacn meet. ene m um one*ie Wjeitdumpererehe w is recorded at topef th6s fornt (3/7 73 'fble form 18000371 anov eeentaines Jeom the Orene Oeot A&ME;345 L 41kkNomNeeks N.Y.100t?< , 4 - . . . . . . . . _, < .s. a s .. b5 l t b________.___________________ _ j Pcge 148 1i RFO !nservice Inspection Summary Toledo Edison Company, 300 Mcdison Avenue, Toledo, Ohio 43652 ) Commercial Service Date: 11/27n7 ~ . _ . . - i ponen wev.t asem Sdert fee. M Se*e I*e l Manufacture l Romerse en samine o  ! ,, Heat Codes ~ 9 1 i 1  ? e omereens. l ** I ==a M*NLM K r%s16.e h ai ,ian , _VlM E * ,wm i, vn811 1tm4mm si inSs; ma owir se i { e .x ,,V11820. W114384 - At&4M.Jan E in~>% thdtar st 1 rm .3 -- i
    9. etydrostsuc test . M pea.
    CERTIFICATE OF C08#UANCE we cervey that she ste,p 39pos Ames report are correct ene that mio pump, er ve4we.-eenfermenpiiAiAIst) 4 coristrucson el the ASadt Cose for Nucleet Power Pterit Components. Section W. Ok I EM ,1986- . ., Assense Mxte . Code Case No. N/A ,, _ . Srgned altek try . , suenweseneen ,..y Our ASMEComficate or Ammentetson No. 1884 to use me N( symboiemei, .14-Oct V CER11FICAT10N OF DESIGN f Des +gn eforrhaGon en file et Valtok Inc.. PO Ear 7700. Mtn. $np{nn; pkww. inpQdville , otns ctdss, sire e ancys e ,e on scies. .neyi on foe ei __ nit ak . rne-Delegn ececificeDons tertfied try gt; tear 4r A. Wrv4st E-Da;ogg M State O - Reg. No. . 5 trees enem eertfied by gu nwl M. twn Pf State UM neg. No. 7080 IU 54nesure not soeunred. Use eisme any , , CERTIFICATE OF SHOP INSPECTION e I 1. the unoersegned. heeding a weGd comm.ss.ca ss ed by sne Netonal Soard of Boiler and Pressure Vesselinspectors '~ ** end empioved try 58 e si T rY m I pnd me sim or Province of i jef brefd f%ww*Em*
    • e.e Rscected tne pump, of wenve, oeecnbod in thl65Deta4 Report on f 1 A A'? 19.91 er vee ' Ret to tRe best of fny knowledge and trellef.the Merlulacturet.hes ooru )
    ietructed this pump, or vetve.in eCoefdence ** **e ASME Code. Section tit. i , ( By e#prung snis co4dasete, mesther the insoestae *se me emplevet meties any warranty, enereceed erlenglieCooncerning-1he equipment d in arpe Dese Jteoca * .~e more. neitner the ineoector nor his emplevet sheth16etWh'ini - w mennerfore injury of progefly co-age os e loss of any tund erleing frorn of eennected $this lpepe9tipn.: j _z :l yL * ->,t....., 4 f f m ce.,ni no /M 6usse. .w M, r M ? w "" n ,7 m, _ ne.,.,it y y .s , 1 i I1 RFO Inservice Inspection Summary Page 149 Toledo Edison Comp ny, 300 Mrdison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 / NR-1/MVR4 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
    1. Owner Toledo Edison Comnany Date 5/1W98 a
    200 Madison Ave Toledo. OH 43652 Sheet 1 of 1 se
    2. Plant Dawl -a.ama N* Powera* =* H Unit #1 e
    5601 N. SR 2. Oak Harbor. OH 42449 MWO # 1-97 0650-27 - n.s.=a - en n.,a n.,.u.
    3. Work Performed By Toledo Edison Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization NO. 20 se Expiration Date 7-17-98
    4. Identification of Systems Main Steam E3B-1-SR4 C-225
    5. (a) Applicable Construction Code ANSI B31.1 Edition 19 SZ Addendum D!n Code Case DIA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities Lisena
    6. Identification of Components Repaired or Replaced and Replacement Components Name of component Name of Manufacturer Manufacturer's National other 1 rear Repaired ASME serial No. Board No, Identification / Built Replaced or Code Jurisdictional No. Replacement stamped Snubber Lisega 61252/40 n/a C-225 n/a Replaced No Snubber Lisega 61252/53 n/a C-225 n/a Replacement No J
    7. Description of Work USEGA HifDRAuuC SNuDBER s/N 61252/40 WAS REMOVED AND REPLACED WITH A UKE FoR UKE SNUBBER sM 61252/53.
    REPLACEMENT SNUBBER WAs FUNCTIONALLY TESTED prior To fNsT ALLATioN. I i
    8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)
    Pressure N/A psi Test Temperature N/A .p Pressure Relief Valves: Service N/A Size N/A Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Using N/A ..i at N/A 8 hann 3 i NOTES suppleau.ntal sheets in the form of lists. sketchea, or drawings may be used. provided (1) size is 5% x 24 in. , i (2) Information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the ' nundar of sheets is recorded at the top of this form. I L_______________._______ _ _ _ . . _ _ I 11 RFO Inservice inspection Surmnary Page 150 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 /NR-1/4Wft+ - - - uommemme Dow se. poem m u mwowd 3.Rt. MARKS N/A CERTIFICATE OF COf.iPUANCE We certify that the statements made in the report are correct and this raptar:ement conforms to the rules of the ASME Code Section XI. NH Certificate of Authorization No. 20 Expiration Date 71798 Type Code Symbol Signed . Nuclear Safety & Inspecuan Manager Data c7 g~g oJ4 o a.<.o w., Tim. CER11FICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutual
    • of . Ps rk Ridae. Illinnii have inspected the components described in this Owner's Report during the period ll30 % to W ii Oc. ,and state that to the best of my knowledge and belief, the Owner has performed examinations and ta(en correctse sneasures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
    By signing this certificate, neither the inspector not his employer makes any warranty, expressed or implied, conceming the examinations and corrective measures described in the 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 idnd arising from or connected with this inspection. , ,, ,, , , , , ' Pod 00 S ab Commissions M D3d 4 I A hatsonal Board. State. Provmos and Enoornements (N4k. Inspector's Signature" G Dato CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure  ; relief device desclibed above conforms to Section XI and Section 111 of the ASME Code and the National Board rules as defined in publicat ons NB-65 and NB-102, current editions. Certificate of Authorization No. 316 to use the "VR* stamp expires Dec.13 19_2a_. Certificate of Authorization No. 2o to use the "NR* stamp expires July 17 19.20,_, l Nuclear Safety & i inspedian Manager l Date 19 . Signed Toledo Edison u w.u.au.pr. g a.p. uv.au n ai.w. in CERTIFICATE OF INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors, and Ohio and employed by Protection Mutual
    • certificate of competency issued by the State or Province of of Park Ridge,Itrnoen have inspected the repair, modification, or replacement descrtbed in this report on 19___,,, 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 and Section til of the ASME Code and the National Board rules as defined in the publication Nf&65 and NB-102, current editions.
    By signing this certificate, neither the inspector nor his employer snakes any warranty, expressed or implied, concoming the repair, modification or replacement described in this 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. Cornmissions Authonzed inspector's Segnature One National Board, State Province and Endorsements ,
    • Factory Mutual Engineering Association
    - _ - - _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ - _ _ _ . . _ = _ - _ _ _ _ _ _ 11 RFO Inservice Inspection Summary Page 151  ! Toledo Edison Company, 300 Madison Avenue. Toledo, Ohio 43652 l Cornrnercial Service Date: 11/27/77 i i i FORGHHG-iH NR-1 !?"!.41 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
    1. Owner Toledo Edison Comnanv Date 5/11/es m
    300 Medimon Ave..Talado.OH 43652 Sheet 1 of 1 am 1
    2. Plant Davis 4amme N"- Power Station Unit #1 5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-07 0650-40 n o pa , s n u .m.
    3. Work Performed By Toledo Edison Company Type Code Stamp NR i
    5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 ) Expiration Date 7-17-98
    4. Identification of Systems MAINSTEAM SYSTTA (SUS 08341) M1170/H12 C-415
    5. (a) /pplicable Construction Code ANSI B31.1 Edition 19 EZ Addendum M Code Case M (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 06 (c) Design Responsibilities USEGAINC.
    6. Identification of Components Repaired or Replaced and Replacement Cornponents Name of Component Name of Manufacturer Manufacturer's pational other Year Repaired ASME serial 90. Board NO. Identification / Built Replaced or Code Jurisdictional MO. Replacement staaped SNUBBER LJSEGA 61200fJ3 NA C-415 NA REPLACED NA SNUBBER USEGA 61200/20 NA C 415 NA REPLACEMENT NA
    7. Description of Work UsEGA HYDRAUuc SNUBBER S/N 81200f33 WAs REMOVED AFD REPLACED WITH A UKE FoR UKE SNUBBER sm 61200/20.
    REPLACEMENT $Nue8ER WAs FUNCTIONALLY TEsTEo prior to INSTALLATION. 1 i l I
    8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO) l Pressure NA psi Test Temperature NA .p f
    l Pressure Relief Valves: ) Service NA Size NA Opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Using NA at NA MOTE: supplemental sheets in tbe form of lists, sketches, or drawings may be used, provided (1) size .s 0% a 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. II RFO Inservice Inspection Summary Page 152 Tol:do Edison Comp:ny, 300 Madison Avenue, Toledo, Ohio 43652 CommercialService Date: 11/27n7 FORM 44H>t /NR-1/ T/M ** ""*-~-
    s. ret 4 ARKS N/A CERTIRCATE OF COMPUANCE We certify,that the statements made in the report are corrtet and this replanannant confo me to the rules of the ASME Code Section XI.
    # Expiration Date 7*17 # Type Code Symbol NR Certificate of Authodzation No. Signed Md -,h ""*'**'**'V"******""*"*8*' Date 19d / (p.a.,eowner o <en.e. Ta. CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the Nauonal Board of Boiler and Pressure Vessel Inspectors in the Ohio and employed by Protecuan Mutual
    • of Park Ridae. Illlems State or Province of have inspected the components desedbed in this Owner's Report during the period _ t _
    214A to J M , and state that to the best of my knowledge and belief, the Owner has performed examinations er d taen corrective vieasures described in this Owner's Report in accordance with the requirements of the ASME Code, Secton XI. By signing this certificate, neither the Inspector nor his employer makes any warranty; expressed or implied, conceming the examinagons and corrective measures described in the Owner's Report. Furthermore, neither the Inspector nor his employer shan be liable in any mariner for any personalinjury or property damage or a loss of any idnd adsing from or connected with this inspuuon. ,, , , , , , , , , O 'ib &m E DA6 Commissions ' one ABe# ara' om Nesonal Board, ame, Pmince and Endorsernents insp.ao<s signeure u CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and the topair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section 111 of the ASME Code and the National Board rules as defined in publications NB45 and NB-102, current editions. 316 to use the "VR* stamp expires Dec.13 .19 Rg_,,,,, Certificate of Authorization No. Certificate of Authorization No. 20 to use the *NR* stamp expires Jufv 17 19.2B__. Nuclear Safety & inepedian Manager Date 19 . Signed Toledo Edison mr.nsee n.p e.sv. n .ovow am.a i CERTIFICATE OF INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors, and Oh6* and employed by Proiection Mutual
    • certificate of competency issued by the State of Province of of Park Ridge,Ilknois have inspected the repair, modification, or replacement described in this report on 19., 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 and Section til of the ASME Code and the National Board rules as defined in the publication NB-65 and NB 102, current editions.
    By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or Implied, concoming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personalIriury or property damage or a loss of any Idnd adsing from or connected with this inspection. Commissions Authorized inspedor's Segnature Dme Naional Board, State, Provmce and Endorsemerge
    • Factory Mutual Engineering Association
    11 RFO Inservice Inspection Summary Page 153 , Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27n7 l i FORMMiG4/ Nii-1/'"/".1 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI ~
    1. Owner Toledo Edlaon comoany Date l
    5/11/o8 m-. 300 Madiso'n Ave Toledo. OH 43652 Sheet 1 of 1 a
    2. Plant Davis Beane NA- Power hah Unit s1 e-.
    5501 N. SR 2. Oak Harbor. OH 43449 MWO 1-07 0650 45 ase== mapet oionnissmen Pex No Asb No., ets.
    3. Work Performed By Toledo Edison Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 ane Expiration Date 7-17-98
    4. Identification of Systems AUX FurMfATER SYSTEM (SUS 050 03) M115iO C-489
    5. (a) Applicable Construction Code hNSI B31.1 Edition 19 E Addendum NA Code Case NA (b) Applicable Edition of Section XI Utilized for Repairs or Replacernents 19 86 (c) Design Responsibilities USEGAINC.
    6. Identification of Cornponents Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manufacturer's National other Year Repaired ASME Serial No. Board No, Identification / Built Replaced or Code Jurisdictional NO. Replacement Stamped SNUBBER USEGA 61125/38 NA C-489 NA REPLACED NA SNUBBER USEGA 61125Ai3 NA C-489 NA REPLACEMENT NA l
    7. Description of Work usEGA HYDRAuuC SNueeER S/N s1125/38 WAs REMOVED AND REPLACED WITH A UKE FoR UKE SNueeEH s/N 61125/53.
    REPLACEMENT sNueeER WAs FUNCTIONALLY TESTED prior To INSTALLATION.
    8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)
    Pressure NA psi Test Temperature NA .p Pressure Relief Valves: Service NA Size NA Opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Using NA . e. . at NA . a==.=a e NOTE: Supplessental sheete in the form of lists, sketches, or drawings may be used, provided (1) size is 8% a 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 nweber of sheets is recorded at the top of this form. 11 RFO Inservice inspection Summary Page 154 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/2707 . FORM 4H9 HNR-1 HWR t
    9. REMARKS 6 _ Den Reesse e Mmeesd NrA CERTIFICATE OF COMPUANCE
    . We cerefy met the statements made in the report are correct and this rapimemment conforms to the rules of the ASME Code Secton XI. Type Code Symbol NR Certficate of AuthorizaWon No. 20 Expiration Date 7*17-88 Signed ,h Nuclear W & Inspecten Menace' Date O 19N o&rero=, < o menn no. . CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the Nauonal Board of Boiler and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutual
    • of . Park Ridae. IIN @
    have inspected the components described in this Owner's Report during the period il3cM to 5 rtG , and state that to the best of my knowledge and be6ef, the Owner has performed examinations and taken correceve r sensures described in this Owner's Report in accordance with the requirements of the ASME Code, Secton XI. By signing thle cereAcate, neither the Inspector nor his employer makes any wananty, expressed or impiled, si,c i,;,,s the examinations and correceve measures described in the Owner's Report. Furthermore, neither the Inspector nor his employer shall be Nable in any manner for any personal injury or property damage or a loss of any idnd arleing from or connected witi this inspecuon. , , . . , , NMm&& - 13-96 Dale Commissions NB933Gb NI b National Bderd, State. Pnwinco and Endorsements inspedor's Sipasure - y CERTIFICATE OF COMPLIANCE We cerWfy that the statements made in this report are correct and the repalr, modification, or replacement of the pressure relief de Ace described above conforms to Section XI and Section lli of the ASME Code and the National Board rules as defined in publications NB 65 and NB 102, current editions. Ceritficate of Authorization No. 316 to use the 'VR* stamp expires Dec.13 1 GEL _. Certificate of Authorization No. 20 to use the *NR* stamp expires July 17 193 L_. Nuclear Salsty & Date 19 Signed Toledo Edison inepedian Manager l napu usemamon manenne nope mew. us. CERTIFICATE OF INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel Inspectors, and certificate of competency issued by the State or Province of CN and einployed by Protection Mutual
    • If Park Ruige, Illinois have inspected the repair, modification, or replacement described in this report on - 19 _ and state that to the best of my knowledge and belief, this repair, modification, or replacement has been made or constructed in accordance with Sec6on XI and Section til of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, current editions.
    By signing this certlicate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the repair, niodification or replacement described in this report. Furthermore, neither the inspector not his employer shall be , hable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspecton, Commissions Authorized inspedor's $4pature Dee National Board. State. Province and Endorsements
    • Factory Mutual Engineering Association
    I1 RFO Inservice Inspection Summary Page 155 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/2757 FORM NIS-2 / NR-1/ NVH-tOWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
    1. Owner Toledo Edison Comnany Date 5/10/98 en 30o Madison Am Toledo.OH 43652 Sheet 1 of 1 ase.e
    2. Plant Davia-Benas Nuclear Power Station Unit s1 ,,
    m 4 *C ljoilW 5 6 h 449 KWO # 1-97-0658-10 man.e Repek Orgeussen P A Ns, Jub No,, een.
    3. Work Performed By Toledo Edison Company Type Code Stamp NR e
    5501 N. SR 2. Oak Harbor. OH 43449 Authorization NO. 20 e Expiration Date 7-1748
    4. Identification of Systems Main Steam EBB 1-SR4 C-224
    5. (a) Applicable Construction Code ANSI B31.1 Edition 19 fil Addendum Dla Code Case Dla (b) Applicable Edition of Section XI Utilized for Repairs or Replacements to 86 (c) Design Responsibilities Usena
    6. Identification of Components Repaired or Replaced and Replacement Components Name of Component pane of Isanuf acturer Manufteturer's National other Year Repaired ASME Serial NO. Board NO. Identification / Built Replaced er Code Jurisdictional 30. Replacement Stamped Snubber Usega 61233/39 n/a C-224 n/a Replaced No Snubber Usega 61233/38 n/a C-224 n/a Replacement No
    7. Description of Work UsEGA HYDRAuuc SNUBBER s/N 61233/39 WAs REMOVED AND REPLACED WITH A LIKE FoR UKE sNueBER sJN 61233/38.
    REPLACEMENT SNUBBER WAs FUNCTIONALLY TESTED prior To INSTALLATION. I
    8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO) psl Test Temperature N/A ep Pressure N/A Pressure Relief Valves:
    Service N/A Site N/A j Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and blowdown Adjustments Mede Using N/A .i at N/A t b.ne.6 6 moThe supplemental sheets in. the f osin of lists, sketches, or drawings may be used, provided (il site is 9% 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. 11 RFO Inservice Inspection Sununary Page 156 Toledo Edison Company, 300 Mrdison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/2707 FORM NIS-2 /NR-1 HWR:1"~
    e. REMARKS N/A CERUFICATE OF COMPUANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code Section XI.
    20 Expiration Date 7*17-98 Type Code Symbol NR Certificate of Authorization No. Signed Nuclear Safey & Wpecacn Manager g,g, [ gg own.S owners o.s.p.e, Tm. CEREFICATE OFINSERVICE INSPECTION 1, the undersigned, holdng a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors in the State or Province of Ohio and employed by Protection Mutual
    • of Park Ridae. f't noi i have inspected the components described in this Owners Report during the period WatM6 to Sill 4 E , and state that to the best of my knowtedge and belief, the Owner has performed examinations anc talien correcthe r leasures desertbed in this Owner's Report in accordance with the requirements of the h ME Code, Section XI.
    By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the examinations and corrective sneasures described in the Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any parsonalirdury or property damage or a loss of any kind arising frorn or connected with this inspection, trwod b E 6 Commissions N6$33d A" Co o Date Nahonal Bo&rd. State, Provmco and Endarsernents inspedor's Segnature" y CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief, device described above conforms to Section XI and Section til of the ASME Code and the National Board rules as defined in publications NB45 and NB-102, current editions. Ceritficate of Authorization No. 316 to use the *VR* stamp expires Dec.13 19 98 Certificate of Authorization No. 20 to use the *NR* stamp expires Julv 17 19 98 Nuclear Safety & . Signed Toledo Edison inspedian Manager Date 19 n.p.,o,paa.m an.u.% ..w,.. im. CERTIFICATE OFINSPECTION 1, the urgiersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors, and certificate of competency lasued by the State or Province cf Ohb and employed by Protection Mutual
    • of Park Ridge, Illinois have inspected the repair, modification, or replacement described in this report on - 19_.,_ 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 and Section til of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, current editions.
    Dy signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, conceming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Authorized inspedor's Signature Date Nabonal Board, State, Provmce and Endorsernents ,
    • Factory Mutual Engineering Association
    11 RFO Inservice Inspection Summary Page 157 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 j Commercial Service Date: 11/27n7 ] FORM NIS-2 / NR-1/-NVM 4 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
    1. Owner Toledo Edison C- w Date !u2Wes a-.
    200 Medimon Ave.. Toledo. OH '?acg Sheet 1 of 1 4 a
    2. Plant omvia-Banae NsW- Powerme-* % Unit #1 a
    5501 N. SR 2. Oak Harbor. OH '*" MWOs 1 e7 08E4-12 *** Rupek Orgenhamma P.o. No, Job No see.
    3. Work Performed By Toledo Edison Company Type Code Stamp NR 5601 N. SR 2. Oak Harbor. OH 42449 Authorization No. 20 Expiration Date 7-17-es
    4. Identification of Systems EBB-E BG-1-1 DRAIN LINE fM1147/Hel C-472
    5. (a) Applicable Construction Code ANSI B31.1 . Edition 19 BZ Addendum M Code Case M (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 e6
    , (c) Design Responsibilities USEGA
    6. Identification of Corrponents Repaired or Replaced and Replacement Components pane of component Name of Manufacturer Manufacturer's National 'other Year Repaired ASME i Serial No. Board 50. Identification / Suilt Replaced or code Jurisdictional NO. Replacement Stamped ,
    SNUBBER USEGA 61200/19 NA C-472 NA REPLACED No SNUBBER USEGA 61200/10 NA . C-472 NA REPLACEMENT No
    7. Description of Work USEGA HYDRAUUC SNUSaER sM S1200ns WAs REMOVED AND REPl. ACED wlTH A UNE-FoR4JKE SNUSSER sM s120050.
    REPLACEMENT SNUBBER W As FUNCTIONALLY TESTED prior To INSTALLATION. i
    8. Teets conducted: Hydrostatic (No) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)
    Pressure NA psi Test Temperature NA .p Pressure Relief Vatves: Service NA Size NA Opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Using NA at NA a- e NOTE Supplemental sheets in the form of lists, sketches, or drawines any be used, provided (1) size is en a 11 in. [ (2) Information in items 1 through 6 en this report is included on each sheet, and (3) each sheet is numbered and the j number of sheets is recorded at the top of this form. 11 RFO Inservice Inspection Summary Page 158 Tol:do Edison Comp:ny, 300 Mrdison Avenue, Toledo, Ohio 43652 Cornmercial Service Date: 11/27/77 FORid NIS-2 /NR-1 MWR-t
    9. REMARKS W **8***'.m Dem % e be Ansehed NfA CERTIFICATE OF COMPUANCE We certify that the statements made in the report are correct and this taplacement conforms to the rules of the ASME Code Section XI.
    NR 20 Expiration Date 7*17-88 Type Code Symbot Certificate of Authorization No. Signed Wd .h o/n#wowns.p , Nuclear Safety & Inspecton Manager Date C in. 19 M CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holdng a valid comtnission issued by the Nadonal Board of Boller and Pressure Vessel Inspectors in the l State or Province of Ohio and employed by Protection Mutual
    • of. . Park Ridae,illnds have inspected the components described in this Owners Report during the period Jp6% to 6 1 4b , and state that to the best of r6y knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the requirements of the ASME Code, Secton XI.
    By signing this certificate, ne'ither the inspector nor his employer makes any warranty, expresw! or implied, concoming ths examimtions and corrective measures described in the Owners Report, Furthermore, neither the inspector not his employer shall b a liable in any rnanner for any personal injury or property damage or a loss of any idnd araing from or connected with thisinspection. h Inspector's Signature - y A c/dsCo-sns mus Date a1 i Nahonal Board, State. Province and Endorsement  ?&. CER11FICATE OF COMPLIANCE We certify that the statements mado in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section lli of the ASME Code and the National Board rules as defined in publications NB-65 and NB-102, current editions. Certificate of Authorization No. 316 to use the *VR' stamp expires Dec.13 19,,28),,,,,,, Certificate of Authorization No. 20 to use the *NR" stamp expires July 17 _19.90,,,_, Nuclear Safety & Date 19 Signed Toledo Edison inspection Manager mean ores wae.a ammame w. i n. CERTIFICATE OFINSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors, and certificate of competency issued by the State or Province of Ohio and employed by Protecten Mutual
    • of . Park Ridge, Enois have inspected the repair, modification, or replacernent described in this report on 19,,_,_ and state that to the best of my Imowledge and belief, this repair, modification, or replacement has been made or constructed in accordance with Section XI and Section 111 of the ASME Code and the National Board rules as defined in the publication NB45 and NB-102, current editions.
    By signing this certificate, neither the inspector not his employer makes any warranty, expressed or implied, concoming the repair, modification or re;Jacement described in this report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection, . Commissions Authorized inspector's Signature Date NauonalBoard, State Province and Endorsements
    • Factory Mutual Engincedng Association U______-____________
    I 11 RFO Inservice Inspection Summary Page 159 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 / NR-1/O'MtWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI i )
    1. Owner Toledo Edison Comnanv Date 6/3/98 1
    i = ) 300 Madison Ave _ Toledo. OH 43652 Sheet 1 of 1
    2. Plant Davis-Besse Nuclear Power Station Unit e1 1
    ] 5501 N. SR 2. Oak Harbor. OH 43449 MWO# 1-08-0040 00 l == nesee org aum a P.o n., Joe we, ein. I 5 N R 2. On H or H4 9 uthorizati n NO. 2 m , Expiration Date 7-17-98 l I
    4. Identification of Systems RC LOOP 2 HOT LEG THERMOWrt t TW RC03A3 j
    5. (a) Applicable Construction Code ASME 111 CL1 Edition 19 21 Addendum jiiZ1 Code Case NA J (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 l
    (c) Design Responsibilities BABCOCK & WILCOX l , .- l
    6. Identification of Components Repaired or Replaced and Replacement Components  !
    I l Name of Component Name of Manufacturer Manufacturer's National Other Year Repaired ASME Serial No. Board No. Identification / Built Replaced or Code Jurisdictional NO. Replacement Stamped SEAL WELD NA NA NA NA NA REPAIRED No l I 1 I
    7. Description of Work SEAL WELD FoR MOUNTING Boss To TW RC03A3 WAS GROUND ouT, UQulD PENETRANT TESTED, AND REWELDED WITH A LARGER 3/16' FILLET WELD. SEAL WELD WAS UQulD PENETRANT TESTED AND A VT 2 HYDROSTATIC TEST PERFORMED AFTER REWELDING.
    1 I i 8. Tests Conducted: Hydrostatic (YES) Pneumatic (NO) Nominal Operating Pressure (NO) Other (NO) Pressure 2198 psi Test Temperature NOT op ! Pressure Relief Valves- l l ' NA Service NA Size Opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Using NA i at NA NOTE: supplemental sheets in the form of lists, sketches, or drawings may be used, provided (1) size is 8% x 11 in. (2) Info:1.ation in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered an( the number of sheets is recorded at the top of this foria. II RFO Inservice inspection Summary Page 160 . Tol:do Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 /NR-1/NVRrf
    9. REMARKS N 68*aad**am. h efusensab. m e.e NIA l
    CERTIFICATE OF COMPUANCE We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code Section XI. NR Certificate of Authorization No. 20 Expiration Date 747-98 Type Code Symbol Signed Nd Nuclear Safety & inspecuan Manager Date 19 W o ,.ief.aveo ,r in. CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid corrimission issued by the National Board of Boiler and Pressure Vesselinspectors in the State or Province of Ohio and employed by Protection Mutual
    • of . P irk Aldae, filinois.
    have inspected the components described in this Owners Report during the period @3 Q R to b I4f 4 b, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. ~ By signing this certificate, neither be Inspector nor his employer makes any warranty, expressed or implied, concoming the examinations and corrective measures described in the Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal lnjury or property damage or a loss of any kind arising from or connected with this inspection. YttmmA b Inapector's S#gnature *g M b C ate Commissions 664T30 t4 A" Natenal Board. State Prownce and Endorsenunts 9k. CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section 111 of the ASME Code and the National Board rules as defined in publications NB45 and ND-102, current editions. Carltficate of Authorization No. 316 to use the 'VR' stamp expires Dec.13 19L. Certificate of Authorization No. 20 to use the *NR* stamp expires Jutv 17 19 98 Nuclear Safety & Date 19 . Signed Toledo Edison inspection Manager s.pu orpaamoa mone.4 s.p ni.i . 1m. CERTIFICATE OF INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors, and certificate of competency issued by the State or Province of N* and employed by Protection Mutual
    • of Park Ridge, fifinois have inspected the repair, rnodification, or replacement described in this report on 19_ 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 and Section lli of the ASME Code and the National Board rules as defined in the publication NB45 and NB-102, cunent editions.
    By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concoming the repair, modification or replacement described in this 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. Cornmissions Authorized inspedor's Signature Date National Board. State, Province and Endorsernents
    • Factory Mutual Engineering Association
    11 RFO laservice Inspection Summary Page 161 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 / NR-1/-NVR4 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
    1. Owner Toledo Edison Comnanv Date 5/1s/9s e
    300 Madlaon Ave Talada. OH 43652 Sheet 1 of 1 m
    2. Plant Da* "- N"A Power station Unit #1 e
    5501 N. SR 2. Oak Harbor. OH 4?ti? MWO 2-04-0019 02 ***= n e.eorymenosapn n ,Jen.,
    3. Work Performed By Toledo Edieon Company Type Code Stamp NR 5';01 N. SR 2. Oak Harbor. OH 4?ii? Authorb.ation No. 20 me Expiration Date 7-17-9s
    4. Identification of Systems DH PMP 1-1 DISCHG to HPt PMP 1-1 SUC VLV DH44 (Subsyn 04M2)
    5. (a) Applicable Construction Code ASME Ill CL2 Edition 19 Zi Addendum Sum 71 Code Case 1335 6 (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 y, (c) Design Responsibilities . Toledo Edison
    6. Identification of Components Repaired or Replaced and Replacement Components l
    Name of compor.ent Name of Manufacturer Manufacturer's National Other Year Repaired ASME serial No. Board NO, ' Identification / Built Replaced or Code Jurisdictional NO. Replacement Starped 4" B.B. Gate Valve Velan Inc. 247 N/A DH 64 1973 Repaired
    • Yes  !
    7. Description of Work
    ' This le a modificagon to the axleung gate valve wedge. i The eEleung valve wedge wee removed, a 1/4" re#ef ho6e wee artNod into the upatream sade of the valve wedge and reinstaHed.
    8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) Nominal Operating Pressure (NO) Other (NO)
    Pressure N/A psl Test Temperature N/A .g l Pressure Relief Valves: Sorvice N/A Size N/A Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Using N/A ev.i at N/A i teamete 5 r NOTE: supplemental sheets in the forse of lists, sketches, or drawings may be used, provided til size is e% x 11 in. i (2) Internation in items 1 through 5 on this report is included on each sheet, and (3) each sheet is numbered and the l aussber of sheets is recorded et the top of this form. 7 _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ - _ - _ _ II RFO Inservice Inspection Stzmmary Pcge 162 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/2707 FORM NIS-2 /N41/MVR4 "**"'*I 2*-^
    9. REMARKS WA CERTIFICATE OF COMPUANCE We certify that the statements made in the report are correct and this IgGalt conforms to the rules of the ASME Code Secuon XI.
    NR 20 Expiration Date 7"TI"88 Type Code Bymbol Certificate of Authodzason No. Signed k Nuenearsaw&inspeceanmenese' Date N 19 owi.6,ownv.omenu. Ym. CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holdng a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors in the State or Province of Ohio and employed by Protection Mutual
    • of , Park Ridae. litiools have inspected the components described in this Owners Report during the period S 1414 to Mil 4 6 , and state that to the best of my knowledge and belief, the Owner has performed examinations arid taken corrective rneasures described in this Owners 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, concoming the examinagons and correceve measures described in the Owners Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection. ,. n w n.1 E 4Ai - @ Commissions IG 4Mb "'" " ***d, State. Province and Endorsements a4 Inspedor's Signature' V ' '' U CERTIFICATE OF COMPl. LANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section ill of the ASME Code and the National Board rules as defined in publications NB45 and NB-102, current editions. Ceritficate of Authorization No. 316 to use the *VR* stamp expires Dec.13 . Igjg_, Certificate of Authorization No. 20 to use the *NR* stamp expires July 17 19,20 Naclear Safety & Date 19 Signed Toledo Edison inspedion Manager mpor. mm nm m,, m m. CERTIFICATE OFINSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel Inspectors, and certificate of competency issued by the State or Province of N' and employed by Protection uutual
    • of Pwk Ridge,Imnois have inspected the repair, modification, or replacement described in this report on 19., _ and s'. ate that to the best of my knowledge and belief, this repair, modification, or replacement has been made or constructed in accordance with Section XI and Section til of the ASME Code and the National Board rules as defined in the pubilcation NB45 and NB-102, current editions.
    By signing this certificate, neither the inspector nor his employer makes any wananty, expressed or implied, concoming the repair, modification or replacement described in this report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Authorized inspector's tdpature Date Nahanal Board, State. Province and Endorsements l
    • Factory Mutual Engineering Association w__________ _ _ _ _ _ _ _ _
    11 RFO Insavice Inspection Summary Pege 163 Tol:do Edison Comp:.ny, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/2767 FORM NIS-2 / NR.1 !"!P 1 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
    1. Owner . Toledo Edison Comnany Date 6/1/98 s
    300 Madison Ave . Toledo OH 43652 Sheet 1 of 1 + aa
    2. Plant Davia-Besme Ne_Wer Power Station Unit #1 m-.
    5501 N. SR 2. Oak Harbor. OH 43449 MWO # 2-97-0019-02 a= - ca n., a n nt
    3. Work Performed By Toledo Edison Company Type Code Stamp NR E501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 a
    Expiration Date 7-17-98
    4. Identification of Systems STEAM GENER ATOR 1-1 (E24-1)(SUS 063 01) SEC SMPL & BLWDN PIPING
    5. (a) Applicable Construction Code . ASME Ill CL2 Edition.19 21 Addendum N& Code Case NA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities TOLEDO EDISON COMPANY ,
    6. Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manufacturer's National other Year Repaired AEME serial Wo. Board po. Identification / Built Replaced or code Jurisdictional NO. Replacement Stasped 11/2" ELBOW, SW ENERGY & PROCESS NA NA HT# 13662 NA REPLACEMENT No 11/2" PIPE SCH80 ENERGY & PROCESS NA NA hts 668874 NA REPLACEMENT No 11/2" COUPLING DUBOSE STEEL INC. NA NA HT# 21847 NA REPLACEMENT No 11/2* ELBOW, SW HUBINC. NA NA HT# 86430 NA REPLACEMENT No
    7. Description of Work MODIFICATION s74019 REVISED PIPING IN ACCoRDANCE WITH DCN FsK-at-EeB44-1. MODIFICATION CoNstsTED oF REROUTING PlPING To PROVIDE ACCESS To STEAM GENERATOR HANDHous To SUPPoMT CHERSCAL CMANING DURING 12 RFo.
    A VT 2 HYDROSTATIC TEsf wAs PERFORMED AFTERINsTALLATioN.
    8. Tests conducted: Hydrostatic (YES) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO) i Pressure 1324 psi Test Temperature NA .p Pressure Relief Valves:
    Service NA Size NA Opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Usina NA e e, at_ NA . a- i NOTE: supplemental sheets in the form of lists, sketches, or drawines may be used, provided (1) size is s% x 11 in. (3) Information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the pus.ber of sheets is recorded at the top of this form. u________________._____ _ _ _ _ _ _ . - - i1 RFO Inservice inspection Sunn.sy Page 164 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27n7 f FORM NIS-2 /NR-1/ NV"
    • I
    ****='a' **a='**= r '= = = an a e.neuAnxs l NA l ) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ra h * = n' conforms to the rules of the ASME Code Section XI. NR Certificate of Authorization No. 20 Expiration Date 7*17-88 Type Code Symbol Signed Nuclear safety & inspection Manager Date 19 own/Mo.aveo on To. CERTIFICATE OF INSERVICE INSPECTION t, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutual
    • of . Park Ridae,ll!!nols have inspected the components described in this Owners Report during the period 3133M6 to 614MG , and state that to the best of my knowtedge and belief, the Owner has performed examinations an'd ta' ken corrective rnessures described in this Owners Report in acmrdance 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, concoming the , examinations and corrective measures described in the Owner's Report. Furthermore, neither the inspector nor his employer j i shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection. $b. ~ YrWyud b Commissions edB 433 A ' Date National Board, State Provmco and Endorsements Inspector's Signature - y CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section lit of the ASME Code and the National Board rules as defined in publications NB45 and NB-102, current editions. Certificate of Authorization No. 316 to use the 'VR* stamp expires Dec.13 19 ,9Q,,,,,,, Certificate of Authorization No. 20 to use the *NR* stamp expires JuN 17 19 98 Nuclear Safety & Date 19 . Signed Toledo Edison Inspedion Manager s.p., ory.aum.n w eu.s n.p aum. um CERTIFICATE OF INSPECTION 1, the undersigned, holding a valid commission Issued by the National Board of Boller and Pressure Vessel inspectors, and certificate of competency issued by the State or Province of No and employed by Protection Mutual
    • of Park Ridge, Illinois have inspected the repair, modification, or replacement described in this report on 19_,,_,,,, and state that to the best of my knowledge and belief, this repair, modificat!on, or replacement has been made or constructed in accordance with Section XI and Section lli of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, current editions.
    By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, conceming the repair, rnodification or replacement described in this report. Furthermore, neither the Inspector nor his employer shall be - liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection. Commissions Authorized inspector's Signature Date Nanonal Board, State. Province and Endorsements
    • Factory Mutual Engineering Association
    !1 RFO Inservice Inspection Summary Pcge 165 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 CommercialService Date: 11/27/77 FORM NIS-2 / NR-1/-NVR-4-OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
    1. Owner Toledo Edison Comoany Date 5/2ates
    ! = 200 Madison Ave.. Toledo. OH 43852 Sheet 1 of 1 -
    2. Plant Davis-Besse idad== Power Station Unit #1 5501 N. BR 2. Oak Harbor. OH 43449 MWOs 2 87 001944 a nepen ogenmusa P.cx % m N.,aan,
    3. Work Performed By Toledo Edison Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 ane Expiration Date 7-17-9s I
    4. identification of Systems STEAM GENERATOR 12 SECONDARY SAMPLE AND BLOWDOWN PIPING
    5. (a) Applicable Construction Code 'ASME Ill CL2 Edition 19 21 Addendum M CodeCase M (b) Applicable Edition of Section XI Utilized for Repairi or Replacements 19 86 I
    (c) Design Responsibilities TOLEDO EDISON
    6. Identification of Components Repaired or Replaced and Replacement Components Name of Cogonent Name of Manufacturer Manufacturer's National other Year Repaired ABEs serial No. Board No. Identification / Built Replaced or Code l Jurisdictional NO. Replacement Stamped 1 1/2' ELBOW,SW ENERGY & PROCESS NA NA HT#13662 NA REPLACEMENT No l 11/2" PlPE SCH80 ENERGY STEEL NA NA hts 230792 NA REPLACEMENT No
    7. Description of Work MODIFICATION 9T 0019 REVISED PIPING IN ACCoRDANCE WITH DCN FSK M-Ema-5-16 3. MODIFICATION CoNelsTED oF REROUTING PlPING To PROVIDE ACCESS To STEAM GENER AToR HANDHoLES To SUPPORT CHEMICAL CLEANING DURING 12RFo. A VT 2 HYDROSTATIC TEST WAS PERFORMED AFTER INSTALLATION.
    I l i
    s. Tests conducted: Hydrostatic (YES) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO) 1124 psi Test Temperature NA ep Pressure Pressure Relief Valves:
    Service NA Size NA Opening Pressure NA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Using NA e. at NA e- i NOTE supplemental sheets in the forus of lists, sketches, or drawings may be used, provided (1) size is SW st 11 in. (2) Information in iteam 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. 11 RFO Inservice Inspection Sununary Page 166 Toledo Edison Company, 300 Mcdison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 /NR 1 !""/".-P
    9. REAAARe(s #P8hh D'* L '*b'8***d NfA CERTIFICATE OF COMPUANCE We cer#fy that he statements made in the report are correct and this gepleGament conforms to the rules of the ASME Code Sechon XI.-
    NR 20 Expiration Date 7-17"88 Type Code Symbol Certincate of Authonzabon No. Signed Nuclear aa8str & Inspec#en 88anese' Date E 19 */ 8 duIst er Duners Desgnes, fles CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission lesued by the National Board of Boiler and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protec6cn Mutual
    • of . Pa rk Ridae. Illinois .
    have inspected tbs components described in this Owners Report dudng the period 1I 34 M to 6flN and state hat to the best of my knowledge and belief, the Owner has pedormed examinations and ta kon correceve'md asures described in this Owners Report in accordance with the requirements of the ASME Code, Secton XI. By signing this certincate, neither the inspector nor his employer make's any warranty, expressed or implied, concoming the . examinations and correceve measures described in the Owners Report. Furthermore, neither the inspector nor his employer shal be Rable in any manner for any personal irqury or property darnage or a loss of any idnd arising from or connected with -
    u. in.p.cson. , , . . , , . .-
    ,A I A h..<.a. w,e s 3u,e-A)yw (ll E 9 B Commi ions u d N.B.433M ,d. , erovino and Endo,ee CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Sec6on XI and Section lll of the ASME Code and the National Board rules as dehned in publicahons NB 65 and NB-102, current ediuons. Certificate of Authorization No. 316 to use the 'VR' stamp expires Dec.13 19.90 Cerencate of Authorization No. 20 to use the 'NR' stamp expires July 17 19 96 . Nuclear Safety & Signed Toledo Edison inspection Manager Date 19 us. mese ursammunn mm.assa - CERTIFICATE OFINSPECTION t, the undersigned, holding a valid commission issued by the National Board of Boiler knd Prcssure Vessel inspectors, and Ohio and employed by PrMecuon Mutual
    • ceru6cate of competency issued by Le State or Province of of Park Ridge,lanois have inspected the repair, modification, or replacement described in this report on 19_ and state that to the best of my knowledge and belief,this repelr, modi 6 cation, or replacement has been made or constructed in accordance with Section XI and Sec6on til of the ASME Code and the Nanonal Board rules as denned in the pubucation NB-65 and NB-102. current editions.
    By signing this certi6cate, neither the Inspector nor his employer makes any warranty, expressed or implied, concoming the repair, modi 6 cation or replacement described in this report. Furthermore, neither the inspector nor his employer shall be , liable in any manner for any personal Iriury or property damage or a loss of any kind arising from or connected with this hispection. Go amissions Authoriand inspedor's Signature Date National Board, State Province and Endorsements
    • Factory Mutual Engineering Association
    I1 RFO Inservice Inspection Summary Page 167 Toledo Edison Company, 300 Madison Avenue Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 / NR-1/Nvfpf0WNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Sec%n XI
    1. Owner Toledo Edison Comnany DAte 6/16/98 a
    300 Madlaen Ave.. Toledo. OH 43652 Sheet 1 of 1 . se
    2. Plant Davie-Besse Nuclear Power Station Unit s1 m
    5501 N. SR 2. Oak Harbor. OH 43449 MWOs 2-97 0019 05 A8"** Repos C . Pik 8de Job Dee., etc.
    3. Work Performed By Toledo Edison Company Type Code Stamp NR e
    5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 se Expiration Date 7-17-e6
    4. Identification of Systems .._.. SG 1B SECONDARY SIDE SAMPLE DRAIN AND BLOWDOWN PIPING _.
    5. (a) App:lcable Construction Code ASME lil CL2 Edition 19 Z1 Addendum M Code Case B (b) Applicable Editio,n of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities TOLEDO EDISON
    6. Identification of Components Repaired or Replaced and Replacement Components Name of component Name of Manufacturer Manufacturer's National other Year Repaired ASME serial No. Board No. Identification / Built Replaced or code Jurisdictional No. Replacement Staaped EBB-5-3-H2 USEGA NA NA NA NA REPLACEMENT No EBB-6-2-H3 USEGA NA NA NA NA REPLACEMENT No
    . EB B-5-4-H2 USEGA NA NA NA NA REPLACEMENT No
    7. Description of Work REMOVED EXIST!NG SNUBBERS FRoM ABoVE REf11tRENCED HANGERS AND REPLACED WITH USEGA TYPE STRUTS As FoLLOWS: EBB-5-4-H2 TYPE 39216 ERR 1 STRUT EBB 6 2-H3 TYPE 393109HR1 STRUT EBB-5-3 H2 TYPE 392039RR1 STRUT l
    8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)
    Pr' essure NA psi Test Temperature NA .p ( Pressure Relief Valves: l Service NA Size NA i l Opening Pressure NA Blowdown (if applicable) NA  ! Set Pressure and Blowdown Adjustments Made Using NA at NA aa u.i Nots: Supplemental sheets in the form of lists, sketches, or drawings may be used, provided (1) size is 8% N 11 in. (2) Information in itens 1 through 5 on this report is included on each sheet, and (O each sheet is numbered and the number of sheets is recorded at the top of this form. 11 RFO Inservice Inspection Summary Page 168 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 i Commercial Service Date: 11/27n7 FORM NIS-2 /NR-1 HWiM-
    9. REMARKS W h'** D** 8"sa'*
    • be amahad N/A
    ~ CERT 1RCATE OF COMPLIANCE We certify that the statements made in the report are correct and this rantwment conforms to the rules of the ASME Code Section XI. 20 Expiration L ite 71798 Type Code Symbol NFt Certificate of Authorization No. Nudeer safey & Inspecton Manager Date 19N Signed .a . o., k CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vesselinspectors in the Ohio and employed by Protection Mutual
    • of Pa rk Ridae. Illid State or Province of have inspected the components descfted in this Owners Report during the pertod d_TS46. to 6 % 98 , and state that to the best of my knowledge and belief, the Owner has performed examinations as id ta ten corrective measures described in this Owners Report in accord Ance with the requirements of the ASME Code, Section XI.
    By signing this certtilcate, neither the inspector nor his employer makes any warranty, expressed or irnplied, concoming the examinations and corrective measures described in the Owners Report. Furthermore, neither the inspector nor his employer , shall be liable in any manner for any persona! injury or property damage or a loss of any kind arising from or connected with this inspection. 4 FOM&-- b Commissions tNatenal M F5d ~I A' du. , 6:gnature " U ~ Date Board, State Provmco and Endorsernents c CERURCATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section ill of the ASME Code and the National Board rules as defined in publications NB45 and NB-102, current editions. Ceritficate of Authorization No. 316 to use the 'VR* stamp expires Dec.13 .19 98 Certificate of Authorization No. 20 to use the 'NR* stamp expires JuN 17 .19 98 Nuclear Safety & inspecuon Manager Date 19 . Signed Toledo Edison iam -- mpa prammuon wiem.ow.pa niew. CERTIFICATE OFINSPEC110N I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vesselinspectors, and Ohm and employed by Protecten Mutual
    • certificate of competency issued by the State or Province of of Park Flidge,Ilknote have inspected the repair, modification, or replacement described in this report on 19.,__ and state that to the but of my knowledge and belief, this repair, modification, or replacement has been made or constructed in accordance with Section XI and Section 111 of the ASME Code and the National Board rules as defined in the publication NB-65 and ,
    NB-102, current editions. By signing this certificate, neither the inspector nor hic employer makes any warranty, expressed or implied, concoming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be , liable in any manner for any personal Iriury or property damage or a loss of any kind arising from or connected with this inspection. Commissions , Authortred inspector's Signature Date Nahonal Board, State, Province and Endorsernents ,
    • Factory Mutual Engineering Association
    ) 11 RFO Inservice Inspection Summary Page 16? Toledo Edison Comp *my, 300 Madison Avenue, Toledo, Ohio 43652 CommercialService Date: 11/27/77 FORM N:0 2 / NR 1/-NVA-4 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
    1. Owner . Tolasio Edi.non Com'oany Date m 5/12/98 J00 Madison Ave.. Toledo. OH 43652 Sheet 1 of 1
    2. Plant Davis-Besse Nuclear Power Station Unit #1 m
    5501 N. SR 2. Oak Harbor. OH 43449 MWO 2-97-0068-01 === nasu ory.aumma en N., a.6 no., .u.
    3. Work Performed By Toledo Edison Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization NO. 20 m.
    Expiration Date 7-17-98
    4. Identification of Systems DH Exchanaer i E27-01 & 021 and Anchors A-059 & A-060 Subsys 049-02
    5. (a) Applicable Construction Code . AWS D 1.1 Edition 19 It Addendum ffA Code Case tyA (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities Toledo edison
    6. Identification of Components Repaired or Replaced and Replacement Components Name of Couponent Name of Manufacturer Manufacturer's National other 1 rear Repaired ASIG serial NO. Board No. Identification / Suilt aeplaced or Code Jurisdictional No. Replacement stamped DH Exchanger Atlas industries Inc. 1592 1402 E 27-01 1971 Repaired
    • Yes DH Exchanger Atlas industries Inc. 1591 1401 E 27-02 1971 Repaired
    • Yes Anchor ITT Grinnell Plates 16233B TE 16 A 059 1977 Repaired
    • Yes Anchor ITT Grinnell Plates 16233B TE 16 A 060 1977 Repaired
    • Yes
    7. Description of Work
    • This Mwo is a modification to existing supports.
    The two decay heat exchangers (E 2bO1 & 02) have two saddess which are supported by structural steel stands. The stands are bolted to the floor and to the saddles. The north end of the supporting stands were connected to each other uaing C12x30 channels and 3x3x1/4' angles. The north .tand of heat exchanger E 27-02 was also cormected to the concrete wallimmediately east of the heat exchanger using C12x30 channel and a wall plate with expanston anchors The south and star.d en heat exchanger E 27 01 was connected to the concrete wellimmediately test of the heat ex1 hanger with 4x4x1/2* angle and a well piste with expanston anchors. The south end of heat exchanger E 2bO1 will remain independent i n addicon to the heat exchanger support work, pipe support anchors A4J50 & 060 had the weld on the pipe support to pipe wrapper plate increened from the existing 3/16*ftllet weld to a 6/16* fillet wold.
    8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (NO) Other (NO)
    Pressure N/A psi Test Ternperature N/A .p Pressure Relief Valves: Service N/A Size N/A Opening Pressure N/A Blowdown (if applicable)___ N/A Set Pressure and Blowdown Adjustments Made Using N/A ..i at N/A e- e NOTE: (2) Information Supplemental sheets in the form of lista, sketches, or drawinge may be used, provided (1) size is 9% a 11 in. in items 1 through 6 or. this report la included on each sheet, and (3) each sheet is numbered and the Eumber of sheets is recorded at the top of this form. I !1 RFO Inservice Inspection Summary P ge 170 Toledo Edison CompIny, 300 Madison Avenue. Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORMMG4-/NR 1/MVR l ^**"8*''*'*U** " 6* A"***8 1 9. REMARKS iWA CERURCATE OF COMPUANCE We certify that the statements made in the report are correct and this tapair conforms to the rules of the ASME Code Section XI. 20 Expiration Date 7*17-88 Type Code Symbol NR Certificate of Authorization No. Signed , ""*'**'8* W "*P**"*" "*"*8*' Date U- 19 o: r -. - CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors in the Ohio and employed by Protection Mutual
    • of Park Ridae.111 noi i State or Province of have inspected the components described in this Owner's Report during the period All316 to fi G n ,and state that to the best of my knowledge and belief, the Owner has performed examinations an'd taken corrective f ieasures described in this Owner's Report in accordance with the requirements of the ASME Code, Sect 6on XI.
    By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, conceming the examinations and corrective measures described in the Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection. tpWas M /h E 3  % Commissions M UM !n Inspector's $ngnature ' Date National Board, State, Province and Endorsements Q CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section ill of the ASME Code and the National Board rules as { defined in publications NB45 and N8-102, current editions. Coritficate of Authorization No. 316 to use the "VR' stamp expires Dec.13 19,33__,,, Certificate of Authorization No. 20 to use the 'NR* stamp expires July 17 .19,gg ,,_, Nuclear Satsty & Signed Toledo Edison inspection Manager Date _,19 aws. orp eussen aumona.m pe. n= nee um, i l CERTIFICATE OFINSPECTION t, the undersigned, holding a vahd commission issued by the National Board of Boiler and Pressure Vessel Inspectors, and Ohio and employed by Protection Mutual
    • certificate of competency issued by the State or Province of of Pa* Ridge,lilences have inspected the repair, modification, or replacement described in this report i
    on 19_ _, 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 and Section lit of the ASME Code and the National Board rules as defined in the publication NB-65 and NB 102, current editions. By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, conceming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be , hable in any manner for any personal triury or property damage or a loss of any kind arising trorn or connected with this hspection. Commissions Authortred inspector's 66pnature Date National Board, State, Province and Endorsements g
    • Factory Mutual Engineering Association
    _ _ _ _ _ ) 11 RFO Inservice Inspection Summary Page 171 Toledo Edison Company, 300 Mrdison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2/ NR-1/44VR-tOWNER'S REPORT FOR REPAIRS 03 REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Date 9/18/96
    1. Owner .. ra" M-an C,omoany
    . 300 Madison Av_el .Tojado. OH 43652 Sheet 1 of 2
    2. Plant C.M - - - - M*"*** Power Station Unit #1 s
    5501 N.SR 2. Oak Harbor.OH 43449 MWO#3 06-4610 01 8m** Hepair Organization P.O. No Job No., etc. Type Code Stamp NR
    3. Work Performed By TegE6-an Comnany Authorization No. 20
    ' 5501 N. SR 2. a Oa.k Harbor. OH 43449 Expiration Date 7-17 08
    4. Identification of Systems HPI TO BWST RETURN LINE CHECK VALVE. BW26 (SUS 049 01)
    5. (a) Applicable Construction Code ASME 115 CL1 Edition 19 11 Addendum WZ2 Code Case fE1 (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities VELANINC.
    6. Identification of Components Repaired or Replaced and Replacement Components
    .f H uf.ctur., M uf.ctur.r'. Oth., I ASME 14 . .f C pon.nt 34 .N.ti.on 1.,y,.. .Tum R.p.i.r.,. .. . . R.pi.c . d ,,Cg ..,i.1 m. , ,ig, y, ;, NOVA N/A NIA HT# 41840 N/A REPLACEMENT N/A NUT
    7. Description of Work REPLACED ONE BONNET NUT,5/8-11 SA-194/GR-8M, S/C 152615, FOR VALVE BW-26. EXISTING NUT SHOWED SIGNS OF RUST AND WAS REPLACED WITH THE ORIGINAL SPECIFIED MATERIAL A VT-2 INSERVICE TEST WAS PERFORMED AFTER INSTALLATION.
    8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (YES) Other (NO)
    Pressure N/A psl Test Temperature N/A 'F Pressure Relief Valves: "" Service N/A Size N/A . Opening Pressure N/A Blowdown (if applicable)N/A Set Pressure and Blowdown Adjustments Made Usina N/A .
    6 Test sus 3 at N/A i ' .' . t ' m . . ,,,. .i .im.. i . i.4.. . u. m
    >==. .u,,,,1 1.f. - ei i. i _ i - .i .h o i. ,.r. ., it.t., .6. at i. i i it.i...- f .h..t. 1. r.. ad .t th. t.p f thi f.r.. 11 RFO Inservice Inspection Summary Page 172 Tol:do Edison Company, 300 Madison Avenue, Tcledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 /NR-1 ffWfte1
    9. REMARKS Appscable Manubeturers Data Reposte to be Amached N/A
    * ~ CERTIFICATE OF COMPUANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code section Li Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date 7-17 08 Signed 6\ Nuclear Safety & inspection Manager Date .c eq=3ae owners assignee. Tme 19 CERTIFICATE OFINSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Bouer and Pressure Vessel inspectors in the State or Province of twa and employed by Arana,riahe * ~ of . Nor- E'--. have inspected the components r;escribed in this Owner's Report during the period nahike to dt saltL , and state that to the best of my knowledge and belief, the Owner has performed examinations and tAken correctire rseasures described in this Owner's Report in accordancq with the requirements of the ASME Code, Section XI. By signing this cerdficate, neither the Inspector nor his employer makes any warranty, expressed or implied, conceming the examinations and corrective measures described in the Owner's Report Furthermore, neither the inspector nor his ernployer shall be liable in any manner for any personal inju y or property damage or a loss of any kind arising from or connected with this inspection. Termu bAuu p M% M 1A .:. .. bHIb " Commissions MTbOI CCMM. inspectors signaturesy Dise Natsonal Board, State. Provmce and Endorsements CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section ill of the ASME Code and the National Board rules as defined in publications NS-65 and NB-102, current editions. Ceritficate of Authorization No. 316 to use the *VR* stamp expires Dec.13 ,1998 Certificate of Autho ization No. 20 to use the 'NR* stamp expires July 17 , jg 98 , Nuclear Safety & Date 19 . SignedToledo Edison inspection Manager Repair Organization Authodzedkresentative Tme CERTIFICATE OFINSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boger and Pressure Vessel inspectors, and , certificate of competency issued by the State or Province of Ohio and employed by Arkwright
    • of Norwood. Mass. have inspected the repair, modification, or replacement described in this report .
    on t9 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 and Section ill of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, current editions. By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, conoeming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be ' liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with . this inspection. Commissions Authorized inspector's Signature De4e Nahonal Board. State. Province and Endorsernents
    • Factory Mutual Engmeermg Association
    ( _ . _ _ - _ - _ _ _ _ _ _ _ __ i I 11 RFO Inservice Inspection Summary Page 173 Toledo Edison Compor , 300 Madison Avenue, Toledo, Ohio 43652  ; Commercial Service L te: 11/27U7 j ) FORM *88SG4 NR-1/ NVR-1 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS ' , As Required by the Provisions of the ASME Code Section XI .-- - --- -4 - -
    1. Owner Toledo Edison co.m.oany Date 2/5/97 n.
    300 Madison Avg.,,Toledo. OH 43652 Sheet 1 of 1
    2. Plant Unit #1 Davis-Besse Nuc.l.e.ar n Power 9tation 5501 N. SR 2. Oak Harbor. OH 43449 'MWO #3-96 4642-01 aserees Hepair Orgentzation P.O. No., Job No., etc.
    3. Work Perforrned By Tole,do, Edison Comnanv Type Code Stamp NR/VR Authorization No. 20/316 5501 N. SR 2.ase Oak. Harbor. OH 43449 Expiration Date 7-17-98/12-13-98
    4. identification of Systems PRESSURINR fSUB 64-04) RC13A SAFETY VALVE S/N 54891-00-0002
    5. (a) Applicable Construction Code ASME 18 CL1 _ Edition 19 fit Addendum fiZA Code Case 1&iQ (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities CROSBYVALVE & GAGE CO.
    )
    6. Identification of Components Repaired or Replaced and Replacement Components i
    Heme of Comporent Name of Manufacturer Manu urer's onal e e Re red Re ed Jurisdictional No. Stamped ; NO2.LE CROSBY N94143-31-003 NA P/N N94143 83 REPLACEMENT NA DISC INSERT CROSBY N94145-33-0005 NA- N94145-33 0005 83 REPLACEMENT NA SPR &WSH ASS. CROSBY K76740J33 0006 NA P/N K76740 96 REPLACEMENT NA SPINDLE CROSBY K55432 34-0005 NA P/N K55432 94 REPLACEMENT NA l )
    7. Description of Work RC13A, S/N 54891-00 0002, WAS AS FOUND TESTED FOR SET PRESSURE, SEAT LEAKAGE USING SATURATED STEAM.
    VALVE WAS THEN REFURBISHED, TESTED FOR SET PRESSURE AND BACK PRESSURE BELLOWS INTEGRITY USING SATURATED STEAM AND GASEOUS NITROGEN. WORK PERFORMED BY TOLEDO EDISON AND WYLE PERSONNEL U51NG APPROVED PROCEDURES AT WYLE LABORATORIES, HUNSTVILLE, ALABAMA. - NOZZLE, N94143-31-003, SCN320722, ASME El,1968, W70, CC 1440, PO Q 71127A. DISC INSERT, N94145-33-0005, SCN320722, ASME Et,1968, W70, CC 1440, PO Q 711270. SPRING & WASHER ASS., K76740 33-0006, SCN321151, ASME tu,1968, S70, NO CC, PO S 071880 D96. SPINDLE, K55432-34-0005, SCN323003, ASME lit,1968, S70, NO CC, PO S 054381 D94.
    8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) Nomina! Operating Pressure (YES) Other (NO)
    Pressure NA psi Test Temperature NOT 'F Pressure Relief Valves: Service STEAM Size d'X6" Opening Pressure 2503 PSIG Blowdown (if applicable) 2312 PSlG ' Set Pressure and. Blowdown Adjustments Made Using SATUHAIED SIEAM h t f.es m auem 3 j at WYLE LABORATORIES.HUNTVILLE. ALABAMA . . n. . f 1 l Page 174 11 RFO Inservice Inspection Summary Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27n7 FORM NIS-2 /NR-1/ NVR-1
    9. REMARKS Appuceue Manutecturers Data nepods to tie Ansched N/A CERTIRCATE OF COMPLlANCE We certify that the statements made in the report are correct and this InDalf conforms to the rules of the ASML- Code Section XI.
    \ Certificate of Authorization No. 20 Expiration Date 7-17-98 . Type Code Symbol NB s Nuclear Safety & Inspection Manager Date 19 Signed - owrar or owneri pe gnee, m. CERT 1FICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors in the andemployed by penteeinn unen.1 e of _ park pi,en, sittnnte State or Province of nhin have inspected the components described in this Owners Report during the period tol i f4t. 'to Ahl 4 7 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owners Report in accordance with the 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 the Owner's Report Furthermore, neither the inspector nor his employer shall be liable in any man'ner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection. , bM - Mil 97 Commissions AM336 II 'A ' c 'oa,e - National Board. State. Province and Endorsernents inspector's Signature G CERTIFICATE OF COMPUANCE We certfly that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section ill of the ASME Code and the National Board rules as defined in publications NB-65 and NB-102, current editions. 316 to use the 'VR' stamp expires Dec.13 .jg98 Ceritficate of Authorization No. 20 to use the 'NR* sta e Quly47 , jg 98 , Certificate of Authorization No. Date .19 . SignedToledo Edison f k ins me an ger Repair organizaten yuthoged%epreqs CERTIRCATE OFINSMON 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vesset inspectors, and certalcate of competency issued by the State or Province of Ohio and employed by Protection Mutual
    • of Park Aldne lllinois have inspected the repair, modification, or replacement described in this report on F6E il .1933. 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 and Section lli of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, current editions.
    By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concerning the repair, modification or replacement described in this 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. , p * < .- OthO ~M~em. M hoo Mil 97 Commist. ions t48933C6 t4 E A CD M Authorized inspector's Sore 'Cate National Board.' State. Province and Endorsernents
    • Factory Mutual Engmeenng Association
    11 RFO Inservice Inspection Summary Page 175 i Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/2757 l l l FORM 4NSGT NR-1/ NVR-1 OWNER'S REPORT FOR REPAIRS OH REPLACEMENTS As Required by the Provisions of the ASME Code Section XI -
    1. Owner Toledo Edison Co.mnany Date 2 HUB 7 l n .
    300 Madison Ave as .T.al=h OH mano Sheet 1 of 1
    2. Plant Cd"---- 68ah Power h% Unit #1 n -
    l 5501 N. SR 2. Oak Harbor. OH 43449 a===as MWO#E^*' W1 ! Repak G_2e,6 P.R No., Job No., etc. ! 3. Work Performed By Toledo Edlaon Comnany _ Type Code Stamp NR/VR l 5501 N. SR 2.aas Oak. Harbor. OH 43449 Authorization No. 20/316 ! Expiration Date 7-17-98/12-13 9s
    4. Identification of Systems PRESSL8Pf784 (SUB 64-04) RC13B SAFETY VALVE Sm sam _mani
    5. (a) Applicable Construction Code ASME W CL1 . Edition 19 Zi Addendum E4 Code Case M (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 _
    (c) Design Responsibilities CROSBY VALVE & GAGE CO.
    6. Identification of Components Repaired or Replaced and Replacement Components m er ca penent n er manuraetura manufactur.1 s mattenal othu voar Repaired meet eed Asus serial mo, soard No. Identitisation/ auilt er Replacement code Jurisdictional No. Stamped NOZZLE CROSBY N94140-34-0006 NA P/N 94140 87 REPLACEMENT NA SPR &WSH ASS. CROSBY K58655-33-0003 NA P/N K58655 88 REPLACEMENT NA l
    7. Description of Work VALVE SERIAL NUMBER N59303-004001 WAS TESTED AS RECEIVED FOR SET PRESSURE AND SEAT LEAKAGE USING SATURATED STEAM AS THE TEST MEDIUM.THE VALVE WAS THEN REFURBISHED, AS REQUIRED, AND TESTED FOR l SET PRESSURE, SEAT LEAKAGE AND BACKPRESSURE BEti.OWS INTEGRITY USING SATURATED STEAM AND GASEOUS NITROGEN AS THE TEST MEDIUMS. ALLWORK WAS PERFORMED BY TOLEDO EDISON AND WYLE PERSONNEL USING APPROVED PROCEDURES AT WYLE LABORATORIES, HUNTSVILLE, ALABAMA. ]
    NOZZLE, N94140-34-0006, SCN321805, ASME RI,1974, S74, NO CC, PO S 047948 D93. j SPRING & WASHER ASSe K58655 33-0003, SCN321499, ASME lit,1974, S74, NO CC, PO Q 006388 ST. l
    8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) Nominaloperating Pressure (YES) Other (NO)
    Pressua NA psi Test Temperature NOT 'F Pressure Relief Velves
    Service STEAM Size 4" X 6" ~ Opening Pressure 2491 PSIG Blowdown (if applicable) 2376 PSIG Set Pressure and Blowdown Adjustments Made Using SATURATED STEAM i v m e. e at WYLE LABORATORIES.HUNTSVilI E ALABAMA e se uem a ucTE: supplemental sheets in the form e4 lists, sketches, or drawings may be used, provided (1) size is 0% x 11 in. (2) i Internation in items 1 through 6 en this report is included on each sheet, and (3) each sheet is numbered and the me.bar er sheets is recorded at the top of this term. 11 RFO Inservice Inspection Summary Page 176 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 /NR-1/ NVR-1
    9. REMARKS Applicable Manutseturers oata Noorts to be Anached N/A CERDRCATE OF COMPUANCE We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code Section XI.
    Type Code Symbol NR \ ificate of Authorization No. 20 Expiration Date 7-17-98 Signed / \ owner oKguner's Desegnee. Tale Nuclear Safety & Inspection Manager _ Date v 19 CERTIFICATE OF INSER iflCE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors in the State or Prnvince of chin and employed by protaction Mutual
    • of park Alcina Itlinnla have inspected the components described in this Owners Report during the period Ichl% ~to 2htlC , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken correctiv'e ineasures described in this Owners Report in accordance with the requirements of the ASME Code, Section XI.
    By signing this certificate, neither the inspector nor his employer rnakes any warranty, expressed or implied, concerning the examinations and corrective measures described in the 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. hinspectors
    2. Signature ~4 Fe0r ti. tR4 / Commissions as 4 6sts " i ' r.' 'A' oso (ed Dat'e Natanal Board, State, Province and Endorsernents CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, raodification, or replacement of the pressure relief device described above conforms to Section XI and Section lli of the ASME Code and the National Board rules as defined in publications NB-65 and NB-102, current editions.
    Ceritficate of Authorization No. 316 to use the 'VR* stamp expires Dec.13 .1998 \ .luly 17 .19 98 , Certificate f Authorization No. 20 to use the 'NR tam ex i s \ Nuclear Safety & Date i S .19 . SignedToledo Edison .\ \ \ h inspection Manager ~ Npair organizaten ( Aged R tatus" Title CERT 1F1CATE OFINYCUON I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors, and certificate of competency issued by the State or Province of Ohio and employed by Protection Mutual
    • of Park Ridae Illinnin have inspected the repair, modification, or replacement described in this report on Eek 11 19 T1 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 and Section 111 of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, current editions.
    By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concerning the repair, modification or replacement described in this 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. NrNvwo M .. b II. M4 ~l Commissions NG %'6d t T A *' ONO W. Authorized inspectors Sihdature Date National Board, State Provina and Endorsernents l
    • Factory Mutual Engmecang Association i
    11 RFO Inservice Inspection Summary Page 177 Toledo Edison Company, 300 Mrdison Avenue, Toledo, Ohio 43632 Commercial Service Date: 11/27/77 FORM NIS-2 / NR-1/MVA-4 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI .1, Owner Toledo Edison Comnany Date 5/29/98 300 Madison Ave.. Toledo. OH 43652 Sheet 1 of 1 l no 1
    2. Plant Davis-Besse Nu]c erEp.yer Station Unit #1 I 5501 N. SR 2. Oak Harbor. OH 43449 MWO 3-98-2415-01 l as new orennusu.a P.a no, Jon n., .m.
    Toledo Edison Company l
    3. Work Performed By Type Code Stamp NR j I
    5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 j n 1 Expiration Date 7-17-98
    4. Identification of Systems Reactor Coolant Pumn Seal 1-12 P36-2 (Subsys 064-03)
    5. (a) Applicable Construction Code ASME lil CL1 Edition 19 ZZ Addendum Sum 78 Code Casd N/A (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities BW/IPInternationalInc.
    6. Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manufacturer's National other 1 rear Repaired ASNE serial NO. Board NO. Identification / Built Replaced or Code Jurisdictional No. Replacement Stamped Seal Cartridge BW /IP intemational 198486 N/A N/A 1990 Replaced Yes Seal Cartridge BW / IP International 198485 N/A N/A 1990 Replacement Yes I
    7. Description of Work Removed existing seal cartrideo s/N 196486 and installed a like for like replacement seal cartridge &/N 198465.
    Replacement seal cartridge S/N 198485 was rebuilt and tested under MWo 196 e11640.
    8. Tests Cenducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (YES) Other (YES)
    Pressure 2165 psi Test Temperature N.O.T. .p Pressure Relief Valves: Service N/A Size N/A Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Usina N/A . e. at N/A .: i NOTE: Supplemental sheets in the form of lists, sketches, or drawings may be used, provided (1) size is 8% X 11 in. (2) Information in itesne 1 through 6 on this report is included en each sheet, and p) each sheet is numbered and the number of sheets le recorded at the top of this form. 1 L _ .____ _--____________-_____ - __ - k- 11 RFO Inservice inspection Summary Page 178 Toledo Edison Company, 300 Medison Avenue, Toledo, Ohio 43652 CommercialService Date: 11/27/77 FORM NIS 2 /NR-1/ """ i
    9. REMARKS D*" R*P'"'
    • b h WA l
    CERTIFICATE OF COMPUANCE We certify that the statements made in the report are correct and this Englanament conforms to the rules of the ASME Code Section XI. NR 20 Expiration Date 71748 Type Code Symbol Certificate of Authoriza6on No. Signed N f[ mar saw & Inspecuen uenager Date / 19E owner alossew's Desense, Tus / CERTIFIC ATE OF INSERVICE INSPECTION
    1. the undersigned, holding a valid m .Cc,,. !ssued by the National Board of Boller and Pressure Vessel Inspectors in the State or Province of Ohio and employed by Protec6cn Mutual
    • of Park Ridos. filiool i have inspected the components described in this Owner's Report during the period iI814E to &ll 4A - , and state that to the best of my knowledge arid belief, the Owner has performed examinations anil taken correctile r leasures described in this Owner's Report in accordance with the requirements of the ASME Code, Secton XI.
    By signing tNs certificate, neither the inspector nor his ernployer makes any warranty, expressed or irnplied, concoming the examinations and corrective measures described in the Owner's Report. Furthermore, neither the inspector nor Ns employer shall be liable in any manner for any personalinjury or property damage or a loss of any idnd arising from or connected with this inspection. atte 3 V u- 4 3 Date 0 Commission. NWM d I Y YoNet, National Board, Stale. Province and Endorsernents inspectors Signature g CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, modificatim, or replacement of the pressure relief device descdbed above conforms to Section XI and Section til of the ASME Code and the National Board rules as defined in publications NB45 and NB 102, current editions. Ceritficate of Authorization No. 316 to use the *VR* stamp expires Dec.13 19 ,98.L.,, Certificate of Authorization No. 20 to use the 'NR* stamp expires JuN17 1998 Nucisar Sa4ty & inspecuan Manager Date 19 Signed Toledo Edison . ampu e _ un nais me unuw. CERTIFICATE OF INSPECTION
    t. the undersigned, holdir'g a valid comrnission issued by the National Board of Boiler and Pressure Vessel Inspectors, and Ohi' and employed by Protection Mutual
    • certificate of competency issued by the State or Province of of Park Fbdge,lHinois have inspected the repair, rnodification, or replacement described in this report on 19_., , and state that to the best of my knowledge and belief, this repair, modification, or replacement has been made or constructed in accordance with Sec*lon XI and Section lit of the ASME Code and the National Board rules as defined in the publication NB-65 and NB 102, current editions.
    By signing this certificate, neither the inspector nor his ernployer makes any warranty, cxpressed or implied, concerning the repair, modification or replacement described in this report. Furthermore, neither the inspector nor Ns employer shall be . liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with ins inspection. Commissions AuthorLIed inspector's Signature Dale National Board, State. Province and Endorsements
    • Factory Mutual Engmeermg Association
    11 RFO Inservice Inspection Summary Page 179 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NIS-2 / NR-1/ FMitstOWNER'S REPORT FOR REPAlRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
    1. Owner Toledo Edison Company Date 5/22/98 n
    300 Madison Ave.. Toledo. OH 43652 Sheet 1 of 1 u.
    2. Plant Davis-Besse Nuclear Power Station Unit #1 I
    **** l 5501 N. SR 2 Oak Harbor. OH 43449 . { MWO 3-98-5078-01 ) u._ men organa p.o. no J.6 m.., .
    3. Work Performed By Toledo Edison Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 Expiration Date 7-17-98 j
    l . 4. Identification of Systems PZR CODE SAFETY VALVE AND OUTLET FLANGE BOLT 1NG (SUS 064-04)
    5. (a) Applicable Construction Code ASME 111 CL1 Edition 19 Sa Mdendum S *ZQ Code Case M4_Q (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities CROSBY (safety valve) and NOVA (bolting)
    6. Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manufacturer's National Other Year Repaired ASMZ serial No. Board No. Identification / Built Replaced or Code Jurisdictional No. , Replacement Stamped
    . mm PZR CODE SAFETY CROSBY 54891 00-0001 pqfM RC13A 1976 REPLACED Y PZR CODE SAFEW CROSBY 54891-00-0002 djhg H3W RC13A 1976 REPLACEMENT Y 1* OUTLET STUDS UNKNOWN N/A N/A N/A UNK REPLACED N 1* OUTLET STUDS NOVA N/A N/A S/C 15-2186 1997 REPLACEMENT N l' OUTLET NUTS UNKNOWN N/A N/A N/A UNK REPLACED N 1* OUTLET NUTS NOVA N/A N/A S/C 15-1974 1997 REPLACEMENT N
    7. Description of Work PZR SAFETY VALVE REPLACED As A PLANNED MAINTENANCE ACTIVITY To allow FoR TESTING oF THE REMOVED VALVE To BE PERFORMED AT A j LATER DATE. 2 STUDS AND 22 NUTS IN THE OUTLET FLANGE WERE REPLACED DUE To A sPECIRCATioN CHANGE. THE STUDS ARE 1* -8 UNC 8* LoNG, sA 564 TY 630 H1100 NE AT No. 46930 UNDER PURCHASE ORDER S081405097 on HEAT No.15091 UNDER PUCH AsE ORDER s074156096 NUTS ARE 1* 8 UNC, SA 194 GR 8M HEAT No.713446 UNDER PURCHASE ORDER S081405D97 STUDS AND NUTS ARE AsME Ut, CL1 To 1986 EDITION, No ADDENDA. THE' REPLACEMENT SAFETY VALVE l
    QAS REFURBISHED AND TESTED UNDER A Previous work ORDER. I I i 8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) Nomina! Operating Pressure (YES) Other (NO) Pressure NOP psi Test Temperature NOT .p Pressure Relief Valves: Service N/A Size , Opening Pressure Blowdown (if applicable)  !+ Set Pressure and Blowdown Adjustments Made Using at NOTBs supplemental sheets in the form of lists. sketches, or drawings may be used, provided (1) size is 8% x 11 in. t3) 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 forC 1 11 RFO Inservice Inspection Summary Page 180 Toledo Edison Comp:ny, 300 Midison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 ) FORM NIS-2 /NR-1/ NVR-1 N h**' D*ie feepene le be Aiiached
    9. REMARKS N/A CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of s the ASME Code Section XI.
    20 Expiration Date 7 17-98 8 Type Code Symbol NR Certificate of Authorization No. Signed ' / Nu&ar Safey & Inspecuon Manager Date U 19 ownee Nownere Desegnee. Tee CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutual
    • of . Park Ridae. IIHnois .
    have inspected the components described in this Owner's Report during the period ,,,.y3% to 5;la M A , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective mecsures 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 implie<i, conceming the examinations and corrective measures described in the 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. . o e' v e s ogo emV4 N N Cornmissions MMO d I A ', comw - Inspector's Ssgnature Dale Nabonal Board, State, Provmee and Endorsernents G , =, D CERTIFICATE OF COMPU ANCE We certify that the statements made in this report are correct and the repair, rnodification, or replacement of the pressure relief device described above conforms to Section XI and Section lit of the ASME Code and the National Board rules as defined in publications NB45 and NS-102, current editions. Ceritficate of Authorization No. 316 to use the *VR' stamp expires Dec.13 .19 98 Certificate of Authorization No. 20 to use the *NR* stamp expires July 17 . t 998 Nuclear Safety & . Signed Toledo Edison ' inspection Manager Date 19 seges premw.e. Awine,ase woe,eeenicia,e ime CERTIFICATE OF INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel inspectors, and Ohio and employed by Protection Mutual
    • certificate of competency issued by the State or Province of of Park Ridge, mmois have inspected the repair, modification, or replacement described in this report on 19 _,,, and state that to the best of my knowledge and belief, this repair, modification, or replacement has been made of constructed in accordance with Section XI and Section 111 of the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, current editions.
    By sigrung this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, conceming the repair, modification or replacement desenbed in this report. Furthermore, neither the inspector nor his employer shall be " . Rable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection, Commissions AuthortW 5spedor's Signature Dale National Board, State Province and Endorsernents
    • Factory Mutual Engineering Association
    11 RFO Inservice Inspection Stunmary Page 181 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27n7 L FORM NIS-2 / NR-1/6WNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
    1. Owner Toledo Edison Comoanv Date 5/22/98 300 Madison Ave Toledo.OH 43652 Sheet 1 of 1 an
    2. Plant Davis-Besse Nuclear Power Station Unit #1 5501 N. SR 2. Oak Harbor. OH 43449 MWO 3-98-5079-01 Repes Cwgemaston P.o. No., Jet No., ow
    3. Work Performed By Toledo Edison Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization NO. 20 Expiration Date 7-17-98
    4. Identification of Systems PZR CODE SAFETY VALVE AND OUTLET FLANGE BOLTING (SUS 064-04)
    5. (a) ApplicaNe Construction Code ASME lit CL1 Edition 19 II Addendum $ *Z4 Code Case N/A (b) Applicable Edithn of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities CROSBY (safety valve) and NOVA (botting)
    6. Identification of Components Repaired or Replaced and Replacement Components Name of component Name of Manufacturer Manufacturer's National other Year Repaired ASME serial no. soard No. Identification / suilt maplaced or code Jurisdictional NO. Replacement stamped PZR CODE SAFETY CROSBY 56264 N 5 W)g R RC13B 1976 REPLACED Y PZR CODE SAFETY CROSBY 59303 4 0-0001 1978 REPLACEMENT Y
    $%TMV' RC13B 1* OUTLET STUDS UNKNOWN ' N/A N/A N/A UNK REPLACED N 1* OUTLET STUDS NOVA N/A N/A S/C 15-2186 1997 REPLACEMENT N 1* OUTLET NUTS UNKNOWN N/A N/A N/A UNK REPLACED N 1* OUTLET NUTS NOVA N/A N/A S/C 15-1974 1997 REPLACEMENT N
    7. Description of Work PzR SAFETY VALVE REPLACED AS A PLANNED MAINTENANCE ACTIVITY To ALLOW FOR TESTING OF THE REMOVED VALVE To BE PERFORMED AT A LATER DATE.12 STUDS AND 24 NUTSIN THE OUTLET FLANGE WERE REPLACED DUE To A SPECIFICATION CHANGE. THE STUDS ARE 1* -6 UNC 6* LoNG, SA 564 TY 630 H1100 HEAT No. 46930 UNDER PURCHASE ORDER $061405097 oR HEAT No.15091 UNDER PUCHASE ORDER 6074156096 NUTS ARE 1". 8 UNC.SA 194 GR 8M HEAT No. 713446 UNDER PURCHASE ORDER $08140$D97.
    STUDS ANo NUTS ARE AsME lit CL1 TO 1946 EDITION, No ADDENDA. THE REPLACEMENT SAFETY VALVE WAS REFURBISHED AND TESTED UNDER A Previous WORK ORDER.
    8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (YES) Other (NO)
    Pressure NOP psi Test Temperature NOT .p Pretsure Relief Valves: I Service N/A Size Opening Pressure Blowdowi,(if applicable) < Set Pressure and Blowdown Adjustments Made Using n. at 4 W6a. 9 MOTE: supplemental sheets in the form of lists, sketches, or drawings may be used, provided (1) size is 9% 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 - E ______ . _ _ _ . _ _ _ _ _ _ _ _ _ _ _ 11 RFO Inservice Inspection Summary Page 182 Toledo Edison Company, 300 M1dison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/2757 FORM NIS-2 /NR-1/ NVR-1 ****"***'*D** "**""***d
    9. REMARKS l N/A CERURCATE OF COMPUANCE conforms to the rules of We certify that the statements made in the report are correct and this tantacement the ASME Code Section XI.
    20 Expiration Date 7*17 88 Type Code Symbol NR Certificate of Authorization No. Nuclear Safety & inspection Manager g,g, [ U yg g Signed ~ i d=Ide et owners Des,gnee. Tale CERTIFICATE OF INSERVICE INSPECTION 1 the undersigned, holding a valid canmissionissmed by the National Board ofPark Boller andIllinois Ridoe, Pressure Vesselinspectors in the Ohio and employed by Protection Mutual
    • of State or Province of M48 to 572MM. ,and state have inspected the components described in this Owners Report dunng the penod 3 tahen correedve theasures that to the best of my knowledge and belief, the Owner has performed examinations anc described in this Owners 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, concoming the examinations and corrective measures de:cnbod in the Owners Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personalinju y or property damage or a loss of any kind arising from or connected with this inspection. bu h L f 5 2M4B Commissions d M M d A 'I .,. , A "*""'***'*S'"'*"**"'"'*'" Nk. Inspector's Signature ' U CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section !!! of the ASME Code and the National Board rules as defined in publications NS-65 and NB 1(C utrrent editions. 316 _ to use tht "f R* stamp expires Dec.13 .19 98 Ceritficate of Authorization No. 20 to use the 'NR* stamp expires Jufv 17 .19 98 Certificate of Authorization No. Nuclear Safety & inspedion Manager .19 Toledo Edison un. Date . Signed- n.cu uemau.a w.,u.a n.p wama . CERTIRCATE OF INSPECUON I, the undersigned, holding a valid cornmission issued by the National Board of Boller and Pressure Vessel Inspectors, and O* Protechon Mutual
    • certificate of competency issuN by the State or Province of and employed by of Park Ridge,lltin<ns have inspected the repair, rnodification, or replacement described in this report on .19_ 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 and Secteon 111 of the ASME Code and the National Board rules as defined in the public NS-t02, current editions.
    By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, conceming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be liable in any rnanner for any personal injury or property damage of a loss of any kind arising f rom or connected with this inspection. Commissions National Board. Stata, Province and Endorsernents Authorized Inspedor's Sigruture Date
    • Factory Mutual Engmeenng Association
    I 1 11 RFO Inservice Inspection Sununary Page 183 l Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 l r Commercial Service Date: 11/27/77 i L$ L FORM NIS-2 / NR-1 ffWR=1 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS , l AS Required by the Provisions of the ASME Code Section XI ,
    )
    "1, Owner Toledo Edison Comnanv Date 5/2 stas ! = I 300 Madison Ave . Toledo. OH 43652 Sheet 1 of 1 ==
    2. Plant Davis-Besse Nuclear Power Station Unit #1 5501 N. SR 2. On Harbor. OH 43449 MWO# 3-08-6556-01
    == n e.e orenomm.a en No, J.6 No., etc.
    3. Work Performed By Toledo Edison Company Type Code Stamp NR i
    5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20 1 Expiration Date 7-17-98 l )
    4. Identification of Systems MAIN STEAM LINE #2 (SP17A2 AND SP17A7) 1
    5. (a) Applicable Construction Code ASME Ill CL2 Edition 19 $8 Addendum WAR CodeCase in (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities DRESSER I
    6. Identifica'Jon of Components Repaired or Reptamd and Replacement Componen'.s Name of Component Name of manufacturer Manufacturer's National other Year Repaired A.SME Serial No. Board No. Identification / Built Replaced or Code Jurisdictional No. Replacement stamped SAFETY VALVE DRESS.ER. BMC8633 NA SP17A2 1972 REPLACED Yes.
    SAFETY VALVE DRESSER BS06256 14A SP17A2 1977 REPLACEMENT Yes SAFETY VALVE DRESSER BM08639 NA SP17A7 1972 REPLACED Yes SAFETY VALVE DRESSER BM08641 NA SP17A7 1977 REPLACEMENT Yes 7 Description of Work REMOVED SP17A2 (SER.9BM00633) AND SP17AF (SER.0 BM00839) FRoM 82 MAIN STEAM LINE. REPLACED W17A2 WITH SER.9 5808256 AND SP17A7 wlTH SER.s BM00641. BoTH VALVES HAD BEEN REButLT BY Nws TECHNOLOGIES, LLC UNDER PURCHASE I ORDERS S 001159 D97. A VT 2 INSERVICE TEST WAS PERFORMED AFTER WISTALLATloN.
    8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (YES) Other (NO) s71 psi Test Temperature N/A ep Pressure Pressure Reliet Valves-
    , Service NA Size NA Opening Pressure MA Blowdown (if applicable) NA Set Pressure and Blowdown Adjustments Made Usina NA i-,, at NA ! s-  : NOTE: supplemental sheets in the form sf lista, sketches, er drawings anny be used, provided (1) size is 0% x 11 in. (2) Information in items 1 through I, be 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. u_________ _ . _ . _ _ . _ _ . _ . . _ 11 RFO Inservice Inspection Summary Page 184 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27n7 FORM NIS-2 /NR-1/ NYFl=1 l e.neuanns =o*=aa*'* * = NfA CERilFICATE OF COMPUANCE We certify the'he statements made in the report are correct and this replaemment conforms to the rules of the ASME A Ntion XI. Type C u Symbo: NR Certificate of Authorization No. 20 Expiration Date 7 17-98 Signed Nucioar som inspecten W Date 5 19M owne/or oumer's Desipmee, Tme CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a vand commission issued by the National Board of BoRet and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protec6on Mutual
    • of Park Ridae, ligrx ir have inspected the components described in this Owner's Report during the period 11Ill141 to _ Cl1 4 Fs , and state that to the best of my knowledge and beHef, the Owner has performed examinations anc taken corrective measures described in this Owner's Report in acmrdance with the requirements of the ASME Code, Sec6on XI.
    By signing this certificate, neither the inspecbr nor his employer makes any warranty, expressed or implied, concoming the examinations and corrective measures described in the Owner's Report. Furthermore, neither the inspector nor his employer shaR be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this hspec6on. ,, , , , , , inopodors Signature mvwA b -WUL. N 8 Date Commissions M3 AI A" cc m National Board, State. Province and Endorsements g CERTIFICATE OF COMPUANCE We certify that the statements made in this report are correct and the repair, rnodificadon, or replacement of the pressure relief device described above conforms to Section XI and Section lit of the ASME Code and the Na6onal Board rules as denned in publications NB45 and NB 10?, current edtions. Coritficate of Authorization No. 31s to use the 'VR* stamp expires Dec.13 19 jg,,_. Cer6ficate of Authorization No. ' 20 to use the 'NR* stamp expires July 17 19L, Nuclear Safety & Date 19 . Signed Toledo Edison inspecuan Manager nesu ose,umen amena.o - CERTIFICATE OFINSPECTION t, the undersigned, holding a valid cornmission issued by the National Board of Boller and Pressure Vessel inspectors, and certificate of competency issued by the State or Province of Ohi* and employed by Protection Mutual
    • of Park Ridos, minois have inspected the repair, modification, or replacement described in this report on 19_ 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 and Sec6on !!! of the ASME Code and the National Board rules as denned in the publication NB45 and NB-102, current editions.
    By signing this certificate, neither tne inspector nor his employer makes any warranty, expressed or implied, concoming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be Bable in any rnanner for any personal Irgury or property damage or a loss of any kind arising from or connected with this inspecten. Commissions Authorized inspector's Signature Date NationalBoard, State Province and Edirserner,ts
    • Factory Mutual Engineenng Association
    1I RFO Inservice Inspection Summary Page 185 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27n7 FORM NIS-2 / NR-1/ NVR-4 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
    1. Owner Toledo Edison Comnany Date 5/16/98 e-.
    300 Madison Ave.. Toledo. OH 43652 Sheet 1 of 1 u
    2. Plant Davis-Bosse Nuclear Power #'= Con Unit e1 5501 N. SR 2. Oak Harbor. OH 43449 MWO 7-95-0355-09 man n.p.= orseniusw P.o. No., Job No, em
    3. Work Performed By Toledo Edison Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH 43449 Authorization No. 20  !
    1 Expiration Date 7-17-98
    4. Identification of Systems CTMT Vacuum Relief ISO Butterfly Valve CV5072 Subsva 060-01
    5. (a) Applicable Construction Code ASME Ill C1.2 )
    Edition 19 Z1 Addendum & Code Case & l I (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 ] (c) Design Responsibilities Toledo Edison. Valtok inc.
    6. Identification of Components Repaired or Replaced and Replacement Cornponents Name of conponent Name of Manufacturer Manufacturer's National other Year Repaired AsME serial bio. Board No. Identification / Built Replaced or code Jurisdictional No. Replacement Stamped 8* Butterfly Valve Fisher Controls Co. 5110732 635 CV 5072 1974 Replaced Yes 8" Butterfly Valve Valtok inc. 77385.001.4 N/A CV 5072 1991 Replacement Yes l
    7. Description of Work nemoved exienne e risher butterfiy vaive and repunced g with a venek s butterny valve. -
    8. Tests Conducted: Hydrostatic (NO) Pneumatic (YES) NominalOperating Pressure (NO) Other (NO)
    Pressure 38 PSIG psl Test Temperature N/A .g
    Pressure Relief Valves
    Service N/A Size N/A Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Using N/A ,,e-. at N/A e i- e potts supplemental sheets in the form of lists, sketches, or drawings may be used, provided (1) size is 8% x 11 in. (2) Information in items a through 5 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. 1 l l l 11 RFO Inservice Inspection Summary Page 186 Tolrdo Edison Company, 300 Mtdison Avenue, Toledo, Ohio 43652 l i Commercial Service Date: 11/2757 ~ .. FORM NIS 2 /NR-1/ N'!",1 I l ~ M**8*** D** N*'
    • h -^
    9. REMARKS -
    NPV-1 Valtrk inc., 8" Butterfly Control Varve = $M Tr3a5.oo1 A CERTIRCATE OF COMPUANCE We certify that the statements made in the report are correct and this ranw.mr.nt conforms to the nales of l the ASME Code Section XI. 20 Expiration Date 7*17-88 Type Code Symbol NR Certificate of Authorization No. Signed . Nuclear saw nopecnon Manager Date 19 Y o.s .,o r.o - m. CERTIFIC ATE OF INSERVICE INSPECTION f, the undersigned, holding a valid comtnission issued by the Natkmal Board of Boiler and Pressure Vessel Inspectors in the f Protection Mutual
    • of Pack Ridae. filir ois, State or Province of Ohio and employed by l have inspected the components described in this Owner's Report dudng the period _ Al24M6 to 5 at14R ,and state that to the best of my knowledge and belief, the Owner has performed examinations and taden correctiv's m'easures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
    By signing this certificate, neither the inspector rior his employer makes any warranty, expressed or impGed, concoming the ' examinations and corrective measures described in the Owner's Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personalinjury or property damage or a loss of any idnd arising from or connected with this inspection. ' h," , 1 % Commissions dM3*5d A' ko . Date National Board, State, Province and Endorsernents Inspectors Segnature' ' Q CERTIFICATE OFCOMPUANCE , . We certify that the statements rnade in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section 111 of the ASME Code and the National Board rules as defined in pubGeations NS-65 and NS-102, current editions. 316 to use the *VR' stamp exp3res Dec.13 19 91, _. Certificate of Authorization No. 20 to use the 'NR' stamp expires Jufv 17 1998 . Certificate of Authorization No. Nuclear Safety & inspedian Manager Date .19 . Signed Toledo Edison v.e.e urymm.a mm m.nnom mw. iam CERTIFICATE OFINSPECTION t, the undersigned, holding a valid commission issued by the National Board of Boller and Pressure Vessel inspectors, and Ohio and employed by ProtedJon Mutual
    • certificate of competency issued by the State or Province of of Park Ridos, filinois have inspected the repair, rnedification, or replacement described in this report on 19 ,. and state that to the best of my knowledge and belief, this repair, rnodiScation, or replacement has been made or constructed in accordance with Section XI and Section ill of the ASME Code and the National Board rules as defined in the publication NS 65 and NS-102, current editions.
    By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, conceming the repair, modification or replacement desertbed in this report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal triury or property damage or a loss of any kind artsing from or connected with thi,s inspection. Corrrnissions , Date National Board, State. Province and Endorsements Authorued inspedor's Signature
    • Factory Mutual Engmeenng Association
    I i1 RFO Inservice Inspection Summary Page 187 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 I Commercial Service Date: 11/27/77 l I E f .fvap4m spwwwgegwp 4 L w.-em-u. ' 1 l y'd$ 3 urdrwrpwe.~r wpm 146m&.NM - ~% W+4> ~MWrM.rm'ofiin) r % gwlieb ,ha . ~ ,e rd eggwygs d4 _ ,2 a i I~~ cat n, .s uwe nm,;1sruenota INtaitajQh%M DiviihlkttisdMMf e .gt rg w rua, - - - - ~ f*,ir'*Pord".T;p-+btaanj%5'561eN.pdttatoiMYMhyag;V 4 2IV. t
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    11 RFO Inservice Inspection Summary Page 188 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 f ^ I 4 W597 m G m MEM M M M M We# wiW wwmnemsem maw: \ lbg e .mseneme - meng ~ ammmswww#@WD2 ENWtN#2+4RiML@NW CaidiM a umun 9#%  :
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    , * -}, . . .~ Eh .  ? y g d e? * .$W8YWbi=1 . }.- . mm d .%NU jy3)gREEMWWa)284%mm.. -maammw:mgg.gyy s@dWemwnsgemagggg - - - - - - - - - - -- - - -- --- --- -- q l I 11 RFO Inservice Inspection Summary Page 189 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 l l Commercial Service Date: 11/27n7 44jnD FORM NIS-2 / NR-1/4WfM-OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Re'luired by the Provtsions of the ASME Code Section XI Date 5/27M7
    1. Owner--Toledo Edison co.m.oany m.
    300 Madison Ave.. Toledo. OH 43652 Sheet 1 of a 1 2.- Plant Davis-Besse N=h Power Station Unit #1 n 5501 N. SR 2. Oak Harbor.OH 43449 MWO 7-97 0580-03 asame Repsw Organization P.O. No., Job No ok:. j i Type Code Stamp NR
    3. Work Performed By Tole,do M-an comoanv 5501 N.SR 2. Oak Harbor. OH 43449 Authorization No. 20
    *""* I Expiration Date 7-17-98 )
    4. Identificationof Systems 58_A_H STEAM SAFETY VALVE SP1787 (SUS 83-01)
    5. (a) Applicable Construction Code ASME lil CL2 Edition 19 SS. Addendum WINTER Code Case N/A 1
    (b) Applicable Editiortof Section XI Utilized for Repairs or Replacements 19 86 ~ (c) Design Responsibilities _ DRESSER / NOVA /A&G ENGINEERING
    6. Identification of Components Repaired or Replaced and Replacement Components  !
    Mame.of component Name,of Manufacturer Manufacturer a SEational other Year Repaired Replaced ASME seerd No. . Identification / er Replacement code *W -bri *: e; ' 4 f> t 7 .,, La , .. serial No. Juriardictional .NO. suilt = Stamped I -RELIEF VALVE -DRESSER BM08641 WA MODEL 3777QA 1968 REPLAVED Yes REUEF VALVE DRESSER ES06255 N/A MODEL 3777QA 1968 REPLACEMENT Yes STUD NOVA N/A N/A HT# 8094962 UNK REPLACEMENT No ' NUT A&G ENGINEERING N/A N/A HT# AMH 1987 REPLACEMENT No I
    7. Description of Work REPLACED MAIN STEAM SAFETY REUEF VALVE SP1787 WITH A NEW REUEF VALVE FROM DRESSER. ALSO .
    INSTALLED FOUR NEW STUDS 13/8 8 UN 2A X 113/8" SA193, GR B7 AND FOUR NEW NUTS 13/8-8 SA194, GR 2H. PERFORMED AN INSERVICE TEST.
    8. Tests Conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (YEG) Other (NO)
    Pressure 875 psi Test Temperature 540 *F Pressure Relief Valves: j j Service N/A Size N/A , Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Usina N/A j t was meaten 6 - at N/A NOTE: supplemental sheets in the form of lists, sketches, or drawings na ed, provided (1) size is 8% a 11 in. (2 3'f Inf ormation in items 1 through 6 on this report is included en es.:h eheet, and (3) each sheet is numbered and the numbeg f of sheets is aw.M at the top of this form. f I i1 RFOInservice Inspection Summary Page 190 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 l -Mdn/n - FORM NIS-2 /NR-1/-NVR:1
    9. REMARKS Appscable manufacturers Data neports to tie Anached N/A CERTIFICATE OF COMPl. LANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code Section XI.
    Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date 7-17 08 Signed M. , Nuclear Safety & Inspection Manager Date b I 1997 owner ortyners Desagnee. TWe CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boler and Pressure Vessel inspectors'in the State or Province of _ twfa and employed by :.=u== unen.s a of 1 ark n Aa. minos. have inspected the components described in this Owner's Report during the period =s iakt r 'to silankt? _ , and state that to the best of my knowledge and belief, the Owner has performed examinations and'taken correctigle rneasures 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, concoming the examinations and corrective measures described in the Owner's Report. Furthermore, neither the inspector nor his employer shal be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or connected with this inspection. Ohio bInspectors b SignaMrs . AC 5 34 47 , Commissions 4% SnD *[1~*A f.JD M - 4 i Da e National Board, State, Province and Endorsernents CERTIFICATE OF COMPl. LANCE We certify that the statements made in this report are correct and the repair, modification, or replacement of the pressure relief device described above conforms to Section XI and Section lit of the ASME Code and the National Board rules as defined in publications NB-65 and NB-102, current editions. , Ceritficate of Authorization No. 316- to use the 'VR* stamp expires Dec.13 1g 98 Certificate of Authorization No. 20 to use the 'NR* stamp expires July 17 ,19 98 Nuclear 5afety & Date 19 . SignedToledo Edison inspection Manager Repair Organization Authortred Representative TWe CERTIFICATE OFINSPECTION 1, the undersigned, holding a valid commission issued by the NationaiBoard of Boiler and Pressure Vessel inspectors, and certificate of competency issued by the State or Province of Ohio and employed by Protection Mutual
    • of Park Rlriae_ lilinola have inspected the repair, modification, or replacement described in this report on .19 and state that to the best of my knowledge and belie', shis repair, modification, or replacement has been made or constructed in accordance with Section XI and Section 111 at the ASME Code and the National Board rules as defined in the publication NB-65 and NB-102, current editions.
    By signing this certificate, neither the inspector nor his employer ma'nes any warranty, expressed or implied, concoming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal iriury or property damage or a loss of any kind arising from or connected with . this inspection. Commissions Authortred inspectors Signature Date Nalional Boa,d, State, Province and Endorsernards
    • Factory Mutual Fngineermg Association
    11 RFO Inservice Inspection Summary Page 191 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 CommercialService Date: 11/27/77 1 i' FORM NR 1 REPORT OF REPAIR MODIFICATION YOR INSTALLATION OF REPLACEMENT (S)O TO NUCLEAR COMPONENTS AND SYSTEMS IN NUCLEAR POWER PLANTS
    1. Work performed by Ti . a.ms Techrd + inc. T.E. Contract #C605600D92. Task 5.2 (name of orgerneuen) 70 no job no etc.)
    3315 Old Forest Road t.vnehbura. VA 24502 (addrees)
    2. Owner Toledo Edison Company (name) 300 Madison Avenue. Toledo . Ohio 43652 (address)
    3. Neme, address and identification of nuclear power plant Devis-Besse Nuclear Power Station 5501 N. SR 2. Ook Harbor. Ohio 43449 4 System Steam Generator FE24-1
    5. a. component repaired, modified or replaced Steam Generster Tube Plunaina / Stabilirina es identified by Eddy Current b: Name of rnenufacturer f 21 Babcock and Wdcoir Comosnv.13I Fremotome TecA.e:ede; c: Identifying numbers 620 0014-55-12 J 58 N/A N/A 1972 (mfr.'s senal se.) that'L Be. he.) L _ _ . _ . ;" no.) (other) (year budt) d: Construction Code ASME 1968 ED S. 68 Add 1332-4.1407-1 N/A inameisect . "
    4edamn) (eddendal toedee caseisp (code class)
    6. ASME Code Section XI applicable for inservice inspection: 1986 No No lednion) (addendal (Code Catestsi)
    7. ASME Code Section XI used for repairs, modifications, or replacement: 1986 No No ledsen) (addends) ICode Casesten
    8. Construction Code used for repairs, modifications, or repiscements: 1986 No No 4 edition) (addenda) (Code Casestsp
    9. Design responsibilities f 21 Babcock and Wilcon Company. 131 Fig.e:n.: Technologies Inc.
    10. Test conducted: 111 hydrostatic pneumatic O design pressure O pressure poi. Code Case (s)
    11. Description of work See procedure 1154835A.39 for Steam Generator B. Additionally see OCIR 98-381 for acceDtance luce of property identified add n~ ional sheetts) er sketchles) is acceptable) of owner suoolied meterief. 3
    12. Remarks: J film Owner. f 21=Oriainal Manufacturer, f 31= Manufacturer of roolacement parts The material identified above has been certified by the oriainel manufacturer os meetina the ecolicable code requirements and are interchenaesble with the criainal eauioment _-W.
    Note: Effective Dec. 15.1995 the BWNT Name was officialev chenaed to Frematome Technologies Inc. CEPTFICATE OF COMPLIANCE 1, Victor P. Montalbs e certify that the statements made h this report are correct and the sepair, modification or replacement of the koms desenbed above conforms to Section XI of the ASME Code and to the Net 6onal Board inspection Code ANR$ rules. Netional Board Certifceton of Authorteetion No. 64 to use the ANR$ st xpirve &Asy 17 2999 Date May 1,19L Sion Frematome Technoloeles Inc. N b_^ # QA/OC Supervisor (name of repair ergenitation Victor P. Monteabano (authertred perennell ftkiel CERTFICATE OF IN$ptCTION
    1. Thomes Leos s hoidano a welid . ' sion issued by The Netional Board of Boner and Pressure Vessel Inspectors, and certificate of competency issued by jur6sdction of Ohio and empioved i,y protection Mutuas ins Co e of Park Ridae til have hapected the repair, snadification or repiecement described in this report on (YiAV C .1996 and state that to the best of any knowledes and belief, this repair, modifiestion er replacement has been made er constructed b accordh wkh Section XI of the ASME Code end the National Board inspection Code ANR$ ndes. j Sy siening this certificate. neither the undersigned not my emplower makes any warrenty. empressed or knplied, eencoming the repair, modification or l
    l replacement oescribed in this report. Furthermore, neither the inspector nor his employer shall be Eebis in any manner for any personal triury or property I damage or a loss of any kind erleing from er connected wkh this bspection. Date f4M E .19%sioned Yetvna. A c_  : NEGO t u .e- .,_ .nd.re._t.,. .n. jurtadiction, and noa OMo
    • Factory Mutuel Eno. Assoc. OM4
    11 RFOInservice Inspection Summary . Page 192 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 CommercialService Date: 11/27/77 poRM NR-1 miPORT OF Rt! PAIR O MoOOFICATION [B'OR WSTAMATION OF REPLACEMENTS) O To NuCs. EAR COMPONENTS AND SYSTEMS W NuCt. EAR POWER PLANTS - 1. Week performed by "r " - T - ' - --- - Inc. T.E. e - scaasmaarm2. Task 5.2 (PD no., sob no. etcJ Inome of orgareration) i i 2215 okf Forest Road L- " ' --- VA 24502 (eserese)
    2. Owner Talada Edinane - -- -
    (name) '200-A---- . Talado . Ohio 42852 (address)
    3. Name, address and identineesen of nucleet power plant Davis-Besee Nueteer Power station 5501 N. SR 2. Oak Harbor. Ohio eM'?
    ' 4. System tr_--- d" _. _. _ _ _ _- sE24 2 component repaired, med6Eed or replaced Stamm e- - Tube piuanina / ? -a as "t_ r" hv Eddv current S. a. b: Name of manufacturer f 2! '- ' and Witoor c - ---- ist 7._ - -__ _ _ : T ._._ N/A 1972 159 N/A c: Identifying numbere 820-0014-65.11 ==rce .e t no.: men ed. ne., :_ r- no. low ori sy.e,husu 1988 ED S. SS Add 1222-4.1407 1 N/A d: Construction Code A&ME leddendel IGoese GeseleH (Gesle Osse) ^ ledIIIent 1986 No No
    6. ASME Code Section XI e=8 I- for inservice inspection: (Code Cases (ell ladition) taddendel 1986 No No
    7. ASME Code Section XI used for repaire, modifications, or t. ,
    leditioni (addende) (Code Casestell 1986 No No S. Construction Code used for repaire, modifw,emons, or r _, 4 edition) (addenda) (Code Casee(e8
    9. Design roeponsibilities 121 r_t " and .?n: C_.x .r - Ist Twc._;ome Tx'- ' - - Inc.
    10. Test conducted: [1] hydrostatic O r-- __- deeien preesure pressure pot. Code Case (s)
    11. Description of work See ;.;- ' e 11 paMA-19 for S _--- e - _;e a A. * ~ __ ;_:; ocag gg_33 9 por ,,,,,,,ne, lues of proposey identsfied additional sheettel or sketchdeel is acceptabiel of owner =a -- ' ' -' -- '
    12. Romerke:
    fil. Owner. f 21 = Oriainal "f_ _'r&_ =r.121. !____ " ' -r of : - - - .;- .: natte The material '___ ^ ' i;: has been - ' bw the crimined .T - xfacturer as meetina the - - ' ' ende rom.O _ -_ _ . s and are 6nteret _- with the oriainel - ' .._..: munnhed. Note: Effeeh Dec. 15,1995the BWNT Name was _^' _::"; ?_. ____ _' to Fr_. _ __ - : Tec'- _ _ _-- _ _- Inc. CEftTIFICATE OF C00ApLIANCE Vieter P. corWfy that the _ s made in this report are eenect and the sepair, snedification er replacement 1, of the itema deessihed shove - to Section XI of the ASME Code and to the National Board inspection Code ANR$ rules. .te the ANAS et spires , May 17. jQQQ National Beerd CerWficauen of Authertsauen No. e4 Does ,,May,L 19L Sign " T - hie. N -- QA/QC Suoervisor ineme of repair arcanirsdeni Victor P. Montalbane teutherlaed personnell (tluel CERTIFICATE OF IN8pECTION ThommeLane . heading a valid commission issued by The National Board of Beller and 1. pressure Vessel" s and eerWficate of competerwy lesued by jurisdiction of Ohio and empneyed by
    • ch " --' Ine. Co.
    • of Part nidae si - news inepected the sepair.
    er repassement descrimed in this report en MM 5" . IeLand state that to the best of sny knowledge and belief, this sepair, snedification er - hee been made or eenstructed in accord'e nce with Section XI of the ASME - Code and the National Beasd Dispection Code ANm$ svies. Dy signing this eerdficate, neither the undersigned nor sny employer makes any warranty, expressed er implied, eencaming the repair, snodification or deserted be this soport. F .: _ . neither the bisposter nor his employer shed be 5able in any snanner for any pereenalinjury or property damage er e Bees of any kind or6 sine from er eennected with this ' Does E .131 siened trtet Commissions NMMO O INational Board (inct endorsementel, and knediction and no.1 0%l0
    • Factory Mutual Ene. Aseen. COMN*
    11 RFO Inservice Inspection Sununary p,g,g93 TolIdo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM NR4 REPORT OF REPAm O MooriCAnoN Ef'oR msTAuATION OF REPLACEM9mS)Q TO NUCLEAR COMPONENTS AND SYSTEMS IN NUCLEAR POWER PLANTS 1, Work perforened by . T;-- r:r.: T2 - _ - _-- _ : Inc. T.E. Contract FC605600D92. Task 6.2 ftem #11 (name of orgerezeuon) (PO no., job no. etcJ 3315 Okt T ;r Road L- .li_vo. VA 24502 (address)
    2. Owner Toledo EdisonP-- - '
    Inome) 200 Mediaan A -- Talada . Ohio 43652 (address)
    3. Nemo, address and idondnemelon of nuolear power plant Devle.8 esse Nueisar Power Station 6501 N. SR 2. Oak Harbor. Ohio 43449
    4. System e,; #E24-2 Steam Q
    ) i
    5. e. component repaires, modified or replaced Steam Generator Remote Wald Tube P'"-a After Tube Pult b: Name of manufeaturer 121 " ^ and Wilcox C;r.: :c.- 131Fr c___._ Teob_ W --
    c: Idenefying numbers 620 001445 19 159 N/A N/A 1972 dmerJe sortel no.) Piet'L Bd. No.) "_ ' ' - " no.) letheft (year built) I d: Construction Code ASME 1968 ED S. 68 Add 1332-4.1407-1 N/A todaueni leddendet scedee cemetelt 7 cede ciesel { 1986 No
    6. ASME Code Section XI marl *=Ma for inservice inspection:
    ledWen) (addendel (Code Ceeestell ASME Code Section XI used for repaire, modification, or replacement: 1986 No _N 389-1 7. leditioni toddende) Icede Gesestell Construction Code used for repaire, modificaticne, or replacement: 1986 No N-389-1 8. ledition) leddendel (Code Casesteli j Design responsibilities f 21 "ai-r _k and W.;eea Comnenv. f 31 Frematome Tech-aw=:-e Inc. j
    9.  !
    10. Test conducted: [1] hydrostatic D pneumatic O design preneure pressure pol. Code Cesete)
    .11. Description of work See T; cir 50-1267272 02 for Steam Generator A. AddMen.nv see QClR 98-381 for accentance of owner e -- "" material.
    12. Remarke:
    fil m Owner, f 21 = C.' - ' "- 8acturer.131= Manuf acturer of r- '-- nent parte The material identified above has been certified by the original manufacturer es . .L.-.; the --"= code reouiremente and are intere _ .; ale with the c.;L c / W- nent er j Note: Effective Dec. 15.1995 the BWNT Name was officiativ chanced to Frametome Techr"se Inc. i l CERTIFICATE OF COMellAttcE 4, Victor P. Montenneno certify that the statemente made in this soport are eenoot and the sepair, snodification er repiscement of the iteme described above sensonne to Section XI of the ASME Code and to the National Beerd inspectaan Code ANR$ ndes. to NR et e e Mov17,jggg National Board Cert #fication of Authortretion No. 64 -T: - QA/QC 5uservisor Date Movt.1998 Sion Fr _.- ._ :Inc. (name of repair eteenization Victor P, Montedbeno (authertred pereenne0 ftitle) CERTIFICATE OF INSPECTeolf ] . holding a valid c_ - Issued by The Natiorud Board of Boiler end ] I, 'ThommeLees 1 Pressure Vessel Inspectors, and certificate of competency issued by jurisdiction of Ohio and employed by
    • i,b$.4. Mutuel One. Co
    • have inspected the repeir, enodification or replacement descraned in this soport en Matt E ,19),g.,,,,,end state that to of Parti Rideo M the boot of my knowledes and belief, this repair, snedification or replacement hos been made er constructed in aceerdance with Section XI of the ASME Code and the National Board bispection Code ANR$ rulse.
    l By eionine this cernficate, neither the undersigned not my employer makes any warranty, espressed er implied, concomine the repair. modification er sopiscoment desestbed in this report. Furthermore, nedther the inspector not his employer shes be table in any manner for any personet irqury or property damese or e ines of any kind erleine from or connected with this inspection. , osis (WAV s . t en sioned ~ N 5 h n a kl Cornenissione AE4MO h1 I A I U tuononal soord caci endorsement), sad juried.cison, and no. ohio
    • Feotory Mutual Eng. Assoc. UIM'
    {1 ______ . _ _ _ _ - _ _. . _ _ _ _ _ . _ I1 RFO Inservice Inspection Summary Page 194 Toledo Edison Company, 300 MIdison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27n7 FORM NIS-2 / NR-1/-NYfb1 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI l
    1. Owner . Toledo Edison Cornoanv Date 5/26/98 e
    300 Madison Ave.. Toledo. OH 43652 Sheet 1 of 1 a.a
    2. Plant Da* h Nuclear Power Station Unit #1 e-. MWO Z-9/-0005-U1 21WU Z-y5-UU15-01 5501 N. SR 2. Oak Harbor. OH 43449 MWO 3-98-4519-01 Ameas RepeV . P.o. No Jeb No,etc.
    3. Work Performed By . Toledo Edison Company Type Code Stamp NR 5501 N. SR 2. Oak Harbor. OH U449 Authorizauon NO. 20 ue Expiration Date 7-17-98 _
    4. Identification of Systems ' Mairi Steam Line # 2 laolation Valve MS 100 (Subava 033 01)
    /
    5. (a) Applicable Construction Che ASME lif CL2 Edition 19 21 Addendum Sum 71 Code Case N/.A (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 86 (c) Design Responsibilities RockwellIntemational Corp, Edwards Valve inc, Nova Machine Prod, Cardinallnd
    6. Identifk:ation of Components Repaired or Replaced and Replacement Components 1
    Name of Component Name of Manufacturer Manufacturer's National other Year Repaired ASME Serial No. Board No. Identifict. tion / Built Replaced or Code Jurisdictional No. Replacement Starced Stem Disk Rockwelllnternational MK # 212106 N/A MS 100 1974 Replaced Yes Disk Rockwellinternational MK # 212309 N/A MS 100 1974 Replaced Yes Stem Disk Edwards Valve inc N5237-78 N/A MS 100 1997 Replacement - Yes Disk Edwards Valve 1 L 24-4093-12 N/A MS 100 1997 Replacement Yes 26 - 2" Studs Various N/A N/A MS 100 Var. Replacement No 26 - 2* Nuts Various N/A N/A MS 100 Var. Replacement No
    7. Description of Work This NR-1 covers su work on Ms 100 using the fohowing WWos 3-98451941,2-96401>01 and 2-97 0006 01.
    NWO 2 97-006-01 Replaced the exisgng stem and disk assembly using Edwards Valve Inc. (NPT stamped) parts. MWo 248-0013-01 Drilled out the exisang valve body stud holes for Hellcal-coll inserts using Code Case P6 496. MWo 3 96-4516 The valve body bore was repaired by welding (Wst) machined to valve manufactures specification (Contlntenal Machine) and reassembled using all new bonnet stude and nuts. All work performed by Wsl was documented on a Wsl NR-1 report of repair form.
    8. Tests conducted: Hydrostatic (NO) Pneumatic (NO) NominalOperating Pressure (YES) Other (NO)
    Pressure 871 psi Test Temperature N/A ap Pressure Relief Valv'es: Service N/A Size N/A Opening Pressure N/A Blowdown (if applicable) N/A Set Pressure and Blowdown Adjustments Made Using N/A ew.. at N/A a6 s NOTE: supplemental sheets in the form of lista, sketches, or drawings may be used, provided (1) size is 0% x 11 in. (2) Information in iteam 1 througf a 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. a 1 11 RFO Inservice Inspection Summary Page 195  ! Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 ' l Conunercial Service Date: 11/2707 I FORM NIS-2 /NR-1/-NYH4
    e. REMARKS APP ***** "*"d'emme o.en boens i. b. An.orme Eewards Valve inc. (dtsleptston assembly Serial e 24-409341)
    Edwards Valve Inc. (stern / stem disk assembly $ertal 8 N5237 7e) CERTIRCATE OF COMPUANCE - We certify that the statements made in the report are correct and this w : c == " conforms to the rules of the ASME Code Section XI. Type Code Symbol NR Certificate of Authorization No. 20 Expiration Date 7 17-88 Signed k Nuclear Safety & Inspection Manager Date I 2 7 19 kb a.r-. - 3 1 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a Valid comrr,ession issued by the National Board of Boiler and Pressure Vessel inspectors in the State or Province of Ohio and employed by Protection Mutual
    • of. Park Ridae, lilirjols have inspected the components describedin this Owners Report during the period ,,,,1M),%to 6lcIl9R ,and state that to the best of my knowledge and belief, the Owner has performed examinations anc tak6n corrective t'neasures described in this Owners Report in accordance with the requirements of the ASME Code, Section XI.
    By signing this certificate, neither the inspector nor his ernployer makes any warranty, expressed or implied, cory e 'ng the examinations and corrective measures described in the Owners Report. Furthermore, neither the inspector te his employer shall be liable in any manner for any personalinjury or property damage or a loss of any kind arising from or coanected with this inspectiort , , , , , , , , . , Y ew n M b Commissions M N I b 4 Inspectors Segnature y i Dale Natsnal Board. State. Province and Endorsernents CERTIFICATE OF COMPLtANCE We certify that the statements made in this report are correct and the repair, rnodification, or replacement of the pressure relief device described above conforms to Section XI and Section ill of the ASME Code and the National Board rules as defined in publications NEMS and NB-102, current editions. Ceritficate of Authorization No. 316 to use the 'VR* stamp expires Dec.13 19 98 Certificate of Authorization No. 20 to use the *NR* stamp expires Jutv 17 19 98 Nuclear Safety & Date 19 Signed Toledo Edison Inspedian Manager men om.m.= u-u.m, w. nu. CERTIRCATE OFINSPECTION 1, the undersigned, holding a valid comrnission issued by the National Board of Boiler and Pressure Vessel inspectors, and certificate of competency issued by the State or Province of Gio and employed by Prmion Wual' ;f Park Fudge. Illinois have inspected the repair, modification, of replacement described in this report on 19_,_ 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 and Section lit of the ASME Code and the Natiorui Board rules as defined in the publication NB-65 and NB-102, current editions. l Dy signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, cor;ceming the repair, modification or replacement described in this report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal iriury or property damage or a loss of any kind arising from or connected with this inspectiort 1 Commissions ) Authorized Inspector's Signature Dale National Board. State. Province and Endorsernents i I
    • Factory Mutual Engineenng Association i 1
    i i 11 RFOInservice Inspection Summary Pige 1% Toledo Edison Company, 300 Madison Avenue. Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM N 2 CERTIFICATE HOLDERS
    • DATA REPORT FOR IDENTICAL NUCLEAR PARTS AND APPURTENANCES
    • As Required by the Provabns of the ASME Code, Section fil Not To Exceed One Day's Production Pg. / of. 2._
    1. Manuf ac:ured and eertifieo by Faclarn 1/4e ves D 19m 5. han.w_: G TCetn
    ,e.. .. n c .,4 ee.s e/c 2 76 03 4~ e ..
    2. uanu,ae,u,e ,or
    %e Eoaoa C, . 300 Mnousea Ax %ne OH 43c,sz - - .e ... e ,
    3. i.ocat.on or instanai,on Dm/ic- Besse Pw a sTwo# ou hmo, nn mq3
    .- . e gp p}
    4. Type M 5$s'2. rp(w\ SA
    ~ /c5 M/A rJ/A v, fSS7 .e ... . . ,
    s. Asus code. section m: /47/ S- - . ,
    /97/ '7- .oe //4 .co. e..
    6. Fabncateo in accordance witn Const. Spec. .Dev. 2 onsyl Revis#on O Date A
    7. Remarks: /05 **1 M Y /Y7 4 b / /J.e.
    h /sA-Qd assed & -u.yn.y sd, oz.caMetrv i S.O. (,, - 4 7f. S9
    8. Nom. thicuness lin.) MN Min. cesign :ruczness tin.: O Dia.10 (ft & n.) ^I/4 ' engtn overael(ft & in.) - AM
    9. When soolicable. Certificate Moscars' Data Reports are attached for eacn item of Inis report:
    ' h
    • 2 Part or Appurtenance Nationes j Part or Appur:enance National Serial Number , Soaro No. '
    Serial Numoer Soarc Nummer in Numerical Order , in Numancai Creer , e s-(1) AN ' 62 51 I (21 8 ' t27) (3)  ! l(28)  !  !
    14) I f(291 (5) (3 01 I I I I (6) 1 t311
    17) (32)
    I s (8) * . t33 ' l I I
    19) (341 1 ' '
    (1 01  ! (3 51 * ' '(3 64 I ,11 1) I ' I i (37) l112) ' 8 (1 31 *(381 ' I (391 l(la)t15) ' I(40 I 8 1411 ' I  !(16) I fl178 ff18) J lI t42) ta33 I 8 !g44  ! 3 ~81 91 l1201  !!a5)  !(2 11 ' t A6)  !(2 21 ' tait 't231 (48 ~ , '124) jagt *
    l. f 25) (50s t
    10. Desagn pressure o p,,, y,,,,, 7oo e F. Hvoro, test pressure NO at temo. *"
    .~ *Sucesomentas endormation en the sons, of Esis. saetenes, or crew.sgs may be uses oro=ces a ti sete es 4 4 a t 1. 21informensa en tiems 2 ene 3 on enes Data Aeoort as =5civeed on eacn sneet. i31 eacn sneet ,a numtiereo ano tne eumoet of snests .s recoroso as the too of enes form. ....-aaa... ..........nn, atup 3 t. , o,n,.. go 2300,7,,v.e e. NJ 07Co7 23oo. 11 RFOInsen seeInspection Summary P2ge 197 Toledo Edison Ccmpany, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 1 FORM N 2(back) k.7 d E I we. Series no /SEI7-7tt l CERTIFICATION OF DESIGN J
    • F'" P E. ! tate 'o Reg.-4. E- M oe3
    ' Ces.gn soecsfacatsons certified by P,g. state 3,9, n,. Des.gn report
    • certified by CERTIFICATE OF SHOP COMPUANCE We cernfy that me statements made in trus report are correct and that trus ithesel conforms to the rules of construccon of the ASME Cace. Section sit
     ! NPT Certificate of Authonzauon No. /563 E,o,,,s a/ze./2...o Cate //!2'd.47 Name DW -c Alt".3 hcVGS i C- Signed _ & .._. l CERTIFICATE OF SHOP NdSP!CTION L me undersigned. holding aNvand b SYcornmission d "I~ N'S - issued bv me National Boarc of Boiler anc Pressure M*ATw hide and emosoyee by 2 H1 sac state mat to the I of bNM have insoected tnese items cescribec in trus Cata Recort on Dest of my knowleoge anc besief. me Certificate Hoteer has faoncatec mese carts $r scourtenances .n sc:orcance witn tne ASME Occe. Secuon ill. Esen part listed has been eutnoriseo *or stamoing on me cate shown soove. By sigr.ing mis certificate, seitner the insoector not ms emoioyer maaes anv warrantv. excressec e er cdec. : ncamang tne ecuicment cescnbec ; J 1 in this Data Reoort. Furthermore. neither the inseector not nis emotoyer snail be liaoie in any manner 8:t env sersonat snpurv or =recerty damage or , eoss of any kind arising from or conne .ed tru cuon. ~ I > Date M "N igneo S UM " W Commissions _ _ . . . - . . . 9i q 1 I l i i 11 RFO Inservice Inspection Summary P ge 198 Toledo Edison Company, 300 M:dison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 FORM N 2 CERTIFICATE HOLDERS
    • DATA REPORT FOR IDENTICAL NUCLEAR PARTS AND APPURTENANCES
    • As Required by the Provisions of the ASME Code, Section ill .
    Not To Exceen One Day's Production Pg.' / o f _/, _
    1. Manuf actured ano cerofied ev F3 1,,n ves _ Tile 19en r.wom A. 7tu.,ma Mc 2 74.o3
    e. m c.,w.e ee,.
    e
    2. Manufactured for O LEDo bO' 5 04
    - 3 00 M8D'.500 - m ., A'T e _, '6 Do Ob WAS1
    3. Locateon of instalianon DMM- W dR h -04. * " " " ' " "
    bK NARROr ON UN lif'T (S.1) .. r,pe pn-42:ss s 2. r/. Ms4 tos tu el/n /SS7 .e,-.. ._. . - , - .um ,e._.
    5. ASME Code. Section lit: /97/ Ohu /97/ 1 NA se.noa. .eeeease see. saess. . cme C .e
    8. Fabricated in accordance with Const. Spec. (Div. 2 oni,e Revision N Date
    7. Remsrsts: Okl0 $ YckS v Ci i bfS/*$W lYlY IJ ** -
    bk8/c/on c.sh k '& % X'321.76 " /o/25, .7pfMJ 7 '/. 5.0. r 3 c, - a7L59 S. Nont thicxness tin.) - MN Min. cesign thecuness sina #4 Dia.10 tit & ina M Length overail ift & in.: MM
    9. When applicable. Caraficate Holders' Data Reports are attacned for eacn itern of this report:
    I e
    • 1 5 l l l
    , Part or Appunenance Naponal i Part( Appurtenance . Nanonal Senal Number Boarc No. Serial Number l Boarc Numoer in Numeness Crear ;n Numerical Crder i (i) 2#-493 -l L J4 l(2sl
    • i (2)  !(27)
    I  !
    13)  !(28) '
    144 (29) f , 15) (30) 3
    16) (31) - - -
    I !47) (32) ' I  ! (83 13 3) 3  ! (9) (341 '  ! l 11 01 13 5)
    • i I (11) (36)
    * I l (12) (37) (381 I 1133 ' I (14) (33) * ' ' I (15) (40) I  ! l l116) 141)
    • I I (17) 14 2)
    ' ' I  ! (18) 443) ' I I .(19) lt44) - ' ~t206 l145) ' i [121) ll46) t I '1221 l147) l (23) l(as) ' t2 al I ta9) *  ! I 4251 I50) t o. Design pressure o psi. Tomo. M 'F. Hycro test pressure YA at temo. 'F *Suoosements stoncation in ow form of sets, skeecnes, er erewegs may be used orow.oed iIl s m ie s % = I1. r2) ineonneson in noms 2 ane 3 on ams oots Aeners *s enen oed on each sneet. 36 eacn sneet .s nuentureo ano ow numoer or sneets es recoeces at ene eos of in6s form. - ' = = = - ~ . . . . . . . . . ..... ... ......... .......,s. .. . . _ ,,,.,, . . e,en s. . ,no. I 11 RFO Inservice Inspection Summary Page 199 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/277'7 i l l J l l FORM N 2 (back) h.N 7-- f l Mrr. Senas .vo.2#-@l3-/1 CERTIFICATION OF DESIGN f Desegn specifications certsfieo by
    • W P !. State O Reg. "o. b* bo 3
    'l Oes gn report
    • certified bv P.I. State Reg. o.
    -a.a , 1 CERTIFICATE OF SHOP COMPWANCE 'Ne certify that me statements m6de in chas report are correct and that tnes (thesel conforms to the rules of constsvetson or tne ASME Coce. Section 111. ' NPT Cettsfacate of Authonzation No.  ! b- Empires MN 00 Date /r M Name MAD A LYM .nor :, w m men C. Signed - .m ne m m e e,.e. CERTIFICATE OF SHOP INSPECTION
    • 1. me undersigned holding a valid commission issueo 'pv me National Soaro of Boiler and Pressure vesses inspectors ano *.no State or hovince of blennf CA90 fdh sno employeo by Nb -- dY b of NA MO have insoected tnese items cescribec in mis Data Report on N* d7 . anc state mat to the best of my knowmoge anc belief. the Cartficate Holder nas !aoricated these parts or appurtenances .n accorcance witn me A$flE Coce. SeeDon til. Eacn cart listeo has been authorized for stamping on me cate snown soove.
    l / signsng trus ceruficate F.eitner the inspector nor his emciover makes any warranty, exoresseo er .medeo. cencoming me acuicment cescnoeo s ~ , in this Osta rlecort. Furthermore. neitner the inspector aor nes emosover snail be liable in any inanner fer anv personalinfury or yrcoarty camage Cr '  ! ioss of any kind ansing trorr or c d with thirinsceccon. Date O' Signed M p'., _~ Commission's ,.r a __, .i . . .. a J I / 11 RFO Inservice Inspection Summary Page 200 Toledo Edison Company, 300 Madison Avenue, Toledo, Ohio 43652 Commercial Service Date: 11/27/77 t FOlut NR-1 REPORT OF REPA1R l29 MODIFICATION LJ INSTALLATION OF REPLACEMENTS O - TO NUCLEAR COMPONENTS AND SYSTEMS IN NUCLEAR POWER PLANTS
    1. Work performed by Welding Services Inc.
    38049 2225 Skyland Court, Norcross, GA 30071 (-sia) c
    2. Owner Toledo Edison (n.-> k 300 Madison Ave, Toledo, Ohio 43652-0001 (Adamas)
    3. Name, Address and identification of nuclear power plant Davis-Besse 5501 North State Route 2 Oak Harbor, OI! 43449-9760
    4. System Main Steam
    5. a: Cornpenent repaired, modified, or replaced Main Steam Isolation Valve MS-100 b: Name ofManufacturer Rockwell International (
    c- Identifying Nos. KB49 q 19.6 N/A 6 322d (Mfr.'s serial no.) 04st'I. Daard No.) Ourh=al No-) (other) d: Construction Code (Year tuik) ASME III 1971 (Edition) 1 21 (Addenda) s Class 2 (Code case (s)) (Code class)
    6. Section XI & 6 6 (E& tion) (Addenda) (Code case (s))
    7. Applicable s& tion of ASME Code Section XI under wish repain, anadi5 cations, or replacanaus were ande- jpgg g g (Edition) (Ahia) Code case (s)
    3. Applicable edition ofConstrucuan Code under which repairs, modi 5cutions, or ry wm were inade g 1921 g g (Code) * (E& tion) (A&knda) Code case (s)
    9. Design responsibilities Owner 10 Tests conducted: hydrosam0 pneumaticO design pressureO pressure note I psi 11 Description of work- (use credditional sheet (s) or sketch (es)is saceptable if propaiy identi6ed) - Performed a renair by weldine on the unoer bore of the valve and the too nortion of the disc cuide rib. These surfaces were then machined to the oricinal couipment manufacturers specification _.
    12 Remarks: Hole 1: Hydrostatic testine will be performed by the owner. CERTIFICATE OF COMPLIANCE We certify that the staterrents made in this report are correct and the repair, modification, or replacement of the items described above conforms to Section XI of the ASME Code and the National Board rules as defined in the publication NB-102, current edition. Certificate of Authorization no. 62 to use the "NR" stamp expires November 7.1928 , Dete6 !cf, )9 96 . Signed L/Eun/d $5mes M //d87h / ' (repsurcrn eacon) 1 /MMMW SeR // (autherned m_tatm) (utle) / CERTIFICATE OFINSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors, and certificate of corgper Ohio and employed by
    • Protection Mutual Ins. Co.
    of RSpey issued by the state or providence of , Tihave inspected the repair, modification or replacement described in this report on May 5 .1998 and state that to the best of my knowledge and belief, this repair, modification or relacement has been made in acevdance with Section XI of the ASME Code and the National Board rules as defined in the publication NB-102, current edition. By signing this certificate, neither the Inspector nor his employer makes any warranty expressed or implied, concerning the repair, modification or replacement described in this report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any perrana' injury or property damage or loss of any kind arising from or connected with this inspection. Date _ Mav 5 .1923_. Signed N utu b L- Commissions "N" "I" "A" Ohio Cotmn. ~ (AutharueWin ar) 04sd IkiNo (meludmg endorsernentsbtste or rrondence and number)
    • Factory Mut. cal Eng. Assoc.
    l l 11 RFO Inservice Inspection Summary . Page 201 Toledo Edison Company, 300 Madison Avsnue. Toledo, Ohio 43652 Commercial Service Date: 11/27/77 l y y - r.<p an.- . 1 p, y. v- r4m ,I O ..  ? .i I nin si's si\st a- sicsi : . : ' vr s i:1 rust r uit si e ' rtit l's tit's utii st.\1:.. M'Slooj,yg j 1 \ Itc.i. ired I.y one I*,n.4 i - ( she \-\tl; 4 le stele- lV l ,h, a,., .e ar . u.un _- a. w.L. . .a m w ar.as. .s m a. . . . . . su u.n _. .u. . . - - - '. f - Rockwell International Corp.. Raleigh )lant . .u 37603 o.J e x 36. .60755 f .g'.i. ' S.t4 Raleigh..,1(.C.. r.n.ca s.v 1909 S..saunder.s , . .. .e m . Toledo Edison Co. & Cleveland Electric 111uininsting Co. N  ! o.deex Q1441
    2. u...ru e4 sw.E.0 Box.288, .0ak. an Barbor .c.hio 4. ... .A3440 .%.%
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