RA10-023, Post-Outage 90-Day Inservice Inspection (ISI) Summary Report
ML101550287 | |
Person / Time | |
---|---|
Site: | LaSalle ![]() |
Issue date: | 06/04/2010 |
From: | Wozniak D Exelon Generation Co, Exelon Nuclear |
To: | Document Control Desk, Office of Nuclear Reactor Regulation |
References | |
RA10-023 | |
Download: ML101550287 (93) | |
Text
LaSalle Generating Station www.exeloncorp.com 26oi North zest Road Nu c lear Marseilles, IL 61341-9757 10 CFR 50.55a(g)
RA1 0-023 June 4, 2010 United States Nuclear Regulatory Commission Attention: Document Control Desk Washington, D.C. 20555 LaSalle County Station, Unit 1 Facility Operating License No. NPF-1 1 NRC Docket No. 50-373
Subject:
Post-Outage 90-Day Inservice Inspection (ISI) Summary Report
References:
Milton H. Richter (ComEd) letter to Dr. Thomas E. Murley (NRC), "Structural Margin Evaluation for Reactor Pressure Vessel Head Studs," dated October 3, 1991 Susan R. Landahl (Exelon) letter RA06-062 to the Nuclear Regulatory Commission, "In Service Inspection (ISI) Intervals," dated September 22, 2006 Enclosed is the Exelon Generation Company, LLC (EGC) LaSalle County Station Unit 1 Post-Outage 90-Day ISI Summary Report, submitted in accordance with 10 CFR 50.55a "Codes and Standards," and the American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code Section XI, Article IWA-6200, Paragraph IWA-6230.
The enclosed Post-Outage 90-Day ISI Summary Report is for examinations, repair /replacement activities, and Containment Inservice Inspection (CISI) performed between the end of LaSalle County Station Unit 1 twelfth refueling outage on February 28, 2008 through the end of the thirteenth refueling outage. This refueling outage started February 8, 2010 and ended March 6, 2010. This refueling outage was the second outage scheduled for the First Inspection Period of the Third In Service Inspection Interval, and the Second Containment In Service Inspection Interval, effective from October 1, 2007 through September 30, 2010, for LaSalle County Station Unit 1.
LaSalle County Station Unit 1 is owned and operated by EGC, whose address is:
200 Exelon Way Kennett Square, PA 19348 LaSalle County Station Unit 1 has an authorized power level of 3489 MWt and began Commercial Operation on January 1, 1984.
June 4, 2010 U.S. Nuclear Regulatory Commission Page 2 To the best of my knowledge and belief, the statements made in this report are correct, and the examinations and corrective measures, as applicable, conform to the rules of the ASME Boiler and Pressure Vessel Code,Section XI.
Should you have any questions concerning this letter, please contact Mr. Terrence Simpkin, Regulatory Assurance Manager, at (815) 415-2800.
Respectfully, David Wozniak Site Vice President LaSalle County Station Attachment cc: NRC Senior Resident Inspector - LaSalle County Station
bcc: NRC Project Manager, NRR - LaSalle County Station, Units 1 and 2 (w/o attachments)
F. Niziolek, Illinois Emergency Management Agency- Division of Nuclear Safety (w/o attachments)
David Wozniak, Site Vice President - LaSalle County Station (w/o attachments)
Darin Benyak, Director - Licensing and Regulatory Affairs, West (w/o attachments)
Terrence Simpkin, Regulatory Assurance Manager - LaSalle County Station (w/o attachments)
Patrick Simpson, Manager - Licensing, Braidwood, Byron, and LaSalle Stations (w/o attachments)
Ken Nicely, Nuclear Licensing Administrator - LaSalle County Station (w/o attachments)
John Bashor, Engineering Director - LaSalle (w/o attachments)
Manu Sharma, Programs Engineering - LaSalle (w/o attachments)
A. Kochis, Programs Engineering - LaSalle (w/ attachments)
Exelon Document Control Desk - (Hard and Electronic Copy - w/ attachments)
Central File (w/ attachments - 2 copies)
Attachment Post-Outage 90-Day ISI Summary Report
- 1. INTRODUCTION The Inservice Inspection (ISI) Summary Report addresses examinations, repair/replacement activities, and Containment Inservice Inspections (CISI) performed between the end of the previous refuel outage, (L1 R12) February 28, 2008, through the end of the current refuel outage (L1 R13). This refuel outage was the thirteenth for LaSalle County Station Unit 1. It started February 8, 2010 and ended March 6, 2010.
This refueling outage was the second outage scheduled for the First Inspection Period of the Third Inservice Inspection Interval, and the Second Containment Inservice Inspection Interval, effective from October 1, 2007, through September 30, 2010, for LaSalle County Station Unit 1. The Third Inservice Inspection Interval, and the Second Containment Inservice Inspection Interval are divided into three successive inspection periods as determined by calendar years of plant service within the inspection interval.
Identified below are the period dates for the inspection intervals as defined by Inspection Program B. In accordance with IWA-2430 (d)(3), the Inspection Periods specified below may be decreased or extended by as much as one year to enable inspections to coincide with LaSalle County Station's refuel outages.
Unit 1, Period 1 (October 1, 2007 through September 30, 2010)
Unit 1, Period 2 (October 1, 2010 through September 30, 2014)
Unit 1, Period 3 (October 1, 2014 through September 30, 2017)
Augmented Inservice Inspection (AISI) examinations, ISI and CISI, and Preservice Inspections (PSI) were completed prior to and during the refuel outage as required by the Code of Federal Regulations, Technical Requirements Manual, ASME Boiler and Pressure Vessel Code,Section XI, 2001 Edition through the 2003 Addenda, and the applicable requirements of the Performance Demonstration Initiative (PDI).
Personnel from General Electric Hitachi Nuclear Inspection Services and Exelon Nondestructive Examination Services (NDES) performed the Non-Destructive Examinations (NDE), Magnetic Particle (MT), Liquid Dye Penetrant (PT), and manual and/or automated Ultrasonic (UT) techniques that were used during these inspections.
All Intergranular Stress Corrosion Cracking (IGSCC) examinations were completed by personnel qualified for the detection and discrimination of IGSCC Cracking in accordance with the PDI. NDES provided necessary resolution of technical problems, reviewed all ISI personnel qualifications, and all visual, surface, and volumetric examination results.
1
Visual examinations of reactor vessel internals, component supports, and piping pressure tests were performed by General Electric Hitachi Nuclear Inspection Services personnel, Exelon Generation Company, LLC (EGC) employees of the LaSalle County Station Programs Engineering Group and NDES personnel. These individuals were appropriately certified as ASME Code Section XI Visual Examiners to EGC's written practice. An underwater camera was used for the visual inspection of the reactor vessel internals. The camera was proven capable of resolving 0.001" and 0.0005" stainless steel wires and .044" characters while underwater and, in the same lighting conditions found during the actual inspection.
The services of an Authorized Nuclear Inservice Concrete Inspector (ANIC) were provided by Hartford Steam Boiler Inspection & Insurance Co. of Connecticut, 2443 Warrenville Road, Suite 500, Lisle, IL 60532.
Mr. Rocky W. White, ANIC, State of Illinois #1927, reviewed written Nondestructive Examination procedures, personnel qualifications, instrument certifications, material certifications and ASME Code Section XI examination results. Owner's Reports of Repair or Replacement (Form NIS-2), and the Owner's Data Report for Inservice Inspection (Form NIS-1) were certified by Mr. Mark Bosnich, ANII, State of Illinois #2144.
U. SCOPE OF INSPECTIONS The ISI Summary Report is provided with tables that consolidate the extent and results of inspections performed between the end of the previous refuel outage (L1 R12),
February 28, 2008, through the end of the refuel outage (L1 R13). An explanation of all abbreviations used is in Attachment 3 of the Summary Report.
Table A provides a listing of all completed ASME Code Section XI examinations for this refuel outage with the exception of component support examinations and pressure testing, which are addressed separately. Table A is divided by ASME Code Category with a description of the items examined, including the examination types, the examination results and where applicable, the percentage of examinations completed.
Table B provides a listing of all AISI. These are not ASME Code Section XI requirements, but are additional examination area requirements, increased frequency requirements, or combinations of these requirements, which are requested by the Nuclear Regulatory Commission (NRC). These other requirements have been deemed prudent in view of EGC and industry experience. Table B also gives a description of the items examined as well as the examination types, and examination results. Table B includes the following categories:
BWRVIP These examinations are of austenitic stainless steel piping and other susceptible materials for the detection of IGSCC.
REACTOR VESSEL INTERNALS AISI - These examinations include inspection of reactor internal components required by the NRC such as core spray spargers and piping. These have been adopted by EGC through its commitment to the Boiling Water Reactor Vessel and Internals Project (BWRVIP). Other examinations, such as the steam dryer and steam separator, were deemed prudent based on industry experience.
MISCELLANEOUS AISI - Pursuant to LaSalle County Station's commitment to the NRC (reference letter), the AISI examinations included an augmented "End-Shot" UT examination of 100% (68 total) of the reactor pressure vessel closure studs. The "End Shot" UT examination was completed using procedures, calibration standards, and 2
personnel that met all applicable requirements of the ASME Code,Section XI, 2001 Edition through the 2003 Addenda, and the PDI.
Table C provides a listing of all completed ASME Code Section XI Class 1 and 2 component support examinations for this outage. Table C gives the support number, examination type, and examination results. ASME Code Class divides Table C.
Table D provides a listing of pressure testing of ASME Code Section XI Class 1 and 2 piping and components completed during the period between the L1 R12 and L1 R13 refuel outages. ASME Code Class 1 components and piping were examined using the VT-2 method during the system leakage test conducted at 1042 psig prior to reactor start-up, which is within the nominal operating pressure range of the reactor pressure vessel associated with 100% rated reactor power. Pressure testing will be ongoing throughout the remainder of the First Inspection Period.
Table E is a listing of ASME Code Section XI Class 1 and 2 repair/replacements completed since the previous refuel outage and those completed during the twelfth refuel outage of Unit 1, which are in accordance with ASME Code Section XI, Articles IWA-4000. These include the work order number that served to implement the applicable activity and a short description. The documentation packages are on file at LaSalle County Station. Each activity has been certified on the Owner's Report of Repair or Replacement, which will serve as documentation of these repair/replacements.
The name of each major component or appurtenance inspected during the thirteenth refuel outage is listed in column # 1 on Form NIS-1 (Attachment 1). This includes the reactor pressure vessel and the Class 1 piping system. A detailed list of components or appurtenances inspected appears in the abstracts listed as items 13, 14, and 15 on Form NIS-1. The descriptions including size, capacity, material, location, and drawings to aid in identification of the components or appurtenances have been previously submitted, including the N-5 ASME Code Data Reports. This information was not included in the ISI Summary Report. These documents are on file at LaSalle County Station. This also applies to the PSI and ISI Summary Reports.
III.
SUMMARY
OF RESULTS AND CORRECTIVE ACTIONS The ASME Code Section XI ISI results obtained during this refuel outage were compared with the Preservice and Inservice results. The following is a summary of the results and corrective actions taken:
ASME Code Section XI Components Recordable indications were detected in ASME Code Section XI components and other non-code components, during augmented examinations. These indications are further discussed below or in the applicable tables. All indications detected in ASME Code Section XI components were evaluated against the applicable acceptance standards.
- 2. Steam Dryer An augmented visual examination of the steam dryer is completed during each refuel outage. The steam dryer contains indications that were recorded during previous examinations. Areas where historically indications were identified include the lifting eye bracket welds, upper dryer bank vertical welds, upper support ring, and dryer bank panels. Specific inspections as recommended by BWRVIP-139 were performed and new indications were identified.
3
Indications were noted at the second bracket on the lifting assemblies at 45°, 135°, 225°,
and 315°. Issue Reports #1030140, #1030143, #1030182, #1032959, and #1030421 were generated to document the conditions of the brackets.
Indications were noted at the third bracket on the lifting assembly at 315°. Issue Report
- 1030323 was generated to document the condition of the bracket.
Indications were noted at the fourth bracket on the lifting assembly at 315°. Issue Report #1033219 was generated to document the condition of the bracket.
Crack-like indications were noted in the Heat Affected Zone (HAZ) of vertical welds propagating into the area around tie rods. Issue Reports #1028915, #1032935, and
- 1033445 were generated to document the conditions of the welds.
Crack-like indications were noted running the length of the dryer end panel between two tie rods on the panel. Issue Reports #1028906, #1028910, #1029728, #1030062,
- 1030172, #1030179, and #1032043 were generated to document the conditions of the tie rods.
Indications were noted in the HAZ of vertical welds V01-90, V13-90, V14-90, and V01-270. Issue Reports #1028892, #1032476, #1029715, #1029722, and #1033211 were generated to document the conditions of the welds.
Tie Rod 16-90 was noted to be protruding from the end of the top of the bank, and has broken tack welds. Issue Report #1030064 was generated to document the condition of the tie rod.
A through-wall IGSCC crack was noted at the bottom of the plenum plate connecting Banks A and B at 45° near the bottom of weld V15-90. Issue Report #1032937 was generated to document the condition of the plate.
Indications were noted at tie bars 03 and 08. Issue Reports #1032473 and #1032466 were generated to document the conditions of the tie bars.
Indications were noted at the bottom end of Bank C hood vertical welds V04a-90 and V04c-90. Issue Reports #1030048 and #1030054 were generated to document the condition of the hood.
Indications were noted on the upper support ring at various locations around the circumference of the ring. Issue Reports #1033324, #1033619, and #1033621 were generated to document the condition of the upper support ring.
Previously identified stop drill locations on the end panel HB PL5 were reviewed. Issue Report #1030058 was generated to document the condition of the end panel.
Previously identified deformation of the lower guide rod bracket at 180° was reviewed.
Issue Report #1028901 was generated to document the condition of the bracket.
The above noted indications were evaluated as acceptable as-is with no repair required in accordance with EC#378842.
These examination results have been documented on the General Electric Hitachi Nuclear Inspection Services examination data sheets.
- 3. Steam Separator 4
An augmented visual examination of the steam separator is completed each refuel outage. The steam separator mid-support ring gussets contain indications that were recorded during previous examinations. A new indication was observed on the mid-support ring gusset #13. The indication was evaluated as acceptable as-is with no repair required in accordance with EC #378842. Issue Report # 1033331 was generated to document this condition.
During previous outages, indications were identified on other mid-support ring gussets.
These gussets were reviewed in L1 R13 and there were no notable changes in the indications. Issue Reports # 1033336, #1033339, #1033342, #1033387, #1033389, and
- 1033448 were generated to document the condition of the gussets.
During visual examination of the steam separator lifting lug at 71 degrees, it was noted that the Outer Stand Pipe at approximately 70° had a small dent on the upper edge adjacent to the steam separator lifting lug. The indication was evaluated as acceptable as-is with no repair required in accordance with EC #378842. Issue Report #1033449 was generated to document this condition.
These examination results have been documented on the General Electric Hitachi Nuclear Inspection Services examination data sheets.
Jet Pumps 4.
All seventeen Jet Pump Auxiliary Wedges were examined in response to industry Operating Experience and existing minor wear previously identified on the vessel side of Jet Pump 16 was reviewed and the wear was unchanged from the wear observed in L1 R12. Issue Report #1030120 was generated to document the condition of the Jet Pump 16 vessel side wedge.
Indications were noted on fourteen of the twenty main jet pump wedges examined. The wedges were examined in response to industry Operating Experience, and the wear noted was unchanged from the wear observed in previous outages. Issue Reports
- 1028953, #1029813, #1029815, #1029816, #1029817, #1029818, #1029819, 1029820,
- 1029898, #1029906, #1029960, #1029963, #1030045, and #1031472 were generated to document the condition of the Jet Pump main wedges.
Existing cracks at the RS-9 location on jet pump risers 5/6 and 9/10 were examined, and there was no change in the condition of the cracks. Issue Reports #1030060 and
- 1031056 were generated to document the condition of the welds.
The above noted indications were evaluated as acceptable as-is with no repair required in accordance with EC#378842.
Strain relief welds on nine of the ten risers, five IN-1 welds, four RS-1 welds, 5 RS-3 welds, 10 RS-8 welds, and 10 RS-9 welds were examined and no indications were identified.
In response to SIL 420 revision 1, all twenty jet pump sensing lines and their attachment brackets were examined and no indications were identified.
These examination results have been documented in the General Electric Hitachi Nuclear Inspection Services examination data sheets.
Attachment
- 5. Welds 5
The upper and lower surveillance capsule attachment welds at 30° were examined and no indications were identified.
Minor movement of the feedwater sparger end bracket top surface and the bolt heads at the 50 bracket and the 235° bracket was observed. Issue Report #1031080 was generated to document the condition of the brackets.
Visual examination of four-core spray piping bracket attachment welds was completed and no indications were identified. Visual examination of the core spray piping bracket at 70° identified a small crack-like indication in the locating pin to bracket tack weld.
Issue Report #1028947 was generated to document the condition of the tack weld.
The above noted indications were evaluated as acceptable as-is with no repair required in accordance with EC#378842.
Minor wear observed on the top of the steam dryer support lug at 185° was identified previously (L1 R11 and L1 R12) and inspection in this outage (L1 R13) determined that the wear was consistent with the previous results, including the existence of a piece of rolled metal on the top corner side furthest from the 180° guide rod. The rolled metal has been evaluated for its potential impact to become a lost part and it was concluded that the piece was acceptable as-is with no repair required in accordance with EC
- 369559. Issue Report #1031135 was generated to document the condition of the support lug.
These examination results have been documented on the General Electric Hitachi Nuclear Inspection Services examination data sheets.
- 6. ASME Code Section XI Piping & Component Support Examinations Piping and component supports were inspected (5 total) during this refuel outage. These were distributed between ASME Code Section XI Class 1 and 2/D+ supports as follows:
- ASME Code Class 1 - 4 supports.
- ASME Code Class 2/D+ - 1 supports.
No indications were detected during these examinations.
6
LASALLE COUNTY STATION UNIT 1 THIRTEENTH REFUEL OUTAGE ASME CODE SECTION XI
SUMMARY
REPORT
TABLE OF CONTENTS
- 1. INTRODUCTION II. SCOPE OF INSPECTIONS Table A - ASME Code Section XI Examinations Table B - Augmented Inservice Inspections AISI Table C - ASME Code Section XI Component Support Examinations Table D - ASME Code Section XI Pressure Testing Table E - Class 1 & 2 Repair/Replacements
SUMMARY
OF RESULTS, EVALUATIONS, AND CORRECTIVE ACTIONS IV. ATTACHMENTS
- 1. NIS-1 Form
- 2. NIS-2 Forms
- 3. Abbreviations
TABLE A ASME CODE SECTION XI ISI INSPECTIONS ASME CATEGORY B-A 50% COMPLETE ITEM # ITEM DESCRIPTION EXAM TYPE RESULT
- 1. LCS-I-BH UT NRI ITEM # ITEM DESCRIPTION EXAM TYPE RESULT ASME CATEGORY B-D 48% COMPLETE LCS-I-N2C UT NRI; 85.9% coverage LCS-I-N2D UT NRI; 85.9% coverage LCS-1-N5 UT NRI; 86.3% coverage LCS-I-N6A UT NRI; 83.3% coverage LCS-I-N6B UT NRI; 83.3% coverage LCS-I-N6C UT NRI; 83.3% coverage LCS-I-N9A UT NRI; 91.8% coverage LCS-I-N9B UT NRI; 91.8% coverage LCS-1-N10 UT NRI; 88% coverage LCS-1-N16 UT NRI; 86.3% coverage 1-NIR-2C UT NRI 1-NIR-2D UT NRI I-NIR-5 UT NRI 1-NIR-6A UT NRI I-NIR-6B UT NRI 1-NIR-6C UT NRI 1-NIR-9A UT NRI 1-NIR-9B UT NRI 1-NIR-10 UT NRI 1-NIR-16 UT NRI ASME CATEGORY B-G-1 32% COMPLETE ITEM # ITEM DESCRIPTION EXAM TYPE RESULT
- 1. 1-RR-PU1B BOLTING UT NRI
- 2. 1-RR-PUIB FLANGE VT-I RI; Evaluated as acceptable; fabrication mark
- 3. 1-RR-PU 1 B NUTS VT- I NRI
- 4. I-RR-PU1B FLANGE HOLES VT-I RI; Evaluated as acceptable; tooling marks ASME CATEGORY B-G-2 ITEM # ITEM DESCRIPTION EXAM TYPE RESULT MS-1003B-25 VT-I NRI MS-1004B-16 VT-I NRI RT-1001 B-18A VT-1 NRI RT- I OO I B-18B VT- I NRI GEL-1009-G VT- I NRI GEL-1009-H VT-1 NRI GEL-1009-J VT-1 NRI I B21-F032A VT-1 NRI
TABLE A (CONT'D.)
ASME CATEGORY B-L-2 ITEM # ITEM DESCRIPTION EXAM TYPE RESULT
- 1. 1B21-F032A VT-3 NRI
- 1. HP-1001-29 UT NRI
- 2. HP-1001-33 UT NRI
- 3. MS-1055-06 UT NRI
- 4. RH- 1004-26 UT NRI
- 5. GEL-1095-N7 UT NRI
TABLE B AUGMENTED ISI INSPECTIONS AISI CATEGORY BWRVIP-75 IGSCC ITEM # ITEM DESCRIPTION EXAM TYPE RESULT
- 1. RR-1001-22 UT NRI
- 2. RR-1001-26 UT NRI
- 3. RR-1005-26 UT NRI
- 4. HP-1001-42A UT NRI; 82.5% coverage
- 5. HP-1001-42B UT NRI; 89.6% coverage
- 6. LP-1001-33A UT RI; 77% coverage PSI laminar indication evaluated as acceptable
- 7. LP-1001-33B UT NRI; 81 % coverage
- 8. RH-1002-39A UT NRI; 75.8% coverage
- 9. RH-1002-39B UT NRI
- 10. RH-1003-35A UT NRI; 84% coverage
- 11. RH-1003-35B UT NRI
- 12. RH-1004-35A UT NRI
- 13. RH-1004-35B UT NRI
- 14. 1-CRD-CAP UT NRI
- 15. 1-JPI-A-1 UT NRI
- 16. 1-JPI-B-1 UT NRI
- 17. GEL-1095-N7 UT NRI
- 18. GEL-1094-N8 UT NRI
- 19. GEL-1095-N18 UT RI; Evaluated as acceptable; fabrication flaw
- 1. STEAM DRYER VT-1 SEE REPORT PAGE 3, BWRVIP-139
- 2. STEAM SEPARATOR VT-1 SEE REPORT PAGE 5
- 3. CORE SPRAY PIPING EVT-1 NRI, BWRVIP-18
- 4. CORE SPRAY SPARGERS EVT-1 NRI, BWRVIP-18
- 5. CORE SPRAY PIPING AND SPARGER BRACKETS EVT-1/VT-1 RI, SEE REPORT PAGE 6 ,BWRVIP-18
- 6. JET PUMP ASSY. EVT- 1, VT-1 & VT-3 SEE REPORT PAGE 5, BWRVIP-41
- 8. TOP GUIDE GRID BEAMS EVT-1 NRI, BWRVIP-183
- 9. SURVEILLANCE CAPSULE SAMPLE BRACKETS VT-I/VT-3 NRI, BWRVIP-48 DRYER SUPPORT LUG EVT-1 WEAR, SEE REPORT PAGE 6, BWRVIP-48 FEEDWATER SPARGER EVT-1 WEAR, SEE REPORT PAGE 6 BRACKETS
- 13. SHROUD SUPPORT PLATE EVT-1 NRI; BWRVIP-38 TO SHROUD WELD LPCI COUPLING EVT-1 NRI; BWRVIP-42 SURVEILLANCE CAPSULE N/A REMOVED PER BWRVIP-86 AT 120 DEGREES AISI CATEGORY MISC.
ITEM # ITEM DESCRIPTION EXAM TYPE RESULT
- 2. 1-WASHER-1-68 VT-1 NRI
TABLE C ASME CODE SECTION XI COMPONENT & SUPPORT EXAMINATIONS CATEGORY F-A 26% COMPLETE ASME CLASS 1 ITEM # ITEM DESCRIPTION EXAM TYPE RESULTS
- 1. FW02-1146S FT PASS
- 2. FW02-1174S FT PASS
- 3. FW02-1180X VT-3 NRI
- 4. FW02-1182X VT-3 NRI
- 5. MSO0-1011 S FT PASS
- 6. MS00-1014S FT PASS
- 7. MS00-1027V VT-3 NRI
- 8. MS00-1031 S FT PASS
- 9. MS00-1054S FT PASS
- 10. MS 14-1039S FT PASS
- 11. RH03-1516S FT PASS
- 12. RH04-1506S FT PASS
- 13. RR00-1004S FT PASS
- 14. RR00-1012S VT-3/FT NRUPASS
- 15. RR00-1043S FT PASS
- 16. RR00-1044S FT PASS
- 17. RR00-1045 S FT PASS ASME CLASS 2 ITEM# ITEM DESCRIPTION EXAM TYPE RESULTS
- 1. FW02-1141 X VT-3 NRI
- 2. HP02-1012S FT PASS
- 3. HP02-1520S FT PASS
- 4. RH03-103 8S FT PASS
- 5. RH03-1528S FT PASS
- 6. RH03-1537S FT PASS
- 7. RH 14-1016S FT PASS
- 8. RH 18-1007S FT PASS
- 9. RH87-H04S FT PASS
- 10. RI01-1088S FT PASS
TABLE D ASME CODE SECTION XI PRESSURE TESTING ITEM # ITEM DESCRIPTION EXAM TYPE RESULT
- 1. 1-CM-03 VT-2 NRI
- 2. 1-CM-05 VT-2 NRI
- 3. 1-CM-15 VT-2 NRI
- 4. 1-CM-16 VT-2 NRI
- 5. 1-CM-17 VT-2 NRI
- 6. 1-ES-01 VT-2 NRI
- 7. 1-FW-O 1 VT-2 NRI
- 8. 1-HG-01 VT-2 NRI
- 9. 1-HG-02 VT-2 NRI
- 10. 1-HG-04 VT-2 NRI
- 11. 1-HG-05 VT-2 NRI
- 12. 1-HP-01 VT-2 NRI
- 13. 1-IN-02 VT-2 NRI
- 14. 1-IN-03 VT-2 NRI
- 15. 1-IN-04 VT-2 NRI
- 16. 1-IN-05 VT-2 NRI
- 17. 1-IN-06 VT-2 NRI
- 18. 1-IN-07 VT-2 NRI
- 19. 1-IN-08 VT-2 NRI
- 20. 1-IN-16 VT-2 NRI
- 21. 1-IN-17 VT-2 NRI
- 22. 1-MS-01 VT-2 NRI
- 23. 1-NB-02 VT-2 NRI
- 24. 1-NB-03 VT-2 NRI
- 25. 1-NB-04 VT-2 NRI
- 26. 1-NB-05 VT-2 NRI
- 27. 1-RCPB VT-2 NRI
- 28. 1-RD-01 VT-2 NRI
- 29. 1-RE-01 VT-2 NRI
- 30. 1-RF-01 VT-2 NRI
- 31. 1-RH-01 Extended Boundary VT-2 NRI
- 32. 1 -RH-02 VT-2 NRI
- 33. 1-RH-03 Extended Boundary VT-2 NRI
- 34. 1-RH-07 VT-2 NRI
- 35. 1-RH-08 VT-2 NRI
- 36. 1-VG-01 VT-2 NRI
- 37. 1-VP-O1 VT-2 NRI
- 38. 1-VP-02 VT-2 NRI
TABLE E REPAIR/REPLACEMENT ACTIVITIES CLASS-1 WORK PACKAGE # DESCRIPTION 1046051
- 1. Replace MS SRV "H"
- 2. 1046054 Replace MS SRV "C"
- 3. 1107888 Replace Snubber MS00-10315
- 4. 1107889 Replace Snubber MS00-10145
- 5. 1107890 Replace Snubber RR00-10045
- 6. 1107891 Replace Snubber RR00-10435
- 7. 1107892 Replace Snubber RR00-10445
- 8. 1107893 Replace Snubber RR00-10455
- 9. 1115079 Replace Explosive Valve after Firing
- 10. 1117829 Replace Studs & Nuts on Piping Flange
- 11. 1174664 Replace Control Rod Drive & Cap Screws
- 12. 1197369 Replace MS SRV "L"
- 13. 1210264 Replace Flow Venturi 1G33-N504
- 14. 1217634 Replace Snubber RH04-15065
- 15. 1217636 Replace Snubber RR00-10125
- 16. 1221291 Replace Control Rod Drive & Cap Screws
- 17. 1221292 Replace Control Rod Drive & Cap Screws
- 18. 1221293 Replace Control Rod Drive & Cap Screws
- 19. 1221295 Replace Control Rod Drive & Cap Screws
- 20. 1221296 Replace Control Rod Drive & Cap Screws
- 21. 1221298 Replace Control Rod Drive & Cap Screws
- 22. 1221299 Replace Control Rod Drive & Cap Screws
- 23. 1221300 Replace Control Rod Drive & Cap Screws
- 24. 1221715 Replace Studs & Nuts on Piping Flange
- 26. 1246681 Replace Control Rod Drive & Cap Screws
- 27. 1253372 Replace RR Pump Stuffing Box
- 28. 1275548 Install Strain Gauges by Welding
- 29. 1309789 Repair FW Check Valve Disc
- 30. 735116 Replace Control Rod Drive & Cap Screws
- 31. 741318 Replace Control Rod Drive & Cap Screws
- 32. 741331 Replace Control Rod Drive & Cap Screws
- 33. 967391 Replace Control Rod Drive & Cap Screws
- 34. 967397 Replace Control Rod Drive & Cap Screws
- 35. 967889 Replace Control Rod Drive & Cap Screws
- 36. 967892 Replace Control Rod Drive & Cap Screws
- 37. 967897 Replace Control Rod Drive & Cap Screws
- 38. 967900 Replace Control Rod Drive & Cap Screws
- 39. 967903 Replace Control Rod Drive & Cap Screws CLASS-2 WORK PACKAGE # DESCRIPTION
- 1. 1115392 Replace Check Valve Disc
- 2. 1115395 Replace Check Valve Disc
- 3. 1115396 Replace Check Valve Disc
- 4. 1150807 Repair Valve
- 5. 935509 Replace Rupture Disc
- 6. 935510 Replace Rupture Disc
ATTACHMENT 3 ABBREVIATIONS
ATTACHMENT 3 ABBREVIATIONS AD ADDENDA ANII AUTHORIZED NUCLEAR INSERVICE INSPECTOR AISI AUGMENTED INSERVICE INSPECTIONS ASSY ASSEMBLY ATT ATTACHMENT ASME AMERICAN SOCIETY OF MECHANICAL ENGINEERS AUTO UT AUTOMATED ULTRASONIC TEST BOM BILL OF MATERIAL BWR BOILING WATER REACTOR BWROG BOILING WATER REACTOR OWNER'S GROUP BWRVIP BOILING WATER REACTOR VESSEL AND INTERNALS PROJECT CHRON TRACKING SYSTEM FOR ENGINEERING EVALUATIONS CID CATALOG IDENTIFICATION CM CONTAINMENT MONITERING CISI CONTAINMENT INSERVICE INSPECTION CR COMPONENT RELIEF REQUEST CRD CONTROL ROD DRIVE EC ENGINEERING CHANGE ED EDITION EGC EXELON GENERATION COMPANY ES EXTRACTION STEAM EVT ENHANCED VISUAL TEST FC FUEL POOL COOLING FT FUNCTIONAL TEST FW FEEDWATER GENE GENERAL ELECTRIC NUCLEAR ENERGY HG CONTAINMENT COMBUSTIBLE GAS CONTROL HP HIGH PRESSURE CORE SPRAY HSB-CT HARTFORD STEAM BOILER INSPECTION & INSURANCE CO. OF CONNECTICUT
ATTACHMENT 3 (CONT'D.)
ABBREVIATIONS HT# HEAT #
ID/OD INSIDE DIAMETER/OUTSIDE DIAMETER IGSCC INTERGRANULAR STRESS CORROSION CRACKING IL ILLINOIS IN INSTRUMENT NITROGEN IR ISSUE REPORT IRM INTERMEDIATE RANGE MONITOR ISI INSERVICE INSPECTION L2R07 LASALLE TWO REFUEL OUTAGE SEVEN L2R10 LASALLE TWO REFUEL OUTAGE TEN L2RII LASALLE TWO REFUEL OUTAGE ELEVEN LLC LIMITED LIABILITY COMPANY LPRM LOCAL POWER RANGE MONITOR LP LOW PRESSURE CORE SPRAY MIL MILLIMETER MC CLEAN CONDENSATE STORAGE MS MAIN STEAM MSIV MAIN STEAM ISOLATION VALVE MT MAGNETIC PARTICLE TEST MWt MEGAWATT THERMAL N/A NOT APPLICABLE NB NUCLEAR BOILER NDE NON-DESTRUCTIVE EVALUATION NDES NONDESTRUCTIVE EXAMINATION SERVICES NDIT NUCLEAR DESIGN INFORMATION TRANSMITTAL NIR NOZZLE INNER RADIUS NR NUCLEAR INSTRUMENTATION NRC NUCLEAR REGULATORY COMMISSION NRI NON-RECORDABLE/NON-RELEVANT INDICATION
ATTACHMENT 3 (CONT'D.)
ABBREVIATIONS PA PENNSYLVANIA PC PRIMARY CONTAINMENT PCE PART CLASSIFICATION EVALUATION PDI PERFORMANCE DEMONSTRATION INITIATIVE PG PAGE PO PURCHASE ORDER PR PRESSURE TESTING RELIEF REQUEST PSI PRESERVICE INSPECTION PSIG POUNDS PER SQUARE INCH GAGE PT LIQUID PENETRANT TEST PTE PART TECHNICAL EVALUATION PWHT POST WELD HEAT TREATMENT QRI QUALITY RECEIPT INSPECTION RC-PB REACTOR COOLANT PRESSURE BOUNDARY RD ROD DRIVE RE REACTOR BUILDING EQUIPMENT DRAINS RF REACTOR BUILDING FLOOR DRAINS RH RESIDUAL HEAT REMOVAL RI REACTOR CORE ISOLATION COOLING RIN RECEIPT INSPECTION #
RPV REACTOR PRESSURE VESSEL RR REACTOR RECIRCULATION RT REACTOR WATER CLEAN UP SA SERVICE AIR SAR SAFETY ANALYSIS REPORT SC STANDBY LIQUID CONTROL SDC SHUTDOWN COOLING SEAG SITE ENGINEERING ADMIN GROUP SIL SERVICES INFORMATION LETTER
ATTACHMENT 3 (CONT'D.)
ABBREVIATIONS SRM SOURCE RANGE MONITOR SRV SAFETY RELIEF VALVE STM STEAM UT ULTRASONIC TEST VG STANDBY GAS TREATMENT VLV VALVE VP PRIMARY CONTAINMENT CHILLED WATER VQ PRIMARY CONTAINMENT VENT AND PURGE VT VISUAL TEST WO WORK ORDER WR REACTOR BUILDING CLOSED COOLING WATER
ATTACHMENT 1 NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTION
FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules
- 1. Owner Exelon Generation Company (EGC), LLC, 200 Exelon Way, Kennett Square, PA 19348 (Name and Address of Owner)
- 2. Plant LaSalle County Station, 2601 North 21st Road Marseilles, IL 61341-9757 (Name and Address of Owner)
- 3. Plant Unit One 4. Owner Certificate of Authorization (if required) N/A
- 5. Commercial Service Date 01/01/84 6. National Board # for Unit 21086
- 7. Components Inspected Component or Manufacturer Manufacturer State or National Appurtenance Or Installer or Installer Province No. Board No.
Serial No.
Reactor Pressure Combustion 1 B 13-D003 B-24318 21086 Vessel Engineering Reactor Recirculation General Electric N/A N/A N/A Company Nuclear Boiler & CM B.F. Shaw N/A N/A N/A Systems Residual Heat B.F. Shaw N/A N/A N/A Removal Feedwater & HG B.F. Shaw N/A N/A N/A Systems High Pressure Core B.F. Shaw N/A N/A N/A Spray Low Pressure Core B.F. Shaw N/A N/A N/A Spray Main Steam & GE/B.F. Shaw N/A N/A N/A Extraction Steam RI & RT Systems B.F. Shaw N/A N/A N/A Control Rod Drive & B.F. Shaw N/A N/A N/A IN Systems RE & RF Systems B.F. Shaw N/A N/A N/A Fuel Pool Cooling & B.F. Shaw N/A N/A N/A VP Systems Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8'h in. x 11 in., (2) information in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
FORM NIS-1 (Back)
- 8. Examination Dates: 02/08/10 to 03/06/10
- 9. Inspection Period Identification : 1st Period - From 10/01/07 to 09/30/20 10
- 10. Inspection Interval Identification : 3d Interval - From 10/01/07 to 09/30/2017
- 11. Applicable Edition of Section XI 2001 Addenda 2003
- 12. Date/Revision of Inspection Plan: 04/01/2007 Rev.0
- 13. Abstract of Examination and Tests. Include a list of examinations and tests and a statement concerning status of work required for the Inspection Plan. See Summary Report for item 13.
- 14. Abstract of Results of Examinations and Tests. See Summary Report for item 14.
- 15. Abstract of Corrective Measures. See Summary Report for item 15.
We certify that a) the statement made in this report are correct, b) the examinations and tests meet Inspection Plan as required by the ASME Code,Section XI, and c) corrective measures taken conform to the ASME Code,Section XI.
Certificate of Authorization No. (if applicable) N/A Expiration Date N/A Date jy,^f m2, 2010 Signed Exelon Generation Company, LLC By Owner CERTIFICATE OF INSERVICE INSPECTION I, the under signed, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois And employed by HSB-CT of Hartford, Connecticut Have inspected the components described in the Owner's Report during the period 02/08/2010 To 03/06/2010 , and state that to the best of my knowledge and belief, the Owner has performed examinations and tests and taken corrective measures described in this Owner's Report in accordance with the Inspection Plan and as required by the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations, tests, and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Commissions IL 2144 Inspeci'r's Signature National Board, State, Province, and Endorsements
ATTACHMENT 2 NIS-2 OWNERS REPORT OF REPAIR OR REPLACEMENT
FORM NIS-2 OWNER'S REPORT FOR REPAIR /REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 05/17/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21" Rd. Marseilles, II. 61341 W.O. # 1046051 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp WA (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (MS)) Main Steam
- 5. (a) Applicable Construction Code Sect III 19 74 Edition No Addenda, Code Cases None (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed., 2003 Ad.
(c) Applicable Section XI Code Case( s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed (Yes or No)
Helicoil *
- N/A Outlet Hole #9, SRV
- Removed N/A N63790-05-0079 Helicoil Consolidated Ht. 52469 N/A Outlet Hole #9, SRV 2000 Installed N/A Power Supply N63790-05-0079
- 7. Description of Work CL 1 Repair. * = Per N-5 Code Data Report on file at LaSalle County Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic 11 Normal Operating Pressure I X I Exempt 1_1 Other I_I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks :
(Applicable Manufacturer's Data Report to be Attached )
Replaced Helicoil in outlet hole #9 of SRV S/N N63790-05-0079 per P.O. 443388 CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his e l'oyer shall be liable in any manner for any personal injury or property damage or a loss of any kind 4ri^ing o c4r connected with this inspection.
%1./ Commissions IL 2144 nspec#or's Signature National Board, State, Province, and Endorsements Date __ f l z 9 L it) 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI Owner Exelon Generation Company (EGC) LLC Date 05/17/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 215` Rd. Marseilles, II. 61341 W.O. # 1046054 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (MS)) Main Steam
- 5. (a) Applicable Construction Code Sect III 19 74 Edition No Addenda, Code Cases None (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed., 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed Yes or No 1 B21-F013C Inlet Morrison N/A 1 MSO4AC-8" Corrected N/A Piping Flange
- 7. Description of Work CL 1 Repair. * = Per N-5 Code Data Report on fil e at LaSalle County Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure I X I Exempt I_I Other 1I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks :
(Applicable Manufacturer's Data Report to be Attached )
Removed indication by mechanical methods as provided by EC378874.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed Date May 17 , 2010 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1 R12 to L1 R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arisiJ y fropl'or,c4nnected with this inspection.
Commissions IL 2144
^! Inspector's Signature National Board, State, Province, and Endorsements Date ( . 2 1 . l 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section X1
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/15/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21st Rd. Marseilles, II. 61341 W.O. # 1107888 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (MS) MainSteam
- 5. (a) Applicable Construction Code ANSI B31.7 19 69 Edition No Addenda, Code Cases (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. No. Bd. Identification Built Removed, or Stamped No. Installed (Yes or No)
Hydraulic Lisega 61232/03 N/A MS00-1031S
- 7. Description of Work Cl ass 1 Replacement. * = Per Original Specification J-2530 on file at LaSa lle County Stati on
- 8. Tests Conducted: Hydrostatic I I Pneumatic II Normal Operating Pressure I I Exempt I_I Otherl FT Pressure _psig Test Temp. _Deg. F
- 9. Remarks Replaced Hydraulic Snubber. FT = Functional Test.
(Applicable Manufacturer's Data Report to be Attached )
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No.
Expiration Date N/A N/A Signed ISI Coordinator Date May 17 , 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor hi em ployer shall be liable in any manner for any personal injury or property damage or a loss of any kind 4'i(;ing +rr^or ,connected with this inspection.
Commissions IL 2144 National Board, State, Province, and Endorsements Date t . tC) 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/13/10 (Name) 200 Exelon Way, Kenneth Square, PA.. 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 218` Rd. Marseilles, II. 61341 W.O. # 1107889 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (MS) MainSteam
- 5. (a) Applicable Construction Code ANSI B31.7 19 69 Edition No Addenda, Code Cases (b) Applicable Edition of Section XI Used for Repair/ Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case( s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. No. Bd. Identification Built Removed, or Stamped No. Installed ( Yes or No)
Hydraulic Lisega 61232/02 N/A MS00-1014S Removed N/A Snubber Hydraulic Lisega 61232/08 N/A MS00-1014S 2009 Installed N/A Snubber
- 7. Description of Work Class 1 Replacement. * = Per Original Specification J-2530 on file at LaSalle County Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure 1 1 Exempt I_I Other I FT Pressure _psig Test Temp. _Deg. F
- 9. Remarks Replaced Hydraulic Snubber. FT= Functional Test.
(Applicable Manufacturer's Data Report to be Attached )
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed ISI Coordinator Date May 17 . 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1 R12 to L1 R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector npr his emp yer shall be liable in any manner for any personal injury or property damage or a loss of any kind ariig^g frcn or gognected with this inspection.
Commissions IL 2144 nspec't6rl Signature National Board, State, Province, and Endorsements Date (I (0 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/22/10 (Name) 200 Exelon Way, Kenneth Square, PA.. 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21st Rd. Marseilles, II. 61341 W.O. # 1107890 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RR) Reactor Recirculation
- 5. (a) Applicable Construction Code ANSI 831 .7 19 69 Edition No Addenda, Code Cases (b) Applicable Edition of Section XI Used for Repair /Replacement Activity-2001 Ed..
2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. No. Bd. Identification Built Removed, or Stamped No. Installed Yes or No Hydraulic Lisega 61223 /04 N/A RR00-1004S Removed N/A Snubber Hydraulic Lisega 61223 /13 N/A RROO-1004S 2009 Installed N/A Snubber
- 7. Description of Work Cl ass 1 Replace ment. Per Original Specification J-2530 on file at LaSa lle County Stati
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure I I Exempt I1 Otherl FT Pressure _psig Test Temp. _Deg. F
- 9. Remarks Replaced Hydraulic Snubber. FT= Functional Test.
(Applicable Manufacturer's Data Report to be Attached )
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requiremen ts of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed ISI Coordinator Date May 17 , 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
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 requireme nts of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his emplp er shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from id c n}ie^ted with this inspection.
Commissions IL 2144 ignature National Board, State, Province, and Endorsements Date L3-
- tZl tO 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/22/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21" Rd. Marseilles, 11 61341 W.O. # 1107891 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RR) Reactor Recirculation
- 5. (a) Applicable Construction Code ANSI 831.7 19 69 Edition No Addenda, Code Cases (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed., 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. No. Bd. Identification Built Removed, or Stamped No. Installed Yes or No Hydraulic Lisega 61223/08 N/A RR00-1043S Removed N/A Snubber Hydraulic Lisega 61223/30 N/A RROO-1043S 2009 Installed N/A Snubber
- 7. Description of Work Cl ass 1 Replace ment. Per Original Specification J-2 530 on file at LaSa lle County Stati
- 8. Tests Conducted: Hydrostatic I I Pneumatic 1_I Normal Operating Pressure I I Exempt I_I Otherl FT Pressure _psig Test Temp. _Deg. F
- 9. Remarks Replaced Hydraulic Snubber. FT = Functional Test.
(Applicable Manufacturer 's Data Report to be Attached )
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed <^^ 0:1. ISI Coordinator Date May 17 , 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arisipg.frgri o connected with this inspection.
Commissions IL 2144 Signature National Board, State, Province, and Endorsements Date .( .) C3 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR /REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/22/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21" Rd. Marseilles II. 61341 W.O. It 1107892 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RR) Reactor Recirculation
- 5. (a) Applicable Construction Code ANSI 631.7 19 69 Edition No Addenda, Code (b) Applicable Edition of Section XI Used for Repair /Replacement Activity-2001 Ed..Cases (c) Applicable Section XI Code Case(s) None 2003 Ad.
- 6. Identification of Com ponents Name of Name of Mfrs. Nat'l Other Year Component Corrected ASME Code Mfr. Ser. No. Bd. Identification Built Removed, or Stamped No. Installed (Yes or No)
Hydraulic Lisega 61223/09 N/A RR00-1044S Snubber Removed N/A Hydraulic Lisega 61223/24 N/A RR00-1044S Snubber 2009 Installed N/A
- 7. Description of Work Class 1 Replacement. * = Per Original Specification J-2530 on
- 8. Tests Conducted: Hydrostatic 1 I Pneumatic I_i Normal Operating Pressure file at LaSalle County Station I I Exempt I_I Other I FT Pressure _,psig Test Temp. _Deg. F
- 9. Remarks Replaced Hydraulic Snubber. FT = Functional Test.
(Applicable Manufacturer's Data Report to be Attached )
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed ^. Gw ISI Coordinator Date May 17 . 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board Inspectors and the State or Province of Illinois and employed by The Hartford of Boiler and Pressure Vessel Connecticut have inspected the components described in this Owner's Report Steam Boiler Insp. & Ins. Co. of during the period L1R12 to L1R13 and state that to the best of my knowledge and belief, the Owner has performe ,
d examinations and taken corrective measures described in this Owner's Report in accordance with the requirem By signing this certificate neither the Inspector nor his employer makes anyents of the ASME Code, Section Xi.
concerning the examinations and corrective measures described in this Owner's warranty , expressed or implied, Inspector nor:his employer shall be liable in any manner for any personal injury Report. Furthermore, neither the or property damage or a loss of any kind arilirg frp or connected with this inspection.
Commissions IL 2144 Inspector's Signature National Board, State, Province, and Endorsements Date (I P). 1 U 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/24/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 218` Rd. Marseilles, II. 61341 W.O. # 1107893 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RR) Reactor Recirculation
- 5. (a) Applicable Construction Code ANSI B31.7 19 69 Edition No Addenda, Code Cases (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. No. Bd. Identification Built Removed, or Stamped No. Installed (Yes or No)
Hydraulic Lisega 61223/10 N/A RR00-1045S Removed N/A Snubber Hydraulic Lisega 61223/15 N/A RR00-1045S 2009 Installed N/A Snubber
- 7. Description of Work Class 1 Replacement. * = Per Original Specification J-2530 on file at LaSalle County Station
- 8. Tests Conducted: Hydrostatic 1 I Pneumatic 1_I Normal Operating Pressure I 1 Exempt I_I Other I FT Pressure _psig Test Temp. _Deg. F
- 9. Remarks Replaced Hydraulic Snubber. FT = Functional Test.
(Applicable Manufacturer's Data Report to be Attached )
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed !!:- ^`v-'L-^^ ISI Coordinator Date May 17 2010 Owner or Owner' s Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1 R12 to L1 R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his, employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising/fro or connected with this inspection.
Commissions IL 2144 is Signature National Board, State, Province, and Endorsements 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR /REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/21/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21st Rd. Marseilles, II. 61341 W.O. # 1115079 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (SC) Standby Liquid Control
- 5. (a) Applicable Construction Code -Sect III 19 77 Edition S77 Addenda, Code Cases None (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Comp ents Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed Yes or No Inlet Fitting ISTConax 7124 N/A 1C41+00413
- Removed N/A Nuclear Inlet Fitting IST Conax 7782 N/A 1C41-F004B 2009 Installed N/A Nuclear **
Trigger Body 1ST Conax 7126 N/A 1C41-F004B
- Removed N/A Assembl y Nuclear Trigger Body ISTConax 7780 N/A 1C41-F004B 2009 Installed N/A Assembl Nuclear **
- 7. Description of Work Cl ass 1 Replacement. * = Per N-5 Code Data Report on file at LaSalle County Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic II Normal Operating Pressure I X 1 Exempt I_I Other 11 Pressure 1064 & 1220_psig Test Temp. Ambient Deg. F
- 9. Remarks Replaced explosive valve after firing for testing. Replacements reconciled per Evals. L-1996-26-0 and (Applicable Manufacturer's Data Report to be Attached )
M-1995-312-1 on file at LaSalle Station. ** = Replacement Code of Construction is ASME Section 111, 1977 Ed. S77 Addenda.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No.
Expiration Date N/A N/A Signed ISI Coordinator Date May 19 . 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind ari^ptg fti l 4^ connected with this inspection.
Commissions IL 2144 pedfo s Signature National Board, State, Province, and Endorsements Date %). 1. ( 2010
FORM N-2 CE RTIFICATE DATA REPORT IDENTICAL 1 A 0 ry 6 006 NUCLEAR PARTS AND*AP URTENANCESR As Required by the Provisions of the ASME Code, SecT64 "
Not to Exceed One. Day`s Production Pg. 1 of
- 1. Manufactured and certified by 1ST Conax Ntaclear. Inc. 402 SonwU Drive, Cheektowaga, NY 14226 (name and address of NPT Certificate Holder)
- 2. Manufactured for Exelon Business Services (norms and address of Purchased
- 3. Location of installation LaSalle Nuclear Plant (name and address)
- 4. Type: N38017 Rev. F SAt7913043ST 16 KSI WA WA' 2008 (drawing no.) (m-ti spec. no.) (tensile steno) (CRN) (year built)
- 5. ASME Code, Section IIi, Division 1: 77. Summer 77 1 WA (edition) (addenda date) (class) (Code Case no.)
- 6. Fabricated in accordance with Const. Spec. (Div. 2 only) Revision (no)
- 7. Remarks: Inlet Fitting for explosive actuated valve replaicerrIent kit for standby Uquld Control System Pressure Test at 2800 pal for 10 minutes
- 8. Nom. thickness (in.) .040' Min. design thick ess (In.) .031" Die. ID (ft & in.) .815" Length overall (0 5 In.) 2.245"
- 9. When applicable, Certificate Holders' Data Reports we attached for each Item of this repot:
National Natonai Part or Appurtenance Part or Appurtenance Board No. Board No.
Serial Number Serial Number In Numerical Order In Numerical Order 7781 (2) 7782 (27)
(3) (28)
(4) (29)
(5) (30)
(6) (31)
(7) (32)
(34)
(35)
(12)
(13) (38)
(14)
(15) (40)
(16) (41)
(17) (42).
(43),
(44).
(20) (45)
(46)
(47)
(23) ,
(24) (49)
(25) (50)
- 10. Design pressure 1500 psL Tarp. 160 'F. Hydro. test pressure ' See Remarks at temp. IF W- applicable)
'Supplemental Information In the form of flats, sketches, or drawings may be used provided (1) size Is 6% x 11, (2) ht motion in Items 2 and 3 an this Date Report Is included on each sheet, (3) each sheet Is numbered and the number of sheets Is recorded at the top of this form.
007 387 6 FORM N-2 (Back - Pg. 2 of Certificate Holder's Serial Nos. 7781 through 7782 CERTIFICATION OF DESIGN Design specifications certified by George 1. Skoda P.E. State CA Reg. no. 16847 (wt- applkande)
Design report' certified by Michael A. Francioll P.E. State NY Reg. no. 078460-1 (when applicame)
CERTIFICATE OF COMPUANCE We certify that the statements made in this report are coned and that this (these) Inlet Fitting conforms to the rules of construction of the ASME Code,Section III, Division 1.
NPT Certificate of Authorization No. N-1850 Expires September 3, 2010 Date Name IST-Canax Nuclear (NPT Certificate Holden (authorized mVesant5lim)
CERTIFICATE OF INSPECTION I, the undersigned. holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of New York and employed by "SO CT of Hartford. CT have Inspected these Items described In this Data Report on It, F a y3 . Z pang , and state that to the best of my knowledge and belief, the Certificate Holder has fabricated these parts or appurtenances In accordance with the ASME Code,Section III, Division 1. Each part listed has been aut ortzed for stamping on the date shown above.
By signing this certificate, neither the Inspector nor his employer makes any warranty, used or implied, concerning the equipment described in this Data Report. Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personal Injury or property damage or loss of any kind arising from or connected with this Inspection.
Date O.2.- 1 `o-b.9 Commissbna NO 10884AN NY 6057 (Autluxfzed Inspeciw) (Nast Ed. (Ind. endorsements) and state or prvv. and no.)
FORM N-2 CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAL 0 04 NUCLEAR PARTS AND APPURTENANCES* 1 4$8 7 6 As Required by the Provisions of the ASME Code, Sectional -
Not to Exceed One Day's Production Pg.1 of
- 1. Manufactured and certified by 1ST Conax Nuclear, Inc. 402 Sonwtl Drive, Cheektowaga, HY 14225 (name and address of NFr cute Holler)
- 2. Manufactured for Exelon Business service (name and address of Purchaser)
- 3. Location of Installation LaSalle Generating Station, Marseilles, IL 61341 (rwme and address)
- 4. Type: N20000, Rev. G SAM781304ssT 75 K$I WA WA 2009 (drawing no.) (matt spec: na) (tnnsiia rtfeng h) (CRM (year butt)
- 5. ASME* Code,Section III, Division 1: 77 Sultrier 77 1 NIA (editor) (addenda date) (rites) (Code Case na)
- 6. Fabricated In accordance with Const. Spec. (Dlv. 2 only) Revision (no.)
- 7. Remarks: Trigger Body Subasson Iy for explosive actuated valve replacement kit for Standby Liquid Control System Para. NB-2121 (b) Is applicable to ram. Press fIUseal on .329 & A375 d nmters. Overall subassembly length is 2.6'.
Pressure Test at 2$00 psi for 10 minutes.
- 8. Nom. thickness (in.) See remarks Min. design thickness (in.) sea remarks Die. ID (ft & In.) See remarks Length overall (ft & In.) See remarks
- 9. When applicable, Certificate Holders' Data Reports are attached for each Item of this report National National Part or Part or Appurtenance Appurtenance Board No. Board No.
Serial Nurnber Serial Number In Numerical Order . In Numerical Order 7779 (1) 7779
.. 7780..,. (2) 7780 (3) (28)
(4) (29),
(5) (30)
(6)
(32),
(8) (33).
(9)
(10)
(11)
(12) (m, (13) (38),
(14)
(is) (40)
(16) (41),
(17) (42),
(18) (43) ,
(19) (44)
(20) (45)
(21) (46)
(22) (47)
(23) (48),
(24) (49).
(25) (50)
- 10. Design pressure 1600 psi. Temp. 150 OF. Hydro. test pressure 'See Remarks at temp. ° F (when appfesbta)
'Supplemental Information In the farm of psi, sketches, or drawi ngs may be used provided (1) size Is 814 x 11, (2) kdormarion In items 2 and 3 on this Data Report is included on each sheet, (3) each sheet Is numbered and the number of sheet is recorded at the top of this form.
FORM N-2 (Back - Pg. 2 of )-
143876 005 Certificate Holder's Serial Nos. 7779 through 7780 CERTIFICATION OF DESIGN Design specifications certified by Beane L Skoda P.E. State CA Reg. no. 16847 (when apd c foie)
Design report' certified by Michael A. Francloll P.E. State NY Reg. no. 078460-1
- - a?P )
CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and that this (these) ..... rigger Body Subassembly conforms to the rules of construction of the ASME Code,Section III, Division 1.
NPT Certificate of Authorization No. N-1860 Expires September 3,2010 Date vh- X.O ot7Name tST-Conarc Nuclearr Signed (NFr Cmliflcats Holder) (outhmtzed n )
CERTIFICATE OF INSPECTION
- 1. the undersigned, holding a valid commission Issued by the National Board of Boller and Pressure Vessel Inspectors and the State or Province of New York and employed by HSB CT of Hartford, CT have Inspected these Erna described In Chia Data Report on /G je Cr s4 . 2 o y 9 , and state that to the best of my knowledge and belief, the Certificate Holder has fabricated these'parts or appurt enances in accordance with the ASME Code,Section III, Division 1. Each part listed has been authorized for stamping on the date shown above.
By signing this certificate, neither the Inspector nor his employer makes any warranty, erpressed or Implied, conce rning the equipment described In this Data Report Furthermore, neither the Inspector nor his employer shed be liable in any manner for any personal Injury or property damage or loss of any Idnd arising from or connected with this Inspection.
Date O?- 1e--+G
FORM NIS -2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 05/21/10 (Name) 200 Exelon Way, Kenneth Square, PA.. 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 215t Rd. Marseilles II. 61341 W.O. # 1117829 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RR) Reactor Recirc.
- 5. (a) Applicable Construction Code Sect III 19 74 Edition No Addenda, Code Cases None (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed., 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected Component ASME Code Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed Yes or No (16) Heavy Hex Morrison
- N/A 1 RR04AD-4"
- Removed Nuts No (16) Heavy Hex Nova Heat Code N/A 1 RR04AD-4" 2009 Installed Nuts No 2V36 (8) Threaded Morrison
- N/A 1RR04AD-4"
- Removed Rods No (8) Threaded Nova Trace N/A 1 RR04AD-4" 2007 Installed Rods No Code 1A54
- 7. Description of Work Cl ass 1 Replacement. * = Per N-5 Code Data Report on file at LaSalle Coun ty Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure I X I Exempt I_I Other 1I Pressure 1004 psig Test Temp. Ambient Deg. F
- 9. Remarks: Replaced studs and nuts on blind flange connection.
(Applicable Manufacturer's Data Report to be Attached )
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed ISI Engineer Date May 26 . 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. Vessel Connecticut have inspected the components described in this Owner's Report during the period & Ins. Co. of L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and measures described in this Owner's Report in accordance with the requirements of the ASME taken corrective Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed concerning the examinations and corrective measures described in this Owner's Report. Furthermo or implied, Inspector nor his employer shall be liable in any manner for any personal injury or property damagere, neither the any kind arisingfrp4n o f ^on^ or a loss of
' ted with this inspection.
Commissions IL 2144 Inspector's Signature National Board, State, Province, and Endorsements Date 3 ^1 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address Plant 2. LaSalle County Nuclear Station Unit 01 Name 2601 N. 21" Rd. Marseilles, II 61341 W.O. # 1174664 Address Repair Organization, P.O. No., Job No., etc.
3.
Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect III 19 71 Edition No Addenda, Code Cases 1361-1, & 1361-2 (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section X1 Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed (Yes or No)
CRD Assembl y G.E. 7704 N/A 34-31
- N/A 34-31
- Removed N/A Ca screws (8) CRD Nova Ht. Trace N/A 34-31 2009 Installed N/A Capscrews Code **
3C50
- 7. Description of Work Cl ass 1 Replace ment. * = Per N-5 Code Data Re port on file at LaSalle County Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic 1_I Normal Operating Pressure I X I Exempt 1_1 Other I_I Pressure 1042 prig Test Temp. 150 Deg. F
- 9. Remarks CRD SN# A8350 was refurbished with documentation provided under Quality Receipt # 150674 and (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN #7704 under work order # 1174664. ** = Replacement CRD Code of Construction is ASME Section III, 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88 -013 & PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section III, Class 1, 1986 Ed. No Ad. Reconciled to the original Code of Construction per PTE M91-007 -0320-01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE N/A Expiration Date N/A Date May 13 . 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his'em toyer shall be liable in any manner for any personal injury or property damage or a loss of any kindlappir nor, connected with this inspection.
Commissions IL 2144 Inspector' s Signature National Board, State, Province, and Endorsements Date
- t. I() 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 05/17/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21st Rd. Marseilles, 11. 61341 W.O. # 1197369 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (MS)) Main Steam
- 5. (a) Applicable Construction Code Sect III 19 71 Edition S72 Addenda, Code Cases None (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected, ASME Code Component Mfr. Ser. No. Bd. Identification Built Removed, or Stamped No. Installed Yes or No Tension Nuts 1- N/A *
- Removed N/A 3/8 In. 8 TPI (Qty.
2)
Tension Nuts 1- Argo Ht. N/A UTC# 2704117 2004 Installed N/A 3/8 In. 8 TPI (Qty. Turboserve 2616658
- 2) Corp.
- 7. Description of Work CL 1 Replaceme nt of Tension Nuts. * = Per N-5 Code Data Report on file at LaSalle Count Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_1 Normal Operating Pressure I X I Exempt I_I Other I_I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks :
(Applicable Manufacturer's Data Report to be Attached )
Replaced Tension Nuts (2) on SRV 1B21+0131-CERTIFICATION OF COMPLIANCE I certify that the statements made.in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins.
Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xi.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employe shall be liable in any manner for any personal injury or property damage or a loss of any kind arisyggfrgf i(or\cq nected with this inspection.
Commissions IL 2144 spector;# Signature National Board, State, Province, and Endorsements Date I() 2010
FORM NIS -2 OWNER'S REPORT FOR REPAIR /REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 05/20/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 215t Rd. Marseilles, ll. 61341 W.O. # 1210264 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RW) Reactor Water Cleanup
- 5. (a) Applicable Construction Code - Sect III 19 74 Edition No Addenda, Code Cases None (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section X1 Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed (Yes or No)
Flow Element 6" Morrison
- N/A 1 G33 -N504 Removed N/A Flow Element 6" Holtec 0979-10-1 N/A 1G33 - N504 2010 Installed N/A Rod Threaded Morrison
- N/A N/A
- Removed N/A 1-1/8-8 Rod Threaded Nova Machine N/A Cat. ID 37102 2010 Installed N/A 1-1/8-8 Products ** **
Heavy Hex Nut Morrison
- N/A N/A
- Removed N/A 1-1/8 Heavy Hex Nut Nova Machine Trace N/A UTC#2833158 2009 Installed N/A 1-1/8 Products Code 2V36
- 7. Description of Work Cl ass 1 Replace ment. * = Per N-5 Code Data Report on file at LaSalle Cou nty Station
- 8. Tests Conducted: Hydrostatic I i Pneumatic i_i Normal Operating Pressure I X 1 Exempt I_I Other 1_1 Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks **= Ht. Codes,1533, 3W31,3V30, EGV used, all with Cat. ID. 37102, Trace Code EGV only Yr. Built 1997, (Applicable Manufacturer's Data Report to be Attached )
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed ISI Engineer Date May 20 , 2010 Owner or Owngf $ Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his emRlo er shall be liable in any manner for any personal injury or property damage or a loss of any kind aris from or onnected with this inspection.
i ' u cA Commissions IL 2144 fispe tor; Signature National Board, State, Province, and Endorsements
FORM NPP-1 CERTIFICATE HOLDERS'DATA REPORT FOR FABRICATED NUCLEAR PIPING SUBASSEMBLIES As Required by the Provisions of the ASME Code,Section III, Division 1 Pg. I of2 ahricated and certified by: Holtec Manufacturing Division, Keystone Commons 200 Braddock Ave, Turtle Creek, PA 15145 (Name and address of NPT Certificate Holder)
- 2. Fabricated for. Exelon Generating Company LLC, LaSalle Warehouse, 2601 N 21' Rd. Marseilles, IL 61341-9757 (Name and address)
- 3. Location of installation Exelon Nuclear 4300 Winfield Road, Warrenville, IL 60555 (Name and addrm of Purchaser)
- 4. Type: 0979-10-1 D248037 Rev D 2010 C[LN drawing no. NarL Bd. No. Ycx Built Cot. I folder' serial no.
2001 l none
- 5. ASME Code Section III Division 1: 2003 (Code Case no.)
(edition) (addenda date) (class)
- 6. Shop hydrostatic test: 1825 psi at 70 'F (if performed)
- 7. Description of Piping: 6" (5.501) x 2.750 Universal Venturi Flow Element Operating Pressure - 1250 psi Operating Temperature - 575°F ASME SA-182 Type 304/304L the following items of this
- 8. Certificate Holders' Data Reports properly identified and signed by commissioned inspectors have been furnished for report:
- 9. Remarks: Complies with Exelon PO 447906 Revision 4 CERTIFICATE OF SHOP COMPLIANCE rules We certify that the statements made in this report are correct and that the fabrication of the described piping subassembly conforms to the for construction of the ASME Code Section 111, Division 1.
NPT Certificate of Authorization No. N-2919 expires r
Date //24/Z0iC)Name Holtec Manufacturing Division Signed NPT Certificate Holder / V - ' ' iauthodzed representative CERTIFICATE OF SHOP INSPECTAON 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 PA and employed by OneBeacon America Insurance Company of Lynn, MA , have inspected the storage tank described in this Data Report on O` O-f and state that to the best of my knowledge and belief, the Certificate Holder has fabricated this piping subassembly in accordance with the ASME Code,Section III Division 1.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the storage tank described or a loss in this Data Report. Furthermore, neither the Inspector nor his employed shall be liable in any manner for any personal injury or property damage of any kind arising from or connected with this inspection.
In items 1 through 4 on this Data Report
- Supplemental information in the form of lists, sketches, or drawings may be used provided (1) size Is 8 t/a x 11, (2) Information
,&heet is numbered and the number of sheets is recorded at the top of this form.
Is Included on each sheet, Q, .9ada
FORM NPP-1 (Back - Pg. 2 of 2)
Certificate Holders Serial No. 0979-10-1 N/A
- 10. Description of Field Fabrication psi at temp. N/A °F (if performed)
- 11. Pneu., hydro. or comb. Test pressure N/A CERTIFICATE OF FIELD FABRICATION COMPLIANCE conforms with We certify that the statements made in this report are correct and that the field fabrication of the described piping subassembly the rules for construction of the ASME Code Section 111, Division 1.
NPT Certificate of Authorization No. expires Co. Name Signed Date (Certificate Holder) (authorized representative)
CERTIFICATE OF FIELD FABRICATION INSPECTION State or Province 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and/or the of and employed by of have compared the statements in this Data Report with the described piping subassem-bly and state that parts referred to as data items , not included in the Certificate of Shop Inspec-and that to the best of my knowledge and belief, the Certificate Holder has fabricated this tion, have been inspected by me on Piping subassembly in accordance with ASME Code, Section 111, Division 1.
subassembly By signing this certificate neither the inspector nor his employer makes any warranty, expressed or implied, concerning the piping inspector nor his employer shall be liable in any manner for any personal injury or property described in this Data Report. Furthermore, neither the damage or a loss of any kind arising from or connected with this inspection.
Date Signed Commissions Authorized Nudear Inspector Nat1 Board (trxi endorsements) State, Prov. and No
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/20/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21" Rd. Marseilles, II. 61341 W.O. # 1217634 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RH) Residual Heat Removal
- 5. (a) Applicable Construction Code ANSI B31.7 19 69 Edition No Addenda, Code Cases (b) Applicable Edition of Section XI Used for Repair /Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Set. No. Bd. Identification Built Removed, or Stamped No. Installed Yes or No Hydraulic Lisega 61273/20 N/A RH04-1506S Removed N/A Snubber Hydraulic Lisega 61223/14 N/A RH04-1506S 2009 Installed N/A Snubber
- 7. Description of Work Cl ass 1 Replacement. * = Per Original Specifica tion J-2 530 on file at LaSa lle County Stati on
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure I I Exempt I_I Other[ FT Pressure _psig Test Temp. _Deg. F
- 9. Remarks Replaced Hydraulic Snubber. FT= Functional Test.
(Applicable Manufacturer's Data Report to be Attached )
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp NONE Certificate of Authorization No. . N/A Expiration Date N/A
,^
_,,l^
Signed^^-- e, g, ,- ^- ISI Coordinator Date May 17 . 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1 R12 to L1 R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his et>>pioyer shall be liable in any manner for any personal injury or property damage or a loss of any kind 9rising/fikon) qr connected with this inspection.
Commissions IL 2144 Ins a or's Signature National Board, State, Province, and Endorsements Date * (?. i 6 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02124/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21st Rd. Marseilles, II. 61341 W.O. # 1217636 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RR) Reactor Recirculation
- 5. (a) Applicable Construction Code ANSI B31.7 19 69 Edition No Addenda, Code Cases (b) Applicable Edition of Section XI Used for Repair /Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. No. Bd. Identification Built Removed, or Stamped No. Installed (Yes or No)
Hydraulic Lisega 61223/05 N/A RR00-1012S Removed N/A Snubber Hydraulic Lisega 61223/25 N/A RROO-1012S 2009 Installed N/A Snubber
- 7. Description of Work Cl ass 1 Replace ment. * = Per Original Specification J-2530 on file at LaSa lle County Stati on
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure I I Exempt I_I Other l FT Pressure _psig Test Temp. _Deg. F
- 9. Remarks Replaced Hydraulic Snubber. FT= Functional Test.
(Applicable Manufacturer's Data Report to be Attached )
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed Z 1 ISI Coordinator Date May 17 . 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor hi employer shall be liable in any manner for any personal injury or property damage or a loss of any kind 4ris4ngyffomJor connected with this inspection.
Commissions IL 2144 Inspectr's Signature National Board, State, Province, and Endorsements Date iC 2010
Y FORM NIS-2 OWNER'S REPORT FOR REPAIR /REPLACEMENT ACTIVIT As Requir ed by the Provis ions of ASME Code Sectio n XI Date 02/17/10
Sheet 1 of 1 200 Exelon Way, Kenneth Square, PA., 19348 Address Unit 01
- 2. Plant LaSalle County Nuclear Station Name W.O. # 1221291 2601 N. 21" Rd. Marseilles II. 61341 Repair Organization, P.O. No., Job No., etc.
Address Type Code Symbol Stamp N/A
- 3. Work Performed by Mechanical Maintenance N/A (Name) Authorization No.
Expiration Date WA Mechanical Maintenance (Address)
- 4. Identification of System (RD) Control Rod Drive No Addenda, Code Cases 1361-1. & 1361-2
- 5. (a) Applicable Construction Code Sect III 19 71 Edition ment Activity-2001 Ed.. 2003 Ad.
(b) Applicable Edition of Section XI Used for Repair/ Replace (c) Applicable Section XI Code Case(s) None
- 6. Identification of Components ASME Code Mfrs. Nat'l Other Year Corrected Name of Name of Removed, or Stamped Ser. Bd. Identific ation Built Component Mfr. Installed Yes or No No. No.
N/A 18-43
- Remove d N/A CRD Assembl y G.E. A2544 N/A 18-43 2010 Installed N/A CRD Assembly G.E. A2650 N/A 18-43 Removed WA (8) CRD Nova Ca screws 2009 Installed N/A Nova Ht. Trace N/A 18-43 (8) CRD **
Capscrews Code 2Y85 Re port on file at LaSalle Cou nty Station
- 7. Description of Work Class 1 Replace ment. * = Per N-5 Code Data ing Pressure I X I Exempt I_I Other I_I tatic I I Pneum atic I_I Normal Operat Tests Conducted: Hydros 8.
Pressure 1042 psig Test Temp. 150 Deg. F d under Quality Receipt # 150674 and
- 9. Remarks CRD SN# A2650 was refurbished with documentation provide (Applica ble Manufa cturer's Data Report to be Attache d )
. ** = Replacement CRD Code of installed as a replacement for SN#A2544 under work order # 1221291 to the original per PTEs PTE 88-013 & PTE
& W75 Ad. Reconc iled Construction is ASME Section III. 1971 Ed. S73 ction is ASME Section III, Class 1, 1986 88-396 on file at LaSalle Station. Replacement Capscrew Code of Constru M91-007 -0320-01 on file at LaSalle Station.
Ed. No Ad. Reconciled to the original Code of Constru ction per PTE CERTIFICATION OF COMPLIANCE that this conforms to the requirements of the ASME I certify that the statements made in the report are correct and Code,Section XI.
Type Code Symbol Stamp NONE Expiration Date N/A Certificate of Authorization No. N/A Date May 18 , 2010 Signed "K.1 f^ - ISI Coordinator Owner or Owner's Designe e, Title CERTIFICATE OF INSERVICE INSPECTION l Board of Boiler and Pressure Vessel I, the undersigned, holding a valid commission issued by the Nationa Hartfor d Steam Boiler Insp. & Ins. Co. of Illinois and employ ed by The Inspectors and the State or Province of Owner's Report during the period Connecticut have inspected the components describ ed in this L1R13 ,
to has performed examinations and taken corrective L1R12 and state that to the best of my knowledge and belief, the Owner the requirements of the ASME Code,Section XI.
measures described in this Owner's Report in accord ance with er makes any warranty , expressed or implied, By signing this certificate neither the Inspector nor his employ ations and correct ive measur es describ ed in this Owner's Report. Furthermore, neither the concerning the examin person al injury or property damage or a loss of liable in any manner for any Inspector nor his errl yer shall be any kind arI iqg fpm connected with this inspection.
Commissions IL 2144 nspectc's Signature National Board, State, Province, and Endorsements Date L.I.tQ 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR /REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way, Kenneth Square. PA.. 19348 Sheet 1 of 1 Address Plant 2. LaSalle County Nuclear Station Unit 01 Name 2601 N. 215` Rd. Marseilles II. 61341 W.O. # 1221292 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect III 19 71 Edition No Addenda, Code Cases 1361-1. & 1361-2 (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Com p ents Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed (Yes or No)
CRD Assembly G.E. A2657 N/A 06-43 Removed N/A CRD Assembly G.E. A8848 N/A 06-43 2010 Installed N/A (8) CRD Nova
- N/A 06-43 Removed N/A Ca screws (8) CRD Nova Ht. Trace N/A 06-43 2009 Installed N/A Capscrews Code **
2Y85
- 7. Description of Work Cl ass 1 Replacement. * = Per N-5 Code Data Report on f ile at LaSalle Cou nty Station Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure I X I Exempt I_I Other 1_I Pressure 1042 osig Test Temp. 150 Deg. F
- 9. Remarks CRD SN# A8848 was refurbished with documentation provided under Quality Receipt # 150674 and (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN #A2657 under work order # 1221292. ** = Replacement CRD Code of Construction is ASME Section III. 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88-013 & PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section III, Class 1, 1986 Ed. No Ad. Reconciled to the original Code of Construction per PTE M91-007 -0320-01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed 12 1. ISI Coordinator Date May 18 . 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1 R12 to L117113 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his°em4 toyer shall be liable in any manner for any personal injury or property damage or a loss of any kind aripinr fro/ or connected with this inspection.
Commissions IL 2144 Inspector's Signature National Board, State, Province, and Endorsements Date !tf 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR /REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21" Rd. Marseilles, II. 61341 W.O. it 1221293 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect III 19 71 Edition No Addenda, Code Cases 1361-1, & 1361-2 (b) Applicable Edition of Section XI Used for Repair /Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed (Yes or No)
CRD Assembly G.E. 7667 N/A 38-31
- N/A 38-31
- Removed N/A Ca screws (8) CRD Nova Ht. Trace N/A 38-31 2009 Installed N/A Capscrews Code **
2Y85 Piston Tube Assy. GE 7693 ..N/A 38-31
- Removed N/A Piston Tube Ass y. GE SE1183 ..N/A 38-31 2010 Installed N/A
- 7. Description of Work Cl ass 1 Replacement. * = Per N-5 Code Data Report on file at LaSalle County Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure I X I Exempt I_I Other I_I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks CRD SN# 7693 was refurbished with documentation provided under Quality Receipt it 150674 and (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN# 7667 under work order # 1221293. ** = Replacement CRD Code of Construction is ASME Section III, 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88-013 & PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section III, Class 1, 1986 Ed. No Ad. Reconciled to the original Code of Construction per PTE M91 -007-0320-01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. _ N/A _ Expiration Date N/A Signed ISI Coordinator Date May 18 , 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xi.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising fn p^connected with this inspection.
Commissions IL 2144 nspectoo's Signature National Board, State, Province, and Endorsements Date j 2010
. FORM N-2 CERTIFICATE HOLDERS', DATA REPORT FOR NUCLEAR PART:AND APPURTENANCES*,;
As , required by the Provision of the ASME_Code Rules,Section III, Division-1 I ..Manu,factured-and certified by:' CE Hitachi Nuclear Energy ~ '.
3901 Castle Hayne Road; Wilmington, North Carolina. 28401*
(Name'and address of NPT Certificate Holder) ;
(b) Manufactured for: LA.SALLE' i' & 2, MARS'EILIES,,ILLINOIS .61341.
(Name and address of N Certificate Holder, for.corripleted nuclear component) 2: Identification- Certificate Holder's SIN cif Part SE1183 Nat'l Bd. No N/A (a) Constructed . According. to Drawing No. 798D228G012, Rev; 39 Drawing Prepared by,, P. PANSOY (b). Description of Part Inspected. PISTON TUBE`. ASSEMBLY (t.) .Applicable ASME Code Section III, Edition 1974" Addenda Dais
- W' 75 *_ Case.No. 13614
- 3. Remarks:. STANDARD PART FOR USE WITH REACTOR:. HYDROSTATICALLY: TESTED AT 1820 PSI' MIN.
(Brief description of service for which component was designed)
We certify that the statements<in*this.report nee cohtict and this vessel part or appurtenance as defined in the code conformsto the rules ofconstruction of the-ASME Code* Section-Ill. (ffie applicable Di.st,ncd.Speciftcationand Stress Reportare,not' the responsibility of the NPT Certificate Holder for parts . An NPf Certification holder for appurtenance :is responsible
- for furnishing a separate. Design Specification and StressReportif the appurtenances is nut included in the componentDesign Spt cification and. Stress Report). ' ,: " :
CERTIFICATION OF DESIGN' FOR APPURTENANCE Designinformation *on. the at GE COi11PANY:SAN'JOSE,.CAWBORNtA; Stress.agalysis report an file at` GE.COMPANY,SAN JOSE; CALIFORNIA'
..DC22 .A6253. Rev; 02 Design specification :certif it dby..
DC22A6254. Rev,01 Stress analysis report:certitied by:
CERTIFICATION OF SHOP INSPECTION.
I, the undersigned holding.a valid ' commission by the National Board of Boiler acid Pressure, Inspectors and/or the State or Province of North Carolina' and a proy ed y.. a' cnt o ado of State of North Caroling have inspected the part of a pressure vessel described in this Partral Data Report on T d9 nd state.that to the but of my knowledge and belief: the NPT Certificate Holder has constructed this part in accordance with the ASME.Code Section IIi:` : ' .
By signing this certificate., neither the Inspector nor his employer makes any warranty expressed'or"implied, concerning the*par t described in the, Partial Data Report. Furthermore, .neither the Inspector nor his employer shall be liable in any, manner for any personal. injury-or property damages or a loss of any kind arising from- or connected with*this inspection:
-z- N88214 IBPtA.'
inspector's Signature'.: National Board,' State, Province and No:
'Supplemental sheets in form of lists, sketches: or drawing may be used provided (]).size is 8'/s " x, 1.1". (2): information in 1-2 :on the Data Report is included on wick sheet, and (3) each .cheer is .numbered and numbe'r.of sheets is recorded in item 3 "Remarks".:
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI Owner
- 1. Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21" Rd. Marseilles, II. 61341 W.O. # 1221295 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect III 19 71 Edition No Addenda, Code Cases 1361-1, & 1361-2 (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed (Yes or No)
CRD Assembly G.E. 8465 N/A 30-07
- N/A 30-07 Removed N/A Ca screws (8) CRD Nova Ht. Trace N/A 30-07 2008 Installed N/A Capscrews Code 2D93 Piston Tube Ass y. GE 6871 ..N/A 30-07
- Removed N/A Piston Tube Ass y. GE SE1320 ..N/A 30-07 2010 Installed N/A
- 7. Description of Work Cl ass 1 Replace ment. * = Per N-5 Code Data Report on file at LaSalle Cou nty Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic II Normal Operating Pressure I X I Exempt 1 _I Other 1I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks CRD SN# 6871 was refurbished with documentation provided under Quality Receipt # 150674 and (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN# 8465 under work order # 1221295. ** = Replacement CRD Code of Construction is ASME Section III, 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88-013 & PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section III, Class 1, 1986 Ed. No Ad. Reconciled to the original Code of Construction per PTE M91 -007-0320-01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section Xi.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed - a" ISI Coordinator Date May 18 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his to er shall be liable in any manner for any personal injury or property damage or a loss of any kind ari §ing fg8;i ,r7onnected with this inspection.
Commissions IL 2144 Signature National Board, State, Province, and Endorsements 2010 1
l11LrtM ate j 2 :
FORM N-2CERTIFICATE HOLDERS' DATA REPORT 'FOR NUCLEAR PART AND APPU'RTENANCES*
As required by the Provision: of the. ASME Code Rules,Section III, Division. I .
L' Manufactured and certified by' GE Hitachi Nuclear Energy Wilmington, North Carolina. 28401.
(Nanie and address. of NPT.Ccnif cate Holder)
(b) Manufactured for LA SALLE.. 1 & 2, MARSEILLES, .` ILL'INOIS` 61341; .
. (Name and address of*N Certificate Holderfor completed nuclearcomporient):
2: Identification - Certificate Holder's SIN of Part, SE1320 Nat'l Bd.,No.:: N/A (a) Constructed According to Drawing No. 798D228G0.12, Rev. 41) Drawing Prepared by
- P. PANSOY * :
(h) Description of Part Inspected PISTON TUBE ASSEMBLY (c). Applicable ASME Code: Section Ill, Edition 1974 Addenda Date W':75 , Case No. 1361-2 Class:.. 1
.3. Remarks:: STANDARD PART FOR-USE-WITH REACTOR:' HYDROSTATICALLY TESTED. AT 1820 PSI MIN:::
(Brief description of service for which component was designed)
We certify that the statements in this-report are correct and this vessel part or appurtenance as defined in the code conforms to the rules of construction of the^ASME Code. Section 111.: (The applicable Designed Specification and Stress Report are not the respons ibility of the NPTCertificate.Holder for parts An NPT Certification Holder for appurtenaixes'isresponsible for famishing a separate Design Speci fication and Stress Report if the appurtenances*ts not inctucea in the component design zipectttcauon and stress Kepon)..
Date OlftS/2010 Signed'. GEH'. ey (N PT Certificate Holder).: SCQkepresentative)
Certificate of Expires Certificate of Authorization. Authorization.No...
06/14/2011 NPT N-I 151:
CERTIFICATION' OF DESIGN FOR APPURTENANCE
. Design. information on file ar: GE COMPANY SAN JOSE. CALIFORNIA Stress analysis report on file at GE COMPANY, SAN JOSE, CALIFORNIA DC22A6253., Rev. 02 Design specification' certified by. Prof: Eng.,State.:
DC22A6254. Rev.-01.
Stress analysis report certified 6y'. E.Y. GI BO .Prof. Eng. State CALIF..
CERTIFICATION OF SHOP INSPECTION 1,, the undersigned, holding avalid commission by the National Board of Boiler and Pressure Inspectors and/or the State or*'Province of North Carolinit .
and crap o red b Dgparttrient of 1 abor of State of North Carolina have inspected thepart of a pressure vessel'described in this Partial Data Report on' and state that to the. best of my knowledge and belief, the NPT Certificate'Holder hri constructed this part in accordance with the A ME Code Section 111 By signing . this'certiftcate. neither the Inspector nor his employer makes any warranty, expressed or implied; concerning the part described in the.`
Partial. Data.Report' Furthermore, neither the Inspector nor his employer-shall he liable in any manner for any, personal injury or property damages or a loss of any kind arising: turn orconnected with this`ins pecnon:: :....:..
- Supplemental sheets in form of lists, sketches or drawing may be used provided (1 j size is 8 V2- x 11- , (2) information in 1-26n the Data Report is included on each sheet, and (3) each sheet is.numbered and number of sheets is recorded in item 3 'Remarks'.
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21$'- Rd. Marseilles, II. 61341 W.O. # 1221296 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect III 19 71 Edition No Addenda, Code Cases 1361 -1, & 1361-2 (b) Applicable Edition of Section XI Used for Repair /Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed (Yes or No)
CRD Assembl y G.E. Al 052 N/A 30-43
- N/A 30-43
- Removed N/A Ca screws (8) CRD Nova Ht. Trace N/A 30-43 2009 Installed N/A Capscrews Code **
2Y85 Piston Tube Ass y. GE 7879 ..N/A 30-43
- Removed N/A Piston Tube Ass y. GE SE1324 ..N/A 30-43 2010 Installed N/A
- 7. Description of Work Cl ass 1 Replacement. * = Per N-5 Code Data Report on file at LaSalle County Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure I X I Exempt I_I Other I_I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks CRD SN# A8350 was refurbished with documentation provided under Quality Receipt # 150674 and (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN#7704 under work order # 1174664. ** = Replacement CRD Code of Construction is ASME Section 111, 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88 -013 & PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section III Class 1, 1986 Ed. No Ad. Reconciled to the original Code of Construction per PTE M91-007 -0320-01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed ISI Coordinator Date May 17 . 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his'employer shall be liable in any manner for any personal injury or property damage or a loss of any kind,arising frcW or connected with this inspection.
Commissions IL 2144 nspe#tor's Signature National Board, State, Province, and Endorsements Date 10 2010
FORM . N-2 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PART AND APPURTENANCES*'
As required.by the Provision,of.the. ASME Code RUIeS, Section .111, Division 1 -
- 1. Manufactured and certified by:: GE Hitachi Nuclear Energy'.
3901 Castle Hayne Road, Wilmington; North:Carolina 28401:
(Name and address of N PT Ccrtificatc Holder)'
LA SALLE 1 & 2, MARSEILLES ILLINOIS 61341'
.(Name and address of N.Ceti ificate, alder. for. completed nuclear component
- 2. Identification - Certificate: Holder.'s.SIN of Part SE1324 Nat'l Bd.. No..- . N/A (a) Constructed According to Drawing: No., 798D228G012, Rev, 40,... Drawing Prepared by .' P. PANSOY (b) Description of Part Inspected PISTON'*TUBE ASSEMBLY (c) Applicable ASME.Code: Section III; Edition 1974.... Addenda Date'. : W' 75 Case.No.:*.' 1361-2.
- 3. Remarks:.' STANDARD PART FOR USE WITRREACTOR. HYDROSTATICALLY TESTED AT 1820. PSI MIN.
(Brief description of service for which component was designed)
We certify that the statements in this report are correct And-this vessel part or appurtenance as defined in the code conforms to the rules of construction of the ASME CodeSection Ill. (The applicable Designed Specification and Stress Report are not the responsibility of the:NPT Certificate Holder for parts. An, NPT Certification. Holder for appurtenances is responsible for furnishing 'a separate Design Specification and Stress Report if the appurtenances is not included in the commonent De_cien.Srrrificatinn Arid Strrtce Rennnl. .. - '
01l151201D .. Signed. GEH'. , By (NPT Certificate Holder) (SCQ Representative Certificate of Authorization No.. NPT N,1:151 CERTIFICATION OF DESIGN FOR APPURTENANCE Design information on file at GE COMPANY, SAN JOSE,.CALIFORNIA.
Stress analysis report on file at.:: GE COMPANY: SAN JOSE, CALIFORNIA DC22A6253, Rev: 02 . '
Design specifcation'certified by:- B.N. SRIDHAR Prof.:Eng. State. .' . CALIF. Reg: 18345.
DC22A6254 Rev.0I Stress analysis report certified by. . &Y. GIBO*:.' .i Prof.. Eng. State . : * .'CALIF. Reg. No. M 18646 CERTIFICATION OF : SHOP INSPECTION.
- 1. the undersigned, holding a ..,Valid commission by the National Board of Boiler and
- Pressure,lnspectors and/or theState or Province. of North Carolina and emp oyed b Department of Labor of State of North Carolina have inspected the part of a pressure vessel described in this Partial Data Report on
< 5. and state that to the best of my knowledge and belief, the NPT Certificate Holder has constructed this part in accordance with the A ME Code Section III.
By signing this certificate , neither the Inspector nor his employer makes any warranty; expressed or impliconcerning the. part described in the*'
Partial Data
.. Report. Furthermore, neither the Inspector nor his employer shall be liable in...any manner for any personal. injury or property daniages.or.
a loss of any kind arising-from or connected with this inspection:.
NB8214 IBNA Date: Inspector's Signature National Board-'State Province and No "Supplemental sheets inform of lists. sketches or drawing may be'used provided( 1) size is 8 y:".x.I l": (2) information in.1-2 on the Data.Reportis included on each sheet, and (3) each sheet is numbered and number of. sheets is.rec6rded- in item 3 "Remarks"..
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way. Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 215` Rd. Marseilles II. 61341 W.O. # 1221298 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect III 19 71 Edition No Addenda, Code Cases -1 361 -1& 1361-2 (b) Applicable Edition of Section XI Used for Repair /Replacement Activity-2001 Ed., 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Com p ents Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed (Yes or No CRD Assembl y G.E. 7529A N/A 26-15 Removed N/A CRD Assembly G.E. 7628 N/A 26-15 2010 Installed N/A (8) CRD Nova N/A 26-15 Removed N/A Ca screws (8) CRD Nova Ht. Trace N/A 26-15 2009 Installed N/A Capscrews Code **
2Y85
- 7. Description of Work Cl ass 1 Replacement. * = Per N-5 Code Data Report on file at LaSalle County Station Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure I X I Exempt II Other 1_I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks CRD SN# 7628 was refurbished with documentation provided under Quality Receipt # 150674 and (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN#7529A under work order # 1221298. ** = Replacement CRD Code of Construction is ASME Section Ili, 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88 -013 & PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section III, Class 1 1986 Ed. No Ad. Reconciled to the original Code of Construction Per PTE M91-007 -0320- 01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No.
Expiration N/ADate N/A Signed ISI Coordinator Date May 18 . 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner' s Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner' s Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind Griping ,or connected with this inspection.
Commissions IL 2144 nspetor' s Signature National Board, State, Province, and Endorsements Date__L '? V. I 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR /REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21$` Rd. Marseilles, II. 61341 W.O. # 1221299 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect 111 19 71 Edition No Addenda, Code Cases 1361-1, & 1361-2 (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed., 2003 Ad.
(c) Applicable Section X1 Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed (Yes or No)
CRD Assembly G.E. 9574 N/A 46-47 Removed N/A CRD Assembly G.E. A911 N/A 46-47 2010 Installed N/A (8) CRD Nova N/A 46-47 Removed N/A Ca screws (8) CRD Nova Ht. Trace N/A 46-47 2009 Installed N/A Capscrews Code **
3C50
- 7. Description of Work Class 1 Replacement. * = Per N-5 Code Data Report on file at LaSalle County Station Tests Conducted: Hydrostatic I i Pneumatic I__I Normal Operating Pressure I X I Exempt II Other i_I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks CRD SN# A911 was refurbished with documentation provided under Quality Receipt # 150674 and (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN#9574 under work order # 1221299. Replacement CRD Code of Construction is ASME Section ill, 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88-013 & PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section Iii Class 1 1986 Ed. No Ad. Reconciled to the original Code of Construction per PTE M91-007-0320-01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed ^* ISI Coordinator Date May 18 . 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1 R12 to L1 R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his emp loyer shall be liable in any manner for any personal injury or property damage or a loss of any kind arming fry qr connected with this inspection.
Commissions IL 2144 Inspe s Signature National Board, State, Province, and Endorsements Date 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI Owner
- 1. Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 213' Rd. Marseilles 11. 61341 W.O. # 1221300 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect 111 19 71 Edition No Addenda, Code Cases 1361-1, & 1361-2 (b) Applicable Edition of Section XI Used for Repair /Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed Yes or No CRD Assembly G.E. 7752 N/A 14-51
- Removed N/A Ca screws (8) CRD Nova Ht. Trace N/A 14-51 2008 Installed N/A Capscrews Code **
3C50
- 7. Description of Work Cl ass 1 Replacement. * = Per N-5 Code Data Re port on file at LaSalle County Station
- 8. Tests Conducted: Hydrostatic I i Pneumatic I_i Normal Operating Pressure I X I Exempt i_I Other i_i Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks CRD SN# 8535 was refurbished with documentation provided under Quality Receipt # 150674 and (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN#7752 under work order # 1221300. ** = Replacement CRD Code of Construction is ASME Section Ili, 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88 -013 & PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section III, Class 1, 1986 Ed. No Ad. Reconciled to the original Code of Construction Per PTE M91-007 -0320-01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed ISI Coordinator Date May 13 , 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1 R12 to L1 R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor hi $ employer shall be liable in any manner for any personal injury or property damage or a loss of any kind a(isirrg fr n) or connected with this inspection.
Commissions IL 2144 tor's Signature National Board, State, Province, and Endorsements
FORM NIS -2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI Owner 1. Exelon Generation Company (EGC) LLC Date 05/19/10 (Name) 200 Exelon Way, Kenneth Square. PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 215` Rd. Marseilles, II. 61341 W.O. # 1221715 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (MS) Main Steam
- 5. (a) Applicable Construction Code Sect III 19 74 Edition No Addenda, Code Cases None (b) Applicable Edition of Section XI Used for Repair /Replacement Activity-2001 Ed. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. No. Bd. Identification Built Removed, or Stamped No. Installed Yes or No (4)Stud 1 -3/8 8UN
- N/A N/A IMS04AN
- Removed N/A 2A x 10-1/2" (4)Stud 1-3/8 8UN Nova Machine HT. Code N/A IMS04AN 2006 Installed N/A 2A x 10-1/2" Products 230C (8)Heavy Hex Nut
- N/A N/A IMS04AN
- Removed N/A 1-3/8" 8UN 213 (4)Heavy Hex Nut Crosby Valve Ht. Code N/A IMS04AN 1998 Installed N/A 1-3/8" 8UN 213 N114 (4)Tension Nut 1- Nova Machine UTC N/A IMS04AN 2009 Installed N/A 3/8 8TPI Products 2848953
- 7. Descr iption of Work Cl ass 1 Replacement of Studs and Bolting. Per N-5 Code Data Report on file at LaSall County Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic 1I Normal Operating Pressure I X I Exempt I_I Other 1_I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed ISI Enqineer Date May 199'J
^,?O l0 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his a pl yer shall be liable in any manner for any personal injury or property damage or a loss of any kind,afi^sin^fromor connected with this inspection.
Commissions IL 2144 is Signature National Board, State, Province, and Endorsements
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/22/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 2151 Rd. Marseilles, II. 61341 W.O. # 1229560 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (B13) Reactor Pressure Vessel
- 5. (a) Applicable Construction Code Sect III 19 74 Edition No Addenda, Code Cases None (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed., 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. No. Bd. Identification Built Removed, or Stamped No. Installed (Yes or No) 6" Blind Flan ge GE N/A 1131 3-DO03 Corrected N/A
- 7. Description of Work Cl ass 1 Repair. Per N-5 Code Data Report o n file at LaSalle County Sta tion
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure I X I Exempt I_I Other I_I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks Corrected Reactor Pressure Vessel Instrument Penetration Blind Flange by Welding.
(Applicable Manufacturer's Data Report to be Attached )
Blind Flange was damaged during removal.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed-^ ISI Coordinator Date May 25 . 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer, shall be liable in any manner for any personal injury or property damage or a loss of any kind arising fror or c6nnected with this inspection.
Commissions IL 2144 Signature National Board, State, Province, and Endorsements Date 0:3.
- iC 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way. Kenneth Square. PA .. 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21st Rd. Marseilles. II. 61341 W.O. # 1246681 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect III 19 71 Edition No Addenda, Code Cases 1361-1. & 1361-2 (b) Applicable Edition of Section XI Used for Repair /Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed Yes or No CRD Assembl y G.E. 9461 N/A 26-39
- N/A 26-39
- Removed N/A Ca screws (6) CRD Nova Ht. Trace N/A 26-39 2009 Installed N/A Ca screws Code 3C50 (2) CRD Nova Ht. Trace N/A 26-39 2008 Installed N/A Capscrews Code **
2D93 Piston Tube Ass y. GE 7700 ..N/A 26-39
- Removed N/A Piston Tube Ass y. GE SE1335 ..N/A 26-39 2010 Installed N/A
- 7. Description of Work Cl ass 1 Replace ment. * = Per N-5 Code Data Report on file at LaSalle Cou nty Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure I X I Exempt I_I Other II Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks CRD SN# 7700 was refurbished with documentation provided under Quality Receipt # 1506742nd (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN # 9461 under work order #1246681. ** = Replaceme nt CRD Code of Construction is ASME Section III. 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88 -013 & PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section 111. Class 1, 1986 Ed. No Ad. Reconciled to the original Code of Construction per PTE M91-007
-0320-01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization N N/A Expiration Date N/A Signed 141, Owner or Owner's Designee, Title ISI Coordinator Date May 24 . 2010 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
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 requireme nts of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind ariing fpr connected with this inspection.
Commissions IL 2144 Signature National Board, State, Province, and Endorsements
,6:7.4 FORM N*2 'CERTIFICATE HOLDERS' DATA: REPORT FOR NUCLEAR PART AND APPURTENANCES*:
As require... Ab y..tha Prav1A ono f tde.AS1,1L i Cade Rul es, Sect'tonIII ruvis , ion I I. Manufactured and certified'by ` GE Hitnchi.Nuclear Energy.
Wilrnington,.North Carolina 29401 *
(Name and address of NPT Certificate Holder)
(b) ^blanufacturedfoir' LA*SALLE 1 & 2, MARSEILLES, ILLINOIS 61341 (Name and addressof N Certificate Holder for . completed' nuclear component)
- 2. Identification.- Certificate Holder's S/N-of Part . SE133S . Nat', Rd. No. N
,/A: -
(a),,Constricted According to Drawing No,: 798D228G012,. Rev. 406 Drawing Prepared by' P. PANSOY "
(b) Description of Pat: Inspected * :.::. ' PISTON TUBE ASSEMBLY' (c) Applicable ASME Code: Section III; Edttion ', .1974.' ; . Addenda Date * .. W' 75 , Case No:. 13612 Class' 1
- 3. Remarks:::' STANDARD PART FOR.USE WITH REACTOR. HYDROSTATICALLY TESTED AT 1820 PSI MIN.,
(Brief description of service for which component, was designed)
We certify that the statements. in this'repoit are correct and this.vessel'part or appurtenance as-defined in the code conforms`to the rules of consttticiibn of the ASME Cade Section iii..(The applicable Designed Specilication. andStress,Report are not the responsibility of the NPT Certificate HoIdcr-fdr parts. An Nv' Certification Holder for appurtenances is responsible for.fumishing a separate Design Specification and Stress Report'if.the appurtenances. is not included. in the component Design Specification and Stress Report);
Date ' 01/15/2010 Signed.' CEH * ' . 13 ;z .:
(N PT..Cert i ficate' Holder).. (SCQ Representative)'.
Certificateof..AuthorizationExpires 06/16/2011 Certificate of Authorizaiion;No. NPTN*1151 CERTIFICATION OF DESIGN FOWAPPURTENANCE.
Design informationon fiteat GE'COMPANY, SAN JOSE;' CALIFORNIA Stress analysis r eport on file at GE "COMPANY; SAN JOSE, CALIFORNIA,
DC22A6253.'1tcv: 02 :
Designspecification.certified by ..: B .N. SRIDHAR Prof*'Eng, State'.`
DC22A6254, Rev. 01 Stress analysis report`cettificd by: E.Y. Glib Prof. Eng: State . : CALIF. Reg. No:
,CERTIFICATION OF SHOP INSPECTION`
I, the undersigned, holding a'valid commissionby the National,Board of Boiler and Pressure-inspectors and/or the Slate or Province of Notth'Carolina and employed: by Department La r of State of North Carol ina have inspected the part of a pressure vessel described in this Partial Data Report on dk and state thatto the best of my knowledge and belief, the NPT Certificate Holder has constructed this pan in'accordance, with -
the AS ME Code Section 111 By signing this certificate; neither the inspector nor his employer -makes any warranty; expressed or implied, concerning the'part described in the Partial Data Report Furthermore, neither the inspector nor his employer shall be liable in"any.manner for any personal injuryor Property damages Or a loss of any kind arising. from'or connected with this inspection.:
'"Supplemental sheets. inform of liist', sketches or"drawing may be used provided (1) size is 8! /3 " x 11".'(2) information in l*2'on the Data Report is included on each sheet and:(3) eiach.sheet is numbered and number of sheets is recorded, inritem 3',1 emarks":
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI Owne 1. r Exelon Generation Company (EGC) LLC Date 05/25/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21" Rd. Marseilles, II. 61341 W.O. # 1253372 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RR) Reactor Recirc.
- 5. (a) Applicable Construction Code Sect III 19 71 Edition W71 Addenda, Code Cases None (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed Yes or No Pump 1B33- Sulzer 7 N/A Cat. ID. 27265 Removed No 0001 B Stuffing Bingham Box Pump 1B33- Sulzer 8 N/A Ht. 61934-2 1973 Installed No 0001 B Stuffing Bingham Box
- 7. Description of Work Cl ass 1 Replace ment. * = Per N-5 Code Data Report on file at LaSalle County Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic II Normal Operating Pressure I X I Exempt I_ Other II Pressure 1042 psig TDst Temp. 150 Deg. F
- 9. Remarks: Replaced pump stuffing box (Applicable Manufacturer's Data Report to be Attached )
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requiremen ts of the ASME Code,Section XI.
Type Code Symbol Stamp NONE CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to 1-117113 ,
and state that to the best of my knowledge and belief, the Owner has performed examinatio ns and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty
, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.
Furthermore, neither the Inspector nor his employer ' hall be liable in any manner for any personal injury or property damage or a loss of any kind arising f or con ted with this inspection.
' Commissions IL 2144 Insp or's Si ature National Board, State, Province, and Endorsements
FORM NIS-2 OWNER'S REPORT FOR REPAIR /REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 05/24/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 215` Rd. Marseilles, II. 61341 W.O. # 1275548 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (MS) Main Steam
- 5. (a) Applicable Construction Code Sect 111 19 74 Edition No Addenda, Code Cases None (b) Applicable Edition of Section XI Used for Repair /Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed Yes or No 1 MS01 AA-26" Morrison
- N/A 1 VE-MS001 A-P
- Installed No 1MS01AB-26" Morrison N/A 1VE-MS002 A-P
- Installed No 1 MS01 AC-26" Morrison N/A 1 VE-MS003 A-P
- Installed No 1 MS01 AD-26" Morrison
- N/A 1 VE-MS004 A-P
- Installed No
- 7. Description of Work Cl ass 1 Replacement. * = Per N -5 Code Data Report on file at LaSalle Cou nty Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure I I Exempt IX I Other II Pressure _psig TDst Temp. _Deg. F
- 9. Remarks: (16)Strain Gauges mounted on each 1 MS01 AA-26",1 MS01 AB-26",1 MS01 AC-26", and 1 MS01 AD-26" by Capacitance Discharge Process, design and installation per EC 375801.
(Applicable Manufacturer's Data Report to be Attached )
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code, Section Xl, Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Data N/A Signed ISI Eng ineer Date May 24 , 2010 Owner or Owner's De ee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1 R12 to L1 R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl, By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his empigyer shall be liable in any manner for any personal injury or property damage or a loss of any kind arifrn`or, drnected with this inspection.
111- 11 i i i Commissions IL 2144
")nspec'9 Signature National Board, State, Province, and Endorsements Date £ * !O 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/23/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 219` Rd. Marseilles, If. 61341 W.O. # 1309789 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 5. (a) Applicable Construction Code Sect III 19 74 Edition W74 Addenda, Code Cases 1516-1, 1567, 1622 & 1682 (b) Applicable Edition of Section XI Used for Repair /Replacement Activity-2001 Ed.. _ 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. No. Bd. Identification Built Removed, or Stamped No. Installed (Yes or No) 24" Check Valve Anchor N/A 11321-17032A
- Corrected N/A Disc Darlin g
- 7. Description of Work Class 1 Repair. * . Per N-5 or NIS-2 Code Data Report on file at LaSalle County Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure I X I Exempt 11 Other II Pressure 1042 prig Test Temp. 150 Deg. F
- 9. Remarks Corrected Check Valve Disc by welding.
(Applicable Manufacturer's Data Report to be Attached )
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed Z ISI Coordinator Date May 20 , 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer hall be liable in any manner for any personal injury or property damage or a loss of any kind arisingifrgm q coh cted with this inspection.
Commissions IL 2144 lnsctor's Signature National Board, State, Province, and Endorsements Date C^ , j0 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21st Rd. Marseilles, II. 61341 W.O. # 735116 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect III 19 71 Edition No Addenda, Code Cases 1361-1, & 1361-2 (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section X1 Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed (Yes or No)
CRD Assembly G.E. 9360 N/A 38-47
- N/A 38-47
- Removed N/A Ca screws (8) CRD Nova Ht. Trace N/A 38-47 2009 Installed N/A Capscrews Code **
3C50
- 7. Description of Work Cl ass 1 Replacement. * = Per N-5 Code Data Report on file at LaSalle County Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic 11 Normal Operating Pressure I X 1 Exempt I_1 Other 1_I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks CRD SN# 7644 was refurbished with documentation provided under Quality Receipt # 150674 and (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN# 9360 under work order # 735116. ** = Replacement CRD Code of Construction is ASME Section 111, 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88-013 & PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section III, Class 1, 1986 Ed. No Ad. Reconciled to the original Code of Construction per PTE M91-007-0320 -01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed ISI Coordinator Date May 19 , 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor h 4^ioyer shall be liable in any manner for any personal injury or property damage or a loss of any kind grjsjng r,connected with this inspection.
Commissions IL 2144
--Inspector's Signature National Board, State, Province, and Endorsements Date j *lL) 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR /REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI Owner Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way. Kenneth Square. PA.. 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21" Rd. Marseilles, II. 61341 W.O. # 741318 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect III 19 71 Edition No Addenda, Code Cases 1361 -1. & 1361-2 (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Com p ents Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed (Yes or No)
CRD Assembl y G.E. 7697 N/A 22-47 Removed N/A CRD Assembly G.E. 9547 N/A 22-47 2010 Installed N/A (8) CRD Nova N/A 22-47 Removed N/A Ca screws (8) CRD Nova Ht. Trace N/A 22-47 2009 Installed WA Capscrews Code **
3C50
- 7. Descr iption of Work Cl ass l Replace ment. * = Per N -5 Code Data Re port on file at LaSalle Cou nty Station Tests Conducted: Hydrostatic I I Pneumatic 1_I Normal Operating Pressure I X I Exempt 1_I Other I_I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks CRD SN# 9547 was refurbished with documentation provided under Quality Receipt # 150674 and (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN# 7697 under work order # 741318. ** = Replacement CRD Code of Construction is ASME Section III. 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88-013 & PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section III Class 1, 1986 Ed. No Ad. Reconciled to the original Code of Construction per PTE M91-007-0320 -01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A _ Expiration Date N/A Signed ISI Coordinator Date May 19 . 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his em dyer shall be liable in any manner for any personal injury or property damage or a loss of any kind ar(qng,r pn)i r connected with this inspection.
Commissions IL 2144
's Signature National Board, State, Province, and Endorsements 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21st Rd. Marseilles, II. 61341 W.O. # 741331 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect III 19 71 Edition No Addenda, Code Cases 1361-1, & 1361-2 (b) Applicable Edition of Section XI Used for Repair /Replacement Activity-2001 Ed., 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed Yes or No CRD Assembl y G.E. 7848 N/A 22-51
- N/A 22-51
- Removed N/A Ca screws (8) CRD Nova Ht. Trace N/A 22-51 2009 Installed N/A Capscrews Code **
3C50
- 7. Description of Work Cl ass 1 Replace ment. * = Per N-5 Code Data Report on file at LaSalle Cou nty Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic II Normal Operating Pressure I X I Exempt I_I Other I_I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks CRD SN# A8925 was refurbished with documentation provided under Quality Receipt # 150674 and (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN#7848 under work order # 741331. ** = Replacement CRD Code of Construction is ASME Section III, 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88-013 & PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section III, Class 1, 1986 Ed. No Ad. Reconciled to the original Code of Construction per PTE M91 -007-0320-01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed w l S^ ISI Coordinator Date May 24 , 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from qt connpcted with this inspection.
Commissions IL 2144 gnature National Board, State, Province, and Endorsements
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section X1
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21$` Rd. Marseilles, II. 61341 W.O. # 967391 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect III 19 71 Edition No Addenda, Code Cases 1361 -1, & 1361-2 (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed., 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed (Yes or No)
CRD Assembly G.E. 9521 N/A 18-27
- N/A 18-27
- Removed N/A Ca screws (8) CRD Nova Ht. Trace N/A 18-27 2008 Installed N/A Capscrews Code **
2D93
- 7. Descr iption of Work Cl ass 1 Replacement. Per N-5 Code Data Re port on the at LaSalle Cou nty Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic II Normal Operating Pressure I X I Exempt I_ Other 11 Pressure 1042 psig Test Temp. 150 Deg.F
- 9. Remarks CRD SN# 6466 was refurbished with documentation provided under Quality Receipt # 150674 and (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN#9521 under work order # 967391. ** = Replacement CRD Code of Construction is ASME Section III. 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88-013 & PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section III. Class 1, 1986 Ed. No Ad. Reconciled to the original Code of Construction per PTE M91-007-0320-01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No.
Signed ^=^ ISI Coordinator Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1 R12 to L1 R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations, and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arisingffc^n of orj ected with this inspection.
Commissions IL 2144 Inso ctor' sSignature National Board, State, Province, and Endorsements Date cs- -)CO 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 213t Rd. Marseilles, II. 61341 W.O. # 967397 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect III 19 71 Edition No Addenda, Code Cases 1361 -1, & 1361-2 (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case( s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed Yes or No CRD Assembl y G.E. 7826 N/A 10-39
- N/A 10-39 Removed N/A Ca screws (8) CRD Nova Ht. Trace N/A 10-39 2009 Installed N/A Capscrews Code **
3C50
- 7. Description of Work Cl ass 1 Replace ment. * = Per N-5 Code Data Report on file at LaSalle Cou nty Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure I X I Exempt I_I Other I_I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks CRD SN#A8645 was refurbished with documentation provided under Quality Receipt # 150674 and (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN# 7826 under work order # 967397. ** = Replacement CRD Code of Construction is ASME Section III. 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88 -013 &
PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section III, Class 1, 1986 Ed. No Ad. Reconciled to the original Code of Construction per PTE M91 -007-0320 -01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date WA
^^//^
Signed f_^-^LrGw ISI Coordinator Date May 19 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his emloyyer shall be liable in any manner for any personal injury or property damage or a loss of any kind ari)Sng f(n pconnected with this inspection.
Commissions IL 2144 Signature National Board, State, Province, and Endorsements
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way. Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21" Rd. Marseilles, II. 61341 W.O. # 967889 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect III 19 71 Edition No Addenda, Code Cases 1361 -1. & 1361-2 (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed Yes or No CRD Assembly G.E. 7241 N/A 38-59
- N/A 38-59 Removed N/A Ca screws (8) CRD Nova Ht. Trace N/A 38-59 2009 Installed N/A Capscrews Code **
3C50 Piston Tube Ass y. GE 7470 ..N/A 38-59
- Removed N/A Piston Tube Ass y. GE SE1318 ..N/A 38-59 2010 Installed N/A
- 7. Description of Work Class l Replacement. * = Per N-5 Code Data Report on file at LaSalle County Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_i Normal Operating Pressure I X I Exempt I_I Other I_I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks CRD SN# 7470 was refurbished with documentation provided under Quality Receipt # 150674 and (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN# 7241 under work order # 967889. ** = Replacement CRD Code of Construction is ASME Section III, 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88-013 & PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section III. Class 1, 1986 Ed. No Ad. Reconciled to the original Code of Construction per PTE M91-007-0320-01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed 4^g:< ISI Coordinator Date May 19 . 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1 R12 to L1 R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xi.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the ex orations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor hifeplgyer shall be liable in any manner for any personal injury or property damage or a loss of any kind arjgigg p connected with this inspection.
Commissions IL 2144 R'Inspect's Signature National Board, State, Province, and Endorsements Date (1-?
- 1 V 2010
FORM N-2 CERTIFICATE HOLDERS' DATA REPORT FOR -NUCLEAR: PART. AND aiPP^'ENA any,.. uJ .a.a *a vu vs uav rwa.aat vwv a^uauu^ yra Yvaa aaa^ ^^'^<<'
GEHittichi Nuclear Energy, '* '
3901 Castle Hayne Road, Wilmington, North.Carolina-28401:.
(Natter ikhd address ofNPTCertificate Holder);.:.
LA SALLE 1 &2, MARSEILLES, ILLINOIS 61341 (Name and address of N Certificate Holder for completed nuclear component),.,
- 2. Identification -:Certificate Holder's S/N ofPan SE13:I8. Nat'l Bd. No. . N/A (a) Constructed .'According i6 Drawitig No, 798D228G012, Rev. 40 Drawing Prepared by ' ;. P: PANSOY° (b) . Description of Part: Inspected:.,; PISTON'TUBE ASSEMBLY .
(c) Applicable ASME Code; Section 111, Edition 1974: 'Addenda Date W' 73. Case-NO.'." 1361=2 Remarksr STANDARDPART.FOR.USE 'WITH REACTOR: HYDROSTATICALI:Y'TESTED'AT 1820 P5tMIN:
(Brief description of service-for which component was designed)
We: certify that the statements-in.this report are correct and this vessel part or appurtenance' as defined in the code conforms to, the rules of construction of the ASME`Code Section M. (Theapplicable Designed Specification and' Stress Report are. not the responsibility of the NFl' Ce til cite Holder for' pans. An NPT Certification Holder for appunenanee3 is responsible.for fumfshing, a separate Design Specification and Stress Report if the appurtenances is not included in the:component Design Specification and Stress Report):
Date 01/15/2010 Certificate of Authorization Expires .06/16/2011 *. Certificate of Authorization No:.
- NPT N-1151 CERTIFICATION OF DESIGN FOR APPURTENANCE Design information on fileaC` ' GE COMPANY,SAN JOSE; CALIFORNIA ` `.
Stress analysis report on rile at... GE COMPANY, SAN JOSE, CALIFORNIA DC22A6253, Rev. 02" Design specification cenified:by* B .N. SRIDHAR. ` Prof Eng. State..'- CALIF. Reg. No:. 18345:.
1)C22A6254, Rev. 01 Stress analysis report certified by. E,Y. GIBO Prof. Eng. State ..; CALIF. Reg. No.. ' .:: M1S64b:
CERTIFICATION OF SHOP INSPECTION :
,the undersigned: holding a valid.commissionby the National Board of Boiler and Pressure Inspectors and/or the Slate or Province of North Carolina and employed by Department of Labor of State of North Carolina have inspected the part of a p're'ssure vessel' described in this Partial. Data Report on and state that to the best of my knowledge and belief: the NPT Cemficate Holder has constructed this parr in accordance with the A ME Code Section Ul.
By signing this certificate,: neither the Inspector nor his 'employer makes any warranty, expressed or impliedi concerning the part described . inthe:
Partial Data Report ; .Furthermore, neither the Inspector nor his employer shalt be liable in any manner for any personal injury or property damages or a loss.of any kind arising from or connectedwiththis inspection. .
NB8214IBNA Natiwtal. 8oatd Stale; Piovinceand No . .
- Supplemental sheets in form of lists,, sketches or drawing may be used provided (1) sire is l th " is l I {2) infotination,in l-2 on the Data Report is included on each sheet, and (3) each sheet is numbercd*and number of sheets is recorded in item 3Remarks":
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21" Rd. Marseilles, II. 61341 W.O. # 967892 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect 111 19 71 Edition No Addenda, Code Cases 1361-1, & 1361-2 (b) Applicable Edition of Section XI Used for Repair /Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section X1 Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed Yes or No CAD Assembl y G.E. 7599A N/A 38-07 Removed N/A CRD Assembly G.E. 9133 N/A 38-07 2010 Installed N/A (8) CRD Nova
- N/A 38-07
- Removed N/A Ca screws (2) CRD Nova Ht. Trace N/A 38-07 2009 Installed N/A Ca screws Code 3C50 (6) CRD Nova Ht. Trace N/A 38-07 2008 Installed N/A Capscrews Code **
2D93 Piston Tube Ass y. GE 9133 ..N/A 38-07
- Removed N/A Piston Tube Ass y. GE SE1202 ..N/A 38-07 2010 Installed N/A
- 7. Description of Work Cl ass 1 Replace ment. * = Per N-5 Code Data Report on file at LaSalle Cou nty Station
- 8. Tests Conducted: Hydrostatic 1 I Pneumatic I1 I Normal Operating Pressure I X I Exempt I_I Other 1_I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks CRD SN# 9133 was refurbished with documentation provided under Quality Receipt # 150674 and (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN#7599A under work order # 967892. ** = Replacement CRD Code of Construction is ASME Section III. 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88-013 & PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section III, Class 1. 1986 Ed. No Ad. Reconciled to the original Code of Construction per PTE M91 -007-0320-01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed ISI Coordinator Date May 24 . 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his ep' plover shall be liable in any manner for any personal injury or property damage or a loss of any kind aris)i g fbrp Qr,connected with this inspection.
Commissions IL 2144 1 sypectc is Signature National Board, State, Province, and Endorsements Date 2010
1 0674 FORM N- 2 CERTIFICATE .HOLDERS' DATA. REPORT FOR NUCLEAR PART AND APPIRTENANCES*
..As required by the Provision, of the *ASME Code Rules,Section III, Division,I<
1 . Manufactured and certified by GE Hitachi Nuclear Enerlly .
3901 Castle. Hanle Road;* Wilmington, North Caroling 28401 (Name and addressof NPT Certificate Holder).
(b) Manufactured for LA SALLE. 1 2, MARSEILLES, ILLINOIS 61341 (Name and address of N Ccnificate }folder for completed nuclear component) 2.Identification: Certificate' Holder'sS/NofPart SE1202' Nat'lRd:*No. N/A (a) Constructed According to Drawing No. 17 98D228G012, Rev:39 Drawing Prepared by P. PANSOY' .:
(b) Description, of Part. Inspected. PISTON TUBE ASSEMBLY (e) Applicable ASME Cods Section Ill. Edition 1974:'* Addenda Date W'.75: ; . Case No. 1361-2 ...; .Glass : :' 1
- 3.
- Rcmarkst STANDARD PART FOR'USE WITH REACTOR. HYDROSTATICALLY: TESTED AT I820.PSI*MtN, (Brief description ofservice for which component was designed) 1Ve certify that the statements in this reportare correct and this.vessel part or, appurtenance as defined in the code co'nf6r'm§ to the roles of construction, ofthuASMECode: Section Iit: (The applicable Designed Specification and Stress Report are not the responsibility of the NPTCertiflvate Holder for parts. An NPT Certification Holder for appurtenances is responsible- for furnishing aseparatc'Design:Specifkation and Stress Report it'the appurtcnaneesis not included in the, component Design Specifleation and Stress Report):
Date
- o t/iarnli o.' Signed GEH (NPT.Ccrtiiieate Holder)_
Ceti! ficate.oIAuthorization Expires . 06/16/2011 Certificate of AuthorizatioriNo.. . NPT N-I 131
- CERTIFICATION OF DESIGN FOR APPURTENANCE Design ,information.on file at:
- GE COMPANY,'SAN JOSE, CALIFORNIA Stress analysis report on file it GE COMPANY. SAN JOSE. CALIFORNIA DC22A6233:*Rev:..02 Design-.specifi cation certified by B.N. SRIDHAR. CALIF; Reg: No: 18345 DC22A6254,. Rev. 01.
Stress analysis report certified by..... E.Y. GIBO.. . Prof. Eng. State. ` CALIF. Reg.*No.. M18646 CERTIFICATION OF SHOP INSPECTION 1, the'undei igned. holding a valid commission by the National. Doard'of Boiler and Pressure Inspectors-and/or the State or Province of North Carolina .
and c" to ed b D ' t en Labor of Stott of North Carolina have inspected the part. of a pressure vessel described. in this Partial Data Report on-
,._ ^ fate that to the best of my knowledge and belief; the NPT Certificate Holder has constructed this part in accordance with the ASME Code Section lit By signing this certificate, neither the inspector nor his employer makes any'warranty, expressed or implied, concerning the part, described in the; Partial Data Report., I unhermore,neitfier,the Inspector nor his employer shall be liable in any manner for any personal injury or property damages or a'loss of any kind arising from. or connected with this iinspectioit NB82141BNA^ .. .
National Board; State, Province and No...
.Supplemental sheets in form of lists, sketches or drawing may be used provided.(1) size is 8'h " x I I", (2) information in 1-2 on the Data:Report is.
included on each sheet and.(3) each sheet is numbered and number of sheets is recorded in item 3 "Remarks".
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21$` Rd. Marseilles, II. 61341 W.O. # 967897 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect III 19 71 Edition No Addenda, Code Cases 1361 -1 & 1361-2 (b) Applicable Edition of Section XI Used for Repair/Replacement Activity -2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed Yes or No CRD Assembl y G.E. 6477 N/A 26-47 Removed N/A CRD Assembly G.E. 9425 N/A 26-47 2010 Installed N/A (8) CRD Nova N/A 26-47 Removed N/A Ca screws (8) CRD Nova Ht. Trace N/A 26-47 2009 Installed N/A Capscrews Code **
3C50 Piston Tube Ass y. GE 9425 ..N/A 26-47
- Removed N/A Piston Tube Ass y. GE SE1336 ..N/A 26-47 2010 Installed N/A
- 7. Description of Work Cl ass l Replace ment. * = Per N -5 Code Data Report on file at LaSalle Cou nty Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure I X I Exempt I_I Other I_I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks CRD SN# 9425 was refurbished with documentation provided under Quality Receipt # 150674 and (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN# 6477 under work order # 967897. ** = Replacement CRD Code of Construction is ASME Section III, 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88-013 & PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section III, Class 1, 1986 Ed. No Ad. Reconciled to the original Code of Construction per PTE M91-007-0320 -01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed zc^- ISI Coordinator Date May 24 , 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1 R12 to L1 R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor h' efployer shall be liable in any manner for any personal injury or property damage or a loss of any kind qrj 'ng^ orn o/ connected with this inspection.
Commissions IL 2144 nspec#or's Signature National Board, State, Province, and Endorsements Date CG* r-^' IL 2010
FORMN-2 CERTIFICATE; HOLDERS' DATA .REPORT FOR NUCLEAR PART AND APPURTENANCES'"' j As:required lly the Provision of the ASME Code Rules,Section III, Division I r¢w+.r>>:a-^da GE Hitachi Nuclear. Energy '
3901: Castle Hgyt a Road, Wilmington, North Carolina 28401_.
. (Name and addressof NPT Certificate Holder)'
(b)` Manufactured for,' LA SALLE 1. &"2;' MARSEILLES, ILLINOIS' 61341:.
.(Name and address of N Certificate Holder for.completed nuclear component);
2.. Identification - Certificate Holders 8M of Pan.. E036` Nat'l Bd..No -% .: N/A (a). Constructed. According to Drawing No.: 198D2 GO!?, Rev. 40: >. Drawing Prepared. by :: P. PANS'OY:-
(b) ,Description.of Part inspected. PISTONTUBE'ASSEMBLY (c)
- Applicable ASME Code:. Section 11.1, Edition; 1974.:. Addenda Date W' 75 Case Nos 1361:2'
-3:'. Remarks:.."STANDARD PART'FOR*USE WITH REACTOR. HYDROS`fATICALLY TESTED AT 1820 PST MIN:
(lint descnation of service. lor..whtchocomnonent was destened) ' .
We certify that the statements in this report are correct and-this vessel pan or appurtenance as defined in the code conforms to the rules of construction .
of the ASME Code Section 111. (The applicable Designed Specification and Stress Report are not the responsibility of the NPT Certificate Holder. for
'pans. .An NPT.Certification,Holder.for appurtenances is responsible for furnishing a,separate Desitm.Specification,and Stress Report if the : *
`appurtenances is not included in the coinponem Design Spccificatiori and Stress Report)
Date. 0 1115/2010 Signed GEH By *
(NPTCertifcate:Holder) . (SCQRepresentaiiye).
Certificate Certificate of Authorization:Expiires of Authorization 06/16/2011 No. NPT N- 1151-':
CERTIFICATION OF SHOP INSPECTION.
i.'the undersigned, holding d valid commission by the National Board of Boiler and Pressure Inspectors and/or the State or. Province of North Carolina, and emp oxl b De nient of Labor of State of North Caroliiua; have inspected the part of a pressure vessel described in this Partial Data Report on and state that to the best of my knowledge and belief,,the NPT Certificate Holder has constructed thi s art p in accordance with the Code Section Ill.:
Bysigning.this certificate.:neitherthe Inspectoraoc:his employer. makes any,warrarty;:extessed or`impl' ed;:connCen ing.the:partdescribcdin the <;:.
Partial Data Report Furtfrermore, neither the Inspector nor his employer shall be liable inany manner for any personal, injury. or property damages or a toss of any xtnd arising from or connected wan tnis i nspection.
Date..
.*Stipplementat .sheets in form of lists. sketches or drawing" maybe used provided (1.) size is 8'h" z 1.1".,(2) information- in 1-2 on the Data Report is..
included on each sheet: and (3) each sheet is numbered and number of sheets is recorded in item 3 '-'Remarks".
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N.21s' Rd. Marseilles, II. 61341 W.O. # 967900 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect III 19 71 Edition No Addenda, Code Cases 1361-1 & 1361-2 (b) Applicable Edition of Section XI Used for Repair /Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case( s) None
- 6. Identification of Com p ents Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed (Yes or No CRD Assembl y G.E. 7046 N/A 26-19 Removed N/A CRD Assembly G.E. 9591 N/A 26-19 2010 Installed N/A (8) CRD Nova
- N/A 26-19
- Removed N/A Ca screws (8) CRD Nova Ht. Trace N/A 26-19 2009 Installed N/A Capscrews Code **
2Y85
- 7. Description of Work Cl ass 1 Replace ment. * = Per N-5 Code Data Report on f ile at LaSalle Cou nty Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure I X I Exempt I_I Other I_I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks CRD SN# 9591 was refurbished with documentation provided under Quality Receipt # 150674 and (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN# 7046 under work order # 967900. ** = Replacement CRD Code of Construction is ASME Section III 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88-013 & PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section III, Class 1 1986 Ed. No Ad. Reconciled to the original Code of Construction per PTE M91-007 -0320-01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed ISI Coordinator Date May 19 . 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1 R12 to L1 R13 and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employ shall be liable in any manner for any personal injury or property damage or a loss of any kind arisi^^fro^or;cnnected with this inspection.
Commissions IL 2144 Inl;pector' . Signature National Board, State, Province, and Endorsements Date )o. I) 2010
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/17/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21st Rd. Marseilles, II. 61341 W.O. # 967903 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RD) Control Rod Drive
- 5. (a) Applicable Construction Code Sect III 19 71 Edition No Addenda, Code Cases 1361 -1, & 1361-2 (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. Bd. Identification Built Removed, or Stamped No. No. Installed (Yes or No)
CRD Assembl y G.E. 8523 N/A 26-03
- N/A 26-03
- Removed N/A Ca screws (8) CRD Nova Ht. Trace N/A 26-03 2009 Installed N/A Capscrews Code **
3C50 Piston Tube Ass y. GE A959 ..N/A 26-03 Removed N/A Piston Tube Ass y. GE SE1325 ..N/A 26-03 2010 Installed N/A
- 7. Description of Work Cl ass 1 Replacement. * = Per N -5 Code Data Report on file at LaSalle Cou nty Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure I X I Exempt I_I Other I_I Pressure 1042 psig Test Temp. 150 Deg. F
- 9. Remarks CRD SN# A959 was refurbished with documentation provided under Quality Receipt # 150674 and (Applicable Manufacturer's Data Report to be Attached )
installed as a replacement for SN# 8523 under work order # 967903. ** = Replacement CRD Code of Construction is ASME Section III, 1971 Ed. S73 & W75 Ad. Reconciled to the original per PTEs PTE 88 -013 & PTE 88-396 on file at LaSalle Station. Replacement Capscrew Code of Construction is ASME Section III. Class 1. 1986 Ed. No Ad. Reconciled to the original Code of Construction per PTE M91-007 -0320-01 on file at LaSalle Station.
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of AuthoJsation No. N/A Expiration Date N/A Signed ISI Coordinator Date May 24 , 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1 R12 to L1 R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arisig from of connected with this inspection.
IV Ax I: ZAZ Commissions IL 2144 nspector'7' Signature National Board, State, Province, and Endorsements Date 055-,_$15- kQ 2010
It4R^WF3C^
FORM N-2 CERTIFICATE HOLDERS' DATA REPORT FOR NUCLEAR PART AND APPIM11' As; required by theProvision*:of the ASME Code Rules,Section III, Division I.: ^i'.a.A. l*^*ro. '::
Manu facturcd*and certified by=: GE Hitachi Nuclear Enemy' :
3901 Castle Hayne Road, Wilmitigton, North Carolina 28401*° (Name and. address, of NPT Certificate
.(0) Manufactured for LA SALLE 1 & 2. ARSEILLES* ILLINOIS, 61341:. `-
(Name and address- of N Certificate Holder for-completed nuclear component) 2.. IdenEifcationCertifcate Holder-'s S/N of Part SE1325*:. 'Nat' I ad, No: *. ; ; .NIA ::..
(a) Constructed According. to Drawing No . 798D228G012, Rer.40. Drawing Prepared by P. PANSOY (b)' Description of Part Inspected PISTON TUBE ASSEMBLY (c) Applicable ASME Code Section 1I1, Edition 1974* Addenda Date W75' Case No. 1361-2 Class: 1
- 3. Remarks: STANDARD PART FOR USE WITH REACTOR. HYDROSTATICALLY TESTED.AT 1820 PSI MIN..::
(Brief description of service for which component was designed),
wecertdy that inc statements in this report are correct and this vessel part.or appurtenance as defined in the code conforms to the ruies.of construction of the ASME Code: Section ttl. (The applicable Designed Specification and Stress Report are not-the responsibility of the 'NPT Certificate Holder for parts. An NPT Certification Holder for appurtenances is responsible for furnishing a separate; IJesign.Specification and Stress Report *if the `*
appurtenances. is riot: included in the component Design'Specification-and StressReport):*
Date;: 01/15/2010 ::; ;' Signed :' GEH" By..; `
(NPT Certificate Holder) {SCQ Representative)
Certificate of Authorization*_ Expires- 06/16/2011* . Certificate of'Authorization No. NPT N-1151 CERTIFICATION OF*DESIGN FOR' APPURTENANCE
- Design.infgrmaiio,n:on file at' :.. GE COMPANY, SAN JOSE; CALIFORNIA' -.*
Stress analysis report on file at GE COMPANY, SAN JOSE: CALIFORNIA DC22A6253. Rev. 02 Design.specification certified by B.N. 5RIDHAR :' Prof..Eng. State CALIF. ' Reg .No _: 18345 DC22A6254: Rev..01 Stress analysis report certified by. E.Y._GIBO Prof.' Eng. State CALIF. Reg: No.'.'. M18646*
..CERTIFICATION OF. SHOP, INSPECTION:.
I, the undersigned; holding a . valid' commission by the National Board of Boiler and Pressure Inspectors and/or the State or Province of North_Caiblina and employed by Depart tif o f tabor.of Stare of North Carolina have.insnected the part of a pressure vessel described in this Partial Data Report on 0 14 Ji and state that to the best.of'my knowledge.': and. belief, the NPT Certificate. Holder has constructed this part in accordance with the ASi E Code Section III.
By signing this. certificate; neither the Inspector nor his employer makes any warranty; expressed'or implied. . concerning the part described in the;:
Partial Data Report. Furthermore. neither the Inspector nor his employer shall be liable in any manner for any personal injury or property. damages or .
a loss of any kind arising' from or connected with this inspection:
NB8214 IBNA
- M o d --. National Board Stare,, Province'atid. No:
- Supplemental sheets. in form of lists. sketches ordrawing.may be used provided ( 1 ) size is 8 V s " x l i ", (2) information in t-2 on the Data Report is included on each sheet.,and'(3) each sheet is numbered and number of sheets is recorded in item 3 "Remarks ":
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/20/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 215` Rd. Marseilles, II. 61341 W.O. # 1115392 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RH) Residual Heat Removal
- 5. (a) Applicable Construction Code Sect III 19 71 Edition W72 Addenda, Code Cases None (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed., 2003 Ad.
(c) Applicable Section XI Code Case( s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. No. Bd. Identification Built Removed, or Stamped No. Installed Yes or No 8"Check Valve Anchor N/A 1 E12-F046A
- Removed N/A Disc Darlin g 8" Check Valve Flowserve J7178-1-3 N/A 1E12-F046A 2009 Installed N/A Disc
- 7. Description of Work Cl ass 2 Replace ment. * = Per N-5 Code Data Report on file at LaSalle Cou nty Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Operating Pressure I X 1 Exempt I_I Other I_
Pressure 130 psig Test Temp. Ambient Deg. F
- 9. Remarks Replaced Check Valve Disc.
(Applicable Manufacturer's Data Report to be Attached )
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed ISI Coordinator Date May 21 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L11112 to L11113 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the exam inations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his empyr shall be liable in any manner for any personal injury or property damage or a loss of any kind arisjq^ fro`or c nnected with this inspection.
Commissions IL 2144 pector'W Signature National Board, State, Province, and Endorsements Date (i 2t. Its 2010
FORM N-2 CERTIFICATE HOLDERS' DATA'. REPORT FOR IDENTICAL NUCLEAR PARTS AND APPURTENANCES' As Required by the Provisions of the ASME Code,Section III 146321 Not to Exceed One Day's Production Pg. 1 of 2 Flowserve Corporation 1900 S. Saunders St Raleigh, NC, 27603
- 1. Manufactured and certified by (name and address of NPT Certificate Holder)
Exelon Company / Business Services/P.O Box 805388 Chicago, IL 60680-5388 USA
- 2. Manufactured for (name and address of purchases)
Exelon Generation Company/ Lasalle Warehouse (stock) . 2601 N. 214 Road. Marseilles. IL.61341
- 3. Location of installation (name and address)
SA105 N/A N/A 2009 93-14435 R/D
- 4. Type (marl. spec. no.) (tonsils strength) (CRN) (year built)
(drawing no.)
1971 Winter 1972 2 N/A
- 5. ASME Code,Section III, Division 1: _ (editon) (addenda data) (class) (Code Case no.)
N/A N/A N/A Revision Date
- 6. Fabricated in accordance with Const. Spec. (Div. 2 only) (no.)
DISC FOR A 8" 3005 SWING CHECK VALVE
- 7. Remarks:
S.O.54673 N/A N/A
- 8. Nom. thickness (in.)
N/A Min. design thickness (in.) Per #4 Dia. ID (ft & in.) Length overall (ft & in.^
- 9. When applicable, Certificate Holders' Data Reports are attached for each item of this report:
National National Part or Appurtenance Board No. Part or Appurtenance Board No.
Serial Number in Numerical Order Serial Number in Numerical Order 37158-1-1 /A (26)
(1)
(2) J7158- 1-2 N/A (27)
(3) J7158-1-3 N/A (28)
(4) (29)
(5) (30)
(6) (31)
(7) (32)
(8) (33)
(9)
(34)
(10) (35)
(36)
(11)
(12) (37)
(13) (38)
(14) (39)
(15) (40)
(16) (41)
(17) (42)
(18) (43)
(19) (44)
(20) (45)
(21) (46)
(22) (47)
(23) (48)
(24) (49)
(25) (50) psi. Temp. °F. Hydro. test pressure at temp. °F
- 10. Design pressure (when appilcabla) in items 2 and 3 on this Data Report is e Supplemental information in the form of (ists, sketches, or drawings may be used provided 11) size is 8112 x 11, (2) information included on each sheet, (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
FORM N -2 (Back - Pg. 2 of 2 14 6 3 2 1 J7158-1-1 17158-1-3 Certificate Holder's Serial Nos. through CERTIFICATION OF DESIGN JAMES TODD CONNER 23476 Design specifications certified by P.E. State MD Reg. no.
lwhan nppikable Design report* certified by N/A P.E. State N/A Reg. no. N/A (when apptksbla CERTIFICATE OF COMPLIANCE Parts We certify that the statements made in this report are correct and that this (theses conforms to the rules of construction of the ASME Code,Section III, Division 1.
N-1563 11-26-09 NPT Certificate of Authorization No. Expires Flowserve Corporation `
Name Signed (NPT Cerdikata Helder) n utha d representadve)
CERTIFICATE OF INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of NC and employed by HSR CT of Hartford. CT have inspected these items described in this Data Report on , and state that to the best of my knowledge and belief, the Certificate Holder has fabricated these parts or appurtenances in accordance with the ASME Code, Section Iil, Division I. Each part listed has been authorized for stamping on the date shown above.
By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concerning the equipment described in this Data Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for any personal injury or property damage or loss of any kind arising from or connected with this inspection.
tato ('24(, S Signed `L- Commissions NC ^^^y IAulfinr _ e.r Imneetext IN.YI. ed. nnd. rndnnementet and anat. n< ro.w .,.d n,. t
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/14/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21" Rd. Marseilles II. 61341 W.O. # 1115395 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RH) Residual Heat Removal
- 5. (a) Applicable Construction Code Sect III 19 71 Edition W72 Addenda, Code Cases None (b) Applicable Edition of Section XI Used for Repair /Replacement Activity-2001 Ed., 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Com p ents Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. No. Bd. Identification Built Removed, or Stamped No. Installed (Yes or No) 8"Check Valve Anchor N/A 1 E12-F046C
- Removed N/A Disc Darlin g 8" Check Valve Flowserve J7178-1-2 N/A 1 E12-F046C 2009 Installed N/A Disc
- 7. Description of Work Cl ass 2 Replacement. * = Per N-5 Code Data Re port on file at LaSalle Cou nty Station Tests Conducted: Hydrostatic I I Pneumatic 1_I Normal Operating Pressure I X I Exempt I_I Other I_I Pressure 135 osig Test Temp. Ambient Deg. F
- 9. Remarks Replaced Check Valve Disc.
(Applicable Manufacturer's Data Report to be Attached )
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his ployer shall be liable in any manner for any personal injury or property damage or a loss of any kind aripy1g ff jm^or/connected with this inspection.
Commissions IL 2144 nspectoi's Signature National Board, State, Province, and Endorsements Date (f . to 2010
FORM N-2 CERTIFICATE HOLDERS' DATA' REPORT FOR IDENTICAL NUCLEAR PARTS AND APPURTENANCES*
As Required by the Provisions of the ASME Code, Section ilI 146321 Not to Exceed One Day's Production Pg. 1 of 2 Flowserve Corporation 1900 S. Saunders St. Raleigh, NC, 27603
- 1. Manufactured and certified by (name and address of NPT Certificate Holder)
Exelon Company / Business Services/P.0 Box 805388 Chicago, IL 60680-5388 USA
- 2. Manufactured for (name and address of purchaser)
Exelon Generation Company/ Lasalle Warehouse (stock), 2601 N. 21d Road. Marseilles, tL.61341
- 3. Location of installation (name and address)
SA105 N/A N/A 2009 93-14435 R/D
- 4. Type (mat'). spec. no.) (tensile strength) (CRN) (year built)
(drawing no.)
1971 Winter 1972 2 N/A
- 5. ASME Code,Section III, Division 1: (edition) (addenda date) (class) (Code Case no.)
N/A N/A N /A Revision Date
- 6. Fabricated in accordance with Const. Spec. (Div. 2 only) (no.)
DISC FOR A 8" 300# SWING CHECK VALVE
- 7. Remarks:
5.0.54673 N/A B. Nom. thickness (in.) N/A Min. design thickness (in.) Per #4 Dia. ID (ft & in.) N/A Length overall (ft & in.}'
Holders' Data Reports are attached for each item of this report:
- 9. When applicable, Certificate National National Part or Appurtenance Board No. Part or Appurtenance Board No.
Serial Number in Numerical Order Serial Number in Numerical Order 37158-1-1 /A (26)
(1) 37158-1-2 N/A (27)
(2) 37158-1-3 N/A (28)
(3)
(4) (29)
(5) (30)
(6) (31)
(7) (32)
(33)
(8)
(9) (34)
(10) (35)
(11) (36)
(12) (37)
(13) (38)
(14) (39)
(15) (40)
(16) (41)
(17) (42)
(18) (43)
(19) (44)
(20) (45)
(21) (46)
(22) (47)
(23) (48)
(24) (49)
(25) (50) psi. Temp. T. Hydro. test pressure at temp. "F
- 10. Design pressure (when applicable) in items 2 and 3 on this Data Report is
" Supplemental information in the form of lists, sketches, or drawings may he used provided (1) size is 81/2 x 11, (2) information included on each sheet, (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
I
FORM N-2 (Back - Pg. 2 of 2 ) - tj 37158-1-1 37158-1-3 Certificate Holder's Serial Nos. through CERTIFICATION OF DESIGN MD 23476 JAMES TODD CONNER P.E. State Reg. no.
Design specifications certified by (when applicable)
Reg. no. N/A N/A P.E. State N/A Design report* certified by (when applicable)
CERTIFICATE OF COMPLIANCE Parts We certify that the statements made in this report are correct and that this (these) conforms to the rules of construction of the ASME Code,Section III, Division 1.
N-1563 NPT Certificate of Authorization No. Expires Name Flowserve Corporation Signed Date (NPT Certificate Holder)
CERTIFICATE OF INSPECTION and Pressure Vessel Inspectors and the State or Province I, the undersigned, holding a valid commission issued by the National Board of Boiler of NC and employed by HSR CT of Hartford. CT have inspected these items described in this Data Report on .4I/ ZOC }_ , and state that to the best of my knowledge and belief, the Certificate Holder has fabricated these parts or appurtenances in accordance with the ASME Code,Section III, Division. I. Each part listed has been authorized for stamping on the date shown above.
the equipment described By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concerning any personal injury or property damage in this Data Report. Furthermore, neither the inspector nor his employer shall be liable in any manner for or loss of any kind arising from or connected with this inspection.
Commissions A/(:! ) C?
ate 0 (Z4 L, g Signed `^kl>a ,.J^^^^
INe{L ad. (incl. endorsements) and slate or prc. and no.)
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI
- 1. Owner Exelon Generation Company (EGC) LLC Date 02/14/10 (Name) 200 Exelon Way, Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21" Rd. Marseilles, II. 61341 W.O. # 1115396 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RH) Residual Heat Removal
- 5. (a) Applicable Construction Code Sect 111 19 71 Edition W72 Addenda, Code Cases None (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed., 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. No. Bd. Identification Built Removed, or Stamped No. Installed (Yes or No) 8"Check Valve Anchor N/A 1E12+04613 Removed N/A Disc Darlin g 8" Check Valve Flowserve J7178-1-1 N/A 1 E12-F046B 2009 Installed N/A Disc
- 7. Description of Work Cl ass 2 Replacement. * = Per N-5 Code Data Report on file at LaSalle County Station
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_1 Normal Operating Pressure I X I Exempt I_ Other II Pressure 145 psig Test Temp. Ambient Deg. F
- 9. Remarks Replaced Check Valve Disc.
(Applicable Manufacturer's Data Report to be Attached )
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed ISI Coordinator Date May 21 . 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1R12 to L1R13 ,
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 X1.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising 1;rou or ^9fii'nected with this inspection.
Commissions IL 2144 In90ector'sJ Signature National Board, State, Province, and Endorsements 2010 Date ^^.i, o I
FORM N-2 CERTIFICATE HOLDERS' DATA'. REPORT FOR IDENTICAL NUCLEAR PARTS AND APPURTENANCES* _
As Required by the Provisio ns of the ASME Code, Section III 146321 Not to Exceed One Day's Production Pg. 1 of 2 Flowserve Corporation 1900 S. Saunders St. Raleigh, NC, 27603
- 1. Manufactured and certified by (name and address of NPT Certificate Holder)
Exelon Company /Business Services/P.O Box 805388 Chicago, IL 60680-5388 USA
- 2. Manufactured for (name and address of purchaser)
Exelon Generation Company/ Lasalle Warehouse (stock), 2601 N. 21u Road. Marseilles lL.61341
- 3. Location of installation (name and address)
SA105 N/A N/A 2009 93-14435 R/D
- 4. Type (mat 'I. spec. no.) (tensile strength) (CAN) year built)
(drawing no.)
1971 Winter 1972 2 N/A
- 5. ASME Code, Section III, Division 1: da ta s ) e no.)
(class)
(a dd o en d da e (edition) C a (C
N/A N/A N/A Revision Date
- 6. Fabricated in accordance with Const. Spec. (Div. 2 only) (no.)
DISC FOR A 8" 300# SWING CHECK VALVE
- 7. Remarks:
S.O.54673 N/A N/A Min. design thickness (in.) Per
- 4 Dia. ID (ft & in.) Length overall (ft & in.)*
- 8. Nom. thickness (in.) N/A Certificate Holders' Data Reports are attached for each item of this report:
- 9. When applicable, National National Board No. Part or Appurtenance Board No.
Part or Appurtenance in Numerical Order Serial Number in Numerical Order Serial Number (1) 17158-1-1 /A (26) 37158-1-2 N/A (27)
(2)
J7158-1-3 N/A (28)
(3)
(4) (29)
(30)
(5)
(6) (31)
(32)
(7)
(33)
(8)
(34)
(9)
(10)
(35)
(36)
(11)
(12) (37)
(38)
(13)
(39)
(14)
(40)
(15)
(41)
(16)
(42)
(17)
(43)
(18)
(44)
(19)
(20)
(45)
(21) (46)
(47)
(22)
(23) (48)
(24) (49)
(25) (50) psi. Temp. 'F. Hydro. test pressure at temp. 'F
- 10. Design pressure (when applicable)
(1) size is 8112 x 11, (2) information in items 2 and 3 on this Data Report is Supplemental information in the form of lists, sketches, or drawings may be used provided (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
included on each sheet,
FORM N- 2 (Back - Pg. 2 of tA6321 J7158-1-1 17158-1-3 Certificate Holder's Serial Nos. through CERTIFICATION OF DESIGN JAMES TODD CONNER 23476 P.E. State MD Reg, no.
Design specifications certified by (when applicable)
N/A Reg. no. N/A N/A P.E. State Design report* certified by (when applicable)
CERTIFICATE OF COMPLIANCE Parts We certify that the statements made in this report are correct and that this (these) conforms to the rules of construction of the ASME Code,Section III, Division 1.
N-1563 NPT Certificate of Authorization No. Expires Flowserve Corporation Name Signed (NPT Certificate Holder) % Tauthorfd representative)
CERTIFICATE OF INSPECTION Vessel Inspectors and the State or Province I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure of NC and employed by HSR CT of Hartford. CT have inspected these items described in this Data Report on .4 ZP!21 , and state that to the the ASME Code, Section best of my knowledge and belief, the Certificate Holder has fabricated these parts or appurtenances in accordance with III, Division 1. Each part listed has been authorized for stamping on the date shown above.
equipment described By signing this certificate, neither the inspector nor his employer makes any warranty, expressed or implied, concerning the be liable in any manner for any personal injury or property damage in this Data Report. Furthermore, neither the inspector nor his employer shall or loss of any kind arising from or connected with this inspection.
g f2. 4/0c7 Sign edc^M Commissions AJC 1f8y
-ate l Nafl. 8d. (incl. endorsements) and state or pro. and no.)
I
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI Owner Exelon Generation Company (EGC) LLC Date 02/22/2010 (Name) 200 Exelon Way. Kenneth Square, PA., 19348 Sheet 1 of 1 Address
- 2. Plant LaSalle County Nuclear Station Unit 01 Name 2601 N. 21" Rd. Marseilles, II. 61341 W.O. # 1150807 Address Repair Organization, P.O. No., Job No., etc.
- 3. Work Performed by Mechanical Maintenance Type Code Symbol Stamp N/A (Name) Authorization No. N/A Mechanical Maintenance Expiration Date N/A (Address)
- 4. Identification of System (RI) Reactor Core Isolation Cooling
- 5. (a) Applicable Construction Code Sect III 19 71 Edition S73 Addenda, Code Cases None (b) Applicable Edition of Section XI Used for Repair /Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Name of Name of Mfrs. Nat'l Other Year Corrected ASME Code Component Mfr. Ser. No. Bd. Identification Built Removed, or Stamped No. Installed (Yes or No) 4" Valve Stem Crane N/A 1 E51-F045
- Removed N/A Disc Assy.
4" Valve Stem Flowserve 88031-1 N/A 1 E51 +045 2006 Installed N/A Disc Ass y.
4" Valve Seat Crane N/A 1 E51-F045
- Removed N/A Rin g 4" Valve Seat Flowserve S/N 19 N/A 1 E51 +045 2010 Installed N/A Rin g
- 7. Description of Work Cl ass 2 Replace ment. * = Per N-5 or NIS-2 Code Data Report on file at LaSalle County Sta tion
- 8. Tests Conducted: Hydrostatic 1 1 Pneumatic I_I Normal Operating Pressure 1 1 Exempt 1_I Other II Pressure N/A psig Test Temp. N/A Deg. F
- 9. Remarks Replaced Valve Disc and Seat Ring.
(Applicable Manufacturer's Data Report to be Attached )
CERTIFICATION OF COMPLIANCE I certify that the statements made in the report are correct and that this conforms to the requirements of the ASME Code,Section XI.
Type Code Symbol Stamp NONE Certificate of Authorization No. N/A Expiration Date N/A Signed c-==L ISI Coordinator Date May 19 , 2010 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Illinois and employed by The Hartford Steam Boiler Insp. & Ins. Co. of Connecticut have inspected the components described in this Owner's Report during the period L1 R12 to L1 R13 ,
and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty , expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor hi e(np4o ^r shall be liable in any manner for any personal injury or property damage or a loss of any kind a ipi g n or connected with this inspection.
Commissions IL 2144 Inspectors Signature National Board, State, Province, and Endorsements Date (U 2010
FORM N-2 CERTIFICATE HOLDERS' DATA REPORT FOR IDENTICAL NUCLEAR PARTS AND APPURTENANCES*
As Required by the Provisions of the ASME Code,Section III Not to Exceed One Day's Production
- 1. Manufactured and certified by Flowserve Corporation/ 1900 South Saunders Street. Raleigh NC 27603 (Name and Address of NPT CeAificete Holder)
- 2. Manufactured for Exelon Business Services, Accts Payable. PO Box 805445 Chicago, IL 60680-5445 USA.
(Name and Address of PurchaW
- 3. Location of Installation Exelon Generation Company/ Lasalle Warehouse, 2601 N. 21" Road. Marseilles, IL. 61341-9757 (Name and Address) 4- Type: W9424393 REV F ASME SA105 N/A NIA 2006 (drawing no.) (marl spec. no.) (tensile strength) (CRN) (yew built)
- 5. ASME Code,Section III, Division 1: 1971 Summer, 1973 2 N/A (odition) (addenda date) (Class) (Code Case no.)
- 6. Fabricated in accordance with Const. Spec. (Div. 2 N/A Revision N/A Date N/A only) _
- 7. Remarks: Disk Assy. for 4" 900# Globe Valve S.O. 37743
- 8. Nom. Thickness (in.) N/A Min. design thickness (in.) pER#4 Dia. ID (ft & in.) N/A Length overall (ft & in.) N/A
- 9. When applicable, Certificate Holders' Data Reports are attached for each item of this report:
Part or Appurtenance National Part or Appurtenance National Serial Number Board No. Serial Number Board No.
In Numerical Order In Numerical Order (1) 88031-1 N/A (26)
(2) (27)
(3) (28)
(4) (29)
(5) (30)
(6) (31)
(7) (32)
(8) (33)
(9) (34)
(10) (35)
(36)
(12) (37)
(13) (38)
(14) (39)
(15) (40)
(16) (41)
(17) (42)
(18) (43)
(19) (44)
(20) (45)
(21) (46)
(22) (47)
(23) (48)
(49)
(25) (50)
- 10. Design pressure psi. Temp. F. Hydro. Test pressure NIA At temp F
`Supplemental information in form of lists, sketches or drawings may be used provided (1) size is 8-1/2' x 11`, (2) information in items 2 and 3 on this Data Report is included on each sheet, (3) each sheet is numbered and the number of sheets is recorded at the top of this form .^
FORM N-2 (Back-Pg. 2 of 2)
Certificate Holder' s Serial Nos. 88031-1 CERTIFICATION OF DESIGN Design specification certified by Gerald L Zwarich P.E. State IL Reg. no. 62-41234 Design Report' certified by P.E. State Reg. no.
CERTIFICATE OF COMPLIANCE We certify that the statements made in this report are correct and that this (these) PARTS Conforms to the rules of construction of the ASME Code, Section Ill, Division 1.
NPT Certificate of Authorization N1563 Expires 11/26/2006 No.
Date// . 1 Name Flowserve. Corporation Signed (NPT Certifcals Hokhr) (auMarhad represerrtetive)
CERTIFICATE OF INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of North Carolina and employed by HSB CT of Hartford, Connecticut have inspected these items described in this Data Report on Al 1 /3 and state that, to the best of my knowledge and' belief, the Certificate Holder has fabricated these parts or appurtenances in accordance with the ASME Code,Section III, Division 1. Each part listed has been authorized for stamping on the date shown above.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the equipment described in this Data Report Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or loss of any kind arising from or connected with t s Inspection.
Date (--Signed Commissions ^11G/y^ 1
(&d-dzed k,speaw) (NarL ad incl
( .E...4.. month) end state, Pm. no.)
FORM NIS-2 OWNER'S REPORT FOR REPAIR/ REPLACEMENT ACTIVITY As Required by the Provisions of ASME Code Section XI Date 06/06/08
Sheet 1 of 1 200 Exelon Way, Kenneth Square, PA., 19348 Address Unit 01
- 2. Plant LaSalle County Nuclear Station Name W.O. # 935509 2601 N. 21st Rd. Marseilles 11. 61341 Address Repair Organization, P.O. No., Job No., etc.
Type Code Symbol Stamp N/A
- 3. Work Performed by Mechanical Maintenance Authorization No. N/A (Name)
Expiration Date N/A Mechanical Maintenance (Address )
- 4. Identification of System (RI) Reactor Core Isolation Coolant
- 5. (a) Applicab le Construc tion Code Sect III 19 74 Edition No Addenda, Code Cases None (b) Applicable Edition of Section XI Used for Repair/Replacement Activity-2001 Ed.. 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components
' Mfrs.l Other Year Corrected ASME Code N a Name of t Name of Bd. Identifica tion Built Removed, or Stamped Component Mfr. Ser.
Installed (Yes or No)
No. No.
N/A 1E51-D002 Removed N/A Cont (1)in 6"-STD-Ven-R-LL tal Rupture Disc Disc Corp.
N/A 1E51-0002 1996 Installed N/A (1) 6"-STD-V-R-LL Continental 272313 Disc Corp. Receipt # L96-0002 5 Rupture Disc Code Data Report on file at LaSalle County Station
- 7. Description of Work Class 2 Replacement. * = Per N-5 or NIS-2 tic I I Pneuma tic 1_I Normal Operatin g Pressure I X I Exempt I_I Other I_I
- 8. Tests Conducted: Hydrosta Pressure 5 psig Test Temp. Ambient Deg. F Remarks Replaced rupture disc every five years with new. Replacement per Design Specification J-2530 and 9.
(Applicable Manufacturer's Data Report to be Attached )
Nuclear County Station.
T-3763. Reconciliation per Evaluation L-1996-76-3. on file at LaSalle CERTIFICATION OF COMPLIANCE this conforms to the requirements of the ASME I certify that the statements made in the report are correct and that Code,Section XI.
Type Code Symbol Stamp NONE Expiration Date N/A Date y.3-0" 049 2008 ISI Coordinator Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION Board of Boiler and Pressure Vessel I, the undersigned, holding a valid commission issued by the National rs and the State or Provinc e of Illinois and employe d by The Hartford Steam Boiler Insp. & Ins. Co. of Inspecto Report during the period Connecticut have inspected the components described in this Owner's ,
L1 R12 to L1 R13 state that to the best of my knowled ge and belief, the Owner has performed examinations and taken corrective and the requirements of the ASME Code,Section XI.
measures described in this Owner's Report in accordance with Inspecto r nor his employe r makes any warranty , expressed or implied, By signing this certificate neither the d in this Owner's Report. Furthermore, neither the concerning the examinations and corrective measures describe his employe r shall be liable in any manner for any persona l injury or property damage or a loss of Inspector nor any kind arising fron)or connected with this inspectio n.
mmissions IL 1927 National Board, State, Province, and Endorsements
T ACTIVITY FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMEN n XI As Required by the Provisions of ASME Code Sectio Date 06/06/08
Sheet 1 of 1 200 Exelon Way. Kenneth Square, PA., 19348 Address Unit 01
- 2. Plant LaSalle County Nuclear Station Name W.O. # 935510 2601 N. 21st Rd. Marseilles, 11. 61341 Address Repair Organization, P.O. No., Job No., etc.
Type Code Symbol Stamp N/A
- 3. Work Performed by Mechanical Maintenance N/A (Name) Authori zation No.
Expiration Date N/A Mechanical Maintenance (Address)
- 4. Identification of System (RI) Reactor Core Isolation Coolant
- 5. (a) Applica ble Constru ction Code Sect III 19 74 Edition No Addenda, Code Cases None (b) Applica ble Edition of Section XI Used for Repair /Replacement Activity-2001 Ed., 2003 Ad.
(c) Applicable Section XI Code Case(s) None
- 6. Identification of Components Mfrs. Nat'l Other Year Corrected ASME Code Name of Name of or Stamped Bd. Identific ation Built Remove d, Component Mfr. Ser.
Installed (Yes or No)
No. No.
1 E51-D00 1 Remove d N/A (1)in 6"-STD-en V-R-LL tal N/A Cont Rupture Disc Disc Corp.
N/A 1 E51-D001 1998 Installed N/A (1) 6"-STD -V-R-LL Continental 300968 Receipt # L98-006 47 Rupture Disc Disc Corp.
or NIS-2 Code Data Report on file at LaSalle County Station
- 7. Description of Work Class 2 Replacement. * = Per N-5 Operating Pressure I X I Exempt I_I Other 1_I
- 8. Tests Conducted: Hydrostatic I I Pneumatic I_I Normal Pressure 5 psig Test Temp. Ambient Deg. F Replacement per Design Specification J-2530 and
- 9. Remarks Replaced rupture disc every five years with new.
(Applicable Manufacturer's Data Report to be Attache d) iliation per Evaluat ion L-1996- 76 -3. on file at LaSalle Nuclear County Station.
T-3763. Reconc CERTIFICATION OF COMPLIANCE ASME I certify that the statements made in the report are correct and that this conforms to the requirements of the Code,Section XI.
Type Code Symbol Stamp NONE N/A Expiration Date N/A Certificate of Authorization No.
Date -7u-/ a", 2008 Signed l sG-a^- ISI Coordinator Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION the National Board of Boiler and Pressure Vessel I, the undersigned, holding a valid commission issued by and employ ed by The Hartford Steam Boiler Insp. & Ins. Co. of Inspectors and the State or Province of Illinois this Owner's Report during the period Connecticut have inspected the components described in ,
1-11312 to L1 R13 dge and belief, the Owner has perform ed examinations and taken corrective and state that to the best of my knowle require ments of the ASME Code,Section XI.
ance with the measures described in this Owner's Report in accord any warran ty , expressed or implied, employer makes By signing this certificate neither the Inspector nor his s Report. Furthermore, neither the correct ive measur es describ ed in this Owner' concerning the examinations and injury or propert y damage or a loss of for any persona l Inspector nor his employer shall be liable in any manner any kind arising from or connected with this inspection.
Commissions IL 1927 ector's Signature National Board, State, Province, and Endorsements Date _y_-^Z 2008