View source for BYRON 2010-0001, Form NIS-2 Owner'S Report for Repair/Replacement Actitivity as Required by the Provisions of the ASME Code Section XI

{{Adams
| number = ML100050368
| issue date = 09/16/2009
| title = Form NIS-2 Owner'S Report for Repair/Replacement Actitivity as Required by the Provisions of the ASME Code Section XI
| author name = 
| author affiliation = Exelon Nuclear
| addressee name = 
| addressee affiliation = NRC/NRR
| docket = 05000454
| license number = NPF-037
| contact person = 
| case reference number = 01120408-17, BYRON 2010-0001
| package number = ML10050354
| document type = Report, Technical
| page count = 34
}}

=Text=
{{#Wiki_filter:DOCUMENT NO.:                   2A                                                                         REV. NO.: 0               ]
FORM NI8-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT ACnvlTY As Required by the Provisions of the ASME Code section XI
: 1.      Owner       Exelon Nuel..,                                 Date      9-16-09 Name 4300 Wlnfteld Road, Warrenville, IL                        Sheet                1              of             1 Address
: 2.       Plant      Byron Huc"', Pow. Station                       Unit _0;;;.;1:..-..                                                _
Name 4450 N. Gennan Church Road, Byron, IL                      Work Ord. No. 01120408-17 Address                                      Repair OrganIzation, P.O. No., Job No., etc.
: 3.      Work Perfonned by           Byron Mechanical                Type Code Symbol Stamp                   Not Applicable Maintenance Name                        Authorization No.           Not Applicable 4450 N. Gennan Church Road, Byron, IL                       expiration Date          Not Applicable Address
: 4.      Identification of System        RY PRESSURIZER
: 5.      (a) Applicable Construction Code           ASME Section III 19 71 Edition, W72 Addenda,                           Code Case (b) Applicable Edition of Section XI Used for Repair/Replace;nent Adlvity: 2001 Edltlonl2003 Addenda (c) Section XI Code Case(s) N/A
: 6.      Identification of Components .-;..;;~------------------------
ASME Corrected,            Code National                                     Removed,or          Stamped Name of             Name of          Manufacturer      Board         O1her              Year          Installed       (Yea or No)
Comoonent          Manufacturer        Serial No.        No.       Identification         Built Relief Valve Inlet    Crosby Valve         Valve SIN Stud                Co.         N-56964-00-0031 NlA       1RY8010A              1978        Removed                No Trace IV,660B                     UTC' Relief Valve Inlet    Crosby Valve AOY,CC1649           NlA      0002640178             1990        Installed              No Stud                Co.
SIN'N90488                   CATId 26913
: 7. Description of Work          REPLACED MISSING STUD
: 8. Test Conducted:        Hydrostatic    0         Pneumatic  0    Nominal Operating Pressure             0       Exempt ~
Other   0       Pressure     _ _ _ _ psi                 TestTemp.                           OF Note: Supplemental sheets in fonn of lists, sketches, or drawings may be used, provided (1) size Is 8~ in. x 11 In., (2) Infonnatlon in items 1 through 6 on this report Is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top ot this tann.

FORM NI8-2 (Back)
: 9.      Remarks      WO' 0120408-17 AppllCibli MiriUfiCtUi'ii's Cifi R8POf1S to hi iH8diid VALVE REPLACED ON WO' 0120408-01, VT-2 PERFORMED ON WO' 0120408-07 CERTIFICATE OF COMPUANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp                                                  Not Applicable Certificate of Authorization No.                                         Not Applicable Signed            *~ ~                                          !?/L  c.;;j.                 Date 12*14            ,20..:::;0.:.9_
Owner's Designee, TIlle CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission Issued by the NatlonaJ Board 01 Boiler and Pressure Vessef Inspectors and the State or Province of               1ll1no18      and employed by            "S8 CT of Hartford, CT have inspected the components described In this Owner's Report dUring the period aJIll.       cA        to 12. \5 cA            , and state that to the best of my knowledge and bellet, the Owner has performed examlnatlons and taken corrective measures descrfbed 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        Ins        nor his employer shall be liable In any manner tor any personaJ Injury or p                      a loss of any kind arising from or connected with thls~9EM'ftiOn.
Commissions                   'C. ~lltJ.
nspectDI' 9'lat1n                                       NatIonal Boan1, State provtnce, and EndorHmenta Date:   '\}({;::iL&~          6., 20 ..;;.09~_ _

I i..-
DOCUMENT NO.:                   4-1                                                                       REV. NO.: _      0    _
(8                     FORM NI9-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT AC11VITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner       Exelon Nuel..,                                   Date     09128109 Name 4300 Winfield Road, Warrenville, IL                          Sheet              1              of             1 Address
: 2.      Plant       Byron Nuclea, Pow. Station                       Unit _1.:..-                                                      _
Name 4450 N. Gennan Church Road, Byron, IL                        Work Ord. No. 01120449-01 Address                                     Repair Organization, P.O. No., Job No., etc.
: 3.      Work Performed by           Byron Mechanical                 Type Code Symbol Stamp                  Not Applicable Maintenance Name*                        Authorization No.         Not Applicable 4450 N. Gennan Church Road, Byron, IL                        expiration Date        Not Applicable Address
: 4.      Identification of System        CV (Chemical Volume and ControQ
: 5.      (a) Applicable Construction Code           ASME Section III 1971 Edition, WmAddenda. None                        Code Case (b) Applicable Edition of Section XI Used for Repair/Replacement Activity: 2001 Edltlonl2003 Addenda (c) Section XI Code Case(s) _N;..;,on~e                                                                                       _
: 6.      Identification of Components ASME Corrected,           Code National                                    Removed,or         Stamped Name of            Name of          Manufacturer       Board          Other            Year          lnatalled      (Yes or No)
Comoonent         ManufactUrer        Serial No.         Ne.        Identification      Built Body to Cover       Kerotest       Body P*9911-1-(1)Z                1CV8368A Seal weld                       Cover P'9911'2-(1)Z    9605 SIN: 001-13          1978        Removed               Yes Body to Cover       Keratest       Body P'9911-1-(1)Z                1CV8368A Seal weld                       Cover P*9911*2-(1)Z    9605 SIN: 001*13          1978         Installed            Yes
: 7.      Description of Work         Remove existing seal weld and re-install seal weld
: 8. Test Conducted:        Hydrostatic    0         Pneumatic  0    Nominal Operating Pressure             0      Exempt CB:J Other    0       Pressure     _ _ _ _ psi               TestTemp.                            OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8~ In. x 11 in., (2) information in items 1 through 6 on this report Is included on each sheet, and (3) each sheet is numbered and the number of sheets Is recorded at the too of !hig fnrm

FORM NI8-2 (Back)
: 9. Remarks      WO 0112~1 APPIiC8b1i MiriUfaetUi8i's Dati ReportS fo be 8tI8d'ISd CERnFiCATE OF COMPUANCE I certify that the statements made In the report are correct and this conforms to the requirements of the ASME Code. Section XI.
Type Code Symbol Stamp Certificate Auth rlzatlon No.
Signed                                                                                             /,)" - 5 . 20 0 9 Owner or Owner'1 Designee. Tille CERnFlCATE OF INSEAVlCE INSPEcnON I. the undersigned. holding a vaJld commission Issued by the NationaJ Bo8rd d Boller and Pressure Vessel Inspectors and the State or Province of               IIUnoIa    and employed by           HSB CT of Hartford, CT have Inspected the components described In this Owner's Report dUring the period                    ('
c:e>.   '0. cR to          ,2 . iff. C11 I and state that to the best of my knowledge and belief, the Owner has performed examinations and taken correctfve measures described In this Owner's Report In accordance with the requirements d the ASME Code. Section XI.
By signing this certificate neither the Inspector nor his emp/oy8r makes any wan&nty. expressed or implied. concerning the examinations and corrective meaaurn described In this Owner's Report.
Furtherm                th Inspector nor his employer shaJl be liable In any manner for any personaJ injUry or p                  or a loss of any kind arising from or connected with this l.nspectlon.
Commissions'            'L.. 2~
* Slgnahn                                      NaIIcnalBoald. State promce. and Endcnementa Date:      ~g..&.&e           4_. 20 ...:oQ~ _ _
c

I DOCUMENT
:        ..-            NO.:
                                   -4A- - - - - - - -REV.                                                                  -NO.:
* 1.      Owner FORM NI8-2 OWNER'S REPORT FOR REPAJRlREPLACEMENT AC11V1TY A8 Required by the Provisions of the ASME Code SectIon XI Exelon Nuc.....
Name Date      09128109 4300 Winfield Roed, Warrenville, IL                            Sheet                1              of             1 Address
: 2.       Plant      Byron Nue'., Pow. Station                           Unit _0;::.1=---                                                     _
Name 4460 N. German Church Road, Byron, IL                           Work Ord. No. 01123910-01 Address                                         RepIIlr OrganIzatIon, P.O. No., Job No** ele.
: 3.      Work Performed by           Byron Mechanical                    Type Code Symbol Stamp                   Not Applicable Maintenance Name                             Authorization No.           Not Appllcabl.
4460 N. German Church Road, Byron, IL                           Expiration Date          Not Applicable Address
: 4.      Identification of System       SD STEAM GENERATOR SLOWDOWN
: 5.     (a) Applicable ConstructIon Code ASME Section III 1974 Edition, W75 Addenda, NlA                                       Code Case (b) Applicable Edition of Section XI Used for Repalr/Replace;nent Actlvity: 2001 Edltlonl2003 Addend8 (c) SectIon XI Code Case(s) ....;N1;.;:.;..:A:....-                                                                                 _
: 6. Identification of Components ASME fA                                                                  National Corrected, Removed,or Code Stamped Name of             Name of       Manufacturer             Board          Other              Year         Installed       (Yes or No)
Comoonent          Manufacturer     Serial No.               No.        Identlficatlorl        Built PLUG           MASONEILAN           SIN                                1SD054H N320189-048-2              NlA                              1994       REMOVED               NO W/STEM PLUG           MASONEILAN         SIN HTI:                        1SD054H W/STEM                             E71945-1*1               NlA     CAT 10 29440-1            2008      INSTALLED              NO UTC'0002818954
: 7. Description of Work          REPLACE PLUG, STEM ASSEMBLY.
: 8. Test Conducted:        Hydrostatic   0               Pneumatic 0    Nominal Operating Pressure             0       Exempt ~
Other   0      Pressure            _ _ _ _ psi              Test Temp.                           OF Note: Supplemental sheets in form of lists, sketches, or draWings may be used, provided (1) size is 8* in. x 11 in., (2) information in items 1 through 6 on this report is Included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

FORM NI8-2 (Back)
: 9.      Remarks       WO'01123910-01 APPiJC8b1i M8riUf8CtUi'i(s Dili Reporti to be 8ft8Chid CERTIFICATE OF COMPUANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp                                                      Not Applicable Certificate ofjfJthorizatlon No.                                              Not Applicable Signed      --!lL4tMA       ~. A;kv . A/It t,(JOt1J)/NAfl>&                                           Date  /0-0.. .20      1)2
                                     ~ OY.ner's DesIgnee, TI1Ie CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission Issued by the National Board of Boller and Pressure Vessel Inspectors and the Stale or Province of                 IlIIno"         and employed by            HSB CT
    ~HH..E!!=!: CT           hav~ ~P89l_ed the components described In this Owner's Report dUring the period
 ~ to /f/~'                                          , and state that to the best 01 my knowledge and belief.
the Owner has performed examinations and taken correctJve measU1'88 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 makea 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 p,:e~ or a loss of any kind arising from or connected with this inspection.
fk'V~                                                  Commissions _.,./_~..                   .....
t ....-_A_~,;o.'PI                          _
Inspecto(a SlgnatLn                                          Nationel Baud, Stale Provlnc:e, and EndarHm. . .
Date:        k:tt       /3           I 20 ......,L..,,~_

I_D_O_C_U_M_EN_T_N_O_o_:_ _4_A                                                                                     R_EV_o_NO_"_:_0_ _]
* 1. Owner FORM NIS-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT ACnvrrv As Required by the Provisions of the ASME Code section XI Exelon Nuel. .
Name Date      09128109 4300 Wlnfleld Roadz Warrenville, IL                             Sheet              1              of             1 Address
: 2.      Plant      Byron Nuel. . Pow. Station                           Unit _0:.1:...-                                                   _
Name 4450 N. Gennan Church Road, Byron, IL                           Work Ord. No. 01123911-01 Address                                         Repair Organization, P.O. No., Job No., etc.
: 3. Work Performed by           Byron Mechanical                     Type Code Symbol Stamp                 Not Applicable Maintenance Name                              Authorization No.         Not Appllcabl.
4460 No Gennan Church Roadz Byron, IL                            expiration Date        Not Applicable Address
: 4. Identification of System       SD STEAM GENERATOR BLOWDOWN
: 5.     (a) Applicable Construction Code                ASME Section III 19 74 Edition, W75 Addenda, N1A                     Code Case (b) Applicable Edition of Section XI Used for RepairlReplacen;e"t Activity: 2001 Edltlonl2003 Addenda (c) Section XI Code Case(s) ...,;NI;.,;;,,;,.;A                                                                                  _
: 6. Identification of Components ASME Corrected,           Code National                                      Removed,or         Stamped Name of            Name of       Manufacturer            Board           Other             Year         Installed       (V. or No)
Comoonent         Manufacturer     SertaJ No.              No.         Identification       Built PLUG          MASONEILAN            SIN                               1SOO54G 02978-8                NlA                             1979        REMOVED               NO PLUG          MASONEILAN         SIN*HT'                          1SD054G E71946-1-1              NlA       CAT 10 30848-1 .       2008       INSTALLED              NO UTCIOOO2813484
: 7. Description of Work         REPLACE PLUG I STEM ASSEMBLY.
: 8. Test Conducted:       Hydrostatic   0              Pneumatic  0     Nominal Operating Pressure           0       Exempt I8J Other   0      Pressure          _ _ _ _ psi                TestTemp.                           OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size Is 8~ in. x 11 in., (2) information in items 1 through 6 on this report is Included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this fonn.

FORM NI8-2 (Back)
: 9.      Remarks      WO.01123911-o1 AppllC86le Mariufaaur8i's Data ReportS to be attaChed CERnFiCATE OF COMPUANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp                                                Not Applicable Certificate of~uthorizatlon No.                                         Not Applicable Signed      JJ4fi4         ~. ~=t4AA loO~()...;.;IAJ.:.:.~:..;::;..:,,;:Il.______                  Date /0-/3 .20 01
                                 ~ 0M1eI'1 DesliJ1ee. TItle CERTlFlCATE OF INSERVICE INSPEcnON I, the undersigned, holding a valid commission Issued by the National Board 01 Boller and Pressure Vessel Inspectors and the State or Province of           IlIIno..        and employed by             HSS CT of Hartford, CT have Inspected the components described In this Owner's Report during the period
   .!&#xa2;fi                to /~/"                , and state that to the best 01 my knowledge and belief, the Owner hu performed e&f);inaUons and taken correcttve measures deacrlbed In this Owner's Report In accordance with the requirements of the ASME Code, Section XI.
By signing this certlfJcate 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~age or a loss of any kind arising from or connected with this Inspection.
     <J?na"'?~                                        Commissions _..&./..'I'~a._-&#xa3;.lIJf.m;n;;.....:.                   _
     .,...-. ~nspedo(,sv-n                                                 NatIonal Board. State ProvInce, and EndoBementa Date:       1bIe/N'       /3      120     "

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DOCUMENT NO.:               4.2                                                                                     REV. NO.: 0
* 1. Owner FORM NI8-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT ACnvrrv As Required by the Provisions of the ASME Code Section XI Exelon Nuclear Name 4300 Wlnfleld Road, Werrenville, IL Date Sheet 09125109 1                   of                         1 Address
: 2. Plant       Byron Nuel., Pow. Station                            Unit  _0;;.;1~                                                                  _
Name 4450 N. German Church Road, Byron, IL                            Work Ord'; No. 01138333-01102 Address                                          Repelr OrganIzation, P.O. No., Job No., etc.
: 3. Work Perfonned by         ShawlStone
* Webster                   Type Code Symbol Stamp                         Not Applicable Name                              Authorization No.       .~N~ot~Ap~p;,;;,;ll~cab;:;;;;.;,;le;;..-.              _
38400 S. Eaaex Road, Wilmington, IL 80481                        expiration Date -:N:.:;o::.::t:.:.Ap.:l:p;.:.:lIca=b~Ie=--                      _
Address
: 4. Identification of System       RY - REACTOR COOLANT SYSTEM
: 5.   (a) Applicable Construction Code ASME Section III 1971 Edition, W72 Addenda, NJA                                                     Code Case (b) Applicable Edition of Section XI Used for RepairlReplacement Activity 2001 Edition I 2003 Addenda (c) Section XI Code Case(s) ....:N:.::.;O:;.:N~E=--                                                                                              _
: 6. Identification of Components ASME Corrected,                 Code NatlonaJ                                              Removed,or                 Stamped Nameot              Nameot            Manufacturer       Board           OItIer           Year                    Installed             (Yes or No)
Comoonent          Manufactlnr          serial No.         No.        IdentllIcatIon       Built VALVE, REUEF       CROSBY VALVE         N56984-000089          NlA         1RY8010B            1977                REMOVED                      YES 1RY8010B VALVE, RELIEF      CROSBY VALVE         N56964-00-0090         NlA                             1977               INSTALLED                     YES Cat 10 1402762*1
: 7. Description gf Work       REPLACED RELIEF VALVE PER PM PROGRAM
: 8. Test Conducted:       Hydrostatic    0            Pneumatic  0     Nominal Operating Pressure                     181             Exempt 0 Other   0        Pressure              2228     psi         Test Temp.                        649 Note: Supplemental sheets in fonn of lists, sketches, or drawings may be used, provided (1) size Is 8* In. x 11 in., (2) infonnatlon in items 1 through 6 on this report Is included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this fonn.
: 9. Remarks       01136333-01/02 FORM NI8-2 (Back)                                                           I!
AppliC8ble ManUf8dUre?s Data ReportS to be attaChed CERllFiCATE OF COMPUANCE I certify that the statements made In the report are correct and this conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp                                                 Not Applicable Certificate of ~th~~tlon No.                                             Not Applicable Signed ~ ().                 .A,M,t... R.JUl.
I          ~                                       Date JC/3            , 20 ..;;.;;09~
Owner or Owner's O_1gnee. TItle CER11F1CATE OF INSERVICE INSPECTION I, the undersigned, holding a vaUd commission Issued by the National Board of Boller and Pressure Vessel Inspectora and the State or Province of              Illlna"      and employed by             HSS cr of H!ItfonI, cr have Inspected the components described In this Owner's Report during the period C1?? ~. cA to             12. dl. 09 , and state that to the best of my knowledge and belief, the Owner has performed examinatJons 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 makM any warranty, expressed or Implied, concerning the examinations and corrective measurel described In this Owner's Report.
Furthermore, r'elth      e I spector nor his employer shall be liable In any manner for any personal Injury or p                  or Ii loss of any kind arising from or connected with this inspection.
Commissions                  lL. 21c.ltJ I        SV'abn                                         Natklnal Board. state ProvInce, and EndorHmem.
Date:     'ik".l. Rk.Q q            , 20 ..;;.09~ _ _
(Final)

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DOCUMENT NO.:                  5.2                                                                                                REV. NO.: 0
* 1. Owner FORM NI9-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code section XI Exelon Nue'"
Name 4300 WInfield Road, Warrenvlll.. IL Date Sheet 9-18-09 1                           of                    1 Address
: 2.      Plant      Byron Nue'ea, Po. . Station                            Unit _0:.,:1:-..                                                                      _
Name 4450 N. Gennan Church Road, Byron, IL                             WorkO"*No. 0119411~1 Address                                            Repair OrganIzation, P.O. No., Job No., etc.
: 3. Work Performed by                            a ShawlStone Webster                    Type Code Symbol Stamp                                     Not Appllceble Name                             Authorization No.             .~N~o=:t:..::A.:Ip~p;;;ll~ce::=b;;;'.~-----
38400 S. Essex Road, Wilmington, IL 80481                          expiration Date         ...;N;.;,o;;.;t;.;,A.:Ip.p;;.;;lIce=b;..;.;Ie                _
Address
: 4. IdentifIcation of System         Cv/CHEMICAL II' VOLUME CONTROL
: 5.     (a) Applicable Construction Code               ASME Section III          19 74 Edition, S74 Addenda, 1644 Rev. 7, 1651,1682,1683,1685,1686,1728,1729,1734, N-108, N-180                                       Code Case (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition / 2003 Addenda (c) Section XI Code Case(s) ...;N;.;,O:.,:N:.;.;E=--                                                                                                     _
: 6. Identification of Components ASME Corrected,           Code National                                                           Removed,or              Stamped Name of            Name of      '. Manufac:ttnr         Board            Other                   Year                          Installed         (V_or No)
ComDOll8f1t       Manufacturer       Serial No.           No.          Identlflcatlon             Built Snubber, PSA- Pacific SIN 8810               N1A          1CV25016S                  1980                       Removed                 YES (1/2)                Scientific Snubber, Usaga                         SIN                                 1CV25016S (301856 RF2)
LISEGA 308003931004 N1A       (CAT 10#1033720) 2008                         Installed              NO
: 7. Description of Work         REPLACED EXISTING PSA SNUBBER WITH A lISEGA SNUBBER
: 8. Test Conducted:        Hydrostatic    0            Pneumatic   0      Nominal Operating Pressure                              0           Exempt  0 VT-3                  Other   I8J      Pressure          _ _ _ _ psi                Test Temp.                                               OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 81h in. x 11 in., (2) information in items 1 through 6 on this report Is included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form.

FORM NI8-2 (Back)
: 9.      Remarks       WO#01194116-01 AppllC8bli MiriUf8CfUii(s Dati ReportS to 6i attaa'iid CERnRCATEOFCOMPUANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp Certificate of Authorization No.
Signed                                                                                                     1/- 3 d     , 20 .-09~_
                                       ~ OM1er's Des9lee. TItle CERnRCATE OF INSERVICE INSPEcnON I, the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of                 IIIlnole        and employed by           HSB CT of    Ha   ant CT         h : ' . e d the components described In this Owner's Report during the period
_f~f"~              to    /Wd-                  ' and state that to the best of my knowledge and belief, the wner has performed examinations and taken corrective measures described In this Owner's Report In accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damag~r a loss of any kind arising from or connected with this inspection.
        ~                                                      Commissions --,-/.='t'L---.,wb'-lol'Ja.::?I~                        _
        ~             Inspector's Slg1ature                                       National BoaId, State Province, and Endorsements Date:       Dcubl &#xa3;~,. I               , 20 __.09       _
(Anal)

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DOCUMENT NO.:                   5.2                                                                                                                    REV. NO.:         0
\I    1. Owner FORM NI8-2 OWNER'S REPOAT FOR REPAIRS OR REPLACEMENTS Aa Required by the Provlalona of the ASME Code SectIon XI Ex.1on Huel....                                                                    Date        9-16-09 Name 4300 Wlnfl.1d Roed, Warrenville. IL                                                           Sheet                    1                  of                    1 Address
: 2. Plant      Byron Hue'.... Po. . Station                                                       Unit ....;0:.;:1:.....-                                                         _
Name 4450 N. G.rman Church Road, Byron, IL                                                         Work Order No. 01194117-01 Address                                                              Repair Organization, P.O. No., Job No., etc.
: 3. Work Perfonned by            SH_A~W~------                                                     Type Code Symbol Stamp                             Not Applicable Name                                                    Authorization No.               .,..N;.;.o;;;.;t;..;A.;.Ip~p;.;,;;lI~ca~b;.;.Ie~-----
38400 S. Esu. Road, Wilmington, IL 80481                                                       expiration Date             ....;N_o_t_A.;oI;p.p_"ca-=b,;;,;;;I.~                 _
Address
: 4. Identification of System               CV I CHEMICAL VOLUME CONTROL
: 5.    (a) Applicable Construction Code                                ASME Section III                    191!.. Edition, S74 Addenda. 1644 Rev. 7, 1651, 1682, 1683, 1685, 1686, 1728, 1729, 1734, N*108, N*180                                                              Code Case (b) Applicable Edition of Section- XI Used for Repair/Replacement Activity 2001 Edition / 2003 Addenda (c) Sectfon XI Code Case(s) ....;N;.:.;O;:;.:N;.:.;E=--                                                                                                                         _
: 6. Identification of Components ASME Conected,                Code National                                                     Removed, or               Stamped Name of           Name at            Manufacturer                                   Board              Other                   Year                Installed          (Yes or No)
Comoonent       Manufacturer              Serial No.                                    No.         Identification              Built SNUBBER             PSA                      SIN 33927                                      NlA        (1CV28002S)                  1980              Removed                  YES SIN                                                           (1CV28002S)
SNUBBER             L1SEGA                                                                 NlA                                     2008                Installed                NO 308001501037                                                 CAT 10 1396543
: 7. Description of Work     ....;R;..;.;E;;,;.P..;:LA;;.;..;:;C.=E=-O-=S;.;.;N;.;:;U.;B=-BE:::;R~                                                                                 _
: 8. Test Conducted:       Hydrostatic                0                   Pneumatic                0   Nominal Operating Pressure                       0            Exempt  0 VT*3                 Other ~                        Pressure                        _ _ _ _ psi                       Test Temp.                                    OF Not.: Supplemental sheets in tann of lists, sketches, or draWings may be used, provided (1) size is 8Y.. In. x 11 In., (2) intonnatlon in items 1 through 6 on this report Is Included on each sheet, and (3) each sheet Is numbered and the number ot sheets Is recorded at the top of this tonn.

FORM NI8-2 (Back)
: 9.      Remarks . ,;0;;.;;1..;.194;;..;;..;1..;.17,;. -0.. .;;;..;. ,1---r:==rr.==rr::-r:r==~:r:::=:r::='""""::z:-PI":'::o=::z:-r.:::-r::~'.:"::'I:~---------:.
___________A_p_P_llCib                                                         __le_Man
__Uf_a_dU_re_r'_s_o_a_ti_R_8POrt
__s_t_o_b_e_8_ft_aCh_Sd                            _
CERnACATEOFCOMPUANCE I certify that the statements made in the report are correct and this confonns to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp Certificate of Authorization No.
Signed                                                                                                                                         1/-3<>   ,20 ..;;;,.09~_
or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION
  ~
of     ='
I, the undersigned, holding a valid commission Issued by the National Board of Boller and Pressure Vessel Inspectors and the State or Province of CT
  'ttllOwner has perform to
                                          ~ave
                                                                      ~
IIIlnol.         and employed by In~~ the components described In this Owner's Report during the period
                                                                                   , and state that to the best of my knowledge and beDef, iI18ions and taken correctfve measures described In this Owner's HSB CT Report In accordance with the requirements of the ASME Code, Sectlon XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the examinations and correcttve measures described In this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable In any manner for any personaJ Injury ~ prope~d8l11~ge                            J >r a loss of any kind arising from or connected with this Inspection.
   ~~                                                                                     Commissions --&#xa3;.j)L.ItIo:'L.~
                                                                                                                      .. /.'-II',/L:5"L.t&#xa3;                      _
Inspector's Signature                                                                              National Board, State Province, and Endorsements Date:     Dc Clift ~~,.                           I                   ,20..;.09     _
(Final)

DOCUMENT NO.:                 5.2                                                                                               REV. NO.:              0 FORM NI8-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code section XI
: 1. Owner      Exelon Nue.....                                          Date      9-18-09 Name 4300 Wlnffeld Road, Warrenville, IL                                 Sheet                1                    01                            1 Address
: 2.      Plant      Byron Nuel. ., Power Station                             Unit ...:0:.;1:..-                                                                    _
Name 4450 N. German Church Road, Byron, IL                               Work Ord. No. 01194118-01 Address                                                Repair Organlzation, P.O. No., Job No., etc.
: 3. Work Performed by          ShawlStone
* Webster                     Type Code Symbol Stamp                              Not Applicable Name                                 Authorization No.          .":"'N~ot~A.;a:p::!=p;.;;lI~ca~b;;.;.le~-----
38400 S. Esaex Road, Wilmington, IL 60481                            expiration Date ...:N:.:;ot::.:..::Ap.:J:.I:p:.::.:II.:::ca:::b:.:.;"~                _
Address
: 4. Identification of System       CV I CHEMICAL. VOLUME CONTROL
: 5.     (a) Applicable Construction Code                ASME Section III          191i.Edltion, S74 Addenda, 1644 Rev. 7, 1651,1682,1683,1685,1688,1728,1729,1734, N-108, N-180                                      Code Case (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition I 2003 Addenda (c) Section XI Code Case(s) ...:N;.;.,O;:;,;N;.;.,E:::-                                                                                                    _
: 6. Identification of Components ASME Cotred8d,                     Code Natlorwl                                                    Rernowd,or                     Stwnped Named              Name 01       Manufactlnr               80Iud           Ottw                  Y8#II                     InsaJIed                 (y_orNo)
C<lmpanent        ManufKI1nr       Sel1aJ No.                No.         Idelllllkdoh             BUIt Snubber, PSA- Pacific SIN 1308                    NlA         1CV29003S                1981                   Removed                        YES (112)                Sclentlflc Snubber, Usega                       SIN                                     1CV29003S lISEGA                                      N1A                                  2008                    Installed                      NO (301856 RF2)                         308003931OO5                         (CAT 10'1033720)
: 7. Description of Work        REPLACED EXISTING PSA SNUBBER WITH A LISEGA SNUBBER
: 8. Test Conducted:        Hydrostatic   0                Pneumatic   0     Nominal Operating Pressure                        0                  Exempt 0 VT-3                  Other ~         Pressure              _ _ _ _ psi                TestTemp.                                                OF Note: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size is 8* In. x 11 in., (2) information in items 1 through 6 on this report Is included on each sheet, and (3) each sheet Is numbered and the number 01 sheets Is recorded at the top of this form.

FORM NI&-2 (Back)
: 9. Remarks       WO#01194118-01
_ _ _ _ _ _ _ _ _ _ _AP_P_IICib                      __ 'e_M8n
__Uf_8CtU                  _ _f_o_bi_attaa'I
__i8t"_S_O_8_fi_R_ep0rt8                   _ _id                 ''t CERllFiCATE OF COMPUANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp                                                         Not Applicable Certificate 01 Auth~                                                             ~lIcab" Signed
* Ownei     Owner's Designee, TiU.
CERTlFlCATE OF INSERVICE INSPECTlON I, the undersigned, holding a valid commission Issued by the National Board of Boller and Pressure Vessel Inspectors and the State or Province of                     IIIlnol.        and employed by                 HSB CT of tf&t'ord, CT ~:':ed the components described In this Owner's Report dUring the period mn,                    to ~                           , and state that to the best of my knowledge and belief,
  ~ has pertonnSd examinations and taken correctJve meuures described In this Owner's t
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 Inju~ O!.property_d8lTUlQ~ a loss of any kind arising from or connected                     with this Inspection.
   ~                                                            Commissions      __~ 'L:..-'LI:-.'4&4'J:r:L&.?&#xa5;--=-
Insp<<:tor'l Signature                                            National Bolud, State ProvInce, and Endcnementa Date:    J)e.C. A                  . 20 ....;;.09=--_ _
(Final)

I                                                                                                                                    REV. NO.: 0 C.
1-. DOCUMENT NO.:                 5.1                                                                                                                     _
FORM NI9-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT ACnvrrv As ReqUired by the Provtslons of the ASME Code Section XI
: 1. Qwner      Exelon Hue""                                          Date       9-28-09 Name 4300 Wlnfleld Road, Warrenville, It                              Sheet               1                         of                     1 Address
: 2. Plant      Byron Nuel.r Pow. Station                             Unit _0.;.1.:.-                                                                    _
Name 4450 H. German Church Road, Byron, It                             WorkOrd. No. 01218465-01 Address                                            Repair OrganIzation, P.O. No., Job No., etc.
: 3. Work Perfonned by          ShawlStone
* Web8t.                    Type Code Symbol Stamp                                 Not Applicable Name                              Authorization No.           .,..H;.;.ot~A.;Ip~p-lI~ca~b;;.;I-.------
38400 s. ease. Road, Wilmington, It 60481                     expiration Date        ...:.:Not~A;.;:Ip~p;,;lI:.;:;ca;;;;b;:;;..
:.=_                 _
Address
: 4. Identification of System        SI- Safety InJection
: 5.    (a) Applicable Construction Code              ASME Section III 1974 Edition, S75 Addenda, None                                           Code Case (b) Applicable EditIon of SectIon XI Used for RepalrlRepiacement Activity 2001 Edition I 2003 Addenda (c) Section XI Code Case(s) ...:N:.:.:O:::,:N:.:.:E=--                                                                                                  _
: 6. Identification of Components ASME Corrected,              Code National                                                   Removed,cw               Stamped Nameot              Nameot       Manufacturer            Board          Other               Year                        Inslalled          (Yes or No)
Comconent           Manufacturer     Serial No.             No.        Identification         Built SANDVIK PIPE, 2" SCH 160 INC.
HTl462460                 NlA       lSI18EB-2"             19n                       Removed                  NO ALLOY ELBOW, go., 60001        STAINLESS      HT'74188                 NlA        lSI18EB-2"             19n                       Removed                  NO Code' PI PRODUCTS ALLOY COUPLING, 2", 60001      STAINLESS      HTl74129                 NlA        1SI18EB-2"            19n                        Removed                  NO PRODUCTS Consolidated                                       lSI18EB-2" PIPE, 2" SCH 160 PowerSuDDIv HT'505112                NlA      Cat 10 32352*1 1981                        Installed               NO ALLOY ELBOW, go., 60001                       HTl74188                            1SI18EB-2" STAINLESS                               NlA      Cat 10 26875*1 19n                         Installed               NO PRODUCTS       Code' PI 1SI18EB-2" COUPLING, 2-, 6000'       Cameo Co.      HTlEEX                   NlA      Cat 10 26943-1 1981                        Installed               NO
: 7. Description of Work        INSTALLED PIPING{APPROX. 7.5 FT.) & FITTINGS (2 EA. ELBOWS & 1 COUPLING)
: 8. Test Conducted:       Hydrostatic   0                Pneumatic  0    NomlnaJ Operating Pressure                            f8I         Exempt 0 Other   0       Pressure                  863    psi           Test Temp.                               92           OF Hote: SupplementaJ sheets in fonn of lists, sketches, or drawings may be used, provided (1) size is 8~ In. x 11 In., (2)
Infonnation In items 1 through 6 on this report Is included on each sheet, and (3) each sheet is numbered and the number of sheets Is recorded at the top of this fonn.

FORM NI8-2 (Back)
: 9.      Remarks     ....;0:.:1~21.:.:646~5:..-o:.:1:--_ .......~~~~~~~~~~~~~~~                                                            ---+(_
APiiIIC8bIi ManUfaetUi'if's Data Reporti to be 8HiChid                           "
CERTIFICATE OF COMPUANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp Certificate of Authorization No.
Signed                                                                                                            /Z -1 , 20 . .; , 0....
9_
CERTIFICATE OF INSEAVICE INSPECTION of    ]f.
I, the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of pilL!!-
lllinola        and employed by CT h~eJ'~~the components described In this Owner's Report during the period to LJ#~"                             ,
HSB CT and state that to the best of my knowledge and belief, the (3"';;er has perform'~in8tionl and taken correcttve 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 W8lT8J1ty, expressed or Implied, concem'lng 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 a loss of any kind arising frem or connected with this I~~on.
   ~                                                                    Commissions         dL.M"~~+'                                 _
   ..,.,.           1nspeclDr'1 51gnabn                                                     NatioMI Boetd. S~ pnwtnce, .... Endotaem-*
Date:      hI!. I r                            .20 ..;;.09~_ _
(Final)
: t. I- - - - - - - - - -        1.
DOCUMENT NO.:
Owner 5.1 FORM NI8-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT Aa Required by the Provisions of the ASME Code Section XI Exelon Nuclear                                   Date      09-27-09 ACnvrrv REV. NO.:
Name 4300 Winfield Road, Warrenville, IL                          Sheet                1               of                        1 Address
: 2.      Plant      Byron Nuclea, Power Station                       Unit -.;0::.;1:...-                                                             _
Name 4450 N. Gennan Church Road, Byron, IL                        Work Order No. 01218485-15 Address                                        Repair Organization, P.O. No., Job No., etc.
: 3. Work Performed by           ShawlStone a Webster              Type Code Symbol Stamp                        Not Applicable Name                          Authorization No.         ~N;.;,o~t;.;,A.;.Ip~p;,;,;I,~ca~b;.;,I.;;.....-----
38400 S. E...x Road, Wilmington, IL 80481                     expiration Date -.;N:.:;o~t:..:.A.:IP;cp=lI.:;ca=b;.:;Ie:..._                   _
Address
: 4. Identification of System        Sf (SAFETY INJECTION)
: 5.     (a) Applicable Construction Code             ASME Section III 1974 Edition, S75 Addenda, NJA                                   Code Case (b) Applicable Edition of Section XI Used for Repair/Replacement Actlvity 2001 Edition I 2003 Addenda (c) Section XI Code Case(s) ...;N.._O;;.;N..._E                                                                                             _
: 6. Identification of Components ASME Corrected*                 Code National                                           Removed, or                 Stamped Name of            Name of       Manufacturer          Board          Other              Year                 Installed             (Vee or No)
Comoonent         Manufacturer      Serial No.           No.        Identlftcatlon         Built STRAP, PIPE HUNTER              NlA               NlA        1SI17038X             1984                Installed                 NO GUIDE WELDS
: 7. Description of Work         MODIFIED PIPE SUPPORT 1S117038X PER EC1373832
: 8. Test Conducted:       Hydrostatic    0           Pneumatic   0   Nominal Operating Pressure                  0               Exempt 0 VT-3                  Other ~         Pressure        _ _ _ _ psi                TestTemp.                                      OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8~ in. x 11 in., (2) information in items 1 through 6 on this report Is included on each sheet, and (3) each sheet is numbered and the number of sheets Is recorded at the top of this form.

FORM NI8-2 (Back)
: 9.      Remarks ....:0:.:1.:.2.:.:1646:...:=.:5-::...:.:15:..-        r='I~~~~~~~~.._==~~~=~--------"'(.
AppllC8ble M8riUfiCtUreI"s D8fi Reporti to be 8ftiChid CERnFiCATE OF COMPUANCE I certify that the statements made in the report are correct and this confonns to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp Certificate of Authorization No.
Signed                                                                                                                       a..- '2     ,20 ..;;0.;;..9_
CERnFICATE OF INSERVICE INSPEcnON I, the undersigned, holding a valid commission Issued by the Nattonal Board 01 Boller and Pressure Vessel Inspectors and the State 01 Province of                                      1ll1no..        and employed by         HSB CT of ~H~' CT ~av.~s                                             ed the components described In this Owner's Report during the period
  ~J'~                      to               _~L.--                      ' and state that to the best of my knowledge and belief,
  '&#xa3;he        er has perf                                      /nations and taken corrective measures described In this Owner's Report In accordance with the requirements of the ASME Code, SectJon XI.
By signing thls"certlf1cate neither the InspectOl nOl his employer makes any warranty, expressed or Implied, concerning thIJ examinations and correcttve measures described In this Owner's Report.
Furthermore, neither the Inspector nOl his employer shall be liable In any manner for any personal in~jU   ~~~~~ a loss of any kind arising from 01 connected with this ~.
     ~                                                                          Commissions         Jii       .1J..a..:.~~                       _
IMJ*to(s Signabn                                                                NatlonlIl Board, S . ProYh:e, and Endorsements Date:     P~IIJeJ-                         $ .20 ...;:.;:09~_

DOCUMENT NO.:                            4A                                                                                                                                   REV. NO.:           0 FORM NI&-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT ACnvlTY As Required by the Provisions of the ASME Code section XI
: 1.      Owner       exelon Nuclear                                                                                  Date      9-21-09 Name 4300 WInfield Road, Warrenville, IL                                                                         Sheet                1                          of                        1 Address
: 2.       Plant      Byron Nuclea, Power Station                                                                      Unit _0::::.;1:..-                                                                        _
4450 N. Gemian Church Road, Byron, IL Name Address Work   0.,.        No. 01227248-01 Repair Organization, P.O. No., Job No., etc.
: 3.      Work Performed by                  Byron Mechanical                                                          Type Code Symbol Stamp                                   Not Applicable Maintenance Name                                                        Authorization No.            .,..N:.::ot=;.::Ap~p:.:.:lI.;:ca;::b::.::;I.=-------
4450 N. German Church Road, Byron, IL                                                                        expiration Date         ~N;.:;.;ot:.:...:.;A.p,l;;pl:.:;.;lca=.;ble:.=._                  _
Address
: 4.      Identification of System                          CV CHEMICAL AND VOLUME CONTROL
: 5.     (a) Applicable Construction Code                                             ASME Section III                 1971 Edition, S72 Addenda, 1649                                             Code Case (b) Applicable Edition of Section XI Used for RepalrlAeplacemem Activity: 2001 Edltlonl2003 Addenda (c) Section XI Code Case(s) ...:N:..:..O:.:N:.:;E~                                                                                                                                                      _
: 6. Identification of Components ASME Con8cted*                   Code National                                                 Removed. or                  Stamped Nameot              Nameot                              Manutacturw                                     Board          Other                Year                   *Inatalled               (Yes or No)
Comoonent          Manufacturer                                5erfaJ No.                                 No.       Identification           Built COPES                        SIN 731 ()"95283-VALVE                                                                                                   525         1CVll2A                1976                 REMOVED                        YES VULCAN                                          227-1 COPES                                                                                            1CV112A VALVE              VULCAN                      0920-164948-1*1                                          N1A                               2009                 INSTALLED                       YES CAT 10' 1436038
: 7. Description of Work        . .,;R;., ; E; ; ,;P. ,; LA;; .,;.; ;C.E_D..,;;V..;,.A;,;;;l
                                                                             .                   V.;,.;E;;;....                                                                                                  _
: 8. Test Conducted:        Hydrcstatfc                               0"                  Pneumatic              0    Nominal Operating Pressure                             r8J             Exempt 0 Other             0                          Pressure                                357    psi           Test Temp.                               107               OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used. provided (1) size is 8!i.t in. x 11 in., (2) information in items 1 through 6 on this report Is included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form.

FORM NI8-2 (Back)
: 9.      Remarks       we, 01227246-01 xppllCible MiriUf8CfiJiii"s 0. ReportS to be 8lt8diid CERTIFICATE OF COMPUANCE I certify that the statements made In the report are correct and this conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp                                                        Not Applicable Certificate of Authorization No.                                                Not Applicable Signed             ~~                                               tf~e;;t                             Date     /'l-rf""" ,2009
                                 ~ Owner's Designee, TItle CERTIFICATE OF INSERVICE INSPEcnON I, the undersigned, holding a valid commission Issued by the National Board of Boiler and Pressure Vessel Inspectors and the State 0( Province of                   II1lno18        and employed by               HSS CT of Ha              CT ~ 8        In V e        the components deacrlbed In this Owner's Report during the pertod
       " ~               to           Z                , and state that to the best of my knowledge and belief, e wner has perform          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 correctfve measures described In this Owner's Report.
Furthermore, neither the InspectO( nor his employer shall be liable In any manner for any personal injury: /,~~ a loss of any kind arising from or connected with this inspection.
      ~                                                       Commissions -....tu:::'/.:.::::'L~.~hflL::.S..l.f'        --:--       _
Inspector'. S9'at1n                                            NadoMI Board, SIat8 Provlnce, and Enciof.-nentll Date:       QU. If                   .20...;;,;09""",-_ _

   '__   DO_C_U_M_EN_T_N_O_"_:_ _5_.2                                                                                                      R_EV_"_N_O_.:_O_ _]
* 1. Owner FORM NI&-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASIIE Code section XI Exelon Nuel.. .
Name 4300 Wlnfleld Road, Warrenville, IL Date ..;9-:::..:;28-09::..::;:::-.
Sheet                       1                         of                1 Address
: 2.      Plant       Byron Nuelea, Power Station                       Unit ..;0:::.;1:......                                                                  _
Name 4450 N. German Church Road, Byron, IL                         Work Order No. 01283892-01 Address                                         Rep&lr OrganIzation, P.O. No., Job No., elle.
: 3.      Work Performed by           Sha.lSloM a Webster               Type Code Symbol Stamp                                       Nol Applicable Name                         Authorization No.                      ~N~ot~Ap~p:.:.;lI~ca:::=b;.:,I.;:;;.-.-----
38400 S. Ease. Road, Wilmington, IL 60481                      expiration Date                                                   ..
_N;.;;.ot~A.;I;p;,l;p.;,;.lIca=b~                      _
Address
: 4. Identification of System          RY* REACTOR COOLANT PRESSURIZER
: 5.     (a) Applicable Construction Code              ASME Section III      19 74 Edition, S74 Addenda, 1644 Rev. 7, 1651, 1682, 1683, 1685, 1686, 1728, 1729, 1734, N-108, N-180                                      Code Case (b) Applicable Edition of Section XI Used for RepalrlAeplacement Activity 2001 Edition I 2003 Addenda (c) Section XI Code Case(s) ....;N:.;;O:.;N;.;;E=--                                                                                                     _
: 6.      Identification of Components ASME Corrected,           Code National                                                           Removed,or           Stamped Name of            Name of          Manufacturer        Board          Other                           Year                   Installed       (Yes or No)
ComPOOent          Manufacturer       Serlal No.          No.        Identlflcatlon                     Built Snubber Rear         Pacific
             'WAId        -                      N1A              N1A        1RY06121S                          1980                 Removed               NO Snubber Rear         Pacific                 N1A              N1A        1RY06121S                          1980                  Installed            NO
             *WAlrl
: 7.      Description of Work          SUPPORT MODIFICATION, REMOVE AND REWELD SNUBBER REAR BRACKET
: 8.      Test Conducted:        Hydrostatic     0          Pneumatic   0 Nominal Operating Pressure                                    0        Exempt 0 VT*3                   Other   r81      Pressure       _ _ _ _ psi                   TestTemp.                                            OF t Note: Supplemental sheets in form of lists, sketches, or drawings may be used, prOVided (1) size Is 8Vl in. x 11 in., (2) information in Items 1 through 6 on this report Is Included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form.

FORM NIS-2 (Back)
: 9.      Remarks ...;O:;.:1:.:2:=.;838:::;,;:~92=--o~1 _ _--r.~=r~~~~~~~I"1':.:=~~~~~                                                               --:"'!,.-'
APpllC8ble MiriUfBCtUi8i's b8IB Reporti to hi 8It8Chid                                   .
CERnACATEOFCOMPUANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp Certificate of Authorization Signed                                                                                                                     /2 -( ,20 ..;;.0;:;..9_
                                                -r)wrwwwOM'Iw"s DesIfl1ee, TIUe CERnFlCATE OF INSERVICE INSPEcnON I, the undersigned, holding a valid commission Issued by the National Boerd of Boiler and Pressure Vessef Inspectors and the State or Province of                               lllinole       and employed by            HSB CT of~!!1f:d:CT h:W~~ the components described In this Owner's Report during the period                                                             f.
i!t......-/~ to ~                                              , and state that to the best of my knowledge and bell.f, .                         \
   ~e ner has performed examinations and taken correctfve measures described In this Owner's Report In accordance with the requirements of the ASME Code, Sectlon 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 shaJi be liable in any manner for any personal In~~ or a Joss of any kind arising from or connected with this Inspection.
 ~                                                                        Commissions       dL.. /,{.$t(
InspeclDr'. S/fJ1at1n                                                     Natil:nI Board, State Provi1ce, and Endorsem....
Date:       IJ~MJer I                               .20..;;.09       _
(Final)

IL-_DO_C_U_M_ENT __N_O_"_:_ _        5-_1                                                                        R_EV_"_N_O_e_:_0_ _]
(I                     FORM NI8-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT ACnvrrv As Required by the Provlslona of the ASME Code Sectton XI
: 1. Owner       Exelon Nucle.                                    Date      09124109 Name 4300 WInfield Road, Warrenville, IL                          Sheet               1              of              1 Address
: 2. Plant       Byron Nuclear Pow. Station                       Unit _0::.;1:..-                                                _
Name 4460 N" German Church Road, Byron, IL                        Work Ord. No. 1287305-07 Address                                       Repair Organization, P.O. No., Job No., etc.
: 3.      Work Performed by          Byron Mechanical                  Type Code Symbol Stamp                  Not Applicable Maintenance Name                         Authorization No.          Not Applicable 4460 N" German Church Road, Byron, IL                         Expiration Date         Not Applicable Address
: 4. Identification of System         SI- Safety Injection
: 5.     (a) Applicable Construction Code             AS;E Section III 1911 Edition, W12 Addenda, None                      Code Case
                                                        --L1.r*               ~                S15 tI,e              None (b)   Applicable Edition of Section XI Used for RepairlReplacement Activity: 2 1 Edltlonl2003 Addenda (c) Section XI Code Case(s) ....;N;.;,;oo=e                                                                                    _
: 6. Identification of Components
* Nameot Component 1-112" CHECK VALVE Nameot Manufacturer KEROTEST Manufacturer Serial No.
KYA4-3 National Board No.
9564 Other Identlflcatlon 1S189OOC Year Built 1978 Corrected, Removed,or Installed REMOVED ASME Code Stamped (YeeorNo)
YES 1-112"         KEROTEST            PS3-12                      CAT 10 #23370
                                                               ",n,                                 1978     INSTALLED               YES CHECK VALVE                                                          UTC, 0002841493 1-1/2" SCH. 160       SANDVIK.         HT#462294                            1SIO&JC PIPE NlA                                 19n       REMOVED                NO 1-112" SCH. 160      TI Stainless      HTlSU248                      CAT 10 #41105 NlA                                 1985     INSTALLED               NO PIPE           TubeaLTO.                                       UTC, 2841568 1-1/2" 90 DEQ        Alloy Steet      HTlG9981                            1SI08JC Products NlA                                 19n       REMOVED                NO 6000' ELBOW 1-112" 90 DEQ 6OOO,ELBOW Guyon Alloys         HTlS2838 CAT 10139262*1 UTC2841nO NlA                                 1982     INSTALLED               NO HT. Code: NM
: 1. Description of Work         REPLACE CHECK VALVE AND ASSOCIATED PIPING.
: 8.      Test Conducted:        Hydrostatic    0        Pneumatic    0    Nominal Operating Pressure            I8J       Exempt 0 Other   0         Pressure         2235     psi           Test Temp.              558         OF Note: Supplemental sheets in form of lists, sketches, or draWings may be used, provided (1) size is 8'J,2 in. x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

FORM NIS-2 (Back)
CERTlFlCATE OF COMPUANCE I certify that the statements made In the report are correct and this confonns to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp                                                  Not Applicable Certificate ~~~zatlon No.                                                 Not Applicable Signed      ~ (1. AJt<" J                P.M     COO!.lJuJl(ff!g..                           Date    12- - 8     , 20 01 Ownel; or OM1er's Designee, TItle CEJmFlCATE OF INSERVICE INSPECTlON I, the undersigned, holding a valid commission Issued by the NationaJ Board of Boller and Pressure Vesset Inspectors and the State or Province of                IlIIna"      and employed by          HSB CT
 ~
of ~ , CT                have InsP!lCted the components described In this Owner's Report dUring the period
       .,. ~1-          to  ~d/H                ' and state that to the best of my knowledge and belief.
e Owner has performed e~lnations and taken corrective measures described In this Owner's Report In accordance with the requirements of the ASME Code, Section XI.
By signing this certfficate neither the Inspector nor his employer makea any warranty, expressed or Implied, concerning the examlnatJons 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.
  ~!'lr1Ce                                               Commissions        d~*       b/&#xa3;..L&#xa5;                            _
Inspector'. ~                                            NaIlcnal Board. Stata Promce, and Endorsem.....
Date:     J)4f!.         Jr         ,20~
(Final)

\I I
DOCUMENT NO.:                          5-1                                                                                                                              REV. NO.: 0
* 1.      Owner FORM N.8-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT ACnvrrv As Required by the Provisions of the ASME Code Section XI Ex.n Nue'"
4300 Wlnfleld Road, Warrenville, IL Name Date Sheet 09126109 1              of             1 Address
: 2.      Plant       Byron Nuclea, Power Station                                                                                  Unit _0::.1=--                                                     _
Name 4460 N. Gennan Church Road, Byron, IL                                                                                    Work Order No. 1287308-01 Address                                                                                          Repair OrganIzation, P.O. No., Job No., etc.
: 3.      Work Performed by                 Byron Mechanical                                                                        Type Code Symbol Stamp                  Not Applicable Maintenance Name                                                                       Authorization No.          Not Applicable 4460 N. German Church Road, Byron, IL                                                                                     expiration Date         Not Applicable Address
: 4.      Identification of System                       SI- SAFETY INJECTION
: 5.      (a) Applicable Construction Code ASME Section III 19.Il Edition, W72 Addenda, NONE Code Case (b) Applicable Edition of Section XI Used for RepaJrlReplacement Activity: 2001 Edltlonl2003 Addenda (c) Section XI Code Case(s) ....:.:.NO::::.,N:..:.:E=--                                                                                                                                     _
: 6.      Identification of Components ASME Corrected,            Code National                                               Removed,or          Stamped Nameot              Nameot                       Manufacturer                                               Board                   Other            Year          Installed       (Yes or No)
ComDDr'lent        Manufacturer                      Serial No.                                                  No.             Identification        Built CHECK VALVE            KEROTEST                            KYA5-3                                                                     lSl89000 9568                                     1978       REMOVED                NO CHECK VALVE            KEROTEST                           AHM9-1                                                                   CAT 10 #23370 NJA                                   1992      INSTALLED               NO COUPLING             HUNTER                     S-SI-Q01                                                                        lSIOBJo CORP                                      38                                              NJA                                    19n        REMOVED                NO COUPLING           Consolidated               Ht. code HLT                                                                      CAT 10 #39134 Power Supply                  HUAl3858                                                       NJA                                    1994      INSTALLED               NO
: 7. Description of Work        . .;R;.; E;:;.;P. . ;LA:;:. ;.;: C;.; ; E;. ;C;.;.H.;,; ;E;.;:C;.;.K;. V;.;.A.;,; :L:.; .V=E                                                                       _
: 8. Test Conducted:        Hydrostatic                           0                          Pneumatic                       0     Nominal Operating Pressure cgJ                Exempt 0 Other 0                                   Pressure                                             2231.4 psi            Test Temp.             556.8         OF
* Note: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1) size Is 8Y.z In. x 11
    'I In., (2) information in items 1 through 6 on this report Is Included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.

FORM NI8-2 (Back)
: 9.      Remarks      wa, 01267306-01 AppllC8bli MiriUfidUiii's 0818 ReportS to be 8ft8diid CERnFiCATE OF COMPUANCE I certify that the statements made in the report are correct and this confonns to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp                                                Not Applicable Certificate     Authorization No.                                       Not A llcable Signed                                                                                           Date                  ,20~
Owner or OMtef's Designee, TiUe CERnFICATE OF INSERVICE INSPEcnON I, the undersigned, holding a vaJld commission Issued by the National Board of BoUer and Pressure Vessel Inspectors and the State or Province of             IlIIno"      and empfoyed by                     HSB CT of ~artford, CT         have Inspected the components described In this Owner's Report during the period                (j
 .m.S. c8               to  a, "6 CB_          ,andstatethattothebestofmyknowledgeandbellef, the Owner has perfonned examinations and taken correctfve measuretl 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 t examinations and corrective measures described In this Owner's Report.
Furtherm       ,neith th      pactor nor his employer shaJl be liable in any manner for any personal Injury or                       a loss of any kind arising from or connected with thJf InsP.8Ctfon:
 ---~~::t~;;;;;;----        Slgnattn Commissions               \.,:L;.;...~'t::;.;.llc.!~'-l~
National Boerd. StD Pruvtnce. and EndonIamenlll Date:    UrEaLj2f&#xa3;           lCO ,20~

I     DOCUMENT NO.:
   ~-----------
5.2                                                                                      REV. NO.: 0
* 1. Owner FORM NI9-2 OWNER'S REPORT FOR REPAlRIREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code SectIon XI Ex.n Nuel....
Name 4300 Winfield Road, Warrenville, IL Date Sheet 9128109 1                    of                           1 Address
: 2.      Plant      Byron Nuclea, Pow.. Station                         Unit ....:0:.;1:-                                                                      _
Name 4450 N. German Church Road, Byron, IL                           Work Order No. 01288865-17 Address                                          Repair OrganIzaUon, P.O. No., Job No., etc.
: 3. Work Performed by           ShewlSlon. a Webster                Type Code Symbot Stamp                            Nol Appllcabl.
Name                             Authorization No.         .~N~ot~A.:Ep:!=p;.;.:;lIca~b;;.;.;      . ;;....-----
38400 S. Eaaex RO!d, Wilmington, IL 60481                       expiration Date ....:N:.::;o::.;:t:.:,A.:I:p:.cp=.llca:::b;.:;::I.=--                  _
Address
: 4. Identification of System        REACTOR COOLANT COLD LEG THERMOWELL
: 5.     (a) Applicable Construction Code            ASME Section III 1974 Edition, 575 Addenda,                                                  Code Case (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition / 2003 Addenda (c) Section XI Code Case(s) .....;N~O::;.;N~E::::.-                                                                                                  _
: 6. Identification of Components ASME Corrected,                    Code National                                                  Removed,or                    Stamped Name of            Name of       MantJfacttnr           Board            Other              Year                    Installed                 (V. or No)
ComDorlent        Manufacturer      Sertal No.            No.         IdentltlcaUon          Built 2-WElDON                                                                   HEW-4418 POPE             NJA                NJA            (WELD) 1998                   Removed                        NO THEAMOWELL 2-WELDON                                                                   1TEW-4418                                                                   NO SHAW              NJA                NJA            (WELD)              2009                    Installed THEAMOWELL
: 7. Description of Work         REMOVED WELD ON THERMO-WELL / REINSTALLED WELD
: 8. Test Conducted:       Hydrostatic    0            Pneumatic    0   NomlnaJ Operating Pressure ~                                        Exempt 0 Other   0       Pressure              2235    psi          Test Temp.                          558                  OF Note: SupplementaJ sheets In form of lists, sketches, or drawings may be used, provided (1) size is 8~ in. x 11 in., (2) information In items 1 through 6 on this report is included on each sheet, and (3) each sheet Is numbered and the number of sheets Is recorded at the top of this form.

FORM NIS-2 (Back)
CERllFiCATE OF COMPUANCE I certify that the statements made In the report are correct and this confonns to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp                                                       Not Applicable Certificate of Authorization NO.~                                         . Not Appllcabl.
Signed               * ~
Owner Owner"s Designee. ntIe fW4 ,                          Date     1;C-l1   .20 09 CERllF1CATE OF INSERVICE INSPECllON I, the undersigned, holding a valid commission Issued by the National Board or Boller and Pressure Vessel Inspectors and the State or Province or                   Ill1nol.       and employed by                  HSB CT of H!!SfDrd, CT have I s                     the components described In this Owner's Report dUring the period
 ~~                     to                           , and state that to the best or my knowledge and belief,                      '.
  ';~ert18S perfotmed                  Inations and taken COI1'8CtIVe measures described In this Owner's Report In accordance with the requirements of the ASME Code, Section XI.
By signing this certtflcate neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the examinations and corrective measures described In this Owner's Report.
Furthennore. neither the Inspector nor his employer shall be liable in any manner tor any personal Injury ~~~ a loss of any kind arising trom or connected with thlllinspection.
_                                                     Commissions ---,,1"1:.lI'LL.:-~/&~...=.c.s-.;.....qL-                _
Inspector's sv-ture                                           NdoNI Board, State ProvInce, IIIld Endcnement8 Date:       OM. It                   , 20 ...;;;09     _
(Final)

 .I DOCUMENT NO.:
~-------
5.2                                                                                                                                       REV. NO.: 0 FORM NI8-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Cod. Section XI
: 1. Owner Exelon Huel. .                                                                                            Date 9-28-09 Name 4300 Winfield Road, Warrenville, It                                                                             Sheet                  1                   of                              1 Address
: 2.      Plant       Byron Nuclear Power Station                                                                         Unit ..,;0;;.;1;....-                                                                    _
Name 4460 N. German Church Road, Byron, It                                                                           Work Order No. 01288941-01 Address                                                                                       Repair Organization, P.O. No., Job No., etc.
: 3. Work Perfonned by             ShawlStone
* Webster                                                               Type Code Symbol Stamp                                Not Applicable Name                                                                   Authorization No.           ~N:.:;o=:;t:.:.A.:Ip~p:.::ll;;;ca::::b:.::.le=-------
38400 S. Essex Road, Wilmington, It 60481                                                                        Expiration Date ..,;N;.:,;ot;;.;;".;.A,;;,Ep;,;p;.;,;lIca=b;,.;;Ie;;;..-.                _
Address
: 4. Identification of System                  RC J REACTOR COOLANT
: 5.     (a) Applicable Construction Code                                           ASME Section III                           19 74 Edition, S74 Addenda, 1644 Rev. 7, 1651, 1682,1683,1685, 1686,1728,1729, 1734, N-108, N-180                                                                                 Code Case (b) Applicable Edition of Section XI Used for RepairlReplacement Activity 2001 Edition I 2003 Addenda (c) Section XI Code Case(s) .....:N:.:.;O::.;N:.:,:E=--                                                                                                                                                   _
: 6. Identification of Components ASME Con'8ded,                       COde NdoMI                                                          Removed,or                       Stamped Nameot             Name of                 ManufIIcb.nr                                                brd                ~                    V..,                      In8Ided                   (V.orHo)
ComDOtW1t         MarUacturw                      SeMINa.                                                 Na.          IdIllttlQlklt! i         Buill Snubber, PSA-1 Pacific                                    14748                                               NJA          1RC17012S                1981                 Removed                           YES Snubber, PSA-l Pactflc                                      9829                                             NJA           1RC17012S Cat 10 27&sect;77-1 1980                   InstaJled                       YES
: 7. Description of Work       _A_E;; ,;P.,.;LA;; . ;.; ;C.; ; E_.D. .,; S;.;. N;, ; ;U, ; ; B,; ; ,B,; ; ER;, ;.,-.                                                                                          _
: 8. Test Conducted:       Hydrostatic                         0                       Pneumatic                     0   Nominal Operating Pressure                           0                  Exempt 0 VT*3                 Other         0                       Pressure                                                  psi              Test Temp.                                               OF
~ infonnation Note: SupplementaJ sheets in fonn of lists, sketches, or drawings may be used, provided (1) size is 8~ In. x 11 in., (2)
In items 1 through 6 on this report is included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this fonn.

FORM NI&-2 (Back)
I
: 9.      Remarks -:0:..:1.:.26::::8:=94~1:...-o.:.1=--         ==~~~~~~~~=~~~=~
AppllC8bli M8riUfiCtiiiii's D8fi R8j)Qiti to 58 8ft8Chid
                                                                                                                                                  --,ra Ii f
CERTIFICATE OF COMPUANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp                                                                      Not Applicable Certificate of Authorization No.                                                             Not Applicable Signed                .4f:5t(~S*                                                                                 Date /Z-z             ,20 ....
0....
9_
C~Owner's DesIgnee, TIUe CERTIFICATE OF INSERYICE INSPEcnON I. the undersigned. holding a valid commission Issued by the National Board 01 Boller and Pressure Vessel Inspectors and the State or Province 01                                 111I11018      and employed by            HSB CT of Hartford, CT have Inspect d the components described In this Owner's Report during the period ill .1iR. cA to I                    Z. ".            0)
* and state that to the best 01 my knowledge and belief, the Owner has performed examinations and taken correctfve measures described In this Owner's Report In accordance with the requirements 01 the ASME Code, SectJon 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.
Furtherm                 r           Inspector nor his employer shall be liable In any manner for any personal Injury or                                or a loss of any kind arising trom or connected with th~:.
Commissions                 \L. 2't~                                 _
I
* s~                                                           NatIonal Board, State ProvInce, and EndorMm. .
Date:    ~                              ,t         ,20 ...;;;0~9       _
(Final)

DOCUMENT NO.:                  5.2                                                                                         REV. NO.:               0 FORM NI8-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASUE Code Section XI
: 1. Owner       Exelon Nue. . .                                  Date        9-29-09 Name 4300 WInfield Road, Warrenville, IL                          Sheet                1~    __                 of                           1 Address
: 2.      Plant       Byron Nuclea, Pow. Station                      Unit _0::.;1:..-                                                                           _
Name 4450 N. Gennan Church Road, Byron, IL                       Work Order No. 01271770-01 Address                                        Repair Organization, P.o. No., Job No., etc.
: 3. Work Performed by           She.lStone -' Webster            Type Code Symbol Stamp                                  Not Applicable Name                          Authorization No.             .~No=:t~A~p~p:::lI;:ca;:b:.:.I.:------
38400 S. Essex Road, Wilmington, IL 60481                    expiration Date          ....::.:.No:.;t:..:A.:Ip::J:p:.:.:.llca=b;.:.;I.~                  _
Address
: 4. Identification of System       RY I REACTOR COOLANT
: 5.     (a) Applicable Construction Code           ASME Section III          19 74 Edition, S74 Addenda, 1644 Rev. 7, 1651,1682,1683,1685,1686,1728,1729,1734, N-108, N-180                                  Code Case (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 2001 Edition I 2003 Addenda (c) Section XI Code Case(s) ~N!.:.:O~N~E=--                                                                                                            _
: 6. Identification of Components ASME
                                                                                                                              ~                            eae.
NatlaNll                                                           Removed,or                    S1amped
,        Namecl             Namecl        MluUactlnr      ao.Id              Other                   V.,                        Insma.d                  (y_orNo)
Comconent         MantAcbnr        SertaI No.      No.           Ider ItJncatlon             Built Snubber, PSA-           PecIflc 1~             -                 8030          NlA          1RY06124S                  1982                      Removed                        Yes Pacific .                                   1RY06124S Snubber, PSA-1 Scientiflc 10438         NlA        Cat 10 27577-1 1980                       Installed                    Yes Obtalned from Rear Bracket for a PSA-1 ITT Grfnnell        NlA          NlA        deleted snubber               1979                       Installed                     No 2RH02024S Obtalned from Pipe Clamp for a PSA-1 ITT Grfnnell        NlA          NlA     Abandoned snubber                1981                       Installed                     No 1RY06047S Load Stud for a PSA-1 Nova          Htt85098        NlA        Cat 10 33124-1                1998                      Installed                      No Nuts (4) for a                      Htl381170 PSA-1 Nova TracelOW88 NlA        Cat 1037027-1                2007                       Installed                      No
: 7. Description of Work         REPLACED EXISTING SNUBBER WITH A LARGER SNUBBER PER EC 378749
: 8. Test Conducted:       Hydrostatic    0       Pneumatic  0        Nominal Operating Pressure                            0                 Exempt 0 vr-3                  Other   0       Pressure     _ _ _ _ psi                 TestTemp.                                                    OF Note: Supplemental sheets in form of lists, sketches, or drawings may be used, prOVided (1) size is 8Y.z in. x 11 In., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet Is numbered and the number of sheets is recorded at the top of this form.
                                                                                                                                                                      \

FORM NI5-2 (Back)
: 9.      Remarks ....:O::.:1.::.27:..1:.:.n..:..O-O:::..=.1.:.-_ _ao=~~"'rr.:==:o:=:~..-::r.:""'I'I":=::O=:I::"'ll':""l:~IC'::e=:::r-                                 t..A APPilC8bli MiriUfiCtUi8l's oifi Riiji(iti to bi 8HiChid                                           \lI' CERnFlCATE OF COMPUANCE I certify that the statements made in the report are correct and this conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp                                                                            Not Applicable Certificate of Authorization No.                                                                    Not Applicable Signed                 .~:?E                                                               7.f1C..Gd.                                   Date           ,20..;;.O~9_
Owner or           s Designee. 11tIe CEJmFlCATE OF INSERVICE INSPEcnON I, the undersigned, holding a valid commlsslan Issued by the National Board of Boller and Pressure Vessel Inspectors and the State or Province of .                                       IlIIno"           and employ8d by                    HSB CT of ~ , CT                         hav~edthe components described In this Owner's Report during the period                                                        (.~
_~                         to /~                                        , and state that to the best of my knowledge and bellet,                                     .
 ~&ert18S performed ex8mlnatJons and taken COtT8Ctive measures described In this Owner's Report In accordance with the requirements of the ASME Code, Sectlon XI.
By signing this certfflcate 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 I~~~: or a loss of any kind arising from or connected with this Inspectlon.
     ~                                                                            Commissions      ---oI/;..;;'-t:;;..L_*-:/.:;..JItJc..a::;5Y~               _
r              Inspecto(a S9\a1Ln                                                                   NatlarW ao.rd, State Promc:e. and Endlnementll Date:     _D<<!O'          a                                ,20 ...;;.09~__
(Anal)
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