ML18151A281: Difference between revisions
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__ Rd_.-='-su~r_r-"y-'-,-v_A_2_3883 | __ Rd_.-='-su~r_r-"y-'-,-v_A_2_3883 | ||
________________ | ________________ | ||
_ (Name and Address of Plant) 1 NA 3. Plant Unit _________ | _ (Name and Address of Plant) 1 NA 3. Plant Unit _________ | ||
: 4. Owner Certificate of Authorization (if required) | : 4. Owner Certificate of Authorization (if required) | ||
________ _ ; S. Commercial Service Date 12/22/72 7. Components Inspected | ________ _ ; S. Commercial Service Date 12/22/72 7. Components Inspected | ||
: 6. National Board Number for Unit __ _,,N,,,A~--------- | : 6. National Board Number for Unit __ _,,N,,,A~--------- | ||
' Manufacturer , Component or Manufacturer or Installer State or National : Appurtenance or Installer Serial No. Province No. Board No. : ; Reactor Vessel Rotterdam 137-1 VA58201 NA Steam Generator Vestinghouse Tanpa Division 2981 VA 58203 681 :1-RC-E-1A Reactor Coolant Vestinghouse 458 NA NA p ...... 1-RC-P-1A Seal Injection Conmerc i al Filters Corporation . NA NA NA ,Filter 1-CH-FL-4A Pressurizer Vestinghouse NA VA 58202 1031 1-RC-E~2 RHR Heat Exchger Atlas Industrial Mfg. Co. 890 VA 58212 740 1-RH-E-1A SIP~ Byron Jackson P~, Inc. NA NA NA 1-SJ-P-1A | ' Manufacturer , Component or Manufacturer or Installer State or National : Appurtenance or Installer Serial No. Province No. Board No. : ; Reactor Vessel Rotterdam 137-1 VA58201 NA Steam Generator Vestinghouse Tanpa Division 2981 VA 58203 681 :1-RC-E-1A Reactor Coolant Vestinghouse 458 NA NA p ...... 1-RC-P-1A Seal Injection Conmerc i al Filters Corporation . NA NA NA ,Filter 1-CH-FL-4A Pressurizer Vestinghouse NA VA 58202 1031 1-RC-E~2 RHR Heat Exchger Atlas Industrial Mfg. Co. 890 VA 58212 740 1-RH-E-1A SIP~ Byron Jackson P~, Inc. NA NA NA 1-SJ-P-1A | ||
| Line 34: | Line 34: | ||
... 0,_-""14:z.-~2 | ... 0,_-""14:z.-~2 | ||
..... | ..... | ||
Th i rd Interval (10-14-93 14-03) | Th i rd Interval (10-14-93 14-03) | ||
: 10. Inspection Interval Identification | : 10. Inspection Interval Identification | ||
--------------------------------- | --------------------------------- | ||
| Line 63: | Line 63: | ||
A summary of the indications and their dispositions are as follows: 1.* Support 1-CH-HOOl, (Class 1) shown on drawing 11448-WMKS-0102A3Z and on valve 1-RC-HCV-1556C (lines RC-200-1502) was reported as having broken and missing grouting, detached or loosened items. The support was repaired and a preservice examination was performed after repairs and found the support acceptable. | A summary of the indications and their dispositions are as follows: 1.* Support 1-CH-HOOl, (Class 1) shown on drawing 11448-WMKS-0102A3Z and on valve 1-RC-HCV-1556C (lines RC-200-1502) was reported as having broken and missing grouting, detached or loosened items. The support was repaired and a preservice examination was performed after repairs and found the support acceptable. | ||
The support is scheduled for re-examination in the next period per ASME Section XI, IWF-2420. | The support is scheduled for re-examination in the next period per ASME Section XI, IWF-2420. | ||
Per ASME Section XI, IWF-2430, an immediately adjacent support was examined, (there was only one immediately adjacent support, i.e., the line terminated on one side of the rejected support with no additional supports on that line) and the examinations was extended to include additional supports equal in number and similar in type, design and function to those initially examined during the inspection period. No corrective measures were required to be performed on the additional supports that were uled due to expansion of the examinations. | Per ASME Section XI, IWF-2430, an immediately adjacent support was examined, (there was only one immediately adjacent support, i.e., the line terminated on one side of the rejected support with no additional supports on that line) and the examinations was extended to include additional supports equal in number and similar in type, design and function to those initially examined during the inspection period. No corrective measures were required to be performed on the additional supports that were uled due to expansion of the examinations. | ||
: 2. Weld 1-12, (Class 2) shown on drawing 11448-WMKS-OlOlGl on line 14 11-WFPD-13-601 was examined by magnetic particle examination, and a linear indication 2.1 11 long extending from the weld toe into check valve 1-FW-041 was reported. | : 2. Weld 1-12, (Class 2) shown on drawing 11448-WMKS-OlOlGl on line 14 11-WFPD-13-601 was examined by magnetic particle examination, and a linear indication 2.1 11 long extending from the weld toe into check valve 1-FW-041 was reported. | ||
The linear indication was ground out and the excavation was examined with the magnetic particle method to verify removal of the linear indication. | The linear indication was ground out and the excavation was examined with the magnetic particle method to verify removal of the linear indication. | ||
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* Abstract of Examinations Performed system Pressure Test Program Description CONTAINMENT PURGE AIR SUPPLY PIPING CONTAINMENT PURGE AIR SUPPLY PIPING CONTAINMENT PURGE AIR EXHAUST PIPING CONTAINMENT PURGE AIR EXHAUST PIPING FIRE PROTECTION PENETRATION FIRE PROTECTION PENETRATION A,B & C S/G MAIN STEAM OUTSIDE CTMT A,B & C S/G MAIN STEAM OUTSIDE CTMT A,B & C S/G MAIN STEAM OUTSIDE CTMT -A,B & C S/G MAIN STEAM OUTSIDE CTMT A S/G MAIN STEAM INSIDE CTMT A S/G MAIN STEAM INSIDE CTMT A S/G MAIN STEAM INSIDE CTMT A,B & C S/G MAIN STEAM OUTSIDE CTMT A,B & C S/G MAIN STEAM OUTSIDE CTMT A,B & C S/G MAIN STEAM OUTSIDE CTMT A,B & C S/G MAIN STEAM OUTSIDE CTMT B S/G MAIN STEAM INSIDE CTMT B S/G MAIN STEAM INSIDE CTMT B S/G MAIN STEAM INSIDE CTMT Sect XI Class 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 Page 1 of 14 .: ) Sect. XI Category C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C-H C*H C*H C*H C*H Sect. XI Item C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.10 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.10 C7.30 C7.70 Date Remarks 09/09/95 09/09/95 09/09/95 09/09/95 09/13/95 09/13/95 07/21/95 07/21/95 07/21/95 07/21/95 11/28/94 11/28/94 11/28/94 07/21/95 07/21/95 07/21/95 07/21/95 11/28/94 11/28/94 11/28/94 | * Abstract of Examinations Performed system Pressure Test Program Description CONTAINMENT PURGE AIR SUPPLY PIPING CONTAINMENT PURGE AIR SUPPLY PIPING CONTAINMENT PURGE AIR EXHAUST PIPING CONTAINMENT PURGE AIR EXHAUST PIPING FIRE PROTECTION PENETRATION FIRE PROTECTION PENETRATION A,B & C S/G MAIN STEAM OUTSIDE CTMT A,B & C S/G MAIN STEAM OUTSIDE CTMT A,B & C S/G MAIN STEAM OUTSIDE CTMT -A,B & C S/G MAIN STEAM OUTSIDE CTMT A S/G MAIN STEAM INSIDE CTMT A S/G MAIN STEAM INSIDE CTMT A S/G MAIN STEAM INSIDE CTMT A,B & C S/G MAIN STEAM OUTSIDE CTMT A,B & C S/G MAIN STEAM OUTSIDE CTMT A,B & C S/G MAIN STEAM OUTSIDE CTMT A,B & C S/G MAIN STEAM OUTSIDE CTMT B S/G MAIN STEAM INSIDE CTMT B S/G MAIN STEAM INSIDE CTMT B S/G MAIN STEAM INSIDE CTMT Sect XI Class 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 Page 1 of 14 .: ) Sect. XI Category C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C-H C*H C*H C*H C*H Sect. XI Item C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.10 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.10 C7.30 C7.70 Date Remarks 09/09/95 09/09/95 09/09/95 09/09/95 09/13/95 09/13/95 07/21/95 07/21/95 07/21/95 07/21/95 11/28/94 11/28/94 11/28/94 07/21/95 07/21/95 07/21/95 07/21/95 11/28/94 11/28/94 11/28/94 | ||
* inN I I in 0 in °' in _,,,, ..... 'I-* | * inN I I in 0 in °' in _,,,, ..... 'I-* | ||
* cooo Abstract of Examinations Performed. | * cooo Abstract of Examinations Performed. | ||
:!!co zz .c~-.... system Pressure Test Program. o ca QI 111 QI*-..i.,: .µ DI L. 0 .µ 111 QI 0 c(C.UIC Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1-SPM-064A-3-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064A-3-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064A-3-2 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064A-3-2 . _A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064A-3-3 C S/G MAIN STEAM INSIDE CTMT 2 C-H C7.10 11/28/94 1-SPM-064A-3-3 C S/G MAIN STEAM INSIDE CTMT 2 C-H C7.30 11/28/94 1-SPM-064A-3-3 C S/G MAIN STEAM INSIDE CTMT 2 C-H C7.70 11/28/94 1-SPM-064A-4-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064A-4-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064A-4-2 MAIN STEAM TO TERRY TURBINE 2 C-H C7.30 12/24/94 1-SPM-064A-4-2 MAIN STEAM TO TERRY TURBINE 2 C-H C7.70 12/24/94 1-SPM-064B-1-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064B-1-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064B-1-2 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064B-1-2 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064B-1-3 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064B-1-3 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-066A-2-1 CONDENSER AIR EJECTOR DIVERT TO CONTAINMENT 2 C-H C7.30 09/11/95 1-SPM-066A-2-1 CONDENSER AIR EJECTOR DIVERT TO CONTAINMENT 2 C-H C7.70 09/11/95 1-SPM-068A-1-1 MAIN FEEDWATER TO "A" S/G 2 C-H C7.30 12/23/94 1-SPM-068A-1-1 MAIN FEEDWATER TO "A" S/G 2 C-H C7.70 12/23/94 Page 2 of 14 * .i | :!!co zz .c~-.... system Pressure Test Program. o ca QI 111 QI*-..i.,: .µ DI L. 0 .µ 111 QI 0 c(C.UIC Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1-SPM-064A-3-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064A-3-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064A-3-2 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064A-3-2 . _A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064A-3-3 C S/G MAIN STEAM INSIDE CTMT 2 C-H C7.10 11/28/94 1-SPM-064A-3-3 C S/G MAIN STEAM INSIDE CTMT 2 C-H C7.30 11/28/94 1-SPM-064A-3-3 C S/G MAIN STEAM INSIDE CTMT 2 C-H C7.70 11/28/94 1-SPM-064A-4-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064A-4-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064A-4-2 MAIN STEAM TO TERRY TURBINE 2 C-H C7.30 12/24/94 1-SPM-064A-4-2 MAIN STEAM TO TERRY TURBINE 2 C-H C7.70 12/24/94 1-SPM-064B-1-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064B-1-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064B-1-2 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064B-1-2 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064B-1-3 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064B-1-3 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-066A-2-1 CONDENSER AIR EJECTOR DIVERT TO CONTAINMENT 2 C-H C7.30 09/11/95 1-SPM-066A-2-1 CONDENSER AIR EJECTOR DIVERT TO CONTAINMENT 2 C-H C7.70 09/11/95 1-SPM-068A-1-1 MAIN FEEDWATER TO "A" S/G 2 C-H C7.30 12/23/94 1-SPM-068A-1-1 MAIN FEEDWATER TO "A" S/G 2 C-H C7.70 12/23/94 Page 2 of 14 * .i | ||
* Zone 1*SPM*068A*1*2 1*SPM*068A*1*2 1*SPM*068A-1*3 1*SPM-068A*1*3 1*SPM-068A*1*5 1*SPM*068A-1*5 1*SPM-071A*3*4 1*SPM-071A*3*4 1*SPM-075C*1*1 1*SPM*D75C*1*1 1*SPM-075C*1*2 1*SPM-075C-1*2 1*SPM-075G-1*1 1*SPM-075G-1*1 1*SPM-075J*1*1 1*SPM-075J*1*1 1-SPM-0828*2*5 1-SPM-0828*2*5 1-SPM-0828*2*6 1-SPM-0828-2-6 1-SPM-0828*2*7 Abstract of Examinations Performed system Pressure Test Program Description Sect XI Class MAIN FEEDWATER TO 11 8 11 S/G 2 MAIN FEEDWATER TO 11 8 11 S/G 2 MAIN FEEDWATER TO 11 C 11 S/G 2 MAIN FEEDWATER TO 11 C 11 S/G 2 FEEDWATER CROSS CONNECT FROM UNIT 2 2 FEEDWATER CROSS CONNECT FROM UNIT 2 2 RECIRC SPRAY HX SERVICE WATER DRAINS PEN PIPING 2 RECIRC SPRAY HX SERVICE WATER DRAINS PEN PIPING 2 INSTRUMENT AIR PENETRATION | * Zone 1*SPM*068A*1*2 1*SPM*068A*1*2 1*SPM*068A-1*3 1*SPM-068A*1*3 1*SPM-068A*1*5 1*SPM*068A-1*5 1*SPM-071A*3*4 1*SPM-071A*3*4 1*SPM-075C*1*1 1*SPM*D75C*1*1 1*SPM-075C*1*2 1*SPM-075C-1*2 1*SPM-075G-1*1 1*SPM-075G-1*1 1*SPM-075J*1*1 1*SPM-075J*1*1 1-SPM-0828*2*5 1-SPM-0828*2*5 1-SPM-0828*2*6 1-SPM-0828-2-6 1-SPM-0828*2*7 Abstract of Examinations Performed system Pressure Test Program Description Sect XI Class MAIN FEEDWATER TO 11 8 11 S/G 2 MAIN FEEDWATER TO 11 8 11 S/G 2 MAIN FEEDWATER TO 11 C 11 S/G 2 MAIN FEEDWATER TO 11 C 11 S/G 2 FEEDWATER CROSS CONNECT FROM UNIT 2 2 FEEDWATER CROSS CONNECT FROM UNIT 2 2 RECIRC SPRAY HX SERVICE WATER DRAINS PEN PIPING 2 RECIRC SPRAY HX SERVICE WATER DRAINS PEN PIPING 2 INSTRUMENT AIR PENETRATION | ||
| Line 168: | Line 168: | ||
* Preventively plugged Page 3 of 4 | * Preventively plugged Page 3 of 4 | ||
* | * | ||
* 1. VIRGINIA ELECTRIC ARD POWER COMPANY STEAM GENERATOR EDDY CURRENT TUBE INSPECTION GLOSSARY OF TERMS ROW, COL COLUMN tube identifier numbers coordinate system. Attachment I Page 35 of 35 Serial No.: 95-594 Docket No.: 50-280 an X-Y 2. IND INDICATION Character codes and numerics that 3. represent the analysis results of the data for that tube, e.g., 25% LOCN LOCATION The location in the tube of the INDI-CATION called. 4. 55 A number in the indication column shows the% through wall depth of the indication. | * 1. VIRGINIA ELECTRIC ARD POWER COMPANY STEAM GENERATOR EDDY CURRENT TUBE INSPECTION GLOSSARY OF TERMS ROW, COL COLUMN tube identifier numbers coordinate system. Attachment I Page 35 of 35 Serial No.: 95-594 Docket No.: 50-280 an X-Y 2. IND INDICATION Character codes and numerics that 3. represent the analysis results of the data for that tube, e.g., 25% LOCN LOCATION The location in the tube of the INDI-CATION called. 4. 55 A number in the indication column shows the% through wall depth of the indication. | ||
: 5. TSC Top of Tubesheet Cold leg. 6. BPH, BPC BAFFLE PLATE HOT AND COLD 7. #C, #H (#=number) of Support Plate Hot or Cold leg. 8 | : 5. TSC Top of Tubesheet Cold leg. 6. BPH, BPC BAFFLE PLATE HOT AND COLD 7. #C, #H (#=number) of Support Plate Hot or Cold leg. 8 | ||
* Note: e.g., 3H, 6H, 7C. Av1*, AV2, AV3, AV4 Anti-Vibration Bars 1 through 4. Where no comment appears in the remarks column the tube is still in service . Page 4 of 4 | * Note: e.g., 3H, 6H, 7C. Av1*, AV2, AV3, AV4 Anti-Vibration Bars 1 through 4. Where no comment appears in the remarks column the tube is still in service . Page 4 of 4 | ||
| Line 269: | Line 269: | ||
_ 4. Identification of System ____ M_a_i_n_st_e_a_m | _ 4. Identification of System ____ M_a_i_n_st_e_a_m | ||
_______________________________ | _______________________________ | ||
_ 5. (a) Applicable Construction Code 831'1 19_5_5_Edition, __ NA ______ Addenda, __ N_-_1_'_N_-7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Plug/stem Fisher NA NA l-MS-PCV-102A NA Replaced No Tag# 2014 Plug/stem Fisher 74594976 NA l-MS-PCV-102A NA Replacement No Replace trim assembly. | _ 5. (a) Applicable Construction Code 831'1 19_5_5_Edition, __ NA ______ Addenda, __ N_-_1_'_N_-7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Plug/stem Fisher NA NA l-MS-PCV-102A NA Replaced No Tag# 2014 Plug/stem Fisher 74594976 NA l-MS-PCV-102A NA Replacement No Replace trim assembly. | ||
: 7. Description of Work ________________________________________ | : 7. Description of Work ________________________________________ | ||
_ 8. Tests Conducted: | _ 8. Tests Conducted: | ||
| Line 295: | Line 295: | ||
______________________________ | ______________________________ | ||
_ 5. (al Applicable Construction Code 831*1 19_5_5_Edition,_N_A | _ 5. (al Applicable Construction Code 831*1 19_5_5_Edition,_N_A | ||
______ Addenda, __ N_-1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Studs NA NA NA 1-RC-E-lC NA Replaced No A & G Eng. 59786 Studs II, Inc. LXR NA 1-RC-E-lC NA Replacement No Nuts NA NA NA 1-RC-E-lC NA Replaced No Nuts Team Inc. H416-1 NA 1-RC-E-lC NA Replacement No Replace hand hole fasteners on 1-RC-E-lC. | ______ Addenda, __ N_-1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Studs NA NA NA 1-RC-E-lC NA Replaced No A & G Eng. 59786 Studs II, Inc. LXR NA 1-RC-E-lC NA Replacement No Nuts NA NA NA 1-RC-E-lC NA Replaced No Nuts Team Inc. H416-1 NA 1-RC-E-lC NA Replacement No Replace hand hole fasteners on 1-RC-E-lC. | ||
: 7. Description of Work*------------------------------------------- | : 7. Description of Work*------------------------------------------- | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
| Line 303: | Line 303: | ||
Expiration Date ____ N_A __________ | Expiration Date ____ N_A __________ | ||
_ SigneWi! /J LA,L---..:Z-5£ Owner or ~r's Designee, Title Date_~~~"~,g~*--=.Z.'--'/'-------, 19 ....... 9:....~ .... --CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of _______ H_a_r_t_f_o_r_d_, __ C_t_. __________________ | _ SigneWi! /J LA,L---..:Z-5£ Owner or ~r's Designee, Title Date_~~~"~,g~*--=.Z.'--'/'-------, 19 ....... 9:....~ .... --CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of _______ H_a_r_t_f_o_r_d_, __ C_t_. __________________ | ||
have inspected the components described in this Owner's Report during the period ______ -+f-l)~~~l=U~--<f~3--to_~/~~~'~"'~-~'"l~L~-----,, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. | have inspected the components described in this Owner's Report during the period ______ -+f-l)~~~l=U~--<f~3--to_~/~~~'~"'~-~'"l~L~-----,, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. | ||
{) I\ -/J.. f I,) (\ Va. 543 -----'~..__-""----='-----'----'"----=~"-""-----'-----Commissions | {) I\ -/J.. f I,) (\ Va. 543 -----'~..__-""----='-----'----'"----=~"-""-----'-----Commissions | ||
_____________________ | _____________________ | ||
| Line 323: | Line 323: | ||
------------------------------- | ------------------------------- | ||
: 5. (a) Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A | : 5. (a) Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A | ||
__ ' ____ Addenda, __ N_-_1_' _N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs NA NA NA 1-SI-P-lB NA Replaced No Allied Nut & Studs Bolt Co., Inc. Ht.# 61596 NA 1-SI-P-lB NA Replacement No Nuts NA NA NA 1-SI-P-lB NA Replaced No Cardinal Ind. Nuts Products, Inc. M83691 NA 1-SI-P-lB NA Replacement No Replace bolting, 1-SI-P-lB. | __ ' ____ Addenda, __ N_-_1_' _N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs NA NA NA 1-SI-P-lB NA Replaced No Allied Nut & Studs Bolt Co., Inc. Ht.# 61596 NA 1-SI-P-lB NA Replacement No Nuts NA NA NA 1-SI-P-lB NA Replaced No Cardinal Ind. Nuts Products, Inc. M83691 NA 1-SI-P-lB NA Replacement No Replace bolting, 1-SI-P-lB. | ||
: 7. Description of Work __________________________________________ | : 7. Description of Work __________________________________________ | ||
_ 8. Tests Conducted: | _ 8. Tests Conducted: | ||
| Line 356: | Line 356: | ||
: 5. (al Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A | : 5. (al Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Trim Copes-Part# Assembly (plug) Vulcan, Inc. 131347MKD NA -CH-HCV-1200C NA Replaced No Trim Copes-Part# Assembly (plug) Vulcan, Inc. 131347MKD NA -CH-HCV-1200C NA Replacement No 7. Description of Work Repair/overhaul valve. 8. Tests Conducted: | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Trim Copes-Part# Assembly (plug) Vulcan, Inc. 131347MKD NA -CH-HCV-1200C NA Replaced No Trim Copes-Part# Assembly (plug) Vulcan, Inc. 131347MKD NA -CH-HCV-1200C NA Replacement No 7. Description of Work Repair/overhaul valve. 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (2) informa* tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E,. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SSY139051 | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (2) informa* tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E,. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SSY139051 | ||
: 9. Remarks--------------------------------------------- | : 9. Remarks--------------------------------------------- | ||
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ____ N_A ___________ | Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ____ N_A ___________ | ||
| Line 402: | Line 402: | ||
______ Addenda, __ N_-_1_,_N_-7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Valve Crosby NA NA 1-DA-TV-lOOA NA Replaced No N96162-Valve Crosby 00-0008 NA 1-DA-TV-lOOA NA Replacement No Replace valve. 7. Description of Work ________________________________________ | ______ Addenda, __ N_-_1_,_N_-7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Valve Crosby NA NA 1-DA-TV-lOOA NA Replaced No N96162-Valve Crosby 00-0008 NA 1-DA-TV-lOOA NA Replacement No Replace valve. 7. Description of Work ________________________________________ | ||
_ B. Tests Conducted: | _ B. Tests Conducted: | ||
Hydrostatic Pneumatic D Other D Pressure llloP Nominal Operating Pressure psi Test Temp. Alo,: ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 I l FORM NIS-2 (Back) PO# SNT-359872 | Hydrostatic Pneumatic D Other D Pressure llloP Nominal Operating Pressure psi Test Temp. Alo,: ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 I l FORM NIS-2 (Back) PO# SNT-359872 | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ | ||
| Line 426: | Line 426: | ||
___________________________ | ___________________________ | ||
_ 5. (a) Applicable Construction Code B 3 l. l 19_5_5_ Edition,_N_A | _ 5. (a) Applicable Construction Code B 3 l. l 19_5_5_ Edition,_N_A | ||
______ Addenda, __ N_-_1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs NA NA NA 1-RH-MOV-1700 NA Replaced No Nuts NA NA NA 1-RH-MOV-1700 NA Replaced No Tidewater Ind. Studs Fasteners, Inc. Ht.#30033 NA 1-RH-MOV-1700 NA Replacement No Nuts Texas Bolt Co. 218808-A NA 1-RH-MOV-1700 NA Replacement No -Replace fasteners. | ______ Addenda, __ N_-_1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs NA NA NA 1-RH-MOV-1700 NA Replaced No Nuts NA NA NA 1-RH-MOV-1700 NA Replaced No Tidewater Ind. Studs Fasteners, Inc. Ht.#30033 NA 1-RH-MOV-1700 NA Replacement No Nuts Texas Bolt Co. 218808-A NA 1-RH-MOV-1700 NA Replacement No -Replace fasteners. | ||
: 7. Description of Work __________________________________________ | : 7. Description of Work __________________________________________ | ||
_ 8. Tests Conducted: | _ 8. Tests Conducted: | ||
| Line 456: | Line 456: | ||
_______________________ | _______________________ | ||
_ 5. (a) Applicable Construction Code 83 1.1 10---=.:_Edition,_N_A | _ 5. (a) Applicable Construction Code 83 1.1 10---=.:_Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME -.. Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs NA NA NA -CH-14/15-1502 NA Replaced No Studs Mackson, Inc. NA NA -CH-14/15-1502 NA Replacement No 7, Description of Work Replace fasteners. | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME -.. Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs NA NA NA -CH-14/15-1502 NA Replaced No Studs Mackson, Inc. NA NA -CH-14/15-1502 NA Replacement No 7, Description of Work Replace fasteners. | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
Hydrostatic | Hydrostatic | ||
* Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-457431(1)! | * Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-457431(1)! | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. | ||
| Line 489: | Line 489: | ||
_ 8. Tests Conducted: | _ 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is .recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 ., | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is .recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 ., | ||
FORM NIS-2 (Back) PO# CNT-467081 | FORM NIS-2 (Back) PO# CNT-467081 | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ | ||
| Line 513: | Line 513: | ||
______________________________ | ______________________________ | ||
_ 5 .. (a) Applicable Construction Code B 31*1 19_5_5_Edition,_N_A | _ 5 .. (a) Applicable Construction Code B 31*1 19_5_5_Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. No. Identification Energy & Flat Bar Process Corp. NA NA Hgr.#38 1/4" Plate Alfab, Inc. NA NA Hgr.#24 4"x3"x5/16" Energy & Tube Steel Process Corp. NA NA Hgr.#24 2. 5" Pine Hub Inc. NA NA Har.#24 2"x2"x1/4" Energy & Tube Steel Process Corp. NA NA Hgr.#24 Modify component supports to allow installation of shielding. | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. No. Identification Energy & Flat Bar Process Corp. NA NA Hgr.#38 1/4" Plate Alfab, Inc. NA NA Hgr.#24 4"x3"x5/16" Energy & Tube Steel Process Corp. NA NA Hgr.#24 2. 5" Pine Hub Inc. NA NA Har.#24 2"x2"x1/4" Energy & Tube Steel Process Corp. NA NA Hgr.#24 Modify component supports to allow installation of shielding. | ||
: 7. Description of Work Hgr.#24 on 8"-SI-14-153, Hgr.#38 on 10"-SI-6-153. | : 7. Description of Work Hgr.#24 on 8"-SI-14-153, Hgr.#38 on 10"-SI-6-153. | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replacement No NA Replacement No NA Replacement No NA Replacement No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT495359(flat bar), CSY310249(1/4" plate), CNT470279 | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replacement No NA Replacement No NA Replacement No NA Replacement No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT495359(flat bar), CSY310249(1/4" plate), CNT470279 | ||
: 9. Remarks (4"x3"x5/16" TS), CSY385500 (2 1/2" pipe), CNT489737 (2"x2"xl/4" TS) Applicable Manufacturer's Date Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A-----------------------------~ | : 9. Remarks (4"x3"x5/16" TS), CSY385500 (2 1/2" pipe), CNT489737 (2"x2"xl/4" TS) Applicable Manufacturer's Date Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A-----------------------------~ | ||
Certificate of Authorization No, ____ N_A ___________ | Certificate of Authorization No, ____ N_A ___________ | ||
| Line 541: | Line 541: | ||
_ 5. (al Applicable Construction Code 83 1.1 19~Edition,_N_A | _ 5. (al Applicable Construction Code 83 1.1 19~Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacture'r Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Transducer Mount Va. Power NA " NA 1-SI-79 NA Replacement No '. , 7, Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacture'r Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Transducer Mount Va. Power NA " NA 1-SI-79 NA Replacement No '. , 7, Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 informa* tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/821 This Form (E00030l may be obtained'from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628. | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 informa* tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/821 This Form (E00030l may be obtained'from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628. | ||
: 9. Remarks------------------------------------------------ | : 9. Remarks------------------------------------------------ | ||
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. ' repair or replacement Type Code Symbol Stamp _____ .=N.:-=A=-------------------------------~ | Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. ' repair or replacement Type Code Symbol Stamp _____ .=N.:-=A=-------------------------------~ | ||
| Line 588: | Line 588: | ||
_ 5. (a) Applicable Construction Code B 3 1.l 19~Edition,_N_A | _ 5. (a) Applicable Construction Code B 3 1.l 19~Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Transducer Mount Va. Power NA NA 1-SI-85 NA Replacement No 7, Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: | ______ Addenda, __ N_-_1_'_N_-7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Transducer Mount Va. Power NA NA 1-SI-85 NA Replacement No 7, Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp, ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628. | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp, ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628. | ||
: 9. Remarks------------------------------------------------ | : 9. Remarks------------------------------------------------ | ||
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ | Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ | ||
| Line 614: | Line 614: | ||
_ 5. (a) Applicable Construction Code 53 1.l 19_5_5_Edition,_N_A | _ 5. (a) Applicable Construction Code 53 1.l 19_5_5_Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Transducer Mount Va. Power NA NA 1-SI-128 NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Transducer Mount Va. Power NA NA 1-SI-128 NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628. | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628. | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ___ ...cN"'A;.,c... | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ___ ...cN"'A;.,c... | ||
| Line 645: | Line 645: | ||
______ Addenda, __ N_-_1_'_N_-_7 __ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Transducer Mount Va. Power NA NA 1-SI-130 NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: | ______ Addenda, __ N_-_1_'_N_-_7 __ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Transducer Mount Va. Power NA NA 1-SI-130 NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: | ||
Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. *° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2,(Back) | Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. *° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2,(Back) | ||
PO# SY031628. | PO# SY031628. | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ | ||
| Line 676: | Line 676: | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components | ||
.. ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) .. Transducer Mount Va. Power NA NA 1-SI-241 NA Replacement No ' 7. Description of Work Tack weld transducer mounts to valve. 8. T!)sts Conducted: | .. ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) .. Transducer Mount Va. Power NA NA 1-SI-241 NA Replacement No ' 7. Description of Work Tack weld transducer mounts to valve. 8. T!)sts Conducted: | ||
Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa* tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is . recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628. | Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa* tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is . recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628. | ||
: 9. Remarks------------------------------------------------ | : 9. Remarks------------------------------------------------ | ||
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ | Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ | ||
| Line 703: | Line 703: | ||
______ Addenda, __ N_-_1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME -Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Transducer Mount Va. Power NA NA 1-SI-242 NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: | ______ Addenda, __ N_-_1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME -Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Transducer Mount Va. Power NA NA 1-SI-242 NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other O Pressure _____ psi Test Temp. ° F | Hydrostatic Pneumatic D Nominal Operating Pressure D Other O Pressure _____ psi Test Temp. ° F | ||
* NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa* tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628. | * NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa* tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628. | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ Certificate of Authorization No, ___ ""'N""A"'------------Expiration Date ---~N=A~---------- | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ Certificate of Authorization No, ___ ""'N""A"'------------Expiration Date ---~N=A~---------- | ||
| Line 730: | Line 730: | ||
_ 5. (al Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A | _ 5. (al Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 __ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Transducer Mount Va. Power NA NA 1-SI-243 NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: | ______ Addenda, __ N_-_1_'_N_-_7 __ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Transducer Mount Va. Power NA NA 1-SI-243 NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628. | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628. | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ Certificate | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ Certificate | ||
| Line 757: | Line 757: | ||
*. ASME -. .. Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year -Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Transducer Mount Va. Power NA NA l-SI-107 NA Replacement No -. ' 7. Description of Work Tack weld transducer mounts to valve. 8 .. Tests Conducted: | *. ASME -. .. Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year -Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Transducer Mount Va. Power NA NA l-SI-107 NA Replacement No -. ' 7. Description of Work Tack weld transducer mounts to valve. 8 .. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure* | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure* | ||
______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back*) PO# SY031628. | ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back*) PO# SY031628. | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ | ||
| Line 787: | Line 787: | ||
_ 5. (a) Applicable Construction Code B 3 l.l 19___:_:__Edition,_N_A | _ 5. (a) Applicable Construction Code B 3 l.l 19___:_:__Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case * (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Man u factu re r Serial No. No. Identification Built or Replacement or No) Transducer Mount Va. Pow~r NA NA 1-SI-109 NA Replacement No ' 7. Description of Work Tack weld transducer mounts to valve. 8, Tests Conducted: | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case * (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Man u factu re r Serial No. No. Identification Built or Replacement or No) Transducer Mount Va. Pow~r NA NA 1-SI-109 NA Replacement No ' 7. Description of Work Tack weld transducer mounts to valve. 8, Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628. | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628. | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct ancl this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A __ ~--------------------------- | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct ancl this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A __ ~--------------------------- | ||
| Line 813: | Line 813: | ||
_ 5. (a) Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A | _ 5. (a) Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Tr~nsducer Mount Va. Power NA NA 1-SI-145 NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: | ______ Addenda, __ N_-_1_'_N_-7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Tr~nsducer Mount Va. Power NA NA 1-SI-145 NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 L FORM NIS-2 (Back) PO# SY031628. | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 L FORM NIS-2 (Back) PO# SY031628. | ||
: 9. Remarks------------------------------------------------ | : 9. Remarks------------------------------------------------ | ||
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _______________________________ | Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _______________________________ | ||
| Line 835: | Line 835: | ||
_ 5. (al Applicable Construction Code 531*1 19_5_5_Edition,_N_A | _ 5. (al Applicable Construction Code 531*1 19_5_5_Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized-for Repairs or Replacements 19 89 \; :a. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Transducer Mount Va. Power NA NA l-SI-147 NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized-for Repairs or Replacements 19 89 \; :a. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Transducer Mount Va. Power NA NA l-SI-147 NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is BY. in. x 11 in., (21 tion in items 1 through 6 on *this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628. | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is BY. in. x 11 in., (21 tion in items 1 through 6 on *this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628. | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ | ||
| Line 858: | Line 858: | ||
_ Address 4. Identification of System ____ R_e_si_* d_u_a_l_H_e_at_R_e_m_o_v_a_l | _ Address 4. Identification of System ____ R_e_si_* d_u_a_l_H_e_at_R_e_m_o_v_a_l | ||
__________________________ | __________________________ | ||
_ B31 1 55 NA N-1, N-7 5. (a) Applicable Construction Code ___ . _____ 19 ___ Edition, _______ Addenda, _______ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 B9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs Mackson, Inc. NA NA 1-RH-12 NA Replacement No Nuts Mackson, Inc. NA NA 1-RH-12 NA Replacement No 7. Description of Work Replace bonnet fasteners. | _ B31 1 55 NA N-1, N-7 5. (a) Applicable Construction Code ___ . _____ 19 ___ Edition, _______ Addenda, _______ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 B9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs Mackson, Inc. NA NA 1-RH-12 NA Replacement No Nuts Mackson, Inc. NA NA 1-RH-12 NA Replacement No 7. Description of Work Replace bonnet fasteners. | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 811:z in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT467650 (studs and nuts), CNT450119 (nuts) 9. Remarks ____________________________________________ | Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 811:z in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT467650 (studs and nuts), CNT450119 (nuts) 9. Remarks ____________________________________________ | ||
| Line 887: | Line 887: | ||
_ 5. (a) Applicable Construction Code B 3 l.l 19~Edition,_N_A | _ 5. (a) Applicable Construction Code B 3 l.l 19~Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. No. Identification Valve ~A* NA NA 1-SI-142 PN W08-2074B 13 Valve Velan AA,SN 931037 4 NA 1-SI-142 Energy & SW Flange Process Corp. NA NA 1-SI-142 Energy & Blind Flanae Process Coro. NA NA 1-SI-142 John H. Pipe Frischkorn, Inc NA NA 1-SI-142 7, Description of Work Replace valve Code case N416-1 applies. 8, Tests Conducted: | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. No. Identification Valve ~A* NA NA 1-SI-142 PN W08-2074B 13 Valve Velan AA,SN 931037 4 NA 1-SI-142 Energy & SW Flange Process Corp. NA NA 1-SI-142 Energy & Blind Flanae Process Coro. NA NA 1-SI-142 John H. Pipe Frischkorn, Inc NA NA 1-SI-142 7, Description of Work Replace valve Code case N416-1 applies. 8, Tests Conducted: | ||
Hydrostatic Pneumatic D Other D Pressure eo"'/) Nominal Operating Pressure psi Test Temp. t{fJ 1"' ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NA Replacement No NA Replacement No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E, 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CSY146966, CNT505428, CNT476806 | Hydrostatic Pneumatic D Other D Pressure eo"'/) Nominal Operating Pressure psi Test Temp. t{fJ 1"' ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NA Replacement No NA Replacement No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E, 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CSY146966, CNT505428, CNT476806 | ||
: 9. Remarks------------------------------------------------ | : 9. Remarks------------------------------------------------ | ||
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ -=N-'=A"'------------------------------ | Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ -=N-'=A"'------------------------------ | ||
| Line 911: | Line 911: | ||
__.: _____________ | __.: _____________ | ||
_ 5. (a) Applicable Construction Code 53 1.l 19_5_5_Edition,_N_A | _ 5. (a) Applicable Construction Code 53 1.l 19_5_5_Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components , ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. . No. Identification Built or Replacement or No) Plug Copes-Vulc,an Part#131428 NA -RC-HCV-1455B NA Replaced No Plug Copes-Vulcan Part#131428 NA -RC-HCV-1455B NA Replacement No Cardinal Nuts Ind. Products NA NA h.-RC-HCV-1455B NA Replacement No 7. Description of Work Replace valve internals. | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components , ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. . No. Identification Built or Replacement or No) Plug Copes-Vulc,an Part#131428 NA -RC-HCV-1455B NA Replaced No Plug Copes-Vulcan Part#131428 NA -RC-HCV-1455B NA Replacement No Cardinal Nuts Ind. Products NA NA h.-RC-HCV-1455B NA Replacement No 7. Description of Work Replace valve internals. | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# CSY463467(trim assembly), CSY321406(nuts) | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# CSY463467(trim assembly), CSY321406(nuts) | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ | ||
| Line 936: | Line 936: | ||
NA Authorization No. ______________ | NA Authorization No. ______________ | ||
_ Expiration Da.te~ __ N_A __________ | _ Expiration Da.te~ __ N_A __________ | ||
...:....._ | ...:....._ | ||
: 4. Identification of System ____ s_af_e_t_y_I_n_j_ec_t_i_* | : 4. Identification of System ____ s_af_e_t_y_I_n_j_ec_t_i_* | ||
o_n ____________________________ | o_n ____________________________ | ||
| Line 1,048: | Line 1,048: | ||
______ Addenda, __ N_-_1_'_N_-_7 __ Code'Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19, __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code, National Repaired, Stamped Name of Name of Manufacturer | ______ Addenda, __ N_-_1_'_N_-_7 __ Code'Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19, __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code, National Repaired, Stamped Name of Name of Manufacturer | ||
* Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Cap Screws Mackson, Inc. NA NA l-MS-182 NA, Replac~ment No 7. Description of Work Open and inspect check valve. 8. Tests Conducted: | * Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Cap Screws Mackson, Inc. NA NA l-MS-182 NA, Replac~ment No 7. Description of Work Open and inspect check valve. 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is SY. in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/821 This Form (E00030) may be obtained f'"om the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# CNT500441. | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is SY. in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/821 This Form (E00030) may be obtained f'"om the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# CNT500441. | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ N_A _____________________________ Certificate of Authorization No, ____ N_A ___________ | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ N_A _____________________________ Certificate of Authorization No, ____ N_A ___________ | ||
| Line 1,072: | Line 1,072: | ||
....:.,. ________ _ 5. (al Applicable Construction Code 83 1.1 19_5_5_Edition,~._NA | ....:.,. ________ _ 5. (al Applicable Construction Code 83 1.1 19_5_5_Edition,~._NA | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case * (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME .. Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Cap screws NA* NA .. NA 1-MS-178 NA Replaced No Cap sc~ews Mackson, Inc. NA NA 1-Ms~178 NA Replacement No ., . -7. *Description of Work open and inspect check valve. 8. Tests Conducted: | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case * (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME .. Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Cap screws NA* NA .. NA 1-MS-178 NA Replaced No Cap sc~ews Mackson, Inc. NA NA 1-Ms~178 NA Replacement No ., . -7. *Description of Work open and inspect check valve. 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT500441. | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT500441. | ||
: 9. Remarks-----:------------------------------------------ | : 9. Remarks-----:------------------------------------------ | ||
Applicable Manufactu_rer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______ ~----------------------- | Applicable Manufactu_rer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______ ~----------------------- | ||
| Line 1,099: | Line 1,099: | ||
_ 5. (a) Applicable Construction Code 53 1.i 19_5_5_Edition,_N_A | _ 5. (a) Applicable Construction Code 53 1.i 19_5_5_Edition,_N_A | ||
_____ .,:..-Addenda, __ N_-_1_'_N_-_7 ___ Code Case * (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME ,* Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No, No. Identification Built or Replacement or No) Cap Screws Mackson, Inc., NA . ,,NA 1-MS-176 NA Replacement No ' .; 7. *Description of Work open and inspect check valve. 8. Tests Conducted: | _____ .,:..-Addenda, __ N_-_1_'_N_-_7 ___ Code Case * (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME ,* Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No, No. Identification Built or Replacement or No) Cap Screws Mackson, Inc., NA . ,,NA 1-MS-176 NA Replacement No ' .; 7. *Description of Work open and inspect check valve. 8. Tests Conducted: | ||
Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa* tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# CNT500441. | Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa* tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# CNT500441. | ||
: 9. Remarks------------------------------------------------ | : 9. Remarks------------------------------------------------ | ||
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ | Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ | ||
| Line 1,138: | Line 1,138: | ||
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ____ N_A ___________ | Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ____ N_A ___________ | ||
Expiration Date ____ N_A __________ | Expiration Date ____ N_A __________ | ||
_ SignedW--£~0.C~< | _ SignedW--£~0.C~< | ||
:Ir:£ Owner orOwe's Desgnee, Title Date __ O,~\:cz:4--L-___..,}i..,i:,....._ | :Ir:£ Owner orOwe's Desgnee, Title Date __ O,~\:cz:4--L-___..,}i..,i:,....._ | ||
___ , 19 9 C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct* have inspecrd the components described in this Owner's Report during the period / {) -.(l::1-'? | ___ , 19 9 C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct* have inspecrd the components described in this Owner's Report during the period / {) -.(l::1-'? | ||
| Line 1,160: | Line 1,160: | ||
--------------------------------- | --------------------------------- | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp, ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT459150. | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp, ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT459150. | ||
: 9. Remarks------------------------------------------------ | : 9. Remarks------------------------------------------------ | ||
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ____ N_A ___________ | Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ____ N_A ___________ | ||
| Line 1,262: | Line 1,262: | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other O Pressure _____ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is SY. in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/821 This Form (E00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 | Hydrostatic Pneumatic D Nominal Operating Pressure D Other O Pressure _____ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is SY. in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/821 This Form (E00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 | ||
!, ,:FORM NIS-2 (Back) Purchase Order #CNT3213~5 | !, ,:FORM NIS-2 (Back) Purchase Order #CNT3213~5 | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Sectiqn XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Sectiqn XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ | ||
| Line 1,287: | Line 1,287: | ||
_______________________________ | _______________________________ | ||
_ 5. (a) Applicable Construction Code B 3 l, 1 19_5_5_ Edition,_N_A | _ 5. (a) Applicable Construction Code B 3 l, 1 19_5_5_ Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs Mackson, Inc NA NA 1-RC-FE-1481 NA Replacement No Nuts Mackson, Inc. NA NA 1-RC-FE-1481 NA Replacement No 7. Description of Work Replace flange fasteners. | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs Mackson, Inc NA NA 1-RC-FE-1481 NA Replacement No Nuts Mackson, Inc. NA NA 1-RC-FE-1481 NA Replacement No 7. Description of Work Replace flange fasteners. | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
Hydrostatic Pneumatic O Nominal Operating Pressure D Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT467650(studs and nuts) 9. Remarks ____________________________________________ | Hydrostatic Pneumatic O Nominal Operating Pressure D Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT467650(studs and nuts) 9. Remarks ____________________________________________ | ||
| Line 1,311: | Line 1,311: | ||
_ 5. (al Applicable Construction Code 331' 1 19_5_5_ Edition,_N_A | _ 5. (al Applicable Construction Code 331' 1 19_5_5_ Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components | ||
-ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol studs Mackson*, Inc. NA NA 1-SI-88 NA Replacement No Nova Machine Nuts Products Corp. NA NA 1-SI-88 NA Replacement No 7. Description of Work Replace cover gasket and fasteners. | -ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol studs Mackson*, Inc. NA NA 1-SI-88 NA Replacement No Nova Machine Nuts Products Corp. NA NA 1-SI-88 NA Replacement No 7. Description of Work Replace cover gasket and fasteners. | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion 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 . (1_2/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# BNT467650 (studs), CSY341267 (nuts) 9. Remarks ____________________________________________ | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion 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 . (1_2/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# BNT467650 (studs), CSY341267 (nuts) 9. Remarks ____________________________________________ | ||
| Line 1,372: | Line 1,372: | ||
______ Addenda, __ N_-i_,_N_-_ | ______ Addenda, __ N_-i_,_N_-_ | ||
7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. No. Identification Valve NA. NA .*. NA 1-RC-11 Edward 2"B36124 Valve Valves, Inc. (F316) TS NA 1-RC-11 PTE#N93-1200 2" Elbow NA M14 NA 1-RC-11 John H. 2" Pine Frischkorn Inc NA NA 1-RC-11 John H. 2" Coupling Frischkorn, Inc NA NA 1-RC-11 7. Description of Work Replace valve. Code Case N416-1 applies 8. Tests Conducted: | 7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. No. Identification Valve NA. NA .*. NA 1-RC-11 Edward 2"B36124 Valve Valves, Inc. (F316) TS NA 1-RC-11 PTE#N93-1200 2" Elbow NA M14 NA 1-RC-11 John H. 2" Pine Frischkorn Inc NA NA 1-RC-11 John H. 2" Coupling Frischkorn, Inc NA NA 1-RC-11 7. Description of Work Replace valve. Code Case N416-1 applies 8. Tests Conducted: | ||
Hydrostatic Pneumatic 0 Other O Pressure Ala')> Nominal Operating Pressure g psi Test Temp. .Al Cl 'C ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NA Replacement No NA Replacement No NA ,Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8Y:z in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# NT487834, CSY310739, SNT351707, CSY324426 | Hydrostatic Pneumatic 0 Other O Pressure Ala')> Nominal Operating Pressure g psi Test Temp. .Al Cl 'C ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NA Replacement No NA Replacement No NA ,Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8Y:z in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# NT487834, CSY310739, SNT351707, CSY324426 | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A-----------------------------~ | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A-----------------------------~ | ||
| Line 1,393: | Line 1,393: | ||
_ 5. (a) Applicable Construction Code 83 1.1 19~Edition,_N_A | _ 5. (a) Applicable Construction Code 83 1.1 19~Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) (Modified) | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) (Modified) | ||
Pipe Support NA NA NA 4"-CS-97-153 NA Replacement No 7. Description of Work Modify pipe support per Field Change to DCP94-016. | Pipe Support NA NA NA 4"-CS-97-153 NA Replacement No 7. Description of Work Modify pipe support per Field Change to DCP94-016. | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT506713 (1/4" plate) 9. Remarks ____________________________________________ | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT506713 (1/4" plate) 9. Remarks ____________________________________________ | ||
| Line 1,425: | Line 1,425: | ||
_ 5. (a) Applicable Construction Code B 3 l. l 19_5_5_ Edition,_N_A | _ 5. (a) Applicable Construction Code B 3 l. l 19_5_5_ Edition,_N_A | ||
______ Addenda, __ N_-_1_' _N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code . National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) (Modified) | ______ Addenda, __ N_-_1_' _N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code . National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) (Modified) | ||
Pipe Support NA NA NA 4 11-CS-96-153 NA Replacement No 7. Description of Work Modify pipe support per Field Change to DCP94-016. | Pipe Support NA NA NA 4 11-CS-96-153 NA Replacement No 7. Description of Work Modify pipe support per Field Change to DCP94-016. | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT506713 (1/4" plate) 9. Remarks------------------------------------------------ | Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT506713 (1/4" plate) 9. Remarks------------------------------------------------ | ||
| Line 1,474: | Line 1,474: | ||
______ Addenda, __ N_-_1_*_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. No. Identification Valve Edwards Valves NA *NA 1-SI-141 s.o. # Valve Edwards Valves 36-21332 NA 1-SI-141 Dubose National Reducing Insert Energy Serv.,Inc NA NA 1-SI-141 Acceptable per "" m--lo'T't,l!(!TT-Qn-0183 R "'A NA 1-SI-141 John H. 2" Pipe Frischkorn,Inc. | ______ Addenda, __ N_-_1_*_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. No. Identification Valve Edwards Valves NA *NA 1-SI-141 s.o. # Valve Edwards Valves 36-21332 NA 1-SI-141 Dubose National Reducing Insert Energy Serv.,Inc NA NA 1-SI-141 Acceptable per "" m--lo'T't,l!(!TT-Qn-0183 R "'A NA 1-SI-141 John H. 2" Pipe Frischkorn,Inc. | ||
NA NA 1-SI-141 7. Description of Work Rep] ace iraJ ire code case N4l 6-l appJ i es 8. Tests Conducted: | NA NA 1-SI-141 7. Description of Work Rep] ace iraJ ire code case N4l 6-l appJ i es 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Other D Pressure NO& Nominal Operating Pressure u2(" psi Test Temp. ,vtir ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NA Replacement No NA Reolacement No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT511308, SNT351707, SY48956, CSY146966 | Hydrostatic Pneumatic D Other D Pressure NO& Nominal Operating Pressure u2(" psi Test Temp. ,vtir ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NA Replacement No NA Reolacement No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT511308, SNT351707, SY48956, CSY146966 | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ | ||
| Line 1,498: | Line 1,498: | ||
_ Address 4. Identification of System ____ R_e_s_i_d_u_a_l_H_ea_t_R_e_m_o_v_a_l | _ Address 4. Identification of System ____ R_e_s_i_d_u_a_l_H_ea_t_R_e_m_o_v_a_l | ||
___________________________ | ___________________________ | ||
_ 5. (a) Applicable Construction Code 83 1.1 19 _5_5_ Edition, _N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped *Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs Mackson; Inc. NA NA 1-RH-MOV-1700 NA Replacement No Nuts Mackson, Inc. NA NA 1-RH-MOV-1700 NA Replacement No 7. Description of Work Replace bonnet fasteners. | _ 5. (a) Applicable Construction Code 83 1.1 19 _5_5_ Edition, _N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped *Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs Mackson; Inc. NA NA 1-RH-MOV-1700 NA Replacement No Nuts Mackson, Inc. NA NA 1-RH-MOV-1700 NA Replacement No 7. Description of Work Replace bonnet fasteners. | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8Ya in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT467650, CNT511701 | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8Ya in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT467650, CNT511701 | ||
: 9. Remarks------------------------------------------------ | : 9. Remarks------------------------------------------------ | ||
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ | Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ | ||
| Line 1,526: | Line 1,526: | ||
_________________________________ | _________________________________ | ||
_ 5. (al Applicable Construction Code 831'1 19_5_5_Edition,_N_A | _ 5. (al Applicable Construction Code 831'1 19_5_5_Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 B9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol 14" Pipe NA NA NA 1-FW-PPS-89 NA Replaced No .75"x2.5"Sockolet NA NA NA NA NA Replaced No 14rr Pipe Frischkorn, Inc NA NA 1-FW-PPS-89 NA Replacement 75"x2.5" Sockolet Hub, Inc. NA NA NA NA Replacement | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 B9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol 14" Pipe NA NA NA 1-FW-PPS-89 NA Replaced No .75"x2.5"Sockolet NA NA NA NA NA Replaced No 14rr Pipe Frischkorn, Inc NA NA 1-FW-PPS-89 NA Replacement 75"x2.5" Sockolet Hub, Inc. NA NA NA NA Replacement | ||
: 7. Description of Work Replace J4" pipe section to "A" Steam generator due to FAC. Code Case N416-1 applies. 8. Tests Conducted: | : 7. Description of Work Replace J4" pipe section to "A" Steam generator due to FAC. Code Case N416-1 applies. 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Other D Pressure lllo"? Nominal Operating Pressure 0 psi Test Temp. N () r ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 informa* tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 1-.-FORM NIS-2 (Back) PO# SSY425775(sockolet}, CSY334459(14" pipe} 9. Remarks ____________________________________________ | Hydrostatic Pneumatic D Other D Pressure lllo"? Nominal Operating Pressure 0 psi Test Temp. N () r ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 informa* tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 1-.-FORM NIS-2 (Back) PO# SSY425775(sockolet}, CSY334459(14" pipe} 9. Remarks ____________________________________________ | ||
| Line 1,586: | Line 1,586: | ||
* * | * * | ||
* Attachment II Page 57 of 74 Serial No.: 95-594 Docket No.: 5D-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric ~nd Power C6. 1. Owner----------:-:-------------- | * Attachment II Page 57 of 74 Serial No.: 95-594 Docket No.: 5D-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric ~nd Power C6. 1. Owner----------:-:-------------- | ||
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant __________ | Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant __________ | ||
:-:------------- | :-:------------- | ||
Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __.v'""i .... r:..ii!.i..i ou.1.LJ* | Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __.v'""i .... r:..ii!.i..i ou.1.LJ* | ||
| Line 1,595: | Line 1,595: | ||
__________________________ | __________________________ | ||
_ 5. (al Applicable Construction Code 53 l. l 19_5_5_ Edition,_NA | _ 5. (al Applicable Construction Code 53 l. l 19_5_5_ Edition,_NA | ||
______ Addenda, __ N_-_1_* _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME .. Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs Mackson:, Inc. NA NA 1-RH-HCV-1142 NA Replacement No Nuts Mackson, Inc. NA NA 1-RH-HCV-1142 NA Replacement No I 7. Description of Work RepJ ace bonnet fasteners | ______ Addenda, __ N_-_1_* _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME .. Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs Mackson:, Inc. NA NA 1-RH-HCV-1142 NA Replacement No Nuts Mackson, Inc. NA NA 1-RH-HCV-1142 NA Replacement No I 7. Description of Work RepJ ace bonnet fasteners | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure [) Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 811, in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT467650 (studs), BNT467064 (nuts) 9. Remarks ____________________________________________ | Hydrostatic Pneumatic D Nominal Operating Pressure [) Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 811, in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT467650 (studs), BNT467064 (nuts) 9. Remarks ____________________________________________ | ||
| Line 1,623: | Line 1,623: | ||
__________________________ | __________________________ | ||
_ 5. (al Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A | _ 5. (al Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes. Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Studs Mackson, Inc. NA NA 1-RH-E-lA NA Replaced No Allied Nut Nuts and Bolt Co. NA NA 1-RH-E-lA NA Replaced No ' 7. Description of Work Inspect* and retorgue flange fasteners. | ______ Addenda, __ N_-_1_'_N_-7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes. Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Studs Mackson, Inc. NA NA 1-RH-E-lA NA Replaced No Allied Nut Nuts and Bolt Co. NA NA 1-RH-E-lA NA Replaced No ' 7. Description of Work Inspect* and retorgue flange fasteners. | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is SY. in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY395215 (nuts), BNT467650 (studs) 9. Remarks ____________________________________________ | Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is SY. in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY395215 (nuts), BNT467650 (studs) 9. Remarks ____________________________________________ | ||
| Line 1,649: | Line 1,649: | ||
_ 5. (al Applicable Construction Code 831" 1 19_5_5_ Edition,_N_A | _ 5. (al Applicable Construction Code 831" 1 19_5_5_ Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Studs NA NA NA 1-RH-MOV-1701 NA Replaced No Studs Mackson, Inc. NA NA 1-RH-MOV-1701 NA Replacement No 7. Description of Work Remove valve bonnet for replacement of damaged stem. 8. Tests Conducted: | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Studs NA NA NA 1-RH-MOV-1701 NA Replaced No Studs Mackson, Inc. NA NA 1-RH-MOV-1701 NA Replacement No 7. Description of Work Remove valve bonnet for replacement of damaged stem. 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp, ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8Y:z in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT467650. | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp, ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8Y:z in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT467650. | ||
: 9. Remarks-----------------------'------------~---------- | : 9. Remarks-----------------------'------------~---------- | ||
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ____ N_A ___________ | Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ____ N_A ___________ | ||
Expiration Date ____ N_A __________ | Expiration Date ____ N_A __________ | ||
_ Signed Q . .£ ~/ ::zs:r Ownerorner'i:oeslgnee, Title Date __ a=--c:;...,7:L.L-'J=O-----, 19 9.C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. ------------------------~--------have inspected the components described in this Owner's Report during the period-------1/i | _ Signed Q . .£ ~/ ::zs:r Ownerorner'i:oeslgnee, Title Date __ a=--c:;...,7:L.L-'J=O-----, 19 9.C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. ------------------------~--------have inspected the components described in this Owner's Report during the period-------1/i | ||
.... D.,_'""-=(_t.'.{..._~~q~:3=--tO (D-1 t.l. ~?.C. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in.accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.() | .... D.,_'""-=(_t.'.{..._~~q~:3=--tO (D-1 t.l. ~?.C. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in.accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.() | ||
(\ -fr f.~ Va. 543 -----1~~~r,.<---=c.;;;....e...._.:_-,-,---'~-==-------Commissions | (\ -fr f.~ Va. 543 -----1~~~r,.<---=c.;;;....e...._.:_-,-,---'~-==-------Commissions | ||
____________________ | ____________________ | ||
| Line 1,709: | Line 1,709: | ||
_ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of _______ H_a_r_t_f_o_r_d_,_c_t_. | _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of _______ H_a_r_t_f_o_r_d_,_c_t_. | ||
____________ ____ have insp,ted the components described in this Owner's Report during the period ______ _../0""'-"....,(_U..-'-"'-<i'-'3-to | ____________ ____ have insp,ted the components described in this Owner's Report during the period ______ _../0""'-"....,(_U..-'-"'-<i'-'3-to | ||
/ 0 -C " -.9 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspectionD./)4 | / 0 -C " -.9 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspectionD./)4 | ||
: f. /) fl -----'~l-'--'<--_,..'----"----,-~-==--~c....:::;._ | : f. /) fl -----'~l-'--'<--_,..'----"----,-~-==--~c....:::;._ | ||
_____ commissions | _____ commissions | ||
| Line 1,757: | Line 1,757: | ||
_______________________________ | _______________________________ | ||
_ 5. (a) Applicable Construction Code 83 1.1 19_5_5_Edition,_N_A | _ 5. (a) Applicable Construction Code 83 1.1 19_5_5_Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Weld 1-12 NA NA NA Weld 1-12 NA Repaired No 7. Description of Work Repair weld 1-12 on drawing 11448-WMKS-lOlGl. | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Weld 1-12 NA NA NA Weld 1-12 NA Repaired No 7. Description of Work Repair weld 1-12 on drawing 11448-WMKS-lOlGl. | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x. 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x. 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 | ||
| Line 1,769: | Line 1,769: | ||
..... tL,f--'~-~~~-------Commissions | ..... tL,f--'~-~~~-------Commissions | ||
_______ v_a_. __ 5_4_3 ___________ | _______ v_a_. __ 5_4_3 ___________ | ||
_ Inspector's Signature National Board, State, Province, and Endorsements Date ____ f~6_-..L/_,,b.___19 | _ Inspector's Signature National Board, State, Province, and Endorsements Date ____ f~6_-..L/_,,b.___19 | ||
:, . ' * *-* | :, . ' * *-* | ||
* * | * * | ||
| Line 1,791: | Line 1,791: | ||
_______________ | _______________ | ||
_ 8. Tests Conducted: | _ 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT511961 | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT511961 | ||
: 9. Remarks------------------------------------------------ | : 9. Remarks------------------------------------------------ | ||
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ | Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ | ||
| Line 1,825: | Line 1,825: | ||
'. National Name of Name of Manufacturer Board Other Compon.ent Manufacturer | '. National Name of Name of Manufacturer Board Other Compon.ent Manufacturer | ||
_Serial No. No. Identification Relief Valve Crosby. Type JB-25,B *.NA 1-CH-RV-1382B Relief Valve Crosby Type JB-25,B NA 1-CH-RV-1382B . -* 7. Description of Work Replace relief valve. 8. Tests Conducted: | _Serial No. No. Identification Relief Valve Crosby. Type JB-25,B *.NA 1-CH-RV-1382B Relief Valve Crosby Type JB-25,B NA 1-CH-RV-1382B . -* 7. Description of Work Replace relief valve. 8. Tests Conducted: | ||
Hydrostatic Pneumatic 0 Other D Pressure NO,t>> Nominal Operating Pressure @' psi Test Temp. µor ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY:z in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SNT378396 | Hydrostatic Pneumatic 0 Other D Pressure NO,t>> Nominal Operating Pressure @' psi Test Temp. µor ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY:z in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SNT378396 | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conform*s to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A-----------------------------~ | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conform*s to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A-----------------------------~ | ||
Certificate of Authorization No. ____ N_A ___________ | Certificate of Authorization No. ____ N_A ___________ | ||
Expiration Date ____ N_A __________ | Expiration Date ____ N_A __________ | ||
_ Signe£}.£~ | _ Signe£}.£~ | ||
:I.ff ~jL/Z Owner orner's Deslgnee, Title Date-~~~""~*~"------, 19 9.£: CERTIFICATE OF INSERVICE INSPECTION . I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. ------------------------,--------have ins1?_e.9ted the components descri~ed in this Owner's Report during the period /t>-l':{*'l'3to | :I.ff ~jL/Z Owner orner's Deslgnee, Title Date-~~~""~*~"------, 19 9.£: CERTIFICATE OF INSERVICE INSPECTION . I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. ------------------------,--------have ins1?_e.9ted the components descri~ed in this Owner's Report during the period /t>-l':{*'l'3to | ||
(()-/4-f.I.. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspecth~~ | (()-/4-f.I.. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspecth~~ | ||
:. /U I\ Va. 543 ---'~>--""'"_,_"'~~-'---'L_.__ | :. /U I\ Va. 543 ---'~>--""'"_,_"'~~-'---'L_.__ | ||
__ __ ~~-----Commissions | __ __ ~~-----Commissions | ||
| Line 1,852: | Line 1,852: | ||
_ 5. (al Applicable Construction Code 83 1.1 19~Edition,_N_A | _ 5. (al Applicable Construction Code 83 1.1 19~Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. Relief Valve Crosby.Valve NA N6997.3.-Relief Valve Crosby Valve 01-0003 7, Description of Work Replace relief valve. 8. Tests Conducted: | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. Relief Valve Crosby.Valve NA N6997.3.-Relief Valve Crosby Valve 01-0003 7, Description of Work Replace relief valve. 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Other D Pressure IIOt' No. Identification NA 1-RH-RV-1721 NA 1-RH-RV-1721 Nominal Operating Pressure psi Test Temp, ~nrr ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT485706 | Hydrostatic Pneumatic D Other D Pressure IIOt' No. Identification NA 1-RH-RV-1721 NA 1-RH-RV-1721 Nominal Operating Pressure psi Test Temp, ~nrr ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT485706 | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. | ||
| Line 1,880: | Line 1,880: | ||
_________________________ | _________________________ | ||
_ 5. (a) Applicable Construction Code B 3 l. 1 19_5_5_ Edition,_N_A | _ 5. (a) Applicable Construction Code B 3 l. 1 19_5_5_ Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Relief Valve Crosby Type JB-25,B NA 1-CH-RV-1382A NA Replaced No Relief Valve Crosby Type JB-25,B NA 1-CH-RV-1382A NA Replacement No 7. Description of Work Replace relief valve with valve previously installed at 1-CH-RV-1382B. | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Relief Valve Crosby Type JB-25,B NA 1-CH-RV-1382A NA Replaced No Relief Valve Crosby Type JB-25,B NA 1-CH-RV-1382A NA Replacement No 7. Description of Work Replace relief valve with valve previously installed at 1-CH-RV-1382B. | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Other D Pressure AJO~ Nominal Operating Pressure psi Test Temp. NO,..-° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) None *--~-.........._ | Hydrostatic Pneumatic D Other D Pressure AJO~ Nominal Operating Pressure psi Test Temp. NO,..-° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) None *--~-.........._ | ||
| Line 1,908: | Line 1,908: | ||
______ Addenda, __ N_-_1_'_N_-7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components | ______ Addenda, __ N_-_1_'_N_-7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components | ||
.. '* .. .... National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. No. Identification Bonnet Conval, In_c . NA NA 1-BD-21 Seller ID# Bonnet Conval, inc. 12G4C-105 NA 1-BD-21 7. Description of Work Repack ,raJ ve rep] ace bonnet 8. Tests Conducted: | .. '* .. .... National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. No. Identification Bonnet Conval, In_c . NA NA 1-BD-21 Seller ID# Bonnet Conval, inc. 12G4C-105 NA 1-BD-21 7. Description of Work Repack ,raJ ve rep] ace bonnet 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Other D Pressure Alo), Nominal Operating Pressure psi Test Temp. ;VO,: ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# SSY137912. | Hydrostatic Pneumatic D Other D Pressure Alo), Nominal Operating Pressure psi Test Temp. ;VO,: ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# SSY137912. | ||
: 9. Remarks--------------. | : 9. Remarks--------------. | ||
----------------,-,----,---------------- | ----------------,-,----,---------------- | ||
| Line 1,938: | Line 1,938: | ||
________________________________ | ________________________________ | ||
_ 8. Tests Conducted: | _ 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# CNT475943. | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# CNT475943. | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A __________________ | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A __________________ | ||
| Line 1,965: | Line 1,965: | ||
______________________________ | ______________________________ | ||
_ 5. (a) Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A | _ 5. (a) Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A | ||
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Man u factu re r Serial No. No. Identification Built or Replacement or No) Component Repaired Support NA NA NA -RC-HCV-1557C NA No .**. 7. Description of Work Repair broken grout around support baseplate. | ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Man u factu re r Serial No. No. Identification Built or Replacement or No) Component Repaired Support NA NA NA -RC-HCV-1557C NA No .**. 7. Description of Work Repair broken grout around support baseplate. | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 l FORM NIS-2 (Back) None 9. Remarks--------------------------------------------- | Hydrostatic Pneumatic D Nominal Operating Pressure D Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 l FORM NIS-2 (Back) None 9. Remarks--------------------------------------------- | ||
| Line 1,989: | Line 1,989: | ||
_ 5. (al Applicable Construction Code B 31 | _ 5. (al Applicable Construction Code B 31 | ||
* 1 19_5_5_ Edition,_N_A | * 1 19_5_5_ Edition,_N_A | ||
______ Addenda, __ N_-_1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Component Support NA NA .NA -RC-HCV-1556C NA Repaired No 7. Description of Work Repair broken grout around support baseplate. | ______ Addenda, __ N_-_1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Component Support NA NA .NA -RC-HCV-1556C NA Repaired No 7. Description of Work Repair broken grout around support baseplate. | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ______ °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is SY. in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered.and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) None 9. Remarks ____________________________________________ | Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ______ °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is SY. in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered.and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) None 9. Remarks ____________________________________________ | ||
| Line 2,061: | Line 2,061: | ||
________________________ | ________________________ | ||
_ 5. (al Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A | _ 5. (al Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A | ||
______ Addenda, __ N_-1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Allied Nut & Studs Bolt Co., Inc. NA NA l-CH-97-1502 NA Replacement No Cardinal Ind. Nuts Products, Inc. NA NA l-CH-97-1502 NA Replacement No 7, Description of Work Replace flange fasteners. | ______ Addenda, __ N_-1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Allied Nut & Studs Bolt Co., Inc. NA NA l-CH-97-1502 NA Replacement No Cardinal Ind. Nuts Products, Inc. NA NA l-CH-97-1502 NA Replacement No 7, Description of Work Replace flange fasteners. | ||
: 8. Tests Conducted: | : 8. Tests Conducted: | ||
Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SSY392856(studs), CSY356332(nuts) | Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SSY392856(studs), CSY356332(nuts) | ||
: 9. Remarks ____________________________________________ | : 9. Remarks ____________________________________________ | ||
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A----------------------------'--- | _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A----------------------------'--- | ||
Revision as of 09:39, 25 April 2019
| ML18151A281 | |
| Person / Time | |
|---|---|
| Site: | Surry  |
| Issue date: | 12/27/1995 |
| From: | VIRGINIA POWER (VIRGINIA ELECTRIC & POWER CO.) |
| To: | |
| Shared Package | |
| ML18151A282 | List: |
| References | |
| NUDOCS 9601250199 | |
| Download: ML18151A281 (178) | |
Text
{{#Wiki_filter:* ", .. ,, *-** *, .** FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules Attachment I Page 1 of 35 Serial No.: 95-594 Docket No.: 50-280 Virginia Electric and Power C011pSny, 5000 Dominion Blvd., Glen Allen, VA 23060
- L Owner----------------------------------------
/ (Name and Address of Owner) 2. Plant __ s_u_r_ry=---P_o_we_r_S_t_a_t_ion---=,_55_7_0_H-'og=---I-s_la_nd __ Rd_.-='-su~r_r-"y-'-,-v_A_2_3883 ________________ _ (Name and Address of Plant) 1 NA 3. Plant Unit _________
- 4. Owner Certificate of Authorization (if required)
________ _ ; S. Commercial Service Date 12/22/72 7. Components Inspected
- 6. National Board Number for Unit __ _,,N,,,A~---------
' Manufacturer , Component or Manufacturer or Installer State or National : Appurtenance or Installer Serial No. Province No. Board No. : ; Reactor Vessel Rotterdam 137-1 VA58201 NA Steam Generator Vestinghouse Tanpa Division 2981 VA 58203 681 :1-RC-E-1A Reactor Coolant Vestinghouse 458 NA NA p ...... 1-RC-P-1A Seal Injection Conmerc i al Filters Corporation . NA NA NA ,Filter 1-CH-FL-4A Pressurizer Vestinghouse NA VA 58202 1031 1-RC-E~2 RHR Heat Exchger Atlas Industrial Mfg. Co. 890 VA 58212 740 1-RH-E-1A SIP~ Byron Jackson P~, Inc. NA NA NA 1-SJ-P-1A
- Recirc. Spray P~ 1-RS-P*ZA Byron Jackson P~, Inc. NA NA , NA t.etdn Heat Ex Joseph *oats & Sons, Inc. 1674-2 VA59647 310 1-CH-E*2 Regen Heat Ex Sentr.y Equipment Corporation 4195-A3-7 VA 59812 369 1-CH-E-3 Excess LD H Ex Atlas Industrial Manufacturing 851 VA 58206 702 1-tH-E-4 Con.,any Class 1/2 Piping Southwest Fabricating Comany NA NA NA Class 1/2 Component Supports Southwest Fabricating Conpany NA NA NA 9601250199 960117 c. PDR ADOCK 05000280 G PDR '
- Note: Supplemental sheets in form of lists, sketches, or drawings may .be used, provided (1,) size is 8Yz in. x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. ._ (12/88) This form (E00029) may be obtained from the Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300.
FORM NIS-1 (Back) 8. Examination Dates _3_/_2_4/_9_4 _______ to _10_/_2_1_/_95 ______ _ 9. Inspection Period Identification __ LE 1u* r .... s ..... t._c_Pe .. r._j,..od,,,.__~c""10.._-_1._,,4._-.z9..,_3_-_...J1 ... 0,_-""14:z.-~2 ..... Th i rd Interval (10-14-93 14-03)
- 10. Inspection Interval Identification
- 11. Applicable Edition of Section XI __ 1_9_89 ________ Addenda _No_n_e ________ _ August 17, 1995, Revision 4 12. Date/Revision of Inspection Plan ---------------------------------
- 13. Abstract of Examinations and Tests. Include a list of examinations and tests and a statement concerning status of work required for the Inspection Plan. See Attachment 1, Pages through 12 of abstract of examinations performed See attachment 1, Pages 1 through 4 of abstract of system pressure tests 14. Abstract of Results of Examinations and Tests. See Attachment 1, (examination s1.11111Bry, Pages 1-3) 15. Abstract of Corrective Measures.
See Attachment 1, (examination s1.11111Bry, Pages 2 and 3) We certify that a) the statements made in this report are correct, b) the examinations and tests meet the Inspection Plan as required by the ASME Code, Section XI, and c) corrective measures taken conform to the rules of the ASME Code, Section XI. Certificate of Authorization No. (if applicable) --ftll\--------- Expiration Date _,,,._ _________ _ Date Virginia Elect. & Power Co. r / ,-T""I l I -;;r,; Signed ------------ By Lvv ..llL--Owner CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of 'lirgiRia and employed by Hartford S B l & l Co of Hartford, CT have inspected the components described in this Owner's Report during the period 03/24/94 10/21/95 . ----------- to , and state that to the best of my knowledge and belief, the Owner has performed examinations and tests and taken corrective measures described in this Owner's Report in accordance with the Inspection Plan and as required by the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations, tests, and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
,~f-"q,,<-----!.-._~~=--->"---~--
Commissions _V_A_5_43 ________________ _ Inspector's Signature National Board, State, Province, and Endorsements Date /~-'J..7 1996 * * *
- *
- Introduction Examination summary Virginia Electric and Power company Surry Power station Unit 1 1995 Refueling outage 3rd Interval, 1st Period Attachment I Page 2 of 35 Ser;aL No.: 95-594 Docket No.: 50-280 This report covers inservice examinations and tests of Class 1 and Class 2 components, piping and component supports that were conducted at Surry Power station Unit 1 from May 24, 1994 through October 21, 1995. The examinations were conducted to meet the requirements of ASME Section XI, 1989 Edition, of the ASME Boiler and Pressure Vessel Code. Examination procedures were approved prior to the performance of the examinations.
Certification documents relative to personnel, equipment and materials were reviewed and determined to be satisfactory. Inspections, witnessing and surveillance of the examinations and related activities were conducted by personnel from the Hartford Steam Boiler Inspection and Insurance Company, One State Street, Hartford, Connecticut 06102 (Mr. R.L. Coder), Surry station Quality Assurance Department and Surry technical staff. Limitations Some of the arrangements and details of the piping systems and components were designed and fabricated before the access and examination requirements of ASME Section XI of the 1989 Code could be applied. Consequently, some examinations are limited or not practical due to geometric configuration or accessibility. Generally these limitations exist at fitting to fitting joints, such as elbow to tee, elbow to valve, reducer to valve, and where integrally welded attachments, lugs and supports preclude access to some part of the examination area. These limitations times preclude ultrasonic coupling or access for the required scan length
- Page 1 of 3
- Attachment I Page 3 of 35 Serial No.: 95-594 Docket No.: 50-280 Examinations Examinations were conducted to review as much of the examination zones as was practical within geometric, metallurgical and physical limitations.
When the required ultrasonic examination volume or area could not be examined 100%, the examination method was evaluated and alternate beam angles or methods were ered in an attempt to achieve the maximum examination volume. However, where 100% examination was not possible the examination was considered to be a partial and so noted on the examination report. Where the reduction in coverage was 10% or greater, per Code Case N-460, a subsequent relief request will be provided by separate correspondence. Results Examinations of components, piping and component supports ed in a total of two (2) items being reported on the basis of procedure reporting criteria. All other examinations and tests are acceptable. A summary of the indications and their dispositions are as follows: 1.* Support 1-CH-HOOl, (Class 1) shown on drawing 11448-WMKS-0102A3Z and on valve 1-RC-HCV-1556C (lines RC-200-1502) was reported as having broken and missing grouting, detached or loosened items. The support was repaired and a preservice examination was performed after repairs and found the support acceptable. The support is scheduled for re-examination in the next period per ASME Section XI, IWF-2420. Per ASME Section XI, IWF-2430, an immediately adjacent support was examined, (there was only one immediately adjacent support, i.e., the line terminated on one side of the rejected support with no additional supports on that line) and the examinations was extended to include additional supports equal in number and similar in type, design and function to those initially examined during the inspection period. No corrective measures were required to be performed on the additional supports that were uled due to expansion of the examinations.
- 2. Weld 1-12, (Class 2) shown on drawing 11448-WMKS-OlOlGl on line 14 11-WFPD-13-601 was examined by magnetic particle examination, and a linear indication 2.1 11 long extending from the weld toe into check valve 1-FW-041 was reported.
The linear indication was ground out and the excavation was examined with the magnetic particle method to verify removal of the linear indication. The area was repaired by welding under Repair and replacement No. 95-208. A preservice Page 2 of 3 e *
- Attachment I Page 4 of 35 Serial No.: 95-594 Docket No.: 50-280 examination was performed using both magnetic particle and ultrasonic test methods, both examinations reported no relevant indications.
Per ASME Section XI, IWC-2430, the examinations were extended to include an additional number of welds (10 welds) within the same examination category, equal to the number of welds examined initially during the inspection period. No indications were found on the welds that were scheduled due to expansion of the examinations. Analytical Evaluation Analytical evaluation(s) of examination results (Volumetric and/or Surface examinations): None required or performed. Evaluation Analyses Evaluation analyses of examination results (Visual Examinations): None required or performed. statement of Interval Status Virginia Electric and Power Company has completed 100 percent of the First Period examinations and 32.9% of the interval tions
- Page 3 of 3
Attachment I Page 5 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed IWB, :rwc & IWF
- Drawing Marie/ Line Sect XI Sect XI Sect XI Exaa-Exaa-Nlllber Weld No-No_ Class category ltea No_ Method Date Remarks 11448-WMKS-0100A1Z 1-06 1'/z-CH-97-1502 1A B-J B9.40 PT 09/15/95 11448-WMKS-0100A1Z 1-17 2-CH-97-1502 1A B-J B9.40 PT 09/14/95 11448-WMKS-0100A1Z 1-18 2-CH-97-1502 1A B-J B9.40 PT 09/14/95 11448-WMKS-0100A1Z 1-CH-H002 2-CH-97-1502 1A F-A F1.10 VT-3 12/05/94 11448-WMKS-0100A2Z 1-01BC 2-CH-5-1502 1A B-J B9.32 PT 09/13/95 11448-WMKS-0100A2Z 1-03 2-CH-5-1502 1A B-J B9.21 PT 09/13/95 11448-WMKS-0100A2Z 1-09 2-CH-5-1502 1A B-J B9.21 PT 09/13/95 11448-\.IMKS-0100A2Z 1-12 2-CH-5-1502 1A B-J B9.21 PT 09/13/95 11448-WMKS-0100A2Z 1-CH-H003 2-CH-5-1502
-1A F-A F1.10 VT-3 09/12/95 11448-WMKS-0100A4Z 1-01BC 2-RC-53-1502 1A B-J B9.32 PT 09/13/95 11448-WMKS-0100A4Z 1-11 2-RC-53-1502 1A B-J B9.40 PT 09/13/95 11448-WMKS-0100A4Z 1-15 2-RC-53-1502 1A B-J B9.40 PT 09/13/95 11448-WMKS-0100A4Z 1-18BC 2-RC-55-1502 1A B-J B9.32 PT 09/13/95 11448-WMKS-0100A4Z 1-22 2-RC-55-1502 1A B-J B9.40 PT 09/13/95 -~8-WMKS-0100A4Z 1-25 2-RC-55-1502 1A B-J B9.40 PT 09/13/95 11448-WMKS-0100A4Z 1-45 2-RC-53-1502 1A B-J B9.40 PT 09/30/95 11448-WMKS-0100A4Z 1-49 2-RC-53-1502 1A B-J B9.40 PT 09/29/95 11448-WMKS-0100A4Z 1-RC-H001 2-RC-53-1502 1A F-A F1.10 VT-3 10/01/95 11448-WMKS-0100A4Z 1-RC-H003 2-RC-55-1502 1A F-A F1 .10 VT-3 10/01/95 E1 11448-WMKS-0100A4Z 1-RC-HCV-1557A 2-RC-55-1502 1A B-G-2 B7.70 VT-1 12/19/94 A1 11448-WMKS-0100A5Z 1-01 2-RC-53-1502 1A B-J B9.40 PT 09/29/95 11448-WMKS-0100A5Z 1-08 2-RC-53-1502 1A B-J B9.40 PT 09/29/95 11448-WMKS-0100A5Z 1-11 2-RC-53-1502 1A B-J B9.40 PT 10/03/95 11448-WMKS-0100A5Z 1-16 2-RC-53-1502 1A B-J B9.40 PT 09/29/95 11448-WMKS-0100A5Z 1-19 2-RC-53-1502 1A B-J B9.40 PT 09/29/95 11448-WMKS-0100A5Z 1-23 2-RC-53-1502 1A B-J B9.40 PT 09/29/95 11448-WMKS-0100A5Z 1-26 2-RC-53-1502 1A B-J B9.40 PT 09/29/95 11448-WMKS-0100ASZ 1-RC-H017 2-RC-53-1502 1A F-A F1.10 VT-3 09/10/95 11448-WMKS-0100A5Z 1-RC-H018 2-RC-53-1502 1A F-A F1 .10 VT-3 09/10/95 11448-WMKS-0100A5Z 1-RC-H019 2-RC-53-1502 1A F-A F1 .10 VT-3 09/10/95 11448-WMKS-0100A6Z 1-01BC 2-RC-198-1502 1A B-J B9.32 PT 09/13/95 *8-WMKS-0100A6Z 1-03 2-RC-198-1502 1A B-J B9.40 PT 09/13/95 Page 1 of 12 -~~~--Attachment I Page 6 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC ' IWF ** Drawing Nark/ Line Sect XI Sect XI Sect XI Exam-Exam-Nllllber Weld No. No. Class category Itea No. Method Date Reaarks 11448-WMKS-0100A6Z 1*08 2-CH-8-1503 1A B-J B9.40 PT 09/13/95 11448-WMKS-0100A6Z 1-11 2-CH-8-1503 1A B-J B9.40 PT 09/23/95 11448-WMKS-0100A6Z 1-15 2-CH-8-1503 1A B-J B9.40 PT 09/29/95 11448-WMKS-0100A6Z 1-CH-H003 2-CH-8-1503 1A F-A F1 .10 VT-3 09/12/95 11448-WMKS-0100A6Z 1-RC-H001 2-RC-198-1502 1A F-A F1.40 VT-3 09/12/95 11448-WMKS-0100A7Z 0-01 2-CH-8-1503 1A B-J B9.40 PT 09/15/95 11448-WMKS-0100A7Z 0-05 2-CH-8-1503 1A B-J B9.40 PT 09/15/95 11448-WMKS-0100A7Z 1-03 2-CH-8-1503 1A B-J B9.40 PT 09/23/95 11448-WMKS-0100A7Z 1-07 2-CH-8-1503 1A B-J B9.40 PT 09/23/95 11448-WMKS-0100A7Z 1-11 2-CH-8-1503 1A B-J B9.40 PT 09/23/95 11448-WMKS-0100A7Z 1-38 2-CH-8-1503 1A B-J B9.40 PT 09/11/95 11448-WMKS-0100A7Z 1-CH-H001 2-CH-8-1503 1A F-A F1 .10 VT-3 09/10/95 11448-WMKS-0100AZ-1 1-05DM 29-RC-1-2501R 1A B-F B5.70 UT/PT 09/14/95 p 11448-WMKS-0100AZ-1 1-06DM 31-RC-2-2501R 1A B-F B5.70 UT/PT 09/13/95 p ~8-WMKS-0100D1 1-SHP-H073 30-SHP-1-601 2A F-A F1.20 VT-3 09/27/95 .11448-WMKS-01 OOD1 H005-1 30-SHP-1-601 2A c-c C3.20 surface 09/25/95 11448-WMKS-0100D1 H006-1 30-SHP-1-601 2A c-c C3.20 Surface 09/30/95 11448-WMKS-0100D1 H009-1 30-SHP-1-601 2A c-c C3.20 Surface 09/20/95 11448-WMKS-0100D1 H009-2 30-SHP-1-601 2A c-c C3.20 Surface 09/20/95 11448-WMKS-0100G1 1-18 14-IJFPD-17-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-0100G1 1-19 14-IJFPD-17-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-0101A2Z 1-01BC 2-RC-57-1502 1A B-J B9.32 PT 09/13/95 11448-WMKS-0101A2Z 1-22BC 2-RC-56-1502 1A B-J 89.32 PT 09/12/95 11448-WMKS-0101A2Z 1-RC-HCV-1557B 2-RC-56-1502 1A B-G-2 87.70 VT-1 12/19/94 A1 11448-WMKS-0101A3Z 1-01BC 2-RC-199-1502 1A B-J B9.32 PT 09/12/95 11448-WMKS-0101A3Z 1-08 2-CH-9-1502 1A B-J B9.21 PT 09/12/95 11448-WMKS-0101A3Z 1-CH-H001 2-CH-9-1502 1A F-A F1 .40 VT-3 09/13/95 11448-WMKS-0101A3Z 1-CH-HCV-1556B 2-CH-9-1502 1A B-G-2 B7.70 VT-1 12/19/94 A1 11448-WMKS-0101G1 1-12 14-IJFPD-13-601 2A C-F-2 C5.51 UT/MT 09/25/95 F1 11448-WMKS-0101G1 1-13 14-IJFPD-13-601 2A C-F-2 C5.51 UT/MT 09/23/95 11448-WMKS-0101G1 1-IJFPD-H078 14-IJFPD-13-601 2A F-A F1.20 VT-3 09/27/95 *8-WMKS-0101G1 H002-1 14-IJFPD-13-601 2A c-c C3.20 Surface 09/25/95 Page 2 of 12 Attachment I Page 7 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed
- IWB, IWC ' IWF Drawing Nark/ Line Sect XI Sect XI Sect XI Exaa-Exaa-Nuiber Weld No_ No-Class category Item No_ Method Date Remarks 11448-WMKS-0101G1 H078-1 14-WFPD-13-601 2A c-c C3.20 Surface 09/30/95 11448-WMKS-0102A2Z 1-01BC 2-RC-58-1502 1A B-J B9.32 PT 09/16/95 11448-WMKS-0102A2Z 1-RC-HCV-1557C 2-RC-59-1502 1A B-G-2 B7.70 VT-1 12/19/94 A1 11448-WMKS-0102A3Z 1-CH-H001 2-CH-10-1503 1A F-A F1.40 VT-3 09/20/95 F1 11448-WMKS-0102A3Z 1-CH-H002 2-CH-10-1503 1A F-A F1 .10 VT-3 10/02/95 E1 11448-WMKS-0102A3Z 1-CH-HCV-1556C 2-CH-10-1503 1A B-G-2 B7.70 VT-1 12/19/94 A1 11448-WMKS-0102AZ-1 1-11 31-RC-8-2501R 1A B-J B9.11 UT/PT 09/17/95 p 11448-WMKS-0102AZ-1 1-12 27'/z-RC-9-2501R 1A B-J B9.11 UT/PT 09/17/95 p 11448-WMKS-0102AZ-1 1-21 31-RC-8-2501R 1A B-J B9.12 UT/PT 09/17/95 11448-WMKS-0102G1 1-16 14-WFPD-9-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-0102G1 1-17 14-WFPD-9-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-0103A2-1 0-3L 30-SHP-1-601 2A C-F-2. C5.52 UT/MT 09/15/95 11448-WMKS-0103A2-1 2-26 30-SHP-1-601 2A C-F-2 C5.51 UT/MT 09/15/95 11448-WMKS-0103A2-1 2-28 30-SHP-1-601 2A C-F-2 C5.51 UT/MT 09/15/95 *8-WMKS-0103A2c1 2-34L 30-SHP-1-601 2A C-F-2 C5.52 UT/MT 09/15/95 11448-WMKS-0103A2-2 4-10 30-SHP-2-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-0103A2-2 4-25 30-SHP-2-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-0103A2-2 4-28 30-SHP-2-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-0103A2-4 1-13BC 30-SHP-22-601 2A C-F-2 C5.81 UT/MT 09/17/95 11448-WMKS-0117A1-1 0-01L 14-RH-18-602 2A C-F-1 C5.12 UT/PT 09/27/95 11448-WMKS-0117A1-1 1-01BC 14-RH-1-1502 1A B-J B9.31 UT/PT 09/15/95 11448-WMKS-0117A1-1 1-05 14-RH-1-1502 1A B-J B9.11 UT/PT 09/15/95 11448-WMKS-0117A1-1 1-RH-H-004 1-RH-P-1A 2A F-A F1.40 VT-3 09/27/95 11448-WMKS-0117A1-1 1-RH-MOV-1700 14-RH-1-1502 1A 8-G-2 87.70 VT-1 09/20/95 A1 11448-WMKS-0117A1-1 1-RH-MOV-1700 14-RH-1-1502 1A 8-M-2 812.50 VT-3 09/24/95 11448-WMKS-0117A1-1 1-RH-MOV-1701 14-RH-1-1502 1A 8-M-2 812.50 VT-3 09/25/95 11448-WMKS-0117A1-1 2-01 14-RH-18-602 2A C-F-1 C5.11 UT/PT 09/27/95 11448-WMKS-0117A1-2 1-RH-HSS-011 10-RH-5-602 2F. TS3.2 TS4.17 VT-3 09/22/95 11448-WMKS-0117A2 1-RH-H0258 10-RH-10-602 2A F-A F1.20 VT-3 09/22/95 11448-WMKS-0117A2 1-RH-HSS-025 12-RH-12-602 2A TS3.2 TS4.17 VT-3 09/22/95 11448-WMKS-0118A2-1 0-34 6-WAPD-1-601 2A C-F-2 C5.51 UT/MT 09/29/95 ' ~8-WMKS-0118A2-1 0-35 6-WAPD-1-601 2A C-F-2 C5.51 UT/MT 09/29/95 Page 3 of 12 Attachment I Page 8 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC & IWF
- Drawing Nark/ Line Sect XI Sect XI Sect XI Exa. Exa. Nullber Weld No. No. Class Category Itea No. Method Date Reaarks 11448*WMKS-0122A1 1-RH*HSS-102 10-RH-16-1502 1A TS3.2 TS4.17 VT-3 12/07/94 11448-WMKS*0122A1 2-09 6-RH-20-152 2A C*F-1 C5.11 UT/PT 09/26/95 . 11448*WMKS*0122A1 2-16 10-RH-16*1502 2A C*F-1 C5.11 UT/PT 09/26/95 11448*WMKS*0122A2 1*01BC 12*RC*24*1502 1A B*J B9.31 UT/PT 09/19/95 11448*WMKS*0122A2 1-04 12-RC-24-1502 1A B*J B9.11 UT/PT 09/17/95 11448*WMKS*0122A2 1-08 12-SI-47-1502 1A B*J B9.11 UT/PT 09/17/95 11448*WMKS*0122A2 1*09 12-SI-47-1502 1A B*J B9.11 UT/PT 09/27/95 11448*WMKS*0122A2 1-SI-147 12-SI *47*1502 1A B*M-2 B12.50 VT-3 10/26/95 11448*WMKS*0122A2 1*Sl*H031A 12-SI-47*1502 1A F*A F1 .10 VT-3 12/07/94 A1 11448*WMKS*0122A2 1*Sl*H031B 12-SI-47-1502 1A F*A F1 .10 VT-3 12/07/94 A1 11448*WMKS*0122A2 1*SI*H032A 12-SI-47-1502 1A F*A F1 .10 VT-3 12/07/94 A1 11448*WMKS-0122A2 1*SI*H032B
- 12-SI-47-1502 1A F*A F1 .10 VT-3 12/07/94 A1 11448*WMKS*0122A2 1-SI*HSS-026 12-SI-47-1502 1A TS3.2 TS4.17 VT-3 12/07/94 A1 11448*WMKS*0122D1 1*01BC 12-RC-23-1502 1A B*J B9.31 UT/PT 09/15/95 _.8-WMKS*012,2D1 1*13 12-SI-46-1502 1A B*J 119.11 UT/PT 09/13/95 11448*WMKS*0122D1 1*14 12*SI*46*1502 1A B*J B9.11 UT/PT 09/22/95 11448*WMKS*0122D1 1*RH*H011 10-RH-16-1502 1A F*A F1 .10 VT-3 12/07/94 11448*WMKS*0122D1 1*RH*H014 10-RH-16-1502 1A F-A F1 .10 VT-3 12/07/94 11448*WMKS*0122D1 1*SI*H004A 12-Sl *46-1502 .1A F*A F1 .10 VT-3 12/07/94 A1 11448*WMKS*0122D1 1*SI*H004B 12-SI *46-1502 1A F*A F1 .10 VT-3 12/07/94 A1 11448*WMKS*0122D1 2-01 10-RH-16-1502 1A B*J B9.11 UT/PT 09/26/95 11448*WMKS*0122H1 1-08 6-RC-16-1502 1A B*J B9.11 UT/PT 09/18/95 11448*WMKS*0122H1 1-Sl *239 6-RC-16-1502 1A B*G-2 B7.70 VT-1 12/19/94 A1 11448*WMKS*0122J1 1*01BC 6-RC-21-1502 1A B*J B9.31 UT/PT 09/18/95 11448*WMKS*0122J1 1-02 6-RC-21-1502 1A B*J B9.11 UT/PT 09/17/95 11448*WMKS*0122J1 2-12 6-SI-50-1502 2A C-F-1 C5.11 UT/PT 09/25/95 11448*WMKS*0122K1 1*SI*H016 6-SI-49-1502 2A F*A F1.20 VT*3 12/05/94 11448-WMKS*0122K1 2-06 6-RC-18-1502 1A B*J B9.11 UT/PT 09/13/95 11448*WMKS*0122K1 6*01BC 2-SI-80*1502 2A C*F-1 C5.41 PT 09/23/95 11448*WMKS*0122L1 1-13 12-SI-45-1502 1A B*J B9.11 UT/PT 09/15/95 11448-WMKS*0122L1 1-14 12-SI-45-1502 1A B*J B9.11 UT/PT 09/30/95 ~8-WMKS*0122L1 1*SI*H001 12-RC-22-1502 1A F*A F1 .10 VT-3 12/05/94 Page 4 of 12 Attachment I Page 9 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC ' IWF
- Drawing Mark/ Line Sect XI Sect XI Sect XI Exaa-Exaa-NUllber Meld No-NO-Class category Itea No-Method Date Remarks 11448-WMKS-0122L1 1-SI-H003 12-SI-45-1502 1A F-A n.10 VT-3 12/05/94 11448-WMKS-0122L1 1-SI-H005A 12-SI-45-1502 1A F-A F1 .10 VT-3 12/05/94 A1 11448-WMKS-0122L1 1-SI-HOOSB 12-Sl-45-1502 1A F-A F1 .10 VT-3 12/05/94 A1 11448-WMKS-0122L1 1-SI-H006B 12-Sl-45-1502 1A F-A F1 .10 VT-3 09/25/95 11448-WMKS-0122L1 1-SI-HSS-020 12-SI-45-1502 1A TS3.2 TS4.17 VT-3 12/05/94 11448-WMKS-0122L1 H001-1 12-RC-22-1502 1A B-K-1 B10.20 Surface 09/19/95 11448-WMKS-0122L1 H006-1 12-SI-45-1502 1A B-K-1 B10.20 Surface 09/21/95 11448-WMKS-0122L1 H006-2 12-SI-45-1502 1A B-K-1 B10.20 surface 09/21/95 11448-WMKS-0122L1 H006-3 12-SI-45-1502 1A B-K-1 B10.20 surface 09/21/95 11448-WMKS-0122L1 H006-4 12-SI-45-1502 1A B-K-1 B10.20 Surface 09/21/95 11448-WMKS-0123P1 0-06 12-CS-1-153 2A C-F-1 CS.11 UT/PT 09/09/95 11448-WMKS-0123P1 0-10 12-CS-1-153 2A C-F-1 CS.11 UT/PT 09/11/95 11448-WMKS-0123P1 1-CS-H-001 . 12*CS-1-153 2A F-A F1 .20 VT-3 11/17/94 11448-WMKS-0123Q1 0-09 12-CS-2-153 2A C-F-1 CS.11 UT/PT 09/09/95 : .* J8-WMKS-0124A1-1 1-01DM 6-RC-39-1502 1A B-F BS.40 UT/PT 10/03/95 '-11448-WMKS-0124A1-1 1-02 6-RC-39-1502 1A B-J B9.11 UT/PT 10/03/95 11448-WMKS-0124A1-1 1-RC-SV-1551A 6-RC-39-1502 1A B-M-2 B12.50 VT-3 10/11/95 11448-WMKS-0124A1-1 1-RC-SV-1551B 6-RC-38-1502 1A B-M-2 B12.50 VT-3 10/05/95 11448-WMKS-0124A1-1 1-RC-SV-1551C 6-RC-37-1502 1A B-M-2 B12.50 VT-3 10/05/95 11448-WMKS-0125A1-1 1-RC-H020 4-RC-14-1502 1A F-A F1 .10 VT-3 10/02/95 E1 11448-WMKS-0125A1-1 1-RC-HSS-105 4-RC-14-1502 1A TS3.2 TS4.17 VT-3 09/27/95 11448-WMKS-0125A1-2 1-RC-H002A 4-RC-15-1502 1A F-A F1 .10 VT-3 09/11/95 A1 11448-WMKS-0125A1-2 1-RC-H002B 4-RC-15-1502 1A F-A F1 .10 VT-3 09/11/95 A1 11448-WMKS-0125A1-2 1-RC-H006 4-RC-15-1502 1A F-A F1 .10 VT-3 10/06/95 A1 11448-WMKS-0125A1-2 1-RC-H008 4-RC-15-1502 1A F-A F1.10 VT-3 10/02/95 E1 11448-WMKS-0127C2 1-11 10-SI-152-1502 2A C-F-1 CS.11 UT/PT 09/09/95 11448-WMKS-0127C2 1-SI-H011 10-Sl-152-1502 2A F-A F1.20 VT-3 12/08/94 11448-WMKS-0127J1 1-04 6-RC-17-1502 1A B-J B9.11 UT/PT 09/14/95 11448-WMKS-0127J1 1-SI-241 6-SI-145-1502 1A B-G-2 B7.70 VT-1 12/19/94 A1 11448-WMKS-0127J1 1-Sl-79 6-RC-17-1502 1A B-G-2 B7.70 VT-1 12/19/94 A1 *11448-WMKS-0127J1 1-SI-79 6-RC-17-1502 1A B-M-2 B12.50 VT-3 10/01/95 ~8-WMKS-0127J1 2-01 6-SI-145-1502 2A C-F-1 cs~,, UT/PT 09/14/95 Page 5 of 12 Attachment I Page 10 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed
., :IWB, :IWC & :IWF Drawing Nark/ Line Sect XI Sect XI Sect XI Ex.a-Exal-NUllllber Weld No-No-Class category Itea No-Method Date Reaarks 11448-WMKS-0127J1 2-03 6-Sl-145-1502 2A C-F-1 C5.11 UT/PT 09/14/95 11448-WMKS-0127J1 2-12 6-Sl-145-1502 2A C-F-1 C5.11 UT/PT 09/14/95 11448-WMKS-0127J2 1-07 6-RC-19-1502 1A 8-J 89.11 UT/PT 09/13/95 11448-WMKS-0127J2 1-SI-082 6-RC-19-1502 1A 8-G-2 87.70 VT-1 12/05/94 A1 11448-WMKS-0127J2 1-SI-082 6-RC-19-1502 1A 8-M-2 812.50 VT-3 10/01/95 11448-WMKS-0127J2 1-Sl-242 6-Sl-144-1502 1A 8-G-2 87.70 VT-1 12/05/94 A1 11448-WMKS-0127J2 1-S1-H006 2-SI-85-1502 2A F-A F1.20 VT-3 12/05/94 11448-WMKS-0127J2 2-01 6-Sl-144-1502 2A C-F-1 C5.11 UT/PT 09/13/95 11448-WMKS-0127J2Z 1-26 2-Sl-85-1502 2A C-F-1 C5.30 PT 09/30/95 11448-WMKS-0127J2Z 1-S1-H009 2-Sl-85-1502 2A F-A F1.20 VT-3 09/22/95 11448-WMKS-0127J3 1-06 6-Sl-153-1502 1A 8-J 89.11 UT/PT 09/19/95 11448-WMKS-0127J3 1-Sl-085 6-RC-20-1502 1A 8-G-2 87.70 VT-1 12/05/94 A1 11448-WMKS-0127J3 1-Sl-243 6-SI-153-1502 1A 8-G-2 87.70 VT-1 09/10/95 A1 11448-WMKS-0127J3Z 1-22 2-SI-75-1502 2A C-F-1 C5.30 PT 10/02/95 ~)8-WMKS-0127J3Z 1-24 2-Sl-75-1502 2A C-F-1 C5.30 PT 09/30/95 11448-WMKS-0127J3Z 1-S1-H001 2-Sl-75-1502 2A F-A F1.20 VT-3 09/30/95 11448-WMKS-0127J5 2-13 6-SI-144-1502 2A C-F-1 C5.11 UT/PT 09/23/95 --11448-WMKS-1018A3 1-21 14-\IFPD-17-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-1018A3 2-15 14-\IFPD-13-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-1018A3 3-19 14-\IFPD-9-601 2A C-F-2 C5.51 UT/MT 09/27/95 E2 11448-WMKS-1101A5 1-02 12-RS-8-153 2A C-F-1 C5.11 UT/PT 09/14/95 11448-WMKS-1101A5 1-03 12-RS-8-153 2A C-F-1 C5.11 UT/PT 09/14/95 11448-WMKS-1103A1Z 1-RC-FE-1480 2-RC-45-1502 1A B-G-2 87.50 VT-1 09/10/95 11448-WMKS-1103A2 1-RC-MOV-1587 8-RC-13-2501R 1A 8-G-2 87.70 VT-1 12/19/94 A1 11448-WMKS-1103A2Z 1-RC-FE-1482 2-RC-44-1502 1A 8-G-2 87.50 VT-1 09/10/95 A1 11448-WMKS-1103A7 1-02 12-RC-10-2501R 1A 8-J 89.11 UT/PT 09/20/95 11448-WMKS-1103A7 1-RC-H0018 12-RC-10-251;)1R 1A F-A F1 .10 VT-3 09/19/95 11448-WMKS-1105813 0-11 3-CH-251-1502 2A C-F-1 C5.21 UT/PT 09/11/95 11448-WMKS-1105813 0-12 3-CH-251-1502 2A C-F-1 C5.21 UT/PT 09/11/95 11448-WMKS-110583 0-07 3-CH-113-1503 2A C-F-1 C5.21 UT/PT 09/09/95 p 11448-WMKS-110585 0-1 3-CH-113-1503 2A C-F-1 C5.21 UT/PT 09/09/95 ~8-WMKS-110585 2-8D-A 2-CH-20-1503 2A C-F-1 C5.30 PT 12/05/94 Page 6 of 12 Attachment I Page 11 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed
- IWB, IWC & IWF Drawing Nark/ Line Sect XI Sect XI Sect XI Elum. Elum. Niaber Ueld No. No. Class category Itea No. Method Date Remarks 11448*WMKS*1105B5 2-BP 3-CH-2-1503 2A C*F-1 C5.41 PT 12/03/94 11448*WMKS*1105B6 0-09 4-CH-80-1503 2A C-F-1 C5.21 UT/PT 09/11/95 11448*WMKS*1105B6 0-10 3-CH-11-1503 2A C-F-1 C5.21 UT/PT 09/11/95 11448*WMKS*1105B7 0-11 2-CH-11-1503 2A C*F-1 C5.21 UT/PT 09/11/95 11448*WMKS*1105B7 1-CH*H-001 2-CH-11-1503 2A F*A F1.20 VT-3 12/04/94 11448*WMKS*1105B9 1-CH*H-015 2-CH-90-1503 2A F*A F1.20 VT-3 09/10/95 11448*WMKS*1105B9 H-017-1 2-CH-8-1503 2A c-c C3.20 Surface 09/10/95 i 11448*WMKS*1106A1 0-01 3-SI-146-1503 2A C*F-1 C5.21 UT/PT 09/27/95 11448*WMKS*1106A1 0-02 3-SI-146-1503 2A C-F-1 C5.21 UT/PT 09/27/95 11448*WMKS*1106A1 1-SI*H-005 3-SI-146-1503 2A F*A F1.20 VT-3 10/07/95 11448*WMKS*1106A2 0-01 3-SI-147-1503 2A C-F-1 C5.21 UT/PT 09/27/95 11448*WMKS*1106A3 0-15 2-SI-72-1503 2A C*F-1 C5.30 PT 09/11/95 11448-WMKS*1106A3 1*SI*H006 2-SI-79-1502 2A F*A F1.20 VT-3 12/07/94 11448*WMKS*1106A3 2-24 2-SI-73-1503 2A C-F-1 C5.30 PT 09/30/95 * ,, /8*WMKS-1106A3
- --*.,1 H006*1 2-SI-79-1502 2A c-c C3.20 SURFACE 12/07/94 11448*WMKS-1106A4 1*Sl*H005 2-SI-74-1502 2A F*A F1.20 VT-3 12/07/94 11448*WMKS*1106A4 1*SI-H011 2-SI-70-1503 2A F*A F1.20 VT-3 12/07/94 11448*WMKS*1106A4 1*Sl*H013 2-SI-75-1502 2A F*A F1.20 VT-3 12/07/94 11448*WMKS*1106A4 4-28 2-SI-70-1503 2A C*F-1 C5.30 PT 09/11/95 11448*WMKS*1106A4 H013*1 2-SI-75-1502 2A c-c C3.20 Surface 09/11/95 11448*WMKS*1106A4Z 1-27 2-SI
- 74-1502 2A C-F-1 C5.30 PT 09/30/95 11448*WMKS*1106A7 0*18L 12-SI-1-153 2A C*F-1 C5.12 UT/PT 09/15/95 11448*WMKS*1106A7 1-10 12-SI-1-153 2A C*F-1 C5.11 UT/PT 09/15/95 11448*WMKS*1106A7 1*Sl*H005 10-SI-105-153 2A F*A F1.20 VT-3 12/09/94 11448*WMKS*1106A7 1*SI*H009 10-SI-106-153 2A F*A F1.20 VT-3 12/09/94 11448*WMKS*1106B1 0-07 3-SI-146-1503 2A C-F-1 C5.21 UT/PT 09/11/95 11448*WMKS*1106B1 0-08 3-SI-146-1503 2A C*F-1 C5.21 UT/PT 09/11/95 11448*WMKS*1106B1 0-26 3-SI-146-1503 2A C*F-1 C5.21 UT/PT 09/11/95 11448*WMKS*1106B2 0-01
- 3-SI-147-1503 2A C*F-1 C5.21 UT/PT 09/11/95 11448*WMKS*1106B2 0-09 3-SI-147-1503 2A C*F-1 C5.21 UT/PT 09/11/95 11448-WMKS*CH*E-2 1-01 1*CH*E*2 2A C*A C1.20 UT 09/20/95 0 11-28 11 ~8-WMKS*CH*E-2 1-02 1-CH*E-2 2A C*A C1 .10 UT 09/20/95 0 11-28 11 I Page 7 of 12 Attachment I . Page 12 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed e IWB, IWC ' IWF Drawing Nark/ Line Sect XI Sect XI Sect XI Exaa. Exaa. Numer Weld No. No. Class category ltea No. Method Date Remarks 11448-WMKS-CH*E-2 1*CH*H001 1*CH*E*2 2A F*A F1.40 VT-3 09/19/95 11448-WMKS*CH*E-2 1*CH*H002 1-CH*E-2 2A F*A F1.40 VT-3 09/19/95 11448-WMKS*CH*E-3 1-04 1*CH*E*3 2A C*A C1.20 UT 09/18/95 0 11-10 11 11448-WMKS*CH*E-3 1-10 1-CH*E-3 2A C*A C1.20 UT 09/18/95 0 11-10 11 11448-WMKS*CH*E-3 1-11 1-CH*E-3 2A C*A C1.30 UT 09/18/95 0 11-10 11 11448-WMKS*CH*E-3 1-12 1*CH*E*3 2A C*A C1.30 UT 09/18/95 0 11-10 11 11448-WMKS*CH*E-3 1*CH*H003 1-CH*E-3 2A F*A F1.40 VT-3 09/18/95 A1 11448-WMKS*CH*E-3 1*CH*H004 1*CH*E*3 2A F-A F1.40 VT-3 09/18/95 11448-WMKS*CH*E-3 1*CH*H005 1*CH*E*3 2A F*A F1.40 VT-3 09/18/95 11448-WMKS*CH*E-3 1*CH*H006 1-CH*E-3 2A F*A F1.40 VT-3 09/18/95 11448-WMKS*CH*E-4 1-01 1-CH*E-4 2A C*A C1.20 UT 09/19/95 0 11-9 11 11448-WMKS*CH*E-4 1-02 1*CH*E*4 2A C*A C1 .10 UT 09/19/95 0 11-9 11 11448*WMKS*CH*FL*4A 1-01 1*CH*FL*4A 2A C*A C1.20 UT 09/09/95 0 11-11 11 11448*WMKS*CH*FL*4A 1-02 1*CH*FL*4A 2A C*A C1 .10 UT 09/09/95 0 11-11 11 -~8-WMKS*CH*P*1A 1*CH*H001 1 *CH*P*1A 2A F*A F1.40 VT-3 12/05/94 11448*WMKS*RC*E*1A.1 1-01 1*RC*E*1A 1A 8-8 82.40 UT 09/19/95 0 11-142 11 11448*WMKS*RC*E*1A.1 2-02 1*RC*E*1A 2A C*A C1.30 UT 09/15/95 0 11-142 11 11448*WMKS*RC*E*1A.1 2-03 1*RC*E*1A 2A C*A C1.10 UT 09/15/95 0 11-142 11 11448*WMKS*RC*E*1A.1 2-05 1-RC*E-,A 2A C*A C1 .10 UT 10/01/95 0 11-142 11 11448*WMKS*RC*E*1A.1 2-06 1*RC*E*1A 2A C*A C1 .10 UT 09/27/95 0 11-184 11 11448*WMKS*RC-E*1A.1 2-08 1*RC*E*1A 2A C*A C1.20 UT 09/25/95 0 11-184 11 11448-WMKS*RC*E*1A.1 CL HANWAY 1 *RC*E*1A 1A 8-G-2 87.30 VT-1 09/10/95 11448*WMKS*RC*E*1A.1 HL HANWAY 1*RC*E*1A 1A 8-G-2 87.30 VT-1 09/10/95 11448*WMKS-RC*E*1A.2 1*RC*1*01ANIR 1*RC*E*1A 1A 8-D 83.140 VT-1 09/21/95 11448*WMKS*RC*E*1A.2 1*RC*1*018NIR 1*RC*E*1A 1A 8-D 83.140 VT-1 09/21/95 11448*WMKS*RC*E*1A.2 1*RC*2*01CNIR 1*RC*E*1A 2A c-8 C2.22 UT 09/25/95 0 11-33 11 11448*WMKS*RC*E*1A.2 1*RC*2*01DNIR 1*RC-E-1A 2A C-8 C2.22 UT 09/29/95 0 11-16 11 11448*WMKS*RC*E*1A.2 1*RC*H002 1*RC*E*1A 2A F-A F1.40 VT-3 12/05/94 11448*WMKS*RC*E*1A.2 1-RC*HSS-138 1*RC*E*1A 2A TS3.2 TS4.17 VT-3 10/09/95 11448-WMKS*RC*E*1A.2 1-RC*HSS-140 1*RC*E*1A 2A TS3.2 TS4.17 VT-3 10/09/95 11448*WMKS*RC*E*1A.2 2-09 1*RC-E*1A 2A C-8 C2.21 UT/MT 09/29/95 0 11-16 11 ~8-WMKS*RC*E*1A.2 2-10 1*RC*E*1A 2A C-8 C2.21 UT/MT 09/25/95 0 11-33 11 Page 8 of 12 Attachment I Page 13 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed e IWB, IWC & IWF Drawing Nark/ Line Sect XI Sect XI Sect XI Ex--Exla. NUlber Yeld No. No. Class category Item No. Method Date Remarks 11448-WMKS-RC-E-2 1-08 1-RC-E-2 1A B-B B2.11 UT 09/25/95 0 11-145 11 11448-WMKS-RC-E-2 1-09 1-RC-E-2 1A B-B B2.12 UT 09/25/95 0 11-6 11 11448-WMKS-RC-E-2 1-16 1-RC-E-2 1A B-K-1 B10.10 Surface 09/25/95 0 11-97 11 11448-WMKS-RC-E-2 1-RC-18NIR 1-RC-E-2 1A B-D B3.120 UT 10/03/95 11448-WMKS*RC-E-2 1-RC-19NIR 1-RC-E-2 1A B-D B3.120 UT 10/08/95 11448-WMKS-RC-E-2 H001-1 1-RC-E-2 1A B-K-1 B10.10 Surface 09/26/95 11448-WMKS-RC-E-2 Heater Elements 1-RC-E-2 1A B-E B4.20 VT-2 10/19/95 11448-WMKS-RC-E-2 Instr1.111ent Nozzle 1-RC-E-2 1A B-E B4.13 VT-2 10/19/95 11448-WMKS-RC-E-2 MANWAY 1-RC-E-2 1A B-G-2 B7.20 VT-1 09/10/95 11448-WMKS-RC-P-1A.2 B01 1-RC-P-1A 1A B-G-1 B6.180 UT 09/14/95 11448-WMKS-RC-P-1A.2 B02 1-RC-P-1A 1A B-G-1 B6.180 UT 09/14/95 11448-WMKS-RC-P-1A.2 B03 1-RC-P-1A 1A B-G-1 B6.180 UT 09/14/95 11448-WMKS-RC-P-1A.2 B04 1-RC-P-1A 1A B-G-1 B6.180 UT 09/14/95 11448-WMKS-RC-P-1A.2 BOS 1-RC-P-1A 1A B-G-1 B6.180 UT 09/14/95 -*8-WMKS-RC-P-1A.
2 B06 1-RC-P-1A 1A B-G-1 B6.180 UT 09/14/95 11448-WMKS-RC-P-1A.2 B07 1-RC-P-1A 1A B-G-1 B6.180 UT 09/14/95 11448-WMKS-RC-P-1A.2 BOB 1-RC-P-1A 1A B-G-1 B6.180 UT 09/14/95 11448-WMKS-RC-P*1A.2 LSHB 1-RC-P-1A 1A B-G-2 B7.60 VT-1 09/17/95 11448-WMKS-RC-R-1.1 01-RC-R-1-INT 1-RC-R-1 1A B-N-1 B13.10 VT-3 10/01/95 11448-WMKS-RC-R*1.2 1-01 1-RC-R-1 1A B-A B1.40 UT/MT 09/22/95 11448-WMKS-RC-R-1.2 CRD-69 1-RC-R-1 1~ B-0 B14.10 UT or PT 09/22/95 11448-WMKS-RC-R-1.3 S-21 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WMKS-RC-R-1.3 S-22 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WMKS-RC-R-1.3 S-23 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WMKS-RC-R-1.3 S-24 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WMKS-RC-R-1.3 S-25 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WMKS-RC-R-1.3 S-26 1-RC-R*1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WMKS-RC-R-1.3 S-27 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WMKS-RC-R-1.3 S-28 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WMKS-RC-R-1.3 S-29 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WMKS-RC-R-1.3 s-30 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 ~8-WMKS-RC-R-1.3 s-31 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 Page 9 of 12 Attachment I Page 14 of 35 Serial No.: 95*594 Docket No.: 50-280 Abstract of Examinations Performed -IWB, IWC ' IWF Drawing Nark/ Line sect XI sect XI sect XI Exaa. Exaa. Niaber Weld No-No-Class category Itea No-Method Date Remarks 11448-WHKS-RC-R-1.3 S-32 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WHKS-RC-R-1.3 S-33 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WHKS-RC-R-1.3 S-34 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WHKS-RC-R-1.3 S-35 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WHKS-RC-R-1.3 S-36 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WHKS-RC-R-1.3 S-37 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WHKS-RC-R-1.3 S-38 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WHKS-RC-R-1.3 s-39 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WHKS-RC-R-1.3 S-40 1-RC-R-1 1A B-G-1 B6.30 MT/UT 09/23/95 11448-WHKS-RC-R-1.4 CCW-21 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 11448-WMKS-RC-R-1.4 CCW-22 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 11448-WMKS-RC-R-1.4 CCW-23 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 11448-WMKS-RC-R-1.4 CCW-24 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 11448-WHKS-RC-R-1.4 CCW-25 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 ~8-WMKS-RC-R-1.4 CCW-26 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 *, / f1448-WMKS-RC-R-1.4 CCW-27 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 11448-WMKS-RC-R-1.4 CCW-28 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 11448-WMKS-RC-R-1.4 CCW-29 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 11448-WHKS-RC-R-1.4 CCW-30 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 11448-WHKS-RC-R-1.4 CCW-31 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CCW-32 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CCW-33 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CCW-34 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CCW-35 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CCW-36 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CCW-37 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CCW-38 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CCW-39 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WHKS-RC-R-1.4 CCW-40 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CVW-21 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 11448-WHKS-RC-R-1.4 CVW-22 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 ~8-IIMKS-RC-R-1.4 CVW-23 1-RC-R-1 1A B-G-1 B6.50 VT-1 09/21/95 Page 10 of 12 I I Attachment I Page 15 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed
- IWB, IWC ' IWF Drawing Marie/ Line Sect XI Sect XI Sect XI Exam. Exam. Nuii>er Weld No. No. Class category ltea No. Method Date Remarks 11448-WMKS*RC*R-1.4 CVW-24 1*RC*R*1 1A B*G-1 B6.50 VT-1 09/21/95 11448-WMKS*RC*R-1.4 CVW-25 1*RC*R*1 1A B*G-1 B6.50 VT-1 09/21/95 11448-WMKS*RC*R-1.4 CVW-26 1-RC-R-1 1A B*G-1 B6.50 VT-1 09/21/95 11448-WMKS*RC*R-1.4 CVW-27 1*RC*R*1 1A B*G-1 B6.50 VT-1 09/21/95 11448-WMKS*RC-R-1.4 CVW*28 1*RC-R*1 1A B*G-1 B6.50 VT-1 09/21/95 i 11448-WMKS*RC*R-1.4 CVW-29 1-RC*R-1 1A B*G-1 B6.50 VT-1 09/21/95 11448-WMKS*RC*R-1.4 CVW-30 1*RC*R*1 1A B*G-1 B6.50 VT-1 09/21/95 11448-WMKS*RC*R-1.4 CVW-31 1*RC*R*1 1A B*G-1 B6.50 VT-1 09/22/95 11448-WMKS*RC*R-1.4 CVW-32 1 *RC*R-1 1A B*G-1 B6.50 VT-1 09/22/95 11448-WMKS*RC*R-1.4 CVW-33 1-RC*R-1 1A B*G-1 B6.50 VT-1 09/22/95 11448-WMKS*RC-R-1.4 CVW-34 1*RC*R*1 1A B*G-1 B6.50 VT-1 09/22/95 11448-WMKS*RC*R-1.4 CVW-35 1-RC*R-1 1A B*G-1 B6.50 VT-1 09/22/95 11448-WMKS*RC*R-1.4 CW-36 1*RC*R*1 1A B*G-1 B6.50 VT*1 09/22/95 11448-WMKS*RC*R-1.4 CVW-37 1*RC*R*1 1A B*G-1 B6.50 VT-1 09/22/95 *8-WMKS*RC*R-1.4 I CVW*38 1*RC*R*1 1A B*G*1 B6.50 VT-1 09/22/95 11448-WMKS-RC-R-1.4 CVW-39 1*RC*R*1 1A B*G-1 B6.50 VT*1 09/22/95 11448-WMKS*RC*R-1.4 CVW-40 1*RC*R*1 1A B*G-1 B6.50 VT-1 09/22/95 11448-WMKS*RC*R-1.4 N-21 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-22 1-RC*R-1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-23 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-24 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N*25 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-26 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-27 1-RC-R-1 1A B-G-1 B6.10 MT 09/23/95 11448-WMKS*RC-R-1.4 N-28 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC-R-1.4 N-29 1-RC*R-1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-30 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-31 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-32 1-RC*R-1 1A B-G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-33 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 11448-WMKS*RC*R-1.4 N-34 1-RC*R-1 1A B*G-1 B6.10 MT 09/23/95 ~8-WMKS*RC*R*1.4 N-35 1*RC*R*1 1A B*G-1 B6.10 MT 09/23/95 Page 11 of 12 Attachment I Page 16 of 35 Serial No.: 95-594 Docket No.: 50-280 Abstract of Examinations Performed
,. IWB, IWC & IWF Drawing Marie/ Line Sect XI Sect XI Sect XI Exam_ Ex*-Nlllber Weld No_ No-Class category Item No_ Method Date Remarks 11448-WMKS-RC-R-1.4 N-36 1-RC-R-1 1A 8-G-1 86.10 MT 09/23/95 11448-WMKS-RC-R-1.4 N-37 1-RC-R-1 1A 8-G-1 86.10 MT 09/23/95 11448-WMKS-RC-R-1.4 N-38 1-RC-R-1 1A 8-G-1 86.10 MT 09/23/95 11448-WMKS-RC-R-1.4 N-39 1-RC-R-1 1A 8-G-1 86.10 MT 09/23/95 11448-WMKS-RC-R-1.4 N-40 1-RC-R-1 1A 8-G-1 86.10 MT 09/23/95 11448-WMKS-RH-E-1A 1-A01 1-RH-E-1A 2A C-A C1.20 UT 09/26/95 0 11-44 11 11448-WMKS-RH-E-1A 1-A02 1-RH-E-1A 2A C-A C1 .10 UT 09/26/95 0 11-44 11 11448-WMKS-RH-E-1A 1-A03 1-RH-E-1A 2A C-8 C2.33 VT-2 10/02/95 11448-WMKS-RH-E-1A 1-A04 1-RH-E-1A 2A C-8 C2.33 VT-2 10/02/95 11448-WMKS-RH-E-1A 1-A05 1-RH-E-1A 2A C-8 C2.31 PT 10/02/95 11448-WMKS-RS-P-2A 2-05 1-RS-P-2A 2A C-G C6.10 PT 09/11/95 0 11-25 11 11448-WMKS-RS-P-2A 2-06 1-RS-P-2A 2A C-G C6.10 PT 09/11/95 0 11-25 11 11448-WMKS-S1-P-1A 2-05 1-S1-P-1A 2A C-G C6.10 PT 09/11/95 0 11-25 11 p 11448-WMKS-S1-P-1A 2-06 1-S1-P-1A 2A C-G C6.10 PT 09/11/95 0 11-25 11 .rks Code: A1 = Reexamination of a component that required corrective measures during a previous examination. E1 = Expansion examination performed due to corrective measures performed on support 1-CH-H001 on drawing 11448-WMKS-0102A3Z. E2 = Expansion examination performed in accordance with IWC-2430 Ca) due to indication on weld 1-12 on drawing 11448-WMKS-0101G1, which exceeded the allowable standards of IWC-3000. F1 = Component failed initial inservice inspection, was repaired, passed reexamination and returned to service. P = Partial examination, (reduction in coverage is greater than 10% as allowed by Code Case N-460) relief will be requested by separate correspondence
- Page 12 of 12 lt\N I I It\ 0 It\ °' It\ _,,, Zone 1*SPB-006A-1*1 1*SPB-006A-1*1 1-SPB*006A-1*2 1-SPB-006A*1*2 1-SPB-0478-1-1 1-SPB-0478-1-1 1-SPM-064A-1*1 1-SPM-064A-1*1 1 *SPM-064A-1
- 2 1*SPM-064A-1*2 1-SPM-064A-1*3 1*SPM-064A-1*3 1*SPM-064A-1*3 1-SPM*064A*2*1 1-SPM-064A-2*1 1*SPM*064A*2*2 1*SPM-064A-2*2 1*SPM-064A-2*3 1*SPM-064A-2*3 1-SPM-064A-2*3
- Abstract of Examinations Performed system Pressure Test Program Description CONTAINMENT PURGE AIR SUPPLY PIPING CONTAINMENT PURGE AIR SUPPLY PIPING CONTAINMENT PURGE AIR EXHAUST PIPING CONTAINMENT PURGE AIR EXHAUST PIPING FIRE PROTECTION PENETRATION FIRE PROTECTION PENETRATION A,B & C S/G MAIN STEAM OUTSIDE CTMT A,B & C S/G MAIN STEAM OUTSIDE CTMT A,B & C S/G MAIN STEAM OUTSIDE CTMT -A,B & C S/G MAIN STEAM OUTSIDE CTMT A S/G MAIN STEAM INSIDE CTMT A S/G MAIN STEAM INSIDE CTMT A S/G MAIN STEAM INSIDE CTMT A,B & C S/G MAIN STEAM OUTSIDE CTMT A,B & C S/G MAIN STEAM OUTSIDE CTMT A,B & C S/G MAIN STEAM OUTSIDE CTMT A,B & C S/G MAIN STEAM OUTSIDE CTMT B S/G MAIN STEAM INSIDE CTMT B S/G MAIN STEAM INSIDE CTMT B S/G MAIN STEAM INSIDE CTMT Sect XI Class 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 Page 1 of 14 .: ) Sect. XI Category C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C-H C*H C*H C*H C*H Sect. XI Item C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.10 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.10 C7.30 C7.70 Date Remarks 09/09/95 09/09/95 09/09/95 09/09/95 09/13/95 09/13/95 07/21/95 07/21/95 07/21/95 07/21/95 11/28/94 11/28/94 11/28/94 07/21/95 07/21/95 07/21/95 07/21/95 11/28/94 11/28/94 11/28/94
- inN I I in 0 in °' in _,,,, ..... 'I-*
- cooo Abstract of Examinations Performed.
- !!co zz .c~-.... system Pressure Test Program. o ca QI 111 QI*-..i.,: .µ DI L. 0 .µ 111 QI 0 c(C.UIC Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1-SPM-064A-3-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064A-3-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064A-3-2 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064A-3-2 . _A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064A-3-3 C S/G MAIN STEAM INSIDE CTMT 2 C-H C7.10 11/28/94 1-SPM-064A-3-3 C S/G MAIN STEAM INSIDE CTMT 2 C-H C7.30 11/28/94 1-SPM-064A-3-3 C S/G MAIN STEAM INSIDE CTMT 2 C-H C7.70 11/28/94 1-SPM-064A-4-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064A-4-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064A-4-2 MAIN STEAM TO TERRY TURBINE 2 C-H C7.30 12/24/94 1-SPM-064A-4-2 MAIN STEAM TO TERRY TURBINE 2 C-H C7.70 12/24/94 1-SPM-064B-1-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064B-1-1 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064B-1-2 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064B-1-2 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-064B-1-3 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.30 07/21/95 1-SPM-064B-1-3 A,B & C S/G MAIN STEAM OUTSIDE CTMT 2 C-H C7.70 07/21/95 1-SPM-066A-2-1 CONDENSER AIR EJECTOR DIVERT TO CONTAINMENT 2 C-H C7.30 09/11/95 1-SPM-066A-2-1 CONDENSER AIR EJECTOR DIVERT TO CONTAINMENT 2 C-H C7.70 09/11/95 1-SPM-068A-1-1 MAIN FEEDWATER TO "A" S/G 2 C-H C7.30 12/23/94 1-SPM-068A-1-1 MAIN FEEDWATER TO "A" S/G 2 C-H C7.70 12/23/94 Page 2 of 14 * .i
- Zone 1*SPM*068A*1*2 1*SPM*068A*1*2 1*SPM*068A-1*3 1*SPM-068A*1*3 1*SPM-068A*1*5 1*SPM*068A-1*5 1*SPM-071A*3*4 1*SPM-071A*3*4 1*SPM-075C*1*1 1*SPM*D75C*1*1 1*SPM-075C*1*2 1*SPM-075C-1*2 1*SPM-075G-1*1 1*SPM-075G-1*1 1*SPM-075J*1*1 1*SPM-075J*1*1 1-SPM-0828*2*5 1-SPM-0828*2*5 1-SPM-0828*2*6 1-SPM-0828-2-6 1-SPM-0828*2*7 Abstract of Examinations Performed system Pressure Test Program Description Sect XI Class MAIN FEEDWATER TO 11 8 11 S/G 2 MAIN FEEDWATER TO 11 8 11 S/G 2 MAIN FEEDWATER TO 11 C 11 S/G 2 MAIN FEEDWATER TO 11 C 11 S/G 2 FEEDWATER CROSS CONNECT FROM UNIT 2 2 FEEDWATER CROSS CONNECT FROM UNIT 2 2 RECIRC SPRAY HX SERVICE WATER DRAINS PEN PIPING 2 RECIRC SPRAY HX SERVICE WATER DRAINS PEN PIPING 2 INSTRUMENT AIR PENETRATION
- 47 2 INSTRUMENT AIR PENETRATION
- 47 2 INSTRUMENT AIR PENETRATION
- 58 2 INSTRUMENT AIR PENETRATION
- 58 2 COMPRESSED AIR SYSTEM PENETRATION PIPING 2 COMPRESSED AIR SYSTEM PENETRATION PIPING 2 CONTAINMENT INSTRUMENT AIR SUCTION LINE. 2 CONTAINMENT INSTRUMENT AIR SUCTION LINE. 2 RESIDUAL HEAT REMOVAL/SAMPLE 2 RESIDUAL HEAT REMOVAL/SAMPLE 2 PRESSURIZER RELIEF TANK SAMPLE 2 PRESSURIZER RELIEF TANK SAMPLE 2 RHR DISCHARGE PIPING TO RHR HX AND HX BYPASS 2 Page 3 of 14 Sect. XI Category C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H C*H Sect. XI Item C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 Date 11/28/94 11/28/94 11/28/94 11/28/94 10/11/95 10/11/95 09/11/95 09/11/95 09/17/95 09/17/95 09/23/95 09/23/95 09/21/95 09/21/95 09/11/95 09/11/95 09/10/05 09/10/05 09/15/95 09/15/95 10/02/95 Remarks *
~o a.co in N I I inc "' °' "' Cl ......... .., Ip *
- COO 0 Al:>stract of Examinations Performed l!!o z z .cN~+-' system Pressure Test Program u Ill GI 111 GI*-.JJ. ... CIL.U ... Ill GI 0 CC Q. UI C Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1-SPM-082B-2-7 RHR DISCHARGE PIPING TO RHR HX AND HX BYPASS 2 C-H C7.70 10/02/95 1-SPM-082B-2-8 RCS HOT LEG SAMPLE PENETRATION
- 56 2 C-H C7.30 10/18/95 1-SPM-082B-2-8 RCS HOT LEG SAMPLE PENETRATION
- 56 2 C-H C7.70 10/18/95 1-SPM-082B-2-9 RCS COLD LEG SAMPLE PENETRATION
- 56 2 C-H C7.30 10/18/95 1-SPM-082B-2-9 RCS COLD LEG SAMPLE PENETRATION
- 56 2 C-H C7.70 10/18/95 1-SPM-083A-1-1 PRIMARY DRAIN TANK VENT HEADER. 2 C-H C7.30 09/22/95 1-SPM-083A-1-1 PRIMARY DRAIN TANK VENT HEADER. 2 C-H C7.70 09/22/95 1-SPM-083A-1-2 PRIMARY DRAIN TRANSFER TANK PUMP DISCHARGE.
2 C-H C7.30 09/12/95 1-SPM-083A-1-2 PRIMARY DRAIN TRANSFER TANK PUMP DISCHARGE. 2 C-H C7.70 09/12/95 1-SPM-083A-1-3 PRIMARY VENT POT VENT 2 C-H C7.30 09/14/95 1-SPM-083A-1-3 PRIMARY VENT POT VENT 2 C-H C7.70 09/14/95 1-SPM*083A*2*1 POST ACCIDENT SAMPLE RETURN 2 C*H C7.30 09/11/95 1*SPM*083A-2*1 POST ACCIDENT SAMPLE RETURN 2 C*H C7.70 09/11/95 1-SPM-083A*2*2 CONTAINMENT SUMP PUMP DISCHARGE. 2 C*H C7.30 09/22/95 1*SPM*083A-2-2 CONTAINMENT SUMP PUMP DISCHARGE. 2 C*H C7.70 09/22/95 1-SPM*083B*1*1 PRIMARY DRAIN TANK VENT HEADER. 2 C-H C7.30 09/22/95 1*SPM*083B-1*1 PRIMARY DRAIN TANK VENT HEADER. 2 C-H C7.70 09/22/95 1*SPM*083B*1*2 PRIMARY DRAIN TRANSFER TANK PUMP DISCHARGE. 2 C*H C7.30 09/12/95 1*SPM-083B*1*2 PRIMARY DRAIN TRANSFER TANK PUMP DISCHARG~. 2 C*H C7.70 09/12/95 1*SPM-083B*3*1 PRIMARY VENT POT VENT 2 C-H C7.30 09/14/95 1*SPM*083B*3-1 PRIMARY VENT POT VENT 2 C*H C7.70 09/14/95 Page 4 of 14 ** ** * ; / ~:ii3 inN I I ino .,, °' .,, _,,.. .... ""'""" .. COO 0 l!! ... zz .CN_..., U C11 GI ca: cu*-~ ... IJI '-u ..,a,a,o <Q. UICI Zone 1*SPM-083B-3*2 1*SPM-083B-3-2 1-SPM-084A-1*3 1*SPM-084A-1-3 1*SPM-084A-2-4 1*SPM-084A-2-4 1-SPM-084A-2*5 1*SPM-084A-2-5 1*SPM-084A-2*7 1-SPM-OB4B-1-3 1-SPM-084B-1*3 1*SPM-084B-1*3 1-SPM-084B*1*4 1*SPM-084B-1-4 1-SPM-084B-1*4 1*SPM-084B-2-1 1*SPM-084B-2*1 1*SPM-084B*2*2 1*SPM-084B-2*2
- } ,**"' Abstract of Examinations Performed system Pressure Test Program Description Sect XI Class CONTAINMENT SUMP PUMP DISCHARGE.
2 CONTAINMENT SUMP PUMP DISCHARGE. 2 DISCHARGE LINE INTO RWST FROM SI PPS 2 DISCHARGE LINE INTO RWST FROM SI PPS 2 11 A 11 TRAIN CONTAINMENT SPRAY PENETRATION PIPING. 2 11 A 11 TRAIN CONTAINMENT SPRAY PENETRATION PIPING. 2 11 8 11 TRAIN CONTAINMENT SPRAY PENETRATION PIPING. 2 "8 11 TRAIN CONTAINMENT SPRAY PENETRATION PIPING. 2 OUTSIDE RECIRCULATION SPRAY PUMP SUCTION PIPING 2 FROM CONTAINMENT SUMP 11 A 11 INSIDE RECIRC SPRAY PUMP 2 11 A 11 INSIDE RECIRC SPRAY PUMP 2 11 A 11 INSIDE RECIRC SPRAY PUMP 2 !'B 11 INSIDE RECIRC SPRAY PUMP 2 11 8 11 INSIDE RECIRC SPRAY PUMP 2 11 8 11 INSIDE RECIRC SPRAY PUMP 2 OUTSIDE RECIRCULATION SPRAY PUMP SUCTION PIPING 2 FROM CONTAINMENT SUMP OUTSIDE RECIRCULATION SPRAY PUMP SUCTION PIPING 2 FROM CONTAINMENT SUMP OUTSIDE RECIRCULATION SPRAY PUMP 1-RS-P-2A 2 OUTSIDE RECIRCULATION SPRAY PUMP 1-RS*P-2A 2 Page 5 of 14 ** Sect. XI Category C*H C*H C-H C*H C-H C-H C-H C*H C*H C-H C*H C-H C-H C-H C*H C-H C*H C-H C*H Sect. XI Item C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.70 C7.30 C7.30 C7.50 C7.70 C7.30 C7.50 C7.70 C7.30 C7.70 C7.30 C7.50 Date 09/22/95 09/22/95 09/13/95 09/13/95 09/12/95 09/12/95 09/12/95 09/12/95 09/13/95 09/22/95 09/22/95 09/22/95 09/23/95 _ 09/23/95 09/23/95 09/13/95 09/13/95 10/07/95 10/07/95 Remarks * ...,.0 o.co 11\N I I 11\0 II\ °' II\ _..,.. Zone 1-SPM-084B-2-2 1-SPM-084B-2-3 1-SPM-084B-2-3 1-SPM-084B-2-3 1-SPM-084B-2-4 1-SPM-084B-2-4 1-SPM-084B-2-5 1-SPM-084B-2-5 1-SPM-085A-1-1 1-SPM-085A-1-1 1-SPM-085A-1-2 1-SPM-085A-1-2 1-SPM-085A-1-3 1-SPM-085A-1-3 1-SPM-085A-1-4 1-SPM-085A-1-4 1-SPM-085A-2-1 1-SPM-085A-2-1 1-SPM-085A-2-2 1-SPM-085A-2-2 1-SPM-086B-2-1 Abstract of Examinations Performed system Pressure Test Program Sect XI Sect. XI Sect. XI Description Class Category Item OUTSIDE RECIRCULATION SPRAY PUMP 1-RS-P-2A 2 C-H C7.70 OUTSIDE RECIRCULATION SPRAY PUMP 1-RS-P-2B 2 C-H C7.30 OUTSIDE RECIRCULATION SPRAY PUMP 1-RS-P-2B 2 C-H C7.50 OUTSIDE RECIRCULATION SPRAY PUMP 1-RS-P-2B 2 C-H C7.70 OUTSIDE RECIRCULATION SPRAY "B" PEN. PIPING 2 C-H C7.30 OUTSIDE RECIRCULATION SPRAY 11 B 11 PEN. PIPING 2 C-H C7.70 OUTSIDE RECIRCULATION SPRAY "A" PEN. PIPING 2 C-H C7.30 OUTSIDE RECIRCULATION SPRAY "A" PEN. PIPING 2 C-H C7.70 LEAKAGE MONITORING OUTSIDE CONTAINMENT. 2 C-H C7.30 LEAKAGE MONITORING OUTSIDE CONTAINMENT. 2 C-H C7.70 LEAKAGE MONITORING INSIDE CONTAINMENT. 2 C-H C7.30 LEAKAGE MONITORING INSIDE CONTAINMENT. 2 C-H C7.70 CONTAINMENT VACUUM EJECTOR. 2 C-H C7.30 CONTAINMENT VACUUM EJECTOR. 2 C-H C7.70 LEAKAGE MONITORING 2 C-H C7.30 LEAKAGE MONITORING 2 C-H C7.70 CONTAINMENT VACUUM PUMP "B" PENETRATION PIPING 2 C-H C7.30 CONTAINMENT VACUUM PUMP 11 B 11 PENETRATION PIPING 2 C-H C7.70 CONTAINMENT VACUUM PUMP "A" PENETRATION PIPING 2 C-H C7.30 CONTAINMENT VACUUM PUMP "A" PENETRATION PIPING 2 C-H C7.70 PRIMARY GRADE WATER INTO CONTAINMENT PENETRATION 2 C-H C7.30 Page 6 bf 14
- Date Remarks 10/07/95 10/07/95 . 10/07/95 10/07/95 09/14/95 09/14/95 09/13/95 09/13/95 09/22/95 09/22/95 09/22/95 09/22/95 07/15/95 07/15/95 09/22/95 09/22/95 09/22/95 09/22/95 09/21/95 09/21/95 09/10/95 \.
Zone 1*SPM-086B-2*1 1-SPM*087A*1*2 1*SPM-087A-1*2 1-SPM*087A* 1 *3 1 *SPM*087A* 1 *3 1-SPM*087A-1-3 1*SPM*087A-1-4 1*SPM*087A-1-4 1-SPM-087A-1-4 1-SPM-087A-2-1 1-SPM-087A-2-1 1*SPM*087A*2*1 1*SPM*087A*2*2 1*SPM*087A*2*2 1*SPM-087A-2*5 1-SPM-087A-2-5 1*SPM*088A*1*1 1*SPM*088A*1*1 1-SPM-088A*3*2 1*SPM*088A*3*2 1*SPM*088A*4*1
- , --,/ Abstract of Examinations Performed system Pressure Test Program Sect XI Sect. XI Sect. XI Description Class Category Item PRIMARY GRADE WATER INTO CONTAINMENT PENETRATION 2 C*H C7.70 RHR DISCHARGE PIPING TO RHR HX AND HX BYPASS 2 C-H C7.30 RHR DISCHARGE PIPING TO RHR HX AND HX BYPASS 2 C*H C7.70 1*RH*P*1A 2 C-H C7.30 1 *RH*P*1A 2 C-H C7.50 1-RH*P*1A 2 C-H C7.70 1*RH-P*1B 2 C-H C7.30 1*RH-P*1B 2 C*H C7.50 1*RH-P*1B 2 C*H C7.70 RHR DISCHARGE PIPING TO RHR HX AND HX BYPASS 2 C-H C7.10 RHR DISCHARGE PIPING TO RHR HX AND HX BYPASS 2 C-H C7.30 RHR DISCHARGE PIPING TO RHR HX AND HX BYPASS 2 C-H C7.70 RHR TO RWST PIPING 2 C*H C7.30 RHR TO RWST PIPING 2 C*H C7.70 LETDOWN HEADER 2 C*H C7.30 LETDOWN HEADER 2 C*H C7.70 BORIC ACID ADDITION LINES TO CHARGING PUMPS. 2 C-H C7.30 BORIC ACID ADDITION LINES TO CHARGING PUMPS. 2 C*H C7.70 BORATE FOR END OF CORE LIFE 2 C-H C7.30 BORATE FOR END OF CORE LIFE 2 C*H C7.70 LETDOWN HEADER 2 C*H C7.30 Page 7 of 14 e Date Remarks 09/10/95 10/02/95 10/02/95 10/02/95 10/02/95 10/02/95 10/09/95 10/09/95 10/09/95 10/02/95 10/02/95 10/02/95 09/20/95 09/20/95 09/08/95 09/08/95 08/08/95 08/08/95 08/03/95 08/03/95 09/08/95 (.
cl:~ 11\N I I inc "' °' "' _,.,, ..., ....... COO 0 Examinations Performed l!!~zz Abstract of .cN-+' system Pressure Test Program u 111 GI 111 GI*-..lll: ..,a,1.u .., 111 GI 0 c( Cl. Ill Q Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1-SPM-088A-4-1 LETDOWN HEADER 2 C-H C7.70 09/08/95 1-SPM-088B-1-1 DISCHARGE LINE INTO RWST FROM SI PPS 2 C-H C7.30 09/13/95 1-SPM-088B-1-1 DISCHARGE LINE INTO RWST FROM SI PPS 2 C-H C7.70 09/13/95 1*SPM-088B-1-10 MISC CHARGING 1-CH-FCV-1114A 2 C*H C7.30 08/01/95 1-SPM-088B-1-10 MISC CHARGING 1*CH-FCV-1114A 2 C-H C7.70 08/01/95 1-SPM*088B-1-2 SEAL RETURN HEADER 2 C*H C7.30 09/08/95 1*SPM-088B-1-2 SEAL RETURN HEADER 2 C-H C7.70 09/08/95 1-SPM*088B*1*5 BORIC ACID ADDITION LINES TO CHARGING PUMPS. 2 C*H C7.30 08/08/95 1-SPM-088B-1-5 BORIC ACID ADDITION LINES TO CHARGING PUMPS. 2 C-H C7.70 08/08/95 1-SPM-088B-1-6 MISC CHARGING 1*CH-218 2 C-H C7.30 08/08/95 1-SPM-088B-1-6 MISC CHARGING 1-CH-218 2 C-H C7.70 08/08/95 1-SPM-088B-1-7 MISC CHARGING 1-CH-228 2 C-H C7.30 09/08/95 1*SPM*088B*1*7 MISC CHARGING 1-CH-228 2 C*H C7.70 09/08/95 1-SPM-088B-1-8 MISC CHARGING 1-CH-MOV-1350 2 C*H C7.30 09/08/95 1-SPM*088B*1*8 MISC CHARGING 1-CH-MOV-1350 2 C*H C7.70 09/08/95 1-SPM-088B-1*9 MISC CHARGING 1-CH-220 2 C*H C7.30 08/07/95 1-SPM-088B-1*9 MISC CHARGING 1-CH-220 2 C*H C7.70 08/07/95 1*SPM-088B-2-10 MISC CHARGING 1-CH-MOV-1350 2 C*H C7.30 09/08/95 1*SPM-088B-2-10 MISC CHARGING 1-CH-MOV-1350 2 C*H C7.70 09/08/95 1-SPM-088B-2*11 MISC CHARGING 1-CH-220 2 C*H C7.30 08/07/95 1-SPM*088B*2*11 MISC CHARGING 1-CH-220 2 C*H C7.70 08/07/95 Page 8 of 14 e> * * ,'_ li3 11\N I I 11\0 ,nc,.,n .... l"I ..., 'I-*
- cooo :!!in z z Abstract of Examinations Performed .CN-..., System Pressure Test Program u m QI m QI*-..i.,: ... a, ... u .., m QI o ca.enc Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1*SPM*088B*2*8 MISC CHARGING 1-CH-218 2 C*H C7.30 08/08/95 1*SPM*088B*2*8 MISC CHARGING 1-CH-218 2 C*H C7.70 08/08/95 1*SPM*088B*2*9 MISC CHARGING 1-CH-228 2 C*H C7.30 09/08/95 1*SPM*088B*2*9 MISC CHARGING 1-CH-228 2 C*H C7.70 09/08/95 1*SPM*0S8C*1*5 REGENERATIVE HEAT EXCHANGER (CHARGING SIDE) AND 2 C*H C7.10 09/08/95 ASSOCIATED PIPING. 1*SPM*0S8C*1*5 REGENERATIVE HEAT EXCHANGER (CHARGING SIDE) AND 2 C*H C7.30 09/08/95 ASSOCIATED PIPING. 1*SPM-088C*1*5 REGENERATIVE HEAT EXCHANGER (CHARGING SIDE) AND* 2 C*H C7.70 09/08/95
- ASSOCIATED PIPING. 1*SPM*0S8C*1*7 SEAL RETURN HEADER 2 C*H C7.30 09/08/95 1*SPM*OS8C*1*7 SEAL RETURN HEADER 2 C*H C7.70 09/08/95 1*SPM*OS8C*1*9 LETDOWN HEADER 2 C*H C7.10 09/08/95 1*SPM*088C*1*9 LETDOWN HEADER 2 C*H C7.30 09/08/95 1*SPM*0BBC*1*9 LETDOWN HEADER 2 C*H C7.70 09/08/95 1*SPM*0S8C*2*2 SEAL RETURN HEADER 2 C*H C7.30 09/08/95 1*SPM*0S8C*2*2 SEAL RETURN HEADER 2 C*H C7.70 09/08/95 1-SPM*0S8C*2*3 REACTOR COOLANT PUMP SEAL INJECTION LINES 2 C*H C7.30 09/08/95 1*SPM*0S8C*2*3 REACTOR COOLANT PUMP SEAL INJECTION LINES 2 C*H C7.50 09/08/95 1*SPM*088C*2*3 REACTOR COOLANT PUMP SEAL INJECTION LINES 2 C*H C7.70 09/08/95 1*SPM-089A*1*1 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C*H C7.30 10/16/95 1*SPM*0S9A*1*1 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C*H C7.70 10/16/95 Page 9 of 14 .*. ' .,. ', ! *
'1' 0 o.co LnN I I LnO "' °' "' ........ ,6,J\t,-* I COO 0 Examinations Performed !!:1-o z z Abstract of .CN-..., system Pressure Test Program u co QI COGl*-.JJ. +,.ID)L.0 +iCOGIO CCC.I/IC Sect. XI Sect XI Sect. XI Zone Description Class Category Item Date Remarks 1-SPM-089A-1-2 LOW HEAD SAFETY INJECTION PUMP 11 1A 11* 2 C-H C7.30 08/15/95 1-SPM-089A-1-2 LOW HEAD SAFETY INJECTION PUMP 11 1A 11* 2 C-H C7.50 08/15/95 1-SPM-089A-1-2 LOW HEAD SAFETY INJECTION PUMP 11 1A 11* 2 C-H C7.70 08/15/95 1-SPM-089A-1-3 LOW HEAD SAFETY INJECTION PUMP 11 1B 11* 2 C-H C7.30 09/13/95 1-SPM-089A-1-3 LOW HEAD SAFETY INJECTION PUMP 11 18 11* 2 C-H C7.50 09/13/95 1-SPM-089A-1-3 LOW HEAD SAFETY INJECTION PUMP 11 18 11* 2 C-H C7.70 09/13/95 1-SPM-089A-1-5 LHSI PUMP SUCTION PIPING FROM CONTAINMENT SUMP 2 C-H C7.30 09/20/95 1-SPM-089A-1-5 LHSI PUMP SUCTION PIPING FROM CONTAINMENT SUMP 2 C-H C7.70 10/17/95 1-SPM-089A-2-1 SAFETY INJECTION ACCUMULATOR TEST LINE 2 C-H C7.30 10/16/95 1-SPM-089A-2-1 SAFETY INJECTION ACCUMULATOR TEST LINE 2 C-H C7.70 10/16/95 1-SPM-089A-2-2 LHSI AND HHSI TO HOT AND COLD LEGS 2 C-H C7.30 10/04/95 1-SPM-089A-2-2 LHSI AND HHSI TO HOT AND COLD LEGS 2 C-H C7.70 10/04/95 1-SPM-089A-2-3 LOW HEAD SAFETY INJECTION PUMP 11 1A 11* 2 C-H C7.30 08/15/95 1-SPM-089A-2-3 LOW HEAD SAFETY INJECTION PUMP 11 1A 11* 2 C-H C7.70 08/15/95 1-SPM-089A-2-4 LOW HEAD SAFETY INJECTION PUMP 11 1B 11* 2 C-H C7~30 09/13/95 1-SPM-089A-2-4 LOW HEAD SAFETY INJECTION PUMP 11 18 11* --2 C-H C7.70 09/13/95 1-SPM-089A-2-5 LOW HEAD SAFETY INJECTION DISCHARGE PIPING TO 2 C-H C7.30 08/15/95 MOV-1890C. 1-SPM-089A-2-5 LOW HEAD SAFETY INJECTION DISCHARGE PIPING TO 2 C-H C7.70 08/15/95 MOV-1890C. 1-SPM-089A-2-6 DISCHARGE LINE INTO RWST FROM SI PPS 2 C-H C7.30 09/13/95 1-SPM-089A-2-6 DISCHARGE LINE INTO RWST FROM SI PPS 2 C-H C7.70 09/13/95 Page 10 of 14 .i i.}
- ci;i lt\N I I 11\0 It\ 0, It\ _.., ..... 'ta *
- COO 0 Examinations Performed 2!t. .. z z Abstract of .cN-..., system Pressure Test Program U Ill CII co cu .... .:.i: t;g>:U8 CCO.IIIQ Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1-SPM-089A-3-1 NITROGEN SUPPLY TO SAFETY INJECTION ACCUMULATOR 2 C-H C7.30 09/24/95 TANKS 1-SPM-089A-3-1 NITROGEN SUPPLY TO SAFETY INJECTION ACCUMULATOR 2 C-H C7.70 09/24/95 TANKS 1-SPM-089A-3-2 LHSI AND HHSI TO HOT AND COLD LEGS 2 C-H C7.30 10/16/95 1-SPM-089A-3-2 LHSI AND HHSI TO HOT AND COLD LEGS 2 C-H C7.70 10/04/95 1-SPM-0898-1-2 LOOP 11 A 11 SAFETY INJECTION ACCUMULATOR 2 C-H C7.10 07/21/95 1-SPM-0898-1-2 LOOP 11 A 11 SAFETY INJECTION ACCUMULATOR*
2 C*H C7.30 07/21/95 1-SPM-0898-1-2 LOOP 11 A 11 SAFETY INJECTION ACCUMULATOR 2 C-H C7.70 07/21/95 1-SPM-0898-1*4 LHSI AND HHSI TO HOT AND COLD LEGS 2 C-H C7.30 10/16/95 1*SPM*0898*1*4 LHSI AND HHSI TO HOT AND COLD LEGS 2 C*H C7.70 10/16/95 1*SPM*0898-1*5 SAFETY INJECTION ACCUMULATOR TEST LINE 2 C*H C7.30 10/16/95 1-SPM-0898-1-5 SAFETY INJECTION ACCUMULATOR TEST LINE 2 C*H C7.70 10/16/95 1-SPM-0898*1*6 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C*H C7.30 10/16/95 1*SPM*0898*1*6 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C*H C7.70 10/16/95 1 *SPM-0898-1-7 SAFETY INJECTION ACCUMULATOR VENT LINE. 2 C*H C7.30 09/23/95 1-SPM-0898* 1-7 SAFETY INJECTION ACCUMULATOR VENT LINE. 2 C*H C7.70 09/23/95 1*SPM*0898-1-8 NITROGEN SUPPLY TO SAFETY INJECTION ACCUMULATOR 2 C*H C7.30 09/24/95 TANKS 1-SPM-0898*1*8 NITROGEN SUPPLY TO SAFETY INJECTION ACCUMULATOR 2 C*H C7.70 09/24/95 TANKS 1-SPM-0898*2*2 LOOP 11 8 11 SAFETY INJECTION ACCUMULATOR 2 C*H C7. 10 07/21/95 1-SPM-0898*2*2 LOOP 11 8 11 SAFETY INJECTION ACCUMULATOR 2 C*H C7.30 07/21/95 Page 11 of 14 **: i-.\
- inN I I inc "' 0,. "' -ft'I .... ..., '+-*
- COO 0 Examinations Performed icozz Abstract of .cN~..., system Pressure Test Program u ca GI CUCU*-.:,,t.
.. 1:J)I.. u ,i..caa,o cco. me Sect XI Sect. XI Sect. XI Zone Description Class Category Item Date Remarks 1-SPM-0898-2-2 LOOP 11 8 11 SAFETY INJECTION ACCUMULATOR 2 C*H C7.70 07/21/95 1-SPM-0898*2*4 LHSI AND HHSI TO HOT AND COLD LEGS 2 C*H C7.30 10/16/95 1-SPM-0898*2*4 LHSI AND HHSI TO HOT AND COLD LEGS 2 C*H C7.70 10/16/95 1-SPM-0898*2*5 SAFETY INJECTION ACCUMULATOR TEST LINE 2 C*H C7.30 10/16/95 1-SPM-0898*2*5 SAFETY INJECTION ACCUMULATOR TEST LINE 2 C*H C7.70 10/16/95 1-SPM-0898*2*6 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C*H C7.30 10/16/95 1-SPM-0898*2*6 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C*H C7.70 10/16/95 1-SPM-0898-3-2 LOOP 11 C 11 SAFETY INJECTION ACCUMULATOR 2 C*H C7.10 07/21/95 1-SPM-0898-3-2 LOOP 11 C 11 SAFETY INJECTION ACCUMULATOR 2 C*H C7.30 07/21/95 1-SPM-0898*3*2 LOOP 11 C 11 SAFETY INJECTION ACCUMULATOR 2 C*H C7.70 07/21/95 1-SPM-0898-3-4 LHSI AND HHSI TO HOT AND COLD LEGS 2 C*H C7.30 10/16/95 1-SPM-0898*3*4 LHSI AND HHSI TO HOT AND COLD LEGS 2 C*H C7.70 10/16/95 1-SPM-0898-3*5 SAFETY INJECTION ACCUMULATOR TEST LINE 2 C*H C7.30 10/16/95 1-SPM-0898*3*5 SAFETY INJECTION ACCUMULATOR TEST LINE 2 C*H C7.70 10/16/95 1-SPM-0898-3-6 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C*H C7.30
- 10/16/95
- 1-SPM-0898*3*6 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 C*H C7.70 10/16/95 1-SPM-0898*4*2 LHSI AND HHSI TO HOT AND COLD LEGS 2 C*H C7.30 10/16/95 1-SPM-0898*4*2 LHSI AND HHSI TO HOT AND COLD LEGS 2 C*H C7.70 10/16/95 1*SPM*090C*1*1 POST ACCIDENT GASEOUS WASTE SAMPLE 2 C*H C7.30 09/15/95 1*SPM*090C*1*1 POST ACCIDENT GASEOUS WASTE SAMPLE 2 C*H C7.70 09/15/95 1*SPM*090C*1*2 HYDROGEN ANALYZER 104 RETURN 2 C*H C7.30 09/24/95 Page 12 of 14 -.,, * * . \ : 1'
~!6 ll'IN I I 11'10 11'1 °' 11'1 -1"1 +' 11,,o ** cooo Examinations l!!o-zz Abstract of Performed .c N _. +' system Pressure Test Program u I'll CII ('QI)*-~ ..,a,1..u .., 111 CII 0 ,co.enc Sect XI Sect. XI Sect. XI Zone Descr;pt;on Class Category Item Date Remarks 1-SPM-090C-1-2 HYDROGEN ANALYZER 104 RETURN 2 C-H C7.70 09/24/95 1-SPM-090C-1-3 HYDROGEN ANALYZER 204 RETURN 2 C-H C7.30 09/23/95 1-SPM-090C-1-3 HYDROGEN ANALYZER 204 RETURN 2 C-H C7.70 09/23/95 1-SPM-090C-1-4 CONTAINMENT VACUUM PUMP 11 8 11 PENETRATION PIPING 2 C-H C7.30 09/22/95 1-SPM-090C-1-4 CONTAINMENT VACUUM PUMP "B" PENETRATION PIPING 2 C-H C7.70 09/22/95 1-SPM-090C-1-5 CONTAINMENT VACUUM PUMP "A" PENETRATION PIPING 2 C-H C7.30 09/21/95 1-SPM-090C-1-5 CONTAINMENT VACUUM PUMP "A" PENETRATION PIPING 2 C-H C7.70
- 09/21/95 1-SPM-118A-2-1 REACTOR CAVITY PURIFICATION RETURN LINE 2 C-H C7.30 09/17/95 1-SPM-118A-2-1 REACTOR CAVITY PURIFICATION RETURN LINE 2 C-H C7.70 09/17/95 1-SPM-118A-2-2 REACTOR CAVITY-PURIFICATION SUCTION LINE 2 C-H C7.30 09/17/95 1-SPM-118A-2-2 REACTOR CAVITY PURIFICATION SUCTION LINE 2 C-H C7.70 09/17/95 1-SPM-124A-1-1 11 A 11 S/G RECIRCULATION AND TRANSFER 2 C-H C7.30 09/10/95 1-SPM-124A-1-1 "A" S/G RECIRCULATION AND TRANSFER 2 C-H C7.70 09/10/95 1-SPM-124A-1-2 "A" S/G BLOWDOWN 2 C-H C7.10 09/08/95 1-SPM-124A-1-2 "A" S/G BLOWDOWN 2 C-H C7.30 09/08/95 1-SPM-124A-1-2 11 A 11 S/G BLOWDOWN 2 C-H C7.70 09/08/95 1-SPM-124A-2-1 11 8 11 S/G RECIRCULATION AND TRANSFER.
2 C-H C7.30 10/11/95 1-SPM-124A-2-1 11 8 11 S/G RECIRCULATION AND TRANSFER. 2 C-H C7.70 10/11/95 1-SPM-124A-2-2 11 B 11 S/G BLOWDOWN 2 C-H C7.10 09/08/95 1-SPM-124A-2-2 11 8 11 S/G BLOWDOWN 2 C-H C7.30 09/08/95 1-SPM-124A-2-2 11 B 11 S/G BLOWDOWN 2 C-H C7.70 09/08/95 Page 13 of 14 *
- Abstract of Examinations Snubber Program Attachment I Page 31 of 35 Serial No.: 95-594 Docket No.: 50-280 Per Technical Specifications (T.S.) 4.17, there were no snubber visual examinations required for the Unit 1 refueling outage. Surry Unit 1 is currently on the extended inspection interval.
Snubber functional testing is required each refueling outage by T.S. 4.17 and thirty-six (36) snubbers were selected for tional testing and seal replacement. There were no failures identified
- Page 1 of 1
- Abstract of Examinations Eddy Current Examinations of Nonferromagnetic Steam Generator Tubing Attachment I Page 32 of 35 Serial No.: 95-594 Docket No.: 5D-280 Inservice examination was performed on steam generator 11 C 11 In Steam Generator 11 C 11 , all available tubes were inspected full length with bobbin probes. Three-hundred-one tubes were examined in the tube to tube-sheet interference area on the hot-leg side using the RPC probe. Supplemental examinations were also formed using RPC probes where additional confirmatory or other data was desired. Tube R38-C74 was plugged as a precautionary measure. This Steam Generator contains a total of five plugged tubes. See the attached list for details. Steam Generator 11 C 11 Row Col Locn Ind Remarks 31 13 AV4 10 32 15 SC 17 13 16 6H 11 35 17 6H 18 22 18 4H 18 33 18 3C 19 10 23 4H 16 31 23 4H 19 9 24 3C 12 39 25 lC 13 40 26 6C 13 31 27 SH 12 35 28 4C 11 21 33 lC 1-1 Page 1 of 4 Attachment I Page 33 of 35 Serial No.: 95-594 Docket No.: 50-280 ** Row Col Locn Ind Remarks ..... _.** 42 33 6C 11 36 35 4C 12 14 38 6H 11 31 38 4C 16 16 41 2H 12 45 44 lC 17 46 44 AV4 10 13 45 2C 10 35 46 AV3 13 6 47 2C 19 34 47 5H 12 19 52 TSC 19 ** 35 52 5H 16 35 52 lC 13 19 54 4C 13 10 56 2C 17 45 56 2C 15 11 57 TSC 18 13 58 4C 17 4 60 3C 17 27 60 4H 17 28 60 BPH 37 34 60 AVl 16 34 60 AV2 11 34 60 AV3 14 27 65 BPC 12 39 69 AV3 17 ** Page 2 of 4 Attachment I Page 34 of 35 Serial No.: 95-594 Docket No.: 50-280 Row Col Leen Ind Remarks ,a, ,,_.,,J -~ 14 72 4C 14 17 72 BPC 14 26 72 6C 11 23 73 BPH 20 38 74 AV2 14 plugged* 38 74 AV3 17 plugged* 38 74 AV4 29 plugged* 1 75 TSC 12 37 75 AV3 12 37 75 4C 16 14 76 2C 19 30 83 TSC 19 25 84 6H 19 25 84 6C 18
- 17 87 2C 17 1 91 1H 11 13 92 6C 13
- Preventively plugged Page 3 of 4
- 1. VIRGINIA ELECTRIC ARD POWER COMPANY STEAM GENERATOR EDDY CURRENT TUBE INSPECTION GLOSSARY OF TERMS ROW, COL COLUMN tube identifier numbers coordinate system. Attachment I Page 35 of 35 Serial No.: 95-594 Docket No.: 50-280 an X-Y 2. IND INDICATION Character codes and numerics that 3. represent the analysis results of the data for that tube, e.g., 25% LOCN LOCATION The location in the tube of the INDI-CATION called. 4. 55 A number in the indication column shows the% through wall depth of the indication.
- 5. TSC Top of Tubesheet Cold leg. 6. BPH, BPC BAFFLE PLATE HOT AND COLD 7. #C, #H (#=number) of Support Plate Hot or Cold leg. 8
- Note: e.g., 3H, 6H, 7C. Av1*, AV2, AV3, AV4 Anti-Vibration Bars 1 through 4. Where no comment appears in the remarks column the tube is still in service . Page 4 of 4
.. -Attachment 2 Surry Power Station Unit 1 lnservice Inspections Repairs and Replacements NIS-2 Forms
- *
- Repair and Replacements Attachment 11 Page 1 of 74 Serial No.: 95-594 Docket No.: 50-280 Repairs and replacements completed during this refueling outage were performed in accordance with Section XI of the ASME Boiler and Pressure Vessel Code, 1989 Edition. The following paragraphs and the attached NIS-2 Forms represent those repairs and replacements performed on Class 1 and Class 2 systems: RR# 94-085, repair/overhaul valve l-CH-HCV-1200C.
This ment was performed on work order 00261176-0l, and completed on 9-24-95. RR# 94-162, replaced trim assembly on valve 1-MS-PCV-102A. This replacement was performed on work order 00286844-0l, and ed on 6-16-94. RR# 94-173, replaced hand hole fasteners on steam generator E-lC. This replacement was performed on work order 00297836-02, and completed on 9-6-94. RR# 94-185, replaced bolting on pump 1-SI-P-lB. This replacement was performed on work order 00271112-0l, and completed on 12-9-94 . RR# 94-187, replaced valve 1-DA-TV-lOOB. This replacement was performed on work order 00303853-03, and completed on 12-13-94. RR# 94-188, replaced valve 1-DA-TV-lOOA. This replacement was performed on work order 00303718-0l, and completed on 12-10-94. RR# 94-189, replaced fasteners on valve 1-RH-MOV-1700. This replacement was performed on work order 00304604-0l, and ed on 12-11-94. RR# 94-194, replaced fasteners on spool pieces on lines 2"-CH-14-1502/211-CH-15-1502. This replacement was performed on work order 00304268-02, and completed on 12-10-94. RR# 95-005, replace handhole bolts on steam generator 1-RC-E-lC. This replacement was performed on work order 00297836-03, and completed on 12-16-94. RR# 95-125, modify component supports (No. 24 on 8"-SI-14-153 and No. 38 on 10 11-SI-6-153) to allow installation of shielding. This replacement was performed on work order 00299371-04, and ed on 8-7-95. RR# 95-134, tack weld transducer mounts to valve 1-SI-79. This replacement was performed on work order 00304982-0l, and ed on 9-10-95. Page 1 of 6
- **
- Attachment II Page 2 of 74 Serial No.: 95-594 Docket No.: 50-280 RR# 95-135, tack weld transducer mounts to valve 1-SI-82. This replacement was performed on work order 00304982-02, and ed on 9-10-95. RR# 95-136, tack weld transducer mounts to valve 1-SI-85. This replacement was performed on work order 00304982-03, and ed on 9-10-95. RR# 95-137, tack weld transducer mounts to valve 1-SI-128.
This replacement was performed on work order 00304982-04, and ed on 9-10-95. RR# 95-138, tack weld transducer mounts to valve 1-SI-130. This replacement was performed on work order 00304982-05, and ed on 9-10-95. RR# 95-139, tack weld transducer mounts to valve 1-SI-241. This replacement was performed on work order 00304982-06, and ed on 9-10-95. RR# 95-140, tack weld transducer mounts to valve 1-SI-242. This replacement was performed on work order 00304982-07, and ed on 9-9-95. RR# 95-141, tack weld transducer mounts to valve 1-SI-243. This replacement was performed on work order 00304982-08, and ed on 9-10-95. RR# 95~142, tack weld transducer mounts to valve 1-SI-107. This replacement was performed on work order 00304982-09, and ed on 9-10-95. RR# 95-143, tack weld transducer mounts to valve 1-SI-109. This replacement was performed on work order 00304982-10, and ed on 9-10-95. RR# 95-144, tack weld transducer mounts to valve 1-SI-145. This replacement was performed on work order 00304982-11, and ed on 9-10-95. RR# 95-145, tack weld transducer mounts to valve 1-SI-147. This replacement was performed on work order 00304982-12, and ed on 9-10-95. RR# 95-148, replace bonnet fasteners on valve 1-RH-12. This replacement was performed on work order 00311493-0l, and ed on 9-15-95. RR# 95-149, .replace valve 1-SI-142. This replacement was formed on work order 00287964-01, and completed on 9-24-95
- Page 2 of 6
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- Attachment II Page 3 of 74 Serial No.: 95-594 Docket No.: 50-280 RR# 95-151, replace valve internals on valve 1-RC-HCV-1455B.
This replacement was performed on work order 00299329-02, and completed on 9-24-95. RR# 95-153, repair valve 1-SI-147. This replacement was formed on work order 00290194-0l, and completed on 9-23-95. RR# 95-161, remove, ship, test and reinstall safety valve SV-1551A. This replacement was performed on work order 00315442-0l, and completed on 10-14-95. RR# 95-162, remove, ship, test and reinstall safety valve SV-1551B. This replacement was performed on work order 00315444-01, and completed on 10-6-95. RR# 95-163, remove, ship, test and reinstall safety valve SV-1551C. This replacement was performed on work order 00315446-0l, and completed on 10-7-95. RR# 95-166, open and inspect check valve 1-MS-182. This ment was performed on work order 00308903-0l, and completed on 10-18-95. RR# 95-167, open and inspect check valve 1-MS-178. This ment was performed on work order 00316985-01, and completed on 10-18-95. RR# 95-168, open and inspect check valve 1-MS-176. This ment was performed on work order 00316923-01, and completed on 10-18-95. RR# 95-180, repair pump casing 1-RH-P-lA. This repair was formed on work order 00325535-0l, and completed on 9-22-95. RR# 95-182, replace snubber l-MS-HSS-8. This replacement was performed on work order 00314169-0l, and completed on 9-27-95. RR# 95-183, replace rod eye on snubber l-SI-HSS-84. This placement was performed on work order 00314141-0l, and completed on 9-14-95. RR# 95-184, overhaul valve 1-RC-HCV-1557A. This replacement was performed on work order 00287087-0l, and completed on 10-9-95. RR# 95-185, overhaul valve 1-RC-HCV-1557B: This replacement was performed on work order 00282145-0l, and completed on 10-9-95. RR# 95-186, overhaul valve 1-RC-HCV-1557C. This replacement was performed on work order 00287467-0l, and completed on 10-9-95
- Page 3 of 6
- **
- Attachment II Page 4 of 74 Serial No.: 95*594 Docket No.: 50-280 RR# 95-187, replaced flange fasteners on 1-RC-FE-1481.
This placement was performed on work order 00325751-01, and completed on 9-27-95. RR# 95-188, replace cover gasket and fasteners on valve 1-SI-88. This replacement was performed on work order 00325765-01, and completed on 9-22-95. RR# 95-189, replaced pressurizer (1-RC-E-2) manway bolts. This replacement was performed on work order 00325812-03, and ed on 10-5-95. RR# 95-192, replace valve 1-RC-11. This replacement was formed on work order 00325533-01, and completed on 9-23-95. RR# 95-193, modify pipe support on line No. 4"-CS-97-153 per field change to DCP 94-016. This (modification) replacement was performed on work order 00326103-03, and completed on 9-27-95. RR# 95-194, modify pipe support on line No. 4"-CS-96-153 per field change to DCP 94-016. This (modification) replacement was performed on work order 00326103-02, and completed on 9-27-95. RR# 95-195, cut out an one inch section of pipe and reweld. This (modification) replacement was performed on work order 00326103-01, and completed on 9-21-95. *RR# 95-196, replace valve 1-SI-141. This replacement was per-formed on work order 00326014-01, and completed on 9-24-95.
- RR# 95-197, replace bonnet fasteners on valve 1-RH-MOV-1700.
This replacement was performed on work order 00325905-01, and completed on 9-26-95. RR# 95-198, replaced a fourteen (14) inch pipe section to "A" steam generator, due to flow assisted corrosion, (FAC). This placement was performed on work order 00314379-13, and completed on 9-30-95. RR# 95-199, performed a weld overlay on O.D. of pipe, component 1-FW-PSF2-102. This repair was performed on work order 00314379-14, and completed on 9-29-95. RR# 95-200, performed a weld overlay on o.o. of pipe, component 1-FW-PP5D-10. This repair was performed on work order 00314379-16, and completed on 9-29-95. RR# 95-201, replace bonnet fasteners on valve 1-RH-HCV-1142. This replacement was performed on work order 00326321-01, and completed on 9-25-95
- Page 4 of 6
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- Attachment II Page 5 of 74 Serial No.: 95-594 Docket No.: 50-280 RR# 95~202, inspect and retorque flange fasteners on 1-RH-E-1A.
This replacement was performed on work order 00326322-01, and completed on 9-5-95. RR# 95-203, remove bonnet for replacement of damaged stem on valve 1-RH-MOV-170i. This replacement was performed on work order 00325898-01, and completed on 11-2-95. RR# 95-205, Replaced instrument nozzles 1-RC-126 and 1-RC-130 on pressurizer (1-RC-E-2). This replacement was performed on work order 00325812-04, and completed on 10-4-95. RR# 95-206, replace #1 seal house bolts on 1-RC-P-lA. This placement was performed on work order 00316474-03, and completed on 9-24-95. RR# 95-207, replace #1 seal house bolts on 1-RC-P-lB. This placement was performed on work order 00316475-03, and completed on 10-4-95. RR# 95-208, repair weld 1-12 on line No. 14 11-WFPD-13-601. This repair was performed on work order 00326858-01, and completed on 9-30-95. RR# 95-209, overhaul valve 1-RC-PCV-1455A. This replacement was performed on work order 00326410-02, and completed on 10-9-95. RR# 95-210, replace valve 1-CH-RV-1382B. This replacement was performed on work order 00317397-0l, and completed on 9-23-95. RR# 95-211, replace valve 1-RH-RV-1721. This replacement was performed on work order 00317907-0l, and completed on 9-22-95. RR# 95-213, replace valve 1-CH-RV-1382A. This replacement was performed on work order 00317396-0l, and completed on 9-24-95. RR# 95-222, repack valve 1-BD-21, and replace bonnet. This placement was performed on work order 00326463-02, and completed on 10-6-95. RR# 95-223, overhaul valve 1-MS-PCV-102B. This replacement was performed on work order 00307972-0l, and completed on 10-13-95. RR# 95-224, repair broken grout around support baseplate on HCV-1557C. This repair was performed on work order 00327895-01, and completed on 10-12-95. RR# 95-225, repair broken grout around support baseplate on HCV-1556C. This repair was performed on work order 00327495-01, and completed on 10-13-95. I Page 5 of 6
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- Attachment II Page 6 of 74 Serial No.: 95-594 Docket No.: 50-280 RR# 95-226, machine rod eye paddle on snubber 1-RC-HSS-138.
This repair was performed on work order 00300427-01, and completed on 10-9-95. RR# 95-227, replace bonnet on valve l-BD-1. This replacement was performed on work order 00327955-0l, and completed on 10-11-95. RR# 95-228, replace flange fasteners on 1-CH-97-1502. This placement was performed on work order 00328098-01, and completed on 10-13-95
- Page 6 of 6
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- Attachment II Page 7 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric ~nd Power Co. 1. Owner _____________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ Nama Same as above Address 7/14/94 Date ___________________ _ 1 1 Sheet _____ of _____________ _ One Unit-------------------- wo#oo286844-0l, RR#94-162 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ...;N:.;:A:.:...._ ______ _ NA
- Authorization No.---------------
Expiration Date ____ NA ___________ _ 4. Identification of System ____ M_a_i_n_st_e_a_m _______________________________ _ 5. (a) Applicable Construction Code 831'1 19_5_5_Edition, __ NA ______ Addenda, __ N_-_1_'_N_-7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Plug/stem Fisher NA NA l-MS-PCV-102A NA Replaced No Tag# 2014 Plug/stem Fisher 74594976 NA l-MS-PCV-102A NA Replacement No Replace trim assembly.
- 7. Description of Work ________________________________________
_ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at.the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 ,.----FORM NIS-2 (Back) PO# SY-15840 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. NA Expiration Date ____ N_A __________ _ Signed (i)adL~~~;TSf /~,;.,Woate ky tf Owner or Owner's Deslg~ ( 91/ ,19~-~-~-- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co -of Hartford, Ct. _______________________________ have inspected the components described in this Owner's Report during the period IO -IM-9 3 to I~"' 1 '-I -e, '-, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection~1 1u n ___ ... ~..=c:;_-=-~=----=---~---"---'------Commissions _______ v_a_._5_4_3 __________ _ Inspector's Signature National Board, State, Province, and Endorsements fU~ Date _____ ~?--/~t-1~_19 9~'"( * * *
- Attachment II Page 8 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner _______________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __,v'-'iur.i,gµi ... nui...,a...._.p.._o,.w.,.e.._r _________ _ Name Same as above Address 11/21/94 Date ____________________ _ One Unit--------------------- W0#00297836-02, RR#94-173 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ _,N,,A,._ ______ _ NA Authorization No. ______________ _ Expiration Date ___ .:.;N:.c:A'-------------
- 4. Identification of System ____ R_e_a_c_t_o_r_c_o_o_l_an_t
______________________________ _ 5. (al Applicable Construction Code 831*1 19_5_5_Edition,_N_A ______ Addenda, __ N_-1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Studs NA NA NA 1-RC-E-lC NA Replaced No A & G Eng. 59786 Studs II, Inc. LXR NA 1-RC-E-lC NA Replacement No Nuts NA NA NA 1-RC-E-lC NA Replaced No Nuts Team Inc. H416-1 NA 1-RC-E-lC NA Replacement No Replace hand hole fasteners on 1-RC-E-lC.
- 7. Description of Work*-------------------------------------------
- 8. Tests Conducted:
Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/821 This Form (E00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) None 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME c_ode, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ SigneWi! /J LA,L---..:Z-5£ Owner or ~r's Designee, Title Date_~~~"~,g~*--=.Z.'--'/'-------, 19 ....... 9:....~ .... --CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of _______ H_a_r_t_f_o_r_d_, __ C_t_. __________________ have inspected the components described in this Owner's Report during the period ______ -+f-l)~~~l=U~--<f~3--to_~/~~~'~"'~-~'"l~L~-----,, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. {) I\ -/J.. f I,) (\ Va. 543 -----'~..__-""----='-----'----'"----=~"-""-----'-----Commissions _____________________ _ Inspector's Signature National Board, State, Province, and Endorsements Date ____ ~/_/ '~;}._cg~_19 C/'f * *
- *
- Attachment II Page 9 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner _______________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_---'v._,._.* r_,,g,,..i .. o.ui ... a..._.p""o"'w"'e""r _________ _ Name Same as above Address 12/5/95 Date ____________________ _ One Unit--------------------- wo#oo271112-01, RR#94-185 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ _....,,._ ______ _ Authorization No. ___ N_A ___________ _ Expiration Date ___ :.:N:.:A:..._ __________ _ 4. Identification of System ____ s_a_f_e_t..=y_I_n..::cj_e_c_t_io_n_*
- 5. (a) Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A
__ ' ____ Addenda, __ N_-_1_' _N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs NA NA NA 1-SI-P-lB NA Replaced No Allied Nut & Studs Bolt Co., Inc. Ht.# 61596 NA 1-SI-P-lB NA Replacement No Nuts NA NA NA 1-SI-P-lB NA Replaced No Cardinal Ind. Nuts Products, Inc. M83691 NA 1-SI-P-lB NA Replacement No Replace bolting, 1-SI-P-lB.
- 7. Description of Work __________________________________________
_ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 . FORM NIS-2 (Back) PO# SSY-382739 (studs), CSY-345358 (nuts) 9. Remarks--------------------------------------------'--- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signe J:?4,t/ .ZS:Z-£~M-.e-d t . ~nerorO;r's Designee, Title Date_~./.~-~A,,v~~* ~6~----. 19 9 .,-CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. --------------------------,:--,,,.----have ins.e,ec;ted the components described in this Owner's Report during the period f() .. , ..... 9 to /CJ~('(-Y l. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection~. I. Va. 543 ----1-=--=--.c..--~~----~~---Commissions ____________________ _
- Inspector's Signature National Board, State, Province, and Endorsements Date, ______ ~/_-___,,,{;..,__
__ 19 * * *
- *
- Attachment I I Page 10 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner __________
---,-,-------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __.v ... J .. r...:.a,..i.._n.,.i"'a,_""'P"'o"'w"'e"'"r _________ _ Name Same as above Address 12/6/95 Date ____________________ _ 1 1 Sheet _____ of _____________ _ One Unit-------------------- ¥ W0#00261176-0l, RR#9\*085 Repair Orgenlza\~Pi~~~* Job No., etc. Type Code Symbol Stamp ___ ...,N,,,A:s._ ______ _ NA Authorization No.----'------------ Expiration Date ____ NA ____________ _ 4. 'Identification of System ____ c_h_e_m_i_c_a_l_a_n_d_v_o_l_u_m_e_c_o_n_t_r_o_l _____________ ~------------
- 5. (al Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A
______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Trim Copes-Part# Assembly (plug) Vulcan, Inc. 131347MKD NA -CH-HCV-1200C NA Replaced No Trim Copes-Part# Assembly (plug) Vulcan, Inc. 131347MKD NA -CH-HCV-1200C NA Replacement No 7. Description of Work Repair/overhaul valve. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (2) informa* tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E,. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SSY139051
- 9. Remarks---------------------------------------------
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed (i) £ r '-"'~ 4,/'. .Z-Sf h(!yu&'d! Owner or~ Deslgnee, Tltle O.tc. L 9.~ Date--~~-~~--t::.t-----, 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have in:icJed the components described I () .. ( 4 .C. and state that I to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this '"~""* (A4t f &-. Inspector's Signature Va. 543 Commissions ____________________ _ National Board, State, Province, and Endorsements Date, ___ __.(......,*d,..:......-.._fl_19 Cf.5 * * *
- *
- 1. 2. Owner FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Electric and Power Co. Attachment II Page 11 of 74 Serial No.: 95-594 Docket No.: 50-280 Virginia 1/23/95 Date ____________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address *Plant Surry Power Station One Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 wo#00303853-03, RR#94-187 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by __ J,._r,._* rccig..,iunJ..Ji .. aL....1:P,;;o.,.w,a:e.1:r _________ _ Name Type Code Symbol Stamp ___ .......,."'--------- Authorization No. ___ N_A ___________ _ Same as above Expiration Date ___ .:.N:::A=------------- Address 4. Identification of System ____ v_e_n_t_s_a_n_d_:_.D_ra_i_* n_s ______________________________ _ 5. (a) Applicable Construction Code B 3 l. l 19_5_5_ Edition, __ NA ______ Addenda, __ N_-_1_* _N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Valve Crosby NA NA 1-DA-TV-lOOB NA Replaced No SNN95030-Valve Body Crosby 34-009 NA 1-DA-TV-lOOB NA Replacement No N96162-Bonnet Grinnell 00-0009 NA 1-DA-TV-lOOB NA Replacement No Replace valve. 7. Description of Work __________________________________________ _ 8. Tests Conducted: Hydrostatic Pneumatic 0 Other O Pressure ,No}> Nominal Operating Pressure psi Test Temp. Nor ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 *1 l ' l FORM NIS-2 (Back) PO# CNT-391719 (valve body and bonnet) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol StamP-------------------------------------~ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A ___________ _ Sign~d ~,t:. -_.zs_z-Owner or Owmrr~le -Date __ ,/.~~~.v.~, ~Z-=.., .... f ____ , 19 7~ CERTIFICATE OF INSERVICE INSPECTION I, the undersigne_p,, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of v irginia and employed by HSBI and I Co* of Hartford, Ct. ----------------------------,~-----have inspected the components described in this Owner's Report during the period-----~/_C>_-_f_Y~--'i~3 __ to I{) I '-I 'Cj l:, , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspect?:~/ I.) " Va. 543 ----~"--'~<----,-----:-"-::-*.,---~--------Commissions ______________________ _ Inspector's Signature National Board, State, Province, and Endorsements Date ____ __,_/-~~~3~_19 q ,S--I * * *
- *
- 1. 2. Attachment II Page 12 of 74 Serial No.: 95*594 Docket No.: 50*280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Owner Virginia Electric and Power Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Plant Surry Power Station Name 5570 Hog Island Rd., Surry, Va. 23883 Address Co. 1/23/95 Date ___________________
_ 1 1 Sheet _____ of _____________ _ One Unit-------------------- W0#00303718-0l, RR#94-188 Repair Organization P.O. No., Job No., etc. 3. Work Performed by _ __.3uri_.r..,g ... i .. n.._i a ....... e ... a ... w ... e ... r _________ _ Name Type Code Symbol Stamp ___ __J>L.,._ ______ _ Authorization No. __ N_A ___________ _ Same as above Expiration Date __ __,N"'Ac:,_ __________ _ Address 4. Identification of System ____ v_en_t_s_An_d_D_r_ai_*n_s ____________________________ _ 5. (a) Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_,_N_-7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Valve Crosby NA NA 1-DA-TV-lOOA NA Replaced No N96162-Valve Crosby 00-0008 NA 1-DA-TV-lOOA NA Replacement No Replace valve. 7. Description of Work ________________________________________ _ B. Tests Conducted: Hydrostatic Pneumatic D Other D Pressure llloP Nominal Operating Pressure psi Test Temp. Alo,: ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 I l FORM NIS-2 (Back) PO# SNT-359872
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed ~4----:: ..ZS ..Z-£4t,4"6f! wnerorOr'sDeslgnee, Title --Date __ '\_..h""~-""=.a.' ___.....2._c;(~----, 19 9.S-CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. in this Owner's Report during the period //)*/ti-'l to
- have insp_;cteg.
the components described It> -I ti 'f C. and state that ' to the best of my knowledge and belief, the Owner has performed examinations l!nd taken corrective measures described in this Owner's Report in.accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this '"~'"~"-~t QJL
- Inspector's Signature Date, ____ __,:._-__,/'-3
__ 19 C/ S .,-Va. 543 Natlonal Board, State, Province, and Endorsements
- * :\ 'i ii .l~ fj 'i
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Attachment II Page 13 of 74 Serial No.: 95-594 Docket No.: 50-280 Virginia Electric and Power Co. 1. Owner------------,-,--------------
Name 1/23/95 Date ____________________ _ 5000 Dominion Blvd., Glen Allen, Va. 23060 Address 2. Plant Surry Power Station Name One Unit--------------------- 5570 Hog Island Rd., Surry, Va. 23883 W0#00304604-0l, RR#94-189 Address Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ -Aa... ______ _ 3. Work Performed by __ ,~[1-* r._.g .. i~o~i~a~P~a=w=e~r,.,.... ________ _ Name Authorization No. ___ N_A ___________ _ Same as above Expiration Date ___ ..;;.N;;;;A:...._ __________ _ Address 4. Identification of System ____ R_e_s_i_d_u_a_l_H_ea_t_R_e_m_o_v_a_l ___________________________ _ 5. (a) Applicable Construction Code B 3 l. l 19_5_5_ Edition,_N_A ______ Addenda, __ N_-_1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs NA NA NA 1-RH-MOV-1700 NA Replaced No Nuts NA NA NA 1-RH-MOV-1700 NA Replaced No Tidewater Ind. Studs Fasteners, Inc. Ht.#30033 NA 1-RH-MOV-1700 NA Replacement No Nuts Texas Bolt Co. 218808-A NA 1-RH-MOV-1700 NA Replacement No -Replace fasteners.
- 7. Description of Work __________________________________________
_ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E, 47th St., New York, N.Y. 10017 REPRINT 12/91 ' ' ! FORM NIS-2 (Back) PO# SY-017343 (studs), PO# CSY-193179 (nuts) 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Secti_on XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ NA NA Certificate of Authorization No._* ______________ Expiration Date--------------- Signed CJ * /) ~..!) -,..-%Sr ~~e,Tltle Date_~a;;,~ ....... , ~..Z.=o_.-f~----, 1ef1.:C::: CERTIFICATE OF INSERVICE INSPECTION I, the undersigne9 1 holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . virginia HSBI and I Co. or Province of and employed by of Hartford, ct. ---------------------------=-----have inspected the components described in this Owner's Report during the period /lJ .. /1,{,l/l, to /O* l&.f-'?{. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in -this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspec~~ t. Ii) A ---~ ....... .. ~,c:;;,....="--=-----~-~~-=~~----Commissions ____________________ _ Va. 543 Inspector's Signature National Board, State, Province, and Endorsements Date. _____ ..,.~--~'~)~_19 ff£"' *
- J I I
- *
- Attachment II Page 14 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner_----------,-------------
Name* 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant __________ ..,.,.. __________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __.v ... i""r..,g..._in ... 1""' a"-'P"'o""w""e"'r,...,.... ________ _ Name Same as above Address 5/31/95 Date ___________________ _ One Unit-------------------- W0#00304268-02, RR#94-194 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ __.N,,A,,__ ______ _ NA Authorization No._...;_ ____________ _ Expiration Date __ __:N::::A.:_ __________ _ 4. Identification of System ____ c_he_m_i_* c_a_l_an_d_v_o_l_u_m_e_c_o_n_t_r_o_l _______________________ _ 5. (a) Applicable Construction Code 83 1.1 10---=.:_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME -.. Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs NA NA NA -CH-14/15-1502 NA Replaced No Studs Mackson, Inc. NA NA -CH-14/15-1502 NA Replacement No 7, Description of Work Replace fasteners.
- 8. Tests Conducted:
Hydrostatic
- Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-457431(1)!
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI.
- repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. -----'N-'--A"'------------Expiration Date ____ N_A __________
_ Signed '2 £ _iJ_ .2 4,4-::: ;r .S ;;:-Owner or~*i15esignee, Title Date _"'"A:;-"':.4~.,,_,.,.f'-'/'--'.'------, 19 9., , CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of _______ H_a_r_t_f_o_r_d_,_c_t_. _________________ have inspected the components described in this Owner's Report during the period _____ ___,_/-=()_
- ...,(_4......_
.. _tf ... 1=--tO /{)-lc.J-rt. , and state.that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection[')~ /. ------ll~l-1"~~-------'-'--_c;-""-~--'~""""":..::...::..... _____ commissions _______ v_a_. _5_4_3 __________ _
- Inspector's Signature National Board, State, Province, and Endorsements Date, ___ __ b_-_/ __ 19 C/ r-'-.~-*~*~
__ JI * * *
- Attachment 11 Page 15 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner __________
=-=--------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ 3~r1~* r...,g: .. i~u~i~a~P~o=w=e~r,...,.... ________ _ Name Same as above Address 1/23/95 Date ____________________ _ One Unit--------------------- W0#00297836-03, RR#95-005 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ......,,.~------- Authorization No. ___ N_A ___________ _ Expiration Date ____ N_A ___________ _ 4. Identification of System ____ R_e_a_c_t_o_r_c_o_o_l_an_t ______________________________ _ 5. (al Applicable Construction Code B 3 1. l 19_5_5_ Edition, __ NA ______ Addenda, __ N_-1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Handhole bolts NA NA NA 1-RC-E-lC NA Replaced No Astro Nuclear Ht.#25748 Handhole Bolts Dynamics, Inc. Trace: CAY NA 1-RC-E-lC NA Replacement No Replace handhole bolts. 7. Description of Work __________________________________________ _ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is .recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 ., FORM NIS-2 (Back) PO# CNT-467081
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. ____ N_A ___________ Expir?1tion Date ____ N_A __________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. _______________________________ have inspected the components described in this Owner's Report during the period lb-lY-'t 3 to I D-14 -'? (. , and state. that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this ' Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspecti~ I. BL Va. 543 __ __._,.~---'------"---=------=--------Commissions ____________________ _ Inspector's Signature National Board, State, Province, and Endorsements Date ____ ~i---~-'3~_19 Cf S * * *
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- Attachment II Page 16 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner _______________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __,3u[iurc.g1,.1i.1.nui..,a'-"P""o.-wia.er....._ _________ _ Name Same as above Address 12/6/95 Date ____________________ _ One Unit--------------------- wo#00299371-04, RR#95-12s Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ...,N:,,;A,.__ ______ _ Authorization No. ___ N_A ___________ _ Expiration Date ____ NA_-'-------------
- 4. Identification of System ____ s_a_f_e_t~y_In_J~*
e_c_t_i_o_n ______________________________ _ 5 .. (a) Applicable Construction Code B 31*1 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. No. Identification Energy & Flat Bar Process Corp. NA NA Hgr.#38 1/4" Plate Alfab, Inc. NA NA Hgr.#24 4"x3"x5/16" Energy & Tube Steel Process Corp. NA NA Hgr.#24 2. 5" Pine Hub Inc. NA NA Har.#24 2"x2"x1/4" Energy & Tube Steel Process Corp. NA NA Hgr.#24 Modify component supports to allow installation of shielding.
- 7. Description of Work Hgr.#24 on 8"-SI-14-153, Hgr.#38 on 10"-SI-6-153.
- 8. Tests Conducted:
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replacement No NA Replacement No NA Replacement No NA Replacement No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT495359(flat bar), CSY310249(1/4" plate), CNT470279
- 9. Remarks (4"x3"x5/16" TS), CSY385500 (2 1/2" pipe), CNT489737 (2"x2"xl/4" TS) Applicable Manufacturer's Date Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A-----------------------------~
Certificate of Authorization No, ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed Q.L_ _A_ ~,....-: .:z:J'.:Z:- btt,,~~ Owneroi:~nee, Title . Date _ __,,,):....a4'c...._._ .... 6-----, 19 'Ir: CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~ holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of irginia and employed by HSBI and I Co* of Hartford, Ct. have inspnt~ the components described in this Owner's Report during the period {D .. I~ -C?3to f ()" ( £{ -l. (,,. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection(>~ JJ_ lil (\ Va. 543 ----~+-"--'""~"""'-'-'---:"---::~Ll'-'--'~"""'".._.'""""=:.,_---Commissions ______ -,------,-----------. Inspector's Signature National Board, State, Province, end Endorsements --Date, ___ __,_,-"'-'i'-- .... --=-' '-19 q :7 * * *
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- Attachment II Page 17 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner _____________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __,v'-"i""r""g""i...,n=.ia,,,_,P:..,oa:..:w:..:ce:.=rc- ________ _ Name Same as above Address 11/1/95 Date ___________________ _ 1 1 Sheet _____ of _____________ _ One Unit _______ _:._ ___________ _ W0#00304982-01, RR#95-134 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ _,N:::.A=---------- NA Authorization No. ______________ _ Expiration Date ___ N_A ___________ _ 4. Identification of System ____ s_a_fe_t_:y:...._I_n.c..j_e_c_ti_* o_n ____________________________ _ 5. (al Applicable Construction Code 83 1.1 19~Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacture'r Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Transducer Mount Va. Power NA " NA 1-SI-79 NA Replacement No '. , 7, Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 informa* tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/821 This Form (E00030l may be obtained'from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628.
- 9. Remarks------------------------------------------------
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. ' repair or replacement Type Code Symbol Stamp _____ .=N.:-=A=-------------------------------~ Certificate of Authorization No. NA Expiration Date -----'N=-=A=------------ Signed Q.fcw~Tltl~f Mr~ Date_---'-Mi----"-""~"""'-._/ ______ ,19 'RJ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commi$sion issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of _______ H_a_r_t_f_o_r_d_, __ C_t_. ----------.-,.-----,-,-...,.----have insi:iecJ.ed the components described in this Owner's Report during the period _______ '"""'___........,..__ ........ c.to /O~ 14 -9 b , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in.accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. /() A -----~+..="-"c.,.---=:.....===:...;..--1F1--/.,_, --~""";.:;;..-=---=--Commissions _______ v_a_. __ 5_4_3 ___________ _ ~ifn,;ture National Board, State, Province, and Endorsements Date, ____ -+-/_,_/-~1._19 q L * ' * *
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- Attachment II Page 18 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner __________
-:-:------------ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ ___,,yc.i .... r.,.,.._; ou.i.1.1' Name Same as above Address 11/1/95 Date ___________________ _ One Unit-------------------- W0#00304982-02, RR#95-135 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ .,cN,,:A,.._ ______ _ NA Authorization No.-------------- Expiration Date __ __:N.::.A=--------------
- 4. Identification of System ____ s_a_fe_t~y~I_n~j_e_c_ti_*
o_n ____________________________ _ 5. (al Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Transducer Mount Va. Power NA~ NA 1-sr-sl nO NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is SY. in. x 11 in., (21 *tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 PO# SY031628. '. ' FORM NIS-2 (Back) 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. NA Expiration Date ____ N_A __________ _ Signed 0, .£ ,11 . * .:c s.r ~,rLd Date Ml(. , Owner or O~Tltle ,19 9£: CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct* have inspected the components described in this Owner's Report during the period (6 -I Lf ~o ( f/) /lf-Cf l , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with' this inspection.
"""[.)_AJi_0~f.
_8_~_Commissions __ v_a. _543 __ _ * 'lkspector's Signature National Board, State, Province, *and Endorsements Date * * *
- Attachment II Page 19 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------,-,-------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_......,vui ... r~g ... i.un.1..i a.a...JPi.:so.a.w,.,.e,..r,,...,.... ________ _ Name Same as above Address 11/1/95 Date ___________________ _ 1 1 One Unit-------------------- W0#00304982-03, RR#95-136 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ _.,N,e:Ae..._ ______ _ NA Authorization No.-------------- Expiration Date ___ N_A ___________ _ 4. Identification of System ____ s_a_fe_t....,y'--I_n.::..j_e_ct_i_* o_n ____________________________ _ 5. (a) Applicable Construction Code B 3 1.l 19~Edition,_N_A ______ Addenda, __ N_-_1_'_N_-7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Transducer Mount Va. Power NA NA 1-SI-85 NA Replacement No 7, Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp, ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628.
- 9. Remarks------------------------------------------------
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ ____ N_A ___________ Expiration Date ____ N_A __________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct* have inspepted the components described in th is Owner's Report during the period { 0-11-1.-j l to ( 0 ... / "1 'Cf '2 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. n n ------e+-+-~-!.-~~~~-~--------Commissions _______ V_a_. __ 5_4_3 ___________ _ ln;ect~ National Board, State, Province, and Endorsements Date ____ /_/-_'.1-- __ 19 ~/.< * * *
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- Attachment I I Page 20 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner ______________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __,,v_.i...,rl,j..i .. i o .... ,,..* aa.....iPc,,o,..w"'e""r _________ _ Name Same as above Address 11/1/95 Date ___________________ _ 1 1 Sheet _____ of _____________ _ One Unit ___________________ _ W0#00304982-04, RR#95-137 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ _,N""A.,__ ______ _ NA Authorization No.--------------- Expiration Date ___ N_A ___________ _ 4. Identification of System ____ s_a_f_et...;y:...._I_n..::j_e_c_t_io_n ____________________________ _ 5. (a) Applicable Construction Code 53 1.l 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Transducer Mount Va. Power NA NA 1-SI-128 NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628.
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ___ ...cN"'A;.,c... __________ Expiration Date ____ N_A __________ _ Signed ?J_ .,{! d -* * :ZS;r £44oate_---L.,d~t1,L..-
- .L_I __ , 19 9.C-ow~lotowner'~
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of _______ H_a_r_t_f_o_r_d_,_C_t_. _________ ....,... __ __,,r-=---,-have inspected the components described ID-fLf *93 to /d -/'f-9'b , and state that in this Owner's Report during the period to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. .o-! ------1'11--'~~L--lb"~"""'=--':-- .-:ll.f)f-'- _ _.,~ ..... "--'=---'----Commissions _______ V_a_. _5_4_3 __________ _ : Inspector's irs:r.ature National Board, State, Province, and Endorsements -Date ____ __,_/~{-_~ __ 199'.J * *
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- Attachment II Page 21 of 74 Serial No.: 95*594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner _____________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. *work Performed by _ __,v~i=r-=>g=in=1=* Name Same as above Address 11/1/95 Date ___________________ _ 1 .1 Sheet _____ of _____________ _ One Unit-------------------- W0#00304982-0S, RR#95-138 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ....:Nc::.A.,__ ______ _ NA Authorization No. _____________ _ Expiration Date ___ N_A ___________ _ 4. Identification of System ____ s_af_e_t_y_I_n_j_e_ct_i_* o_n ____________________________ _ 5. (a) Applicable Construction Code B 3 l. l 19_5_5_ Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 __ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Transducer Mount Va. Power NA NA 1-SI-130 NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. *° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2,(Back) PO# SY031628.
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No, NA Expiration Date ____ N_A __________ _ Signed Q i1 ~--.,. Zf ~.v~M Date kl,/. f Owner or Ow~itle ,19 2s-CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. --------------------------.,....--,,------,have inspectee the components described in this Owner's Report during the period / 0 .. f t.£-93to ( 0 " J '-( -'l , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
ffl~--"<:'
... ~---"--':-:::-:--/.-'---,--'l:~-6'""""""'~.9r'"""'"'---Commissions ______ v_a_._5_4_3 _________ _ -Pin~ature National Board, State, Province, and Endorsements Date ____ ~/~/--_.1_19 qc * * *
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- Attachment II Page 22 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric.and Power Co. 1. *01111ner
__________ .,...,... __________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant __________ .,,.,... __________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ ___.v_.i..,r.,.!.):...,i 0 ... 1 ...
- a ...... P,..o...,w""e..,r
_________ _ Name Same as above Address 11/1/95 Date ___________________ _ 1 1 Sheet _____ of _____________ _ One Unit-------------------- W0#00304982-06, RR#95-139 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ..,,Nce,A,..._ ______ _ NA Authorization No.-------------=-- Expiration Date ___ N_A ___________ _ 4, Identification of System ____ sa_f_e_t-=y_I_nc..je_c_t_i_o_n _______________ ....:.._ ____________ _ 5. (a) Applicable Construction Code 831*1 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components .. ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) .. Transducer Mount Va. Power NA NA 1-SI-241 NA Replacement No ' 7. Description of Work Tack weld transducer mounts to valve. 8. T!)sts Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa* tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is . recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628.
- 9. Remarks------------------------------------------------
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed ~~-Tltlp Date--~~~~cl.~,~I _____ , 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. I 0-/(d -1) to I have inspe,s;!e;:t the components described / 0 .... /ld -'7 L , and state that in this Owner's Report during the period to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this i-n-sp_e_c_t-io_n_(M+->~~~J~~---,-J.~*--~-~-----Commissions _______ v_a_. __ 5_4_3 ___________ _ Inspector's Signature National Board, State, Province, and Endorsements Date * * ~-*
- *
- Attachment II Page 23 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner _____________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __,.v_.i..,r'dg.._i 0 ... 1 ....
- a.._.P_,,a,..w._e
.... r _________ _ Name Same as above Address 11/1/95 Date ___________________ _ 1 1 Sheet _____ of _____________ _ One* Unit-------------------- wo#00304982-01, RR#95-140 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ...... ______ _ Authorization No. __ N_A ___________ _ Expiration Date __ __::N.::cA;:__ __________ _ 4. Identification of System ____ s_a_f_et-'y,__I_n..::;j_e_c_ti_* o_n ____________________________ _ 5. (al Applicable Construction Code B 3 l.l 19___::__Edition,_N_A ______ Addenda, __ N_-_1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME -Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Transducer Mount Va. Power NA NA 1-SI-242 NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other O Pressure _____ psi Test Temp. ° F
- NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa* tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628.
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ Certificate of Authorization No, ___ ""'N""A"'------------Expiration Date ---~N=A~---------- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct* have inspect~ the components described in this Owner's Report during the period (O~ty-qs;- to (IJ-1'-\ -<fer , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. If) (\ ____ .....;..~._ ___ _.:;c __ _.!'--.--~-=- ....... -'-----Commissions ______ V_a_. __ 5_4_3 __________ _ Inspector's Signature National Board, State, Province, and Endorsements Date * * *
- *
- Attachment II Page 24 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __,vui,.r.l;;jg.._i ..... o,.i a ....... P..,,o..,,w..,,e""r _________ _ Name Same as above Address 11/1/95 Date ___________________ _ 1 1 Sheet _____ of _____________ _ One Unit-------------------- W0#00304982-08, RR#95-141 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ...,N,:A=--------- NA Authorization No.-------------- Expiration Date __ __:NAc::.:.. __________ _ 4. 'Identification of System ____ s_a_f_e_ty~I_n_j_e_c_t_io_n ____________________________ _ 5. (al Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 __ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Transducer Mount Va. Power NA NA 1-SI-243 NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628.
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ Certificate ~horization No. NA Expiration Date Signed -rt:
- L/ *
- ISL k,v&(d Date--~~~V:~*~/
_____ , 19 ?.s-NA Ownar or Own~le CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct* have inspectpd the components described in th is Owner's Report during the period / 0-I&.( -'f 3 to / 0 -. / id-'f lo , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this , . .,~"***a~£
- Inspector's Signature Commissions
_______ V_a_._5_4_3 __________ _ National Board, State, Province, and Endorsements Date ____ {l,---'--/ .-_.1_19 Cj'J: *.. -*. * *
- I* ** -Attachment II Page 25 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------.,...,-------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant __________ -:-:------------- Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_~v~i ... rg...,..i 0 .... 1 ...
- a ...... Pc..a ... w,.e ... r _________
_ Name Same as above Address 11/1/95 Date ___________________ _ One Unit ___________________ _ W0#00304982-09, RR#95-142 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ...,Ne,A.._ ______ _ Authorization No. __ N_A ___________ _ Expiration Date ___ N_A ___________ _ 4. Identification of System ____ s_a_fe_t--'y'---I_n.cc.j_e_ct_i_* o_n ____________________________ _ 5. (al Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 __ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6 .. Identification of Components Repaired or Replaced and Replacement Components
- . ASME -. .. Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year -Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Transducer Mount Va. Power NA NA l-SI-107 NA Replacement No -. ' 7. Description of Work Tack weld transducer mounts to valve. 8 .. Tests Conducted:
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure* ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back*) PO# SY031628.
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No, ____ N_A ___________ Expiration Date ___ .....:::N.::Ac.::..._ _________ _ Signed (2.£ d ~.m:L-4&¥#4 Owner or O~Tltle Date_...a.d,.-=---i:P'""d.""'
- .__./'-------, 19 £ C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct* have insp'?j,t~
the components described in this Owner's Report during the period /D -/4 -9 '3 to /b -/LJ-'f_ '2.. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. n -If-j) IT) (\ Va. 543 -----~-=-""-----'"'-.....:.:::........:--lL...,_*_....au"""- .... ~-=='--'---Commissions ____________________ _ -lnspector'sS;gnatur~ National Board, State, Province, and Endorsements Date *-
- * '
- Attachment II Page 26 of 74 Serial No.: 95*594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __,y""i...,r.,.g_.in....,..ia"--'P'-"o,.:,wcsee:r _________ _ Name Same as above Address 11/1/95 Date ___________________ _ 1 1 Sheet _____ of _____________ _ One Unit-------------------- wo#00304982-10, RR#95-143 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ...,Nc::A.:..... ______ _ NA Authorization No.-------------- Expiration Date ___ N_A ___________ _
- 4. Identification of System ____ s_a_fe_t_,y:.._I_n.::.j_e_ct_i_*
o_n ____________________________ _ 5. (a) Applicable Construction Code B 3 l.l 19___:_:__Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case * (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Man u factu re r Serial No. No. Identification Built or Replacement or No) Transducer Mount Va. Pow~r NA NA 1-SI-109 NA Replacement No ' 7. Description of Work Tack weld transducer mounts to valve. 8, Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628.
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct ancl this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A __ ~--------------------------- Certificate of Authorization No. ____ N_A ___________ Expiration Date ___ __:N:..:=.:A=------------ Signed <il--1': _d _ ft;r Ownl!r or Ow~Daslgnee, Title Date __ _,~'---"'-"'V:.....__/...._ ____ , 19 P.C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler arid Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have inspecJed the components described in this Owner's Report during the period /b -/1.f4Cto /1.)-. JLJ -"tf<o , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in-this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ____ _,,n4--"--"'--......,,. /)'--'----..c..._ +.:......_f_¥'-.__.(J=-"""'""~-'""'--=---Commissions ______ V_a_. _5_4_3 ________ _ ~~atura National Board, State, Province, and Endorsements Date * *
- * *** Attachment II Page 27 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1.
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __.y...,j .. rg""1._.* Name Same as above Address 11/1/95 Date ___________________ _ 1 1 Sheet _____ of _____________ _ One Unit-------------------- W0#00304982-11, RR#95-144 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ""N""A'--------- NA Authorization No. _____________ _ Expiration Date ___ N_A ___________ _ 4. Identification of System ____ sa_f_e_t_:y_I_n.c..j_ec_t_i_* o_n ____________________________ _ 5. (a) Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Tr~nsducer Mount Va. Power NA NA 1-SI-145 NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 L FORM NIS-2 (Back) PO# SY031628.
- 9. Remarks------------------------------------------------
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _______________________________ _ ____ N_A ___________ Expiration Date ____ N_A ___________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, hqlding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. have inspecteJI the components described It) ' I Y -q lo and state that I in this Owner's Report during the period------1r/..,,,D,,_-_./.'""U-- .... Cf'-=3;...._tO to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.~ -i. Inspector's Signetu re Date Va. 543 Netionel Board, State, Province, end Endorsements
- *
,. * ,. Attachment II Page 28 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------.,-,------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant __________ --=-,------------- Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_~v~i .. r,..g ... i o .. , ... , a..._.p..,.g..,w..,e.r _________ _ Name Same as *above Address 11/1/95 Date ___________________ _ One Unit ___________________ _ W0#00304982-12, RR#95-145 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ...,..,..__ _____ _ Authorization No. __ N_A ___________ _ Expiration Date ___ N_A ___________ _ -4 .. Identification of System ____ s_af_e_t~y_I_n=-j_ec_t_i_' o_n ____________________________ _ 5. (al Applicable Construction Code 531*1 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized-for Repairs or Replacements 19 89 \; :a. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Transducer Mount Va. Power NA NA l-SI-147 NA Replacement No 7. Description of Work Tack weld transducer mounts to valve. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is BY. in. x 11 in., (21 tion in items 1 through 6 on *this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY031628.
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed (i(2 LJ // .:n':Z-Owneror~ignee, Title L~ Date-~~~'fl_tl.~* ~I----,, 19 gr-CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have inspes.t!Jd the components described in this Owner's Report during the period /t;-/?f -'f .3 to /{)"' I H
- Lb , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this lmpootloo.
g~ / ~lnspector'sSignatu re Commissions _______ v_a_. _5_4_3 __________ _ National Board, State, Province, and Endorsements Date * *
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 11/29/95 Attachment II Page 29 of 74 Serial No.: 95-594 Docket No.: 50-280 Virginia Electric and Power Co. 1. Owner----------.,..,-------------
Name Date ___________________ _ 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _____ of _____________ _ Address Surry Power Station 2. Plant One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23BB3 W0#00311493-0l, RR#95-14B Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by _ __,y'""i'""r""a_,,_i .. Name Type Code Symbol Stamp ___ ....:NC!A.:._ ______ _ NA Authorization No.-------------- Same as above Expiration Date ___ N_A ___________ _ Address 4. Identification of System ____ R_e_si_* d_u_a_l_H_e_at_R_e_m_o_v_a_l __________________________ _ B31 1 55 NA N-1, N-7 5. (a) Applicable Construction Code ___ . _____ 19 ___ Edition, _______ Addenda, _______ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 B9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs Mackson, Inc. NA NA 1-RH-12 NA Replacement No Nuts Mackson, Inc. NA NA 1-RH-12 NA Replacement No 7. Description of Work Replace bonnet fasteners.
- 8. Tests Conducted:
Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 811:z in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT467650 (studs and nuts), CNT450119 (nuts) 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _______________________________ Certificate of Authorization No. NA Expiration Date ____ N_A __________ _ Signed Qt:__ /J -,<AL./ T~.:T e:!-~,u<<,,e Date __ M--=o-=,l..,_, _.,A=19c....----,, 19 Owne~s Oesignae, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of _______ H_a_r_t_f_o_r_d_,_C_t_. _________________ have inspect[: the components described in this Owner's Report during the period _____ _,_/...,,D"--- .... /~L{~~-q~3"--_to / 0 J L.j -, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspectir\ _/). I,) n ---~.L..:...JL--',e_,'""'-------.L.\F:c::-'-'""~=--------Comrriissions _______ V_a_. _5_4_3 __________ _ Inspector's Signature National Board, State, Province, and Endorsements Date ___ --'-/....c../_- ~l_,_'f_19 '/ :;-* * *
- Attachment II Page 30 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner------------------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v._,._.* r-,9._.i .... n.,.i.,.a..._,_P.,..o .. w.,.e..,r _________ _ Name Same as above Address 11/14/95 Date ____________________ _ 1 1 Sheet _____ of _____________ One Unit--------------------- W0#00287964-01, RR#95-149 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ...,N""A.,,_ ______ _ NA Authorization No.--------------- Expiration Date ___ N_A ____________ _ 4. Identification of System ____ s_a_f_e_t.::.y_In_J:;,,, 0 e_c_t_1._* o_n ______________________________ _ 5. (a) Applicable Construction Code B 3 l.l 19~Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. No. Identification Valve ~A* NA NA 1-SI-142 PN W08-2074B 13 Valve Velan AA,SN 931037 4 NA 1-SI-142 Energy & SW Flange Process Corp. NA NA 1-SI-142 Energy & Blind Flanae Process Coro. NA NA 1-SI-142 John H. Pipe Frischkorn, Inc NA NA 1-SI-142 7, Description of Work Replace valve Code case N416-1 applies. 8, Tests Conducted: Hydrostatic Pneumatic D Other D Pressure eo"'/) Nominal Operating Pressure psi Test Temp. t{fJ 1"' ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NA Replacement No NA Replacement No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E, 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CSY146966, CNT505428, CNT476806
- 9. Remarks------------------------------------------------
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ -=N-'=A"'------------------------------ Certificate of Authorization No. ___ _,N,.,A=-----------Expiration Date ---~N=A~----------- Signed 0 £ LJ ,, .TS'f hJtvv&i£. Owner or O~e, Title Date __ M_=d~/.~¥~-----, 19PC: CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct* have inspecbd the components described in this Owner's Report during the period { 0 .. I '-{-'jJ to / O *It.( -9 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this . Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this i_n_s_p-ec-t-io_n ..... ~......,"'~,__,,'---'---'......,.f,___. -'8"""" ... ~<-='-------Commissions _______ V_a_. __ 5_4_3 ___________ _ Inspector's Signature National Board, State, Province, and Endorsements Date _____ /f~-~/-;t{,----19 9 .{"' * *
- * -... ~* Attachment II Page, 31 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner-----------------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __.yui_,.r-11Q..1.i ,..n.._i a......,Pa..o ... w .. e ... r _________ _ Name Same as above Address 10/25/95 Date ___________________ _ One Unit ___________________ _ W0#00299329-02, RR#95-151 Aepalr Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ .JlW~-----'-- NA Authorization No. ______________ _ Expiration Date __ __.:N:.::A::._~ ___ ..:._ _____ _ 4. Identification of System ____ R_ea_c_t_o_r_c_o_ol_a_n_t _______________ __.: _____________ _ 5. (a) Applicable Construction Code 53 1.l 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components , ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. . No. Identification Built or Replacement or No) Plug Copes-Vulc,an Part#131428 NA -RC-HCV-1455B NA Replaced No Plug Copes-Vulcan Part#131428 NA -RC-HCV-1455B NA Replacement No Cardinal Nuts Ind. Products NA NA h.-RC-HCV-1455B NA Replacement No 7. Description of Work Replace valve internals.
- 8. Tests Conducted:
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# CSY463467(trim assembly), CSY321406(nuts)
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signe~ /J ~.c :zrz:--4<f,~U Owner or Owne~ee, Title Date_(5t.~~"""'-.__ ... .ZS:,,.._ _____ , 19 9.C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have inspect~ the components described in this Owner's Report during ttie period , 3 to ID /tf-'lfo . and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in.accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspec.~A~ £. /) ,\ Va. 543 -~'--~.__--=-__,,'--"~~~-~-.,...~~~~~-----Commissions ____ -,------------,---------- 1nspector's Signature National Board, State, Province, and Endorsements Date ___ ----4{,-.:{)'------=c'.l'-'-'!~-19
- *
- Attachment II Page 32 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner _____________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant------------,-.,..------------ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __,y_..i_,,,r.,,,q_..in..,1""* a"-'P""o""'w"'e"'r _________ _ Name Same as above Address 10/24/95 Date ___________________ _ 1 1 Sheet _____ of _____________ _ One Unit {<<. >>J.*"'z:$ W0#00290194f-01, RR#95-153 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ .;:.;Nc.cA'-------- NA Authorization No. ______________ _ Expiration Da.te~ __ N_A __________ ...:....._
- 4. Identification of System ____ s_af_e_t_y_I_n_j_ec_t_i_*
o_n ____________________________ _ 5. (al Applicable Construction Code B 31*1 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_*N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components .. ASME *, Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs Mackson,", Inc. NA NA 1-SI-147 NA Replacement No Nuts Texas Bolt Co. NA NA 1-SI-147 NA Replacement No 7. Descript_ion of Work Repair valve, valve leaks by. 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure D Other D 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) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# BNT467650 (studs), CSY193179 (nuts) 9. Remarks----------------------------------------------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ -=-N=A-=------------------------------- Certificate of Authorization No. NA Expiration Date ---~N=A~---------- Signed ()._. Lf fl_ -fs:c e:lka,.v°&!;e Date cir: Z-{f OwnFo;=~Tltle ,19 :,S-: CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct* have inspec;ed the components described in this Owner's Report during the period /0 -It.,{ ~er~ to /0 ~/ L( -C/ 6 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspecD~ 0 _/). A) /") ---'~'-""""-_,.'---'----=-(/.-
- --~--------Commissions
_______ V_a_. _5_4_3 __________ _
- Inspector's Signature National Board, State, Province, end Endorsements Date. ___ /_D_-~il.~19 rs *
- *
- Attachment II Page 33 of 74 Serial No.: 95-594 Docket No.: so-2ao* FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner-----------------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant------------,-,------------- Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ ___.v..._i.._rg:1,1-1 ....
- 0 .... 1 ...
- a._.p.,q.,.w._er.._
________ _ Name Same as above Address 10/24/95 Date ___________________ _ One Unit ___________________ _ W0#00315442-01, RR#95-161 Repair Organization P.O. No., Job No., etc. Type Code Symbol StamP---~~------- Authorization No. __ N_A ___________ _ Expiration Date ___ .-"N""'A"------------
- 4. Identification of System ____ R_e_a_c_t_o_r_co_o_l_a_n_t
______________________
--------
- 5. (al Applicable Construction Code __ 8_3_1_*_1 ____ 19_5_5_ Edition,_NA
______ Addenda, __ N_-_1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME .. ' ' Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) studs Mackson, Inc. NA NA 1-RC-SV-1551A NA Replacement No Nuts Mackson, Inc. NA NA ~-RC-SV-1551A NA Replacement No ,*. , .. '* 7. Description of Work Remove. ship. test, reinstall safety valve. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) . tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# BNT467650 (studs and nuts). 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A ___________ _ Signed/"? .,f:. ,J} d'r ,,;r.s;r ~irineror~Designee, Title Date_~O.~ ... (!~Z~~M~----, 19 ~,r CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have inspect¢ the components described /(\
- I '-I ' CJ (,, , and state that in this Owner's Report during the period to the best of my knowledge and .belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
I n ...f+. _j)* (,) (\ ------i(?r-4-'~'Y-""-'~~~--~L--~~~-------Commissions _______ V_a_._* _5_4_3 ___________ _ ~, nspector's Signature National Board, State, Province, and Endorsements Date, ___ --4,l~b---'-i"-"h"-----19 9£ * *
- *
- Attachment II Page 34 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner-----------------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_.....,vui ... r.!,jg .... i ..... o ... i e ...... Pa..a...,.w.,.e..._r _________ _ Name Same as above Address 10/24/95 Date ___________________ _ One Unit-------------------- W0#00315444-ol, RR#95-162 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ .J.ll.tl~------ Authorization No. __ N_A ___________ _ Expiration Date __ __,Nc::A.:..... __________ _ 4. Identification of System ____ R_~_ac_t_o_r_c_o_ol_a_n_t _____________________________ _ 5. (a) Applicable Construction Code* B 3 l.l 19~Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs Mackso~',
- Inc, NA NA l*RC-SV-1551B NA Replacement No Nuts Mackson, Inc. NA NA 1-RC-SV-1551B NA Replacement No ' 7. Description of Work Remove ship test reinstall safety valve. 8. Tests Co_nducted:
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# BNT467650 (studs and nuts). 9. Remarks---------------------------------'-------------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. NA Expiration Date ____ N_A __________ _ . /7_/~ .-.,-L ---* Signed~~ ...Z-S,.z Owner orOr'sOeslgnee, Title Date--'C2c,__,...,,::'--'- ___ ,""(/F'------, 19 9.C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the Netional Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. have im;~~tpd the components described in this Owner's Report during the period /D-fl/ -Cj 3 to /
- Ii/ '1 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this . . Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this '"~~*~"-\1-wf
- Inspector's Signature Commissions
_______ V_a_. _5_4_3 __________ _ National Board, State, Province, and Endorsements Date, __ --'/~/)_-~d-~b_19 q j * * *
- *
- Attachment II Page 35 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner _______________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_~v~i=r'-"g=i=n=i=a~P=o=w=e=r _________ _ Name Same as above Address 10/24/95 Date ____________________ _ 1 1 Sheet _____ of _____________ _ One Unit ___________________ _ W0#00315446-01, RR#95-163 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ..oN:::.Ao.__ ______ _ NA Authorization No.--------------- Expiration Date ___ N_A ____________ _ 4. Identification of System ____ R_e_a_c_t_o_r_c_o_o_l_an_t _______________________________ _ 5. (a) Applicable Construction Code B 31**1 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs Mackson, Inc. NA NA 1-RC-SV-1551C NA Replacement No Nuts Mackson, Inc. NA NA 1-RC-SV-1551C NA Replacement No 7, Description of Work Remove, ship, test, reinstall safety valve. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 L FORM NIS-2 (Back) Purchase order# BNT467650 (studs and nuts). 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Date_....:Q="--,;_._
- ...,W=-----, 19 ~,r-CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. in this Owner's Report during the period _____ _,_/_D_-__,f'--4__.___".'_q.._.3=--to have in5i:1ected/'
the components described / 0 -/ fl b -and state that I to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
'~-'-=---=-.....:'----"'£'--.-"'~-c-"=:...----Commissions
_______ v_a_. _5_4_3 __________ _ Inspector's Signature National Board, State, Province, and Endorsements Date ID-IJ_' 19 9'5 * ** * *
- ** Attachment II Page 36 of 74 Serial No.: 95-594 Docket No.: 50-280 I_. FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner __________
.,..,.. ___________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant __________ .,.,.. __________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_......>Yui .. r.i,g..i.i ... o .. iaa...JP..,.oaw.,.e,...r,,...,.... ________ _ Name Same as above Address 10/25/95-Date ___________________ _ 1 1 Sheet _____ of _____________ _ Unit ___________________ _ W0#00308903-0l, RR#95-166 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ _,N""A=---------- NA Authorization No.--------------- Expiration Date ___ N_A ___________ _ 4. Identification of System_~ __ M_a_in_s_t_e_a_m __________________ -'--------------
- 5. (al Applicable Construction Code B 3 l.l . 19~Edition,_N_A
______ Addenda, __ N_-_1_'_N_-_7 __ Code'Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19, __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code, National Repaired, Stamped Name of Name of Manufacturer
- Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Cap Screws Mackson, Inc. NA NA l-MS-182 NA, Replac~ment No 7. Description of Work Open and inspect check valve. 8. Tests Conducted:
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is SY. in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/821 This Form (E00030) may be obtained f'"om the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# CNT500441.
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ N_A _____________________________ Certificate of Authorization No, ____ N_A ___________ Expiration Date ____ N_A __________ _ S;gned <il .£~ j/ TS'T ,G,,~ Owner or O~eslgnee, Title Date _ ____,,a..._..(!_,,7',c....L..tLI'-...__ ___ , 19 9£: CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. ------------------------,------==---~have inspecteJI the components described in this Owner's Report during the period (b-/4-93 to /o I '-I -r J. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. t ~--~,,~~ Va. 543 Commissions ____________________ _ National Board, State, Province, and Endorsements Date ** *
- Attachment II Page 37 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Vir.ginia Electric and Power Co. 1. Owner----------------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __,vui_.r .. g_.i,..n..,i aa.....P-,o..,w,.,e,-r _________ _ Name Same as above Address 10/30/95 Date ___________________ _ One Unit-------------------- wo#00316985~01, RR#95-167 Repair Organization P.O .. No., Job No., etc. Type Code Symbol Stamp ___ _.N,.A,__ ______ _ . NA Authorization No. ______________ _ Expiration Date __ __cN:.;:A"------------
- 4. Identification of System_-,--
__ M_a_in_s_t_e_a_m ______________________ ....:.,. ________ _ 5. (al Applicable Construction Code 83 1.1 19_5_5_Edition,~._NA ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case * (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME .. Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Cap screws NA* NA .. NA 1-MS-178 NA Replaced No Cap sc~ews Mackson, Inc. NA NA 1-Ms~178 NA Replacement No ., . -7. *Description of Work open and inspect check valve. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT500441.
- 9. Remarks-----:------------------------------------------
Applicable Manufactu_rer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______ ~----------------------- Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed _j} J_/ ..:z:s':T ~~gnee, Title Date __ e2 __ z.~*-...:ff)-~----, 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct* have inspecJed the components described in this Owner's Report during the period /O-/"i~'f3 to ID ere.. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this i-n-sp_e_c_t_,l~,1,--b'--"-'_=1"!~s~pe~c-t-.f""r*-s-;-ig_n_.,~ .. u-r~e-~=------Commissions __ N_a_t_io_n_a_l_B_o_a_:-~-S-*t_a_t~-~-:-r-ov_l_n-ce-.-a-n_d_E_n_d_o_r_se-m-en_t_s_ Date, ____ --+/-'-/_--./,___19 1 £" ** *
- * '
- Attachment II Page 38 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant __________ ,,.,.. __________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __.v""i.._r~g: ... j Du.Ju' a ...... Pc..ouow,-e.._r _________ _ Name Same as above Address 10/25/95 Date ___________________ _ 1 1 Sheet _____ of _____________ _ One Unit ___________________ _ W0#00316923-01, RR#95-168 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ _.,,,.__ _____ _ Authorization No. __ N_A ___________ _ Expiration Date ___ -~Ncc:A.;:,_ __________ _ 4. Identification of System ____ M_a1_* n_s_t_e_a_m _______________________________ _ 5. (a) Applicable Construction Code 53 1.i 19_5_5_Edition,_N_A _____ .,:..-Addenda, __ N_-_1_'_N_-_7 ___ Code Case * (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME ,* Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No, No. Identification Built or Replacement or No) Cap Screws Mackson, Inc., NA . ,,NA 1-MS-176 NA Replacement No ' .; 7. *Description of Work open and inspect check valve. 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa* tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# CNT500441.
- 9. Remarks------------------------------------------------
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed .... t{;~~'--'--"r-"""- ft=-""-"-..., -,_"---"'JJ=--..,3::::.,.:z..::_..:....._=~=~z:w""'~...._,,,&,; .... ~""*...__ ___ Date _----"-Ol-=w;"-'-.,L,,..S:.__ ____ , 19 .R.C: 'l!Jtl:lf{s~!!:'ff;srgnee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of _______ H_a_r_t_f_o_r_d_,_C_t_. ____________ _____ have inspected the components described in this Owner's Report during the period ____ _,/c.cbc...._""....,_(_,'r:-'7.i...oaS::.....__to / 0 -/ -f{C, , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
l~r-"'-"-'::::...,"'--.=..:.---=---1£.J'--'.'-,--"~-"'=--"""------Commissions
_______ V_a_._5_4_3 __________ _ -lnspectoYs Sig~ National Board, State, Province, and Endorsements Date ___ ___:;/_D_,_i_,_19 C( .5 * -*
- *
- Attachment II Page 39 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner-----------------------
10/30/95 Date ____________ ~-------Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _____ of _____________ _ Address One Unit-------------------- Surry Power Station 2. Plant----------.....,.,,------------- Name 5570 Hog Island Rd., Surry, Va. 23883 wo#oo32553s-01, RR#9S-180 Address Repair Organization P.O. No., Job Ne:,., etc. 3. Work Performed by _ __.V,.ei.,.rga,_1 ...
- n..,i..,a
...... P..,.o"'w .. er _________ _ Type Code Symbol Stamp ___ ~N=A~------- Name NA Authorization No.--------------- Same as above Expiration Date ___ N_A ___________ _ Address 4. Identification of System ____ R_es_i_* d_u_a_l_H_ea_t_R_e_m_o_v_a_l __________________ __;_ _______ _ 5. (al Applicable Construction Code 531'1 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case * (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 9 6. Identification of Components Repaired or Replaced and Replacement Components ' ' *. National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. No. Identification Ingersoll Pump casing Rand Co .. 96762 NA 1-RH-P-lA .. 7.
- Description of Work Repair pump casing. Code Case N416-1 applies. 8. Tests Conducted:.
Hydrostatic Pneumatic D Other D Pressure #O) Nominal Operating Pressure 0' psi Test Temp. uor ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Repaired No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 I L FORM NIS-2 (Back) None. 9. Remarks------------------------------------------,---- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ SignedW--£~0.C~<
- Ir:£ Owner orOwe's Desgnee, Title Date __ O,~\:cz:4--L-___..,}i..,i:,....._
___ , 19 9 C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct* have inspecrd the components described in this Owner's Report during the period / {) -.(l::1-'? "'.!, to /6 "'/y "'<fb , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this* Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. . -v-,,v1~~~l~. c3-~~-Commissions __ v_a. _543 __ _ : lnspectoFsSigmrture National Board, State, Province, and Endorsements Date _____ ~/~/_ ... ~/ __ 19 96" * -
- Attachment II Page 40 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_---"v-=i='rg:aciae,* Name Same as above Address 10/30/95 Date ___________________ _ One Unit-------------------- W0#00314169-01, RR#95-182 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ _,N.:::A=--------- NA Authorization No. _____________ _ Expiration Date ___ N_A ___________ _ 4. Identification of System ____ M_a_i_* n_s_t_e_am _______________________________ _ 5. (al Applicable Construction Code 83 1.1 19~ Edition,_N_A ______ Addenda, __ N_-_1_' _N_-_7 ___ Code Case * (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Snubber Grinnell* Corp, NA NA 1-MS-HSS-8 NA Replaced No Snubber Grinnell Corp. 33076 NA 1-MS-HSS-8 NA Replacement No , .. -.. 7. Description of Work.~R=e=l=a=ce~s=n=u=b=b~e=r~.
- 8. Tests Conducted:
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp, ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT459150.
- 9. Remarks------------------------------------------------
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed<i()~ ..$I Owner~gnee, Title Date __ a,~.....,.1'!=*./0"""" _____ , 19 9-C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of _______ H_a_r_t_f_o_r_d_,_c_t_. ________ -;----:----:=ra.--have inspec~d the components described in this Owner's Report during the period ______ .::t'l:...""....:....1'--L....-""~ ID .. fL-.f -9 i... , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Jo4"'_1"J-J=--l..c.n_s*p-e""c-to_r_'_s_Sl._lg-n*_a_t_u..,,r&e_.."'"'_~"'------Commissions
_______ V_a_. __ 5_4_3 ___________ _ f-.£.c National Board, State, Province, and Endorsements Date ____ _,_/ .... {_-+f--19 Cf J * *
- Attachment 11 Page 41 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------.,..,-------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_~v~i,.r..,g~io~i~* a~P~o=w-e-r,-,- ________ _ Name Same as above Address 10/19/95 Date ________ ~----------- -1 1 Sheet __ ----, __ of _____________ _ One Unit-------------------- W0#00314141-0l, RR#95-183 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ~N=A~------- NA Authorization No.--------------- Expiration Date ___ N_A ______ ~-----4. Identification of System ____ sa_f_e_t""y_I_n"-je_c_t_i_o_n ____________________________ _ 5. (al Applicable Construction Code 53 1.l 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME -Code National Repaired, Stamped Name of Name of Manufacturer Board"., Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol . Rod Eye Grinnell NA NA 1-SI-HSS-84 NA Replaced No Rod Eye Grinnell NA NA 1-SI-HSS-84 NA Replacement No 7. Description of Work Replace snubber rod eye. Replacement rod eye was removed from a spare snubber, 8. Tests Conducted: Hydrostatic Pneumatic D* Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) None 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ Certifi;J.icate of Autho~rizat~/ 4 o. NA
- Expiration Dat~ Signe "~ ~Jt;r Date ua:Ll' -~m,T ; rs0estg8,T1t1e NA ,10 9C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. _________________________________
have insp!!.Pted the components described in this Owner's Report during the period ______ _,_/-'O=----,.../Y_,.-_j........c.'.?>_to /0-H-'1 '9 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspectio(.J n -D, ?. Ir) n Va. 543 ----',~J----=:..JJ.~----,-..::...::--'-*=~.....:,.-~--=-------Commissions _____________________ _ -Inspector's Signature National Board, State, Province, and Endorsements Date ____ ____,{'-'D"--__,_( _,Cf.___19 q S * *
- FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 10/25/95 Attachment II Page 42 of 74 Serial No.: 95*594 Docket No.: 50*280 Virginia Electric and Power Co. 1. Owner _______________________
_ Date ____________________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _____ of _____________ _ Address Surry Power Station 2. Plant One Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00287087-01, RR#95-184 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by __ v"'1.:.e* rs.:q,_,i,.,,n,.,i:.,:a'--"P..::o:.::w..::ec:r _________ _ Name Type Code Symbol Stamp ___ _:N:.::A;:__ ______ _ NA Authorization No.--------------- Same as above Expiration Date ___ N_A ____________ _ Address 4. Identification of System ____ R_e_a_c_t_o_r_c_oo_l_a_n_t ______________________________ _ 5. (a) Applicable Construction Code B 3 1.1 19~Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Plug Copes-Vulcan Part#194182 NA -RC-HCV-1557A NA Replaced No Plug Copes-Vulcan Part#194182 NA b.-RC-HCV-1557A NA Replacement No Studs Mackson, Inc. NA NA 11.-RC-HCV-1557A NA Replacement No Nuts Mackson Inc. NA NA ll-RC-HCV-1557A NA Replacement No 7. Description of Work._o~*v~e=r=h~a_u_l_v_a_l_v_e_. ___________________ -'---------------- 8, Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8Y. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E, 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# SSY127580(trim assembly), BNT467650(studs and nuts). 9. Remarks ____________________ ___:_ ________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ SignedQ /., ,4 'A~.-< 4:Z-~/,&Ge Owner ~slgnee, Title Date <(JO z; .r 19 --'-"""--"----""'--'-=-"------,, CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford~ Ct* have in:tted the components describad in this Owner's Report during the period /{) 1-1"3 to ID -tu--z. . and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures describad in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspe~~.~ --~+..c...,;L--><--',--'---'LL-:,_.,,,~.,_..,,__ ________ Commissions _______ v_a_. _5_4_3 __________ _
- Inspector's Signature National Board, State, Province, and Endorsements Date * *
- Attachment II Page 43 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner _______________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed Name Same as above Address 10/24/95 Date ____________________ _ 1 1 Sheet _____ of _____________ _ One Unit--------------------- wo#oo282145-01, RR#95-185 Repair Organization P.O. No., Job No., etc. Type Code Symbol Starg~----N_A ______ _ Authorization No.--------------- Expiration Date ___ N_A ____________ _ 4. Identification of System ____ R_e_a_c_t_o_r_co_o_l_a_n_t ______________________________ _ 5. (a) Applicable Construction Code B 3 1.1 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Cesa (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Plug Copes-Vulcan Part#l38120 NA -RC-HCV-1557B NA Replaced No Plug Copes-Vulcan Part#138120 NA -RC-HCV-1557B NA Replacement No Studs Mackson, Inc. NA NA -RC-HCV-1557B NA Replacement No Nuts Mackson, Inc. NA NA' JI.-RC-HCV-1557B NA Replacement No 7. Description of Work_os:;.v:.;e=,re..:hc::a:,.:u"'l'----'vc::a:.a:lc..::v__::e:..:.. ________________ ...,.... _________________ _ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase Order #CNT368367 (plug), BNT476650 (studs and nuts) 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No, ____ N_A ___________ Expiration Date ___ .....;cN.;;;:A.;;;._ _________ _ Signed (2~ .Z-S°T OwnerorOw's Deslgnee, Title Date-~Oc....._;; ........ ~~¥'~----, 19 'l.s . CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. the components described in this Owner's Report during the period / D-fl*{ 'f to , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in.accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection) /'\ + !. ---~.f.-"£1~'.F--=-=-'-"----*-'I-L----'--'~ ...... =------'~-----Commissions _______ V_a_. _5_4_3 __________ _ .Jnspector's Signature National Board, State, Province, and Endorsements Date *
- *
- 1. 2. Attachment II Page 44 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and.Power Co. Owner 10/24/95 Date ___________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Plant Surry Power Station One Unit_.------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00287467-01, RR#95*186 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by_----"v,...i..,.r,.._a,.incci:.,' a"--'Pc.so"'w""e"-r _________ _ Name Type Code Symbol Stamp ___ _!N:,::A"--------- NA Authorization No. ______________ _ Same as above Expiration Date __ ......;.N...cA.:.__ __________ _ Address 4. Identification of System ____ R_e_ac_t_o_r_c_o_o_la_n_t _____________________________ _ 5. (al Applicable Construction Code B 3 1.l 19~Edition,_NA ______ Addenda, __ N_-_1_'_N_-_7_* __ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, Identification Built or Replacement or Nol Plug Copes-Vulc_an Pari;:-#138120 NA -RC-HCV-1557C NA Replaced No Plug Copes-Vulcan Part#l38120 NA -RC-HCV-1557C NA Replacement No 7. Description of Work~o~v~e=r=h=a=u=l_v~a"-'l=-v~e'-'.----------------,--------------------
- 8. Tests Conducted:
Hydrostatic Pneumatic D Nominal Operating Pressure D Other O Pressure _____ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is SY. in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/821 This Form (E00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 !, ,:FORM NIS-2 (Back) Purchase Order #CNT3213~5
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Sectiqn XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed (l-L :ll:Z-Owner or o~sienee, Title Date~a--'ar.=~-ff------, 19 9S-: CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. ----------------------~--------have inspected the components described in this Owner's Report during the period ______ .... /....coc... ... ......c.,_l.f'---1...L...:'3'--to / 0 -11.f-er L , and state that to the best of my knowledge. and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspectio~ _/). /.") /) ___ ..1~-=,c.....-"-'~'--,=....:c::;_--=--J
- -~=--=--=------Commissions
______ v_a_. __ 5_4_3 __________ _ Inspector's Signature National Board, State, Province, and Endorsements Date ** * *
- *
- Attachment II Page 45 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner _______________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v ... ,._.* r-,g,_i ... n._j_.a,.__.Pc.s.ocoweae"'r _________ _ Name Same as above Address 12/5/95 Date ____________________ _ One Unit--------------------- W0#00325751-0l, RR#95-187 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ _,N:.::A.:_ ______ _ NA Authorization No.-'----'------------ Expiration Date ____ NA ____________ _ 4. Identification of System ____ R_e_a_c_t_o_r_c_o_o_l_an_t _______________________________ _ 5. (a) Applicable Construction Code B 3 l, 1 19_5_5_ Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs Mackson, Inc NA NA 1-RC-FE-1481 NA Replacement No Nuts Mackson, Inc. NA NA 1-RC-FE-1481 NA Replacement No 7. Description of Work Replace flange fasteners.
- 8. Tests Conducted:
Hydrostatic Pneumatic O Nominal Operating Pressure D Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT467650(studs and nuts) 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed d--H -:Z:S"C ,64,,vt,&e ~neror~gnee, Title Date __ ) __ .B:.--"=-...
- C.__ _____ , 19 si:c CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. -------------------------=-------have inSJ>ec;ted the components described in this Owner's Report during the period /(')-(\.\.'l3 to /f>"' fi..\ .... CfJ. , and state that to the best of my knowledge and belief, the. Owner has performed examinations and taken corrective measures described in this Owner's Report in.accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this lo,poot~~~-~
Comml~loo, """'"" .;..!::~,.~. ,od Eodo-*M* 19 /) ,:"' Date-----1l,.....l,....'-d-~D-1_ v *-* *
- *
- Attachment II Page 46 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner _______________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v~i=r~g~i=n=i=a~P=o=w=e=r _________ _ Name Same as above Address 10/24/95 Date ____________________ _ 1 1 Sheet _____ of _____________ One Unit--------------------- wo#00325765-01, RR#95-188 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ _,N.::.A=---------- NA Authorization No.--------------- Expiration Date ____ NA ____________ _ 4. Identification of System ____ s_a_f_e_t_y_I_n_j e_c_t_i_* o_n ______________________________ _ 5. (al Applicable Construction Code 331' 1 19_5_5_ Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components -ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol studs Mackson*, Inc. NA NA 1-SI-88 NA Replacement No Nova Machine Nuts Products Corp. NA NA 1-SI-88 NA Replacement No 7. Description of Work Replace cover gasket and fasteners.
- 8. Tests Conducted:
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion 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 . (1_2/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# BNT467650 (studs), CSY341267 (nuts) 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE; OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ N_A-----------------------------~ NA NA Certific~ate o; ~~orization No, t' w _ Expiration Da~--------------- Sign*ed 7$. '7*' 4.d,~,e:'.' Date ~r;: 4-9' , 19 9,r-: wnerorOr'sDeslgnee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia ana employed by HSBI and I Co. of Hartford,_C_t_. _________________ have inspected the components described in this Owner's Report during the period ______ _./_,o,<.._ .. ~I_U~'-'f+-=3-to / t) -l l-\ l {.. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. ~or'~igna~ Commissions _______ v_a_. _5_4_3 __________ _ National Board, State, Province, and Endorsements
- -** *
- *
- Attachment II Page 47 of 74 Serial No.: 95*594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric.
and Power Co. 1. Owner _____________________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23BB3 Address 3. Work Performed by _ __.v,.i..;rg,._1 ....
- u ..... i ....
- a.._.P""o"'w"'e...._r,.,....
________ _ Name Same as above Address 12/5/95 Date ___________________ _ One Unit-------------------- wo#oo325s12-03, RR#95-1B9 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ _.N,.A"--------- NA Authorization No.-~~-----"---~---- Expiration Date __ __:N.::.A:._ __________ _ 4. Identification of System ____ R_ea_c_t_o_r_c_o_o_l_an_t _____________________ ..;... _______ _ 5. (al Applicable Construction Code BJl. l 19_5_5_ Edition,_N_A ______ Addenda, __ N_-_1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 B9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. -Identification Built or Replacement or Nol Dwg.651B293 Manway Bolt (2) Westinghouse HOl, Rev.19 NA 1-RC-E-2 NA Replaced No Dwg.651B293 Manway Bolt (2) Westinghouse HOl, Rev.19 NA 1-RC-E.:2 NA Replacement No -7. Description of Work Replace pressurizer manway bolts. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# NS12001 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of _______ H_a_r_t_f_o_r_d_, __ C_t_. --------..,...,,----~..-,.,-----,-have inspeczd the components described in this Owner's Report during the period /b-.{J..\ '('J to /6 .. ft.f -1' , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
- ----~-i----'c__-=--'--'--f-"-_.
_________ commissions _______ v_a_. __ 5_4_3 ___________ _ -Inspector's Signature National Board, State, Province, and Endorsements ,....,-, Date ___ ~L~i~-~/~[ __ 19 '1::, * * *
- *
- Attachment II Page 48 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1.
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant _______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_~Y~i~r_.s .. i,...n_.i.,.a__._Po=w=esa.r..._ _________ _ Name Same as above Address 11/14/95 Date ____________________ _ 1 1 Sheet _____ of _____________ _ One Unit--------------------- W0#00325533-0l, RR#95-192 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ~N=A~------- NA Authorization No. ______________ _ Expiration Date ____ NA ____________ _ 4. Identification of System ____ R_e_a_c_t_o_r_co_o_l_a_n_t ______________________________ _ 5. (a) Applicable Construction Code 33 1.l 19_5_5_Edition,_N_A ______ Addenda, __ N_-i_,_N_-_ 7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. No. Identification Valve NA. NA .*. NA 1-RC-11 Edward 2"B36124 Valve Valves, Inc. (F316) TS NA 1-RC-11 PTE#N93-1200 2" Elbow NA M14 NA 1-RC-11 John H. 2" Pine Frischkorn Inc NA NA 1-RC-11 John H. 2" Coupling Frischkorn, Inc NA NA 1-RC-11 7. Description of Work Replace valve. Code Case N416-1 applies 8. Tests Conducted: Hydrostatic Pneumatic 0 Other O Pressure Ala')> Nominal Operating Pressure g psi Test Temp. .Al Cl 'C ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NA Replacement No NA Replacement No NA ,Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8Y:z in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# NT487834, CSY310739, SNT351707, CSY324426
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A-----------------------------~ NA NA :::'QZfi~~ __r £;& ,:(~:-n_D_a-te~M~P~f4........,I-"~-----, 19 Owner or O~,Tltle * ?.C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. ---------------------------,-----have inspected/ the components described in this Owner's Report during the period /D-Ud-'1~ to ID -/ L/ -? b , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.) /\ -/+.. !. !J) Va. 543 ___ Q_ ... ~<>L='---'---'----'J.(A!_--'-'"--~~~~------Commissions ____________________ _ -Inspector's Signature National Board, State, Province, and Endorsements Date ____ __._(_,_(_-..,_/,"""'fo'--19
- * *
- *
- Attachment I I Page 49 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner _______________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ Name Same as above Address 11/14/95 Date ____________________ _ 1 1 Sheet _____ of _____________ One Unit--------------------- W0#00326103-o3, RR#95-193 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ____ N_A _______ _ NA Authorization No.--------------- Expiration Date ____ NA ____________ _ 4. Identification of System ____ c_o_n_t_a_i_nm_e_n_t_s_p_r_a_y _____________________________ _ 5. (a) Applicable Construction Code 83 1.1 19~Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) (Modified) Pipe Support NA NA NA 4"-CS-97-153 NA Replacement No 7. Description of Work Modify pipe support per Field Change to DCP94-016.
- 8. Tests Conducted:
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT506713 (1/4" plate) 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp -------------------------------- Certificate of Authorization No. NA Expiration Date ____ N_A __________ _ Signed~u~ ~Li_-~ ..:z:r:z-- CMtuu~ ~lrto;:o~ Deslgnee, Title Date_~M~~'-'c/.'- ....... /_.¥ _____ , 19 9C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. in this Owner's Report during the period. *have inspecz: the components described / 6-l'-f -'7
- and state that I to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in.accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
~i&L
- Inspector's Signature Commissions
_______ v_a_. _5_4_3 __________ _ National Board, State, Province, and Endorsements Date. ___ _,__/ /~-...... ( l( ___ 19 9. \ * * *
- *
- Attachment II Page 50 of 74 Serial No.: 95*594 Docket No.: 50*280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1.
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant--------------,-,------------- Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __,v .. i..._r.,.g.._i n..._,...,* a..__.p..,.o,..wu.e...._r _________ _ Name Same as above Address 11/14/95 Date ___________________ _ 1 1 Sheet _____ of _____________ _ One Unit-------------------- W0#00326103-02, RR#95-194 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ~N=A~------- NA Authorization No.-------------- Expiration Date ___ N_A ___________ _ 4. Identification of System ____ co_n_t_a_i_n_m_e_n_t_s_p_r_a_y ____________________________ _ 5. (a) Applicable Construction Code B 3 l. l 19_5_5_ Edition,_N_A ______ Addenda, __ N_-_1_' _N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code . National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) (Modified) Pipe Support NA NA NA 4 11-CS-96-153 NA Replacement No 7. Description of Work Modify pipe support per Field Change to DCP94-016.
- 8. Tests Conducted:
Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT506713 (1/4" plate) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _______________________________ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A ___________ _ Signed0£ d . / fs:z:-Owner or~e, Title Date __ ~A,6~i,~,/'-'-, ~/'--"t/ _____ , 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. h~ve_ ,i~sc/9'ted the components described / b I '"1 b . , and state that in this Owner's Report during the period to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.!'+/- . /J n . ----'Q~c.A~l--'"'-'=t-~--_p---~-~------Commissions _______ v_a_. __ 5_4_3 ___________ _
- I nspector*fsignature National Board, State, Province, and Endorsements Date* 1 l--/4 19'9S' * * *
- *
- Attachment II Page 51 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS . As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner-----------------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_---'3._riur,...g~i..uou.i..,.a---"'Pa...,w..,e ... r _________ _ Name Same as above Address 11/8/95 Date ___________________ _ One Unit-------------------- W0#00326l03-0l, RR#95-195 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ _wl,_ _____ _ Authorization No. ___ NA ___________ _ Expiration Date __ __;N:.::A:.:..._ __________ _ 4. Identification of System ___ ___:.R:....e_c-'-'iccrc_u_l_a_t_i..:.o=n--'S'-'pc:r:..c.ae<y ___________________________ _ 5. (a) Applicable Construction Code B 3 l. l 19_5_5_ Edition, __ NA ______ Addenda, __ N_-_*1_,_N_-_7 __ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) (Modified) 2 1/2 "Pipe NA NA NA 2.5 11-RS-30-153 NA Replaced No 7. Description of Work cut out 1 " secti an of pipe and rewel d 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other@" Pressure _____ psi Test Temp. ° F .. NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Boroscopic inspection performed on I.D. to prove unobstructed flow. 9. Remarks------------------------------------------------ Appllcabla Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol StamP-------------------------------------~ NA NA Certificate of Authorization No. _______________ Expiration Date _______________ _ Signe 0do.f/..i -i.// f5:Z: ~wner o~nee, Title Date_~M,~='6~* -Y _____ , 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . Virginia HSBI and I Co. or Province of and employed by of Hartford, Ct. have in*s;ted the components described in this Owner's Report during the period ________ ..,....~~~~to /D-./IA -])-, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. \.j A -fr-f Ii') I\ Va. 543 ------'u!-+,N=-~=---------.,-' ~-Commissions ___ _ -Inspector's Signature National Board, State, Province, end Endorsements Date, ____ -f/_-~/~3_19 q_s-* * *
- *
- Attachment II Page 52 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Ow Virginia Electric and Power Co. 1. ner _______________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant----------.,...,------------ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ _,,,, .. ._,.,,.., 3 ... Name Same as above Address 11/8/95 Date--------------------- 1 1 Sheet _____ of _____________ _ One Unit--------------------- W0#00326014-01, RR#95-196 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ """"---------- Authorization No. ___ NA ____________ _ Expiration Date ___ N"'A"'-------------
- 4. Identification of System ___ .......csccac-=fccecct..._-=I:..:n.,_'
.::.e.::.ct.::.1.::.* o:..:n.:...._ _____________________________ _ 5. (a) Applicable Construction Code B 3 1.i 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_*_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. No. Identification Valve Edwards Valves NA *NA 1-SI-141 s.o. # Valve Edwards Valves 36-21332 NA 1-SI-141 Dubose National Reducing Insert Energy Serv.,Inc NA NA 1-SI-141 Acceptable per "" m--lo'T't,l!(!TT-Qn-0183 R "'A NA 1-SI-141 John H. 2" Pipe Frischkorn,Inc. NA NA 1-SI-141 7. Description of Work Rep] ace iraJ ire code case N4l 6-l appJ i es 8. Tests Conducted: Hydrostatic Pneumatic D Other D Pressure NO& Nominal Operating Pressure u2(" psi Test Temp. ,vtir ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NA Replacement No NA Reolacement No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT511308, SNT351707, SY48956, CSY146966
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. ----=Nc.::A=-----------Expiration Date ___ ......;;Ne.A __________ _ Signed ..... Q~~~--=--* ....,~~-"""--~..73',-=:::,,,o'-'fe<.....-.-L.t.t.~~--=-.&= .. U,....--.-Date_~~--'-&.Otb~r°~---, 19 9.C Owner or~ee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. have in~gted the components described in this Owner's Report during the period ______ ~/...cf>:::.....-_.l...,H'+-~-T ..... 3 .... to /6-. f W .. ':[Jo , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. J}_ I!) -----~+-'~e:::..,o;::= __ l....,...* _ __.,~_."-'-~<<-------Commissions _______ v_a_._5_4_3 ____ ---,-_____ _ .Jnspector's Signature National Board, State, Province, and Endorsements Date ----, ** * *
- *
- 1. 2. Owner 5000 Plant Attachment II Page 53 of 74 Ser;aL No.: 95*594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Name Dominion Blvd., Glen Allen, Va.-23060 Address Surry Power Station Name Co. 11/16/95 Date ____________________
_ 1 1 One Unit--------------------- 5570 Hog Island Rd., Surry, Va. 23883 W0#00325905-0l, RR#95-197 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by __ v.._i._.r..,g,.,i..,.n ... i ... a...._.P.:ao"'w""e.._r _________ _ Name Type Code Symbol Stamp ___ _,N"=A::.._ ______ _ NA Authorization No.--------------- Same as above Expiration Date ____ N_A ___________ _ Address 4. Identification of System ____ R_e_s_i_d_u_a_l_H_ea_t_R_e_m_o_v_a_l ___________________________ _ 5. (a) Applicable Construction Code 83 1.1 19 _5_5_ Edition, _N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped *Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs Mackson; Inc. NA NA 1-RH-MOV-1700 NA Replacement No Nuts Mackson, Inc. NA NA 1-RH-MOV-1700 NA Replacement No 7. Description of Work Replace bonnet fasteners.
- 8. Tests Conducted:
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8Ya in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT467650, CNT511701
- 9. Remarks------------------------------------------------
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed/"}__~,;/ ~75:Z-~ero~~ee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. have inspect~d the components described J {) -{ '-\ -'1 b and state that ' I in this Owner's Report during the period ______ t-/~0~-..... i,...,H_._-_'f~~--to to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. , (\ ....()_ * //) (\ ___ n-4-..i..,,:AC\,~/---=--'-----\-P ___ ~--------COmmiSSiOnS _______ v_a_. __ 5_4_3 ___________ _ '7-~r*lfgnature National Board, State, Province, and Endorsements I I-I lo 101S: * * **
- *
- I Attachment I I Page 54 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner __________
....,..,-------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant----------,,..,.------------ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_--'v,..i.,.r ... a,..i.._n ... i..,.a...,.P"'o"'w"'e""r _________ _ Name Same as above Address 12/6/95 Date ____________________ _ 1 1 One Unit-------------------- W0#00314379-13, RR#95-198 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ....,Nc,;A::..._ ______ _ NA Authorization No.--------------- Expiration Date ___ N_A ____________ _ 4. Identification of System ____ F_e_e_d_w_a_t_e_r _________________________________ _ 5. (al Applicable Construction Code 831'1 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 B9 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol 14" Pipe NA NA NA 1-FW-PPS-89 NA Replaced No .75"x2.5"Sockolet NA NA NA NA NA Replaced No 14rr Pipe Frischkorn, Inc NA NA 1-FW-PPS-89 NA Replacement 75"x2.5" Sockolet Hub, Inc. NA NA NA NA Replacement
- 7. Description of Work Replace J4" pipe section to "A" Steam generator due to FAC. Code Case N416-1 applies. 8. Tests Conducted:
Hydrostatic Pneumatic D Other D Pressure lllo"? Nominal Operating Pressure 0 psi Test Temp. N () r ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 informa* tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 1-.-FORM NIS-2 (Back) PO# SSY425775(sockolet}, CSY334459(14" pipe} 9. Remarks ____________________________________________ _ Applicable Manufacturer's Date Reports to be attached CERT~FICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ ..::N.c:Ac.::..... ____________________________ Certificate of Authorization No, ___ ..::N.c:A"'-----------Expiration Date ____ N_A __________ _ Signe~ /J J4.~-< !LS'f LAJ4,µ#A Owner~e?s'iSeslgnee, Title Date_~]).~.,~~~-~~-------, 19 2C: CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct* have inn'~ted the components described in this Owner's Report during the period {D-lt.l-'.1,3 to /b-(llc-1,..f.o , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this '"~""Q..-01. -Inspector's Signature Commissions ______ V_a_. __ 5_4_3 __________ _ National Board, State, Province, and Endorsements Date ____ ~/ ~~-~/_( __ 19 q 6 *-'
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- Attachment 11 I Page 55 of 74 j Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS O.R REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_---"v ... ; ... rs,.._, ...
- n..._,..,*
a...,.P""o"'w,.e._r ___ Name Same as above Address 11/2/95 Date ___________________ _ 1 1 Sheet _____ of _____________ _ One Unit-------------------- W0#00314379-14, RR#95-199 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ .,,,N,:;A..._ ______ _ NA Authorization No.-------------- Expiration Date ___ N_A ___________ _ 4. Identification of System ____ F_ee_d_w_a_t_e_r _______________________________ _ 5. (a) Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Eioard Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) 14 11 Pipe NA NA NA 1-FW-PSF2-102 NA Repaired No 7. Description of Work Perform a weld overlay on O.D of pipe. 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) None 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repaired conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ Certificate of Authorization No. ----=-N:::A=-----------Expiration Date ____ N==A=------------- Signed ()~ LJ ---" .Ir':Z-Owner or~, Title Date _ _,M'--='-='-"'tbCL...ak=------, 19 z.r: CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of _______ H_a_r_t_f_o_r_d_, __ C_t_. -------------~----have inspectecJ. the components described in this Owner's Report during the period /O-/tf-93 to /0-ll/ -?' la , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. !_ /i) ----~-+---"~~---~rl:.---~~~~~----Commissions _______ V_a_._5_4_3 ___________ _ -Inspector's Signature National Board, State, Province, and Endorsements Date ___ -1,/.....__/--4J,-F--1/f 5 *-* * .
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- Attachment II Page 56 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_~11 .... i .... rg~,~*nu..1 .. *a ..... P ... a""w"'e .... r _________ _ Name Same as above Address 11/2/95 Date ___________________ _ One Unit-------------------- W0#00314379-16, RR#95-200 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ....w.___ ______ _ NA Authorization No. ______________ _ Expiration Date __ ___;:N..c.A ___________ _ 4. Identification of System ____ F_ee_d_w_a_t_e_r _______________________________ _ ( ) B31 1 55 NA N-1, N-7 5. a Applicable Construction Code ___ . _____ 19 ___ Edition, _______ Addenda, _______ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) 14" Pipe NA NA NA 1-FW-PP5D-10 NA Repaired No 7. Description of Work Perform a we) d over) ay on o p of pipe. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) None 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repaired conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ .:Nc:::Ac::..... ____________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date -----=N..::Ac::..- _________ _ Signed <[).£: L . . :zrr Owner or~. Tltle Date-~M~* ._.,,..4~,Z;.~*-----, 19 2s:": CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. in this Owner's Report during the period /() -Jt/-'f '3 to have inspe?f the components described I()~ fl/-and state that , to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. I /\ .../J 1. ;f) n ____ 0_._...~'""-..,,._ _ _,__ _ _,,. __ ~~=~-----Commissions _______ V_a_._5_4_3 __________ _ µ ~s Signature National Board, State, Province, and Endorsements Date ** .~. * 'I '
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- Attachment II Page 57 of 74 Serial No.: 95-594 Docket No.: 5D-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric ~nd Power C6. 1. Owner----------:-:--------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant __________
- -:-------------
Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __.v'""i .... r:..ii!.i..i ou.1.LJ* Name Same as above Address Date 11/29/95 1 1 She_et of Unit One W0#00326321-01, RR#95-201 Repair Organization P.O. No., Job No.; etc. Type Code Symbol Stamp ___ ....... ______ _ Authorization No. __ N_A ___________ _ Expiration Date __ -...cNo.;:A"'--------------
- 4. Identification of System ____ R_e_s_i_*
d_u_a_l_H_ea..,;.t_R_e_m_o_v_a_l __________________________ _ 5. (al Applicable Construction Code 53 l. l 19_5_5_ Edition,_NA ______ Addenda, __ N_-_1_* _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME .. Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs Mackson:, Inc. NA NA 1-RH-HCV-1142 NA Replacement No Nuts Mackson, Inc. NA NA 1-RH-HCV-1142 NA Replacement No I 7. Description of Work RepJ ace bonnet fasteners
- 8. Tests Conducted:
Hydrostatic Pneumatic D Nominal Operating Pressure [) Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 811, in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT467650 (studs), BNT467064 (nuts) 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A-----------------------------~
=N:.:.:A=----------Expiration Date ___ ---=N:.:.:A:..::....
_________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct* have insr:>ected the components described in this Owner's Report during the period / 0 I LI -'.13 to IO -N Cf I. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. /;;) /) -----41Q'-\....,~'F-ldo-'J_..,.."'---.,....ll'l----".-~ _______ commissions ____ ...,.... __ V_a_. _5_4_3_--,- ________ _ *lnspic:to,.,;Sfg~ure National Board, State, Province, and Endorsements Date, ___ ....,,_/ '--/---=-i ....... 1_19 f * ***
- * ** Attachment II Page 58 of 74 Ser;al No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner ______________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 , Address Surry Power Station 2. Plant __________ ..,.,.. __________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ ____.y""j .. r_..a..,in..,1..,* a...._.P..,,o..,w"'e .... r _________ _ Name Same as above Address 11/1/95 Date-----------------'---- 1 1 Sheet _____ of _____________ _ One Unit-------------------- W0#00326322-0l, RR#95-202 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ""'N""A"'----------- NA Authorization No. ______________ _ Expiration Date ___ N_A ___________ _ 4. Identification of System ____ R_e_si_* d_u_a_l_H_e_at_R_e_m_o_v_a_l __________________________ _ 5. (al Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes. Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Studs Mackson, Inc. NA NA 1-RH-E-lA NA Replaced No Allied Nut Nuts and Bolt Co. NA NA 1-RH-E-lA NA Replaced No ' 7. Description of Work Inspect* and retorgue flange fasteners.
- 8. Tests Conducted:
Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is SY. in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY395215 (nuts), BNT467650 (studs) 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. NA Expiration Date ____ N_A __________ _ Signed (). t?._L~ / rs:z: ~Av& Date _ _,_~---"-4'-"'c.{ ........ I". ______ , 19 9..,,..-: Owner or CJ~ Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have inspec~d the components described in this Owner's Report during the period /b-1'1 -C:Z '3 to /{) .. /cl*? L:. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection /I -A. !. /,") A ___ Q"'-:c...,.,~'-'--'"'--.....___. _ _,1-:_F----~--------Commissions _______ v_a_. _5_4_3 __________ _ -Inspector's Signature National Board, State, Province, end Endorsements Date ____ ___./ ...... /_-~t_19 9 5" ** * *
- *
- Attachment II Page 59 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner _______________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant-----------~----------- Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by __ v~i=r~g~i=n=i=a~P=o=w=e=r _________ _ Name Same as above Address 10/30/95 Date ____________________ _ 1 1 Sheet _____ of _____________ One Unit--------------------- W0#00325898-0l, RR#95-203 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ...,N.::.A=---------- NA Authorization No.--------------- Expiration Date ___ N_A ____________ _ 4. Identification of System ____ R_e_s_i_d_u_a_l_H_e_a_t_R_e_m_o_v_a_l ___________________________ _ 5. (al Applicable Construction Code 831" 1 19_5_5_ Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Studs NA NA NA 1-RH-MOV-1701 NA Replaced No Studs Mackson, Inc. NA NA 1-RH-MOV-1701 NA Replacement No 7. Description of Work Remove valve bonnet for replacement of damaged stem. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp, ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8Y:z in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT467650.
- 9. Remarks-----------------------'------------~----------
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed Q . .£ ~/ ::zs:r Ownerorner'i:oeslgnee, Title Date __ a=--c:;...,7:L.L-'J=O-----, 19 9.C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. ------------------------~--------have inspected the components described in this Owner's Report during the period-------1/i .... D.,_'""-=(_t.'.{..._~~q~:3=--tO (D-1 t.l. ~?.C. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in.accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.() (\ -fr f.~ Va. 543 -----1~~~r,.<---=c.;;;....e...._.:_-,-,---'~-==-------Commissions ____________________ _ .Inspector's Signature National Board, State, Province, end Endorsements Date _____ _../__,_{_-~/_19 9S: * * *
- *
- Attachment II Page 60 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner _______________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_ ........ 5,..&..,w,._.T,..e.,,c..._hwn"'o""l"'o .. g..,i.._e.._s ________ _ Name PO Box 10935, Lynchburg, Va. 24506-0935 Address 12/5/95 Date ____________________ _ 1 1 Sheet _____ of _____________ _ One Unit--------------------- W0#00325812-04, RR#95-205 Repair Organization P.O. No., Job No., etc. Type Code Symbol N-2483 Authorization No.--------------- Expiration Date _____ --,--6:..../2_1...:/c..9_7 _______ _ 4. Identification of System ____ R_e_a_c_t_o_r_co_o_l_a_n_t ______________________________ _ 5. (al Applicable Construction Code ASME III 19_8_9_Edition;_N_A ______ Addenda, __ N_A _____ Code Case (bl Applicable Edition_ of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Compoi:ients Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol 1-RC-126, Instrument Nozzle Westinghouse .NA 1031 1-RC-E-2 1969 Replaced Yes 1-RC-130, Instrument Nozzle Westinghouse NA 1031 l-RC-E-2 1969 Replaced Yes B&W Nuclear P/Nl243053-l-RC-126, Instrument Nozzle Technologies 001,Serial#l 1031 l-RC-E-2 1995 Replacement Yes B&W Nuclear P/Nl243053-l-RC-130, Tn~t-*ment Nozzle Technoloaies 001 Serial#2 1031 l-RC-E-2 1995 Replacement Yes 7. Description of Work Replace instrument nozzles. Code Case N416-l applies. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure 0' Other D Pressure NO) psi Test Temp. Ill or ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is BY. in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/821 This Form (E00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BKI 511006 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed 0.-/'. -~-.Z->7" Owner or~nee, Title Date __ ).;....:~::...:C.=:....:...
- .:::.r<------, 19 9.C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure*
Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct
- have inspecrd . the components described in this Owner's Report during the period / f) ""'/~ ... q :l to / b' I'!~ 'l , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this '"-""-~
1-&2-1 nspector's Signature Commissions _______ v.,.a--::-. _5_4_3_-,-________ _ National Board, State, Province, and Endorsements Date /;..-11 19 *** * *
- * ** FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 11/30/95 Attachment II Page 61 of 74 Serial No.: 95-594 Docket No.: 50-280 Virginia Electric and Power Co. 1. Owner _______________________
_ Date_--------------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_--'v"--'. r~g~i..,_n,..j ... a._.P:.,.o..,,w"'e'"r _________ _ Name Same as above Address 1 1 Sheet _____ of _____________ _ One Unit--------------------- W0#00316474-03, RR#95-206 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ...,Ns,;Ae:.._ ______ _ NA Authorization No. ______________ _ Expiration Date ___ :.;NA:.::_ ___________ _ 4. Identification of System ____ R_e_a_c_t_o_r_c_o_o_l_an_t ______________________________ _ 5. (al Applicable Construction Code 831" 1 19_5_5_ Edition,_N_A ______ Addenda, __ N_-1_' _N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Part #/Dwg. ,n SH Bolts(6 ea.) Westinghouse. 4934A79 H16 NA 1-RC-P-lA NA Replaced No Part #/Dwg. 1 SH Bolts(6 ea.) Westinghouse 4934A79 H16 NA 1-RC-P-lA NA Replacement No 7. Description of Work Replace #1 seal house bolts. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY16838 9. Remarks-------------------------';._ ___________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ .;:.N=A-=------------------------------~ ___ ..::N.c:Ac.::.._ __________ Expiration Date ____ N_A __________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of _______ H_a_r_t_f_o_r_d_,_c_t_. ____________ ____ have insp,ted the components described in this Owner's Report during the period ______ _../0""'-"....,(_U..-'-"'-<i'-'3-to / 0 -C " -.9 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspectionD./)4
- f. /) fl -----'~l-'--'<--_,..'----"----,-~-==--~c....:::;._
_____ commissions _____ *_V_a_. __ 5_4_3 __________ _
- Inspector's Signature National Board, State, Province, and Endorsements Date ____ ....... /....,,.l~--_f
_19 cr.s-* * *
- *
- 1. 2. Owner 5000 Plant Attachment II Page 62 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virgi"nia Electric and Power Co. 11/30/95 Date ____________________
_ Name Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _____ of _____________ _ Address Surry Power Station One Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00316475-03, RR#95-207 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by _ __,vui.,.r..sa,_.i""n ... i..,a'--"P"'o""w,.e,.r _________ _ Name Type Code Symbol Stamp ___ __,N""A.,__ ______ _ NA Authorization No.--'--------------- Same as above Expiration Date ____ NA ____________ _ Address 4. Identification of System ____ R_e_a_c_t_o_r_co_o_l_a_n_t ______________________________ _ 5. (a) Applicable Construction Code 33 1.l 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Part #/Dwg. h S H Bolts(6 ea.) Westin~house 4934A79 H16 NA 1-RC-P-lB NA Replaced No Part #/Dwg. ~1 S H Bolts{6 ea.) Westinghouse 4934A79 H16 NA 1-RC-P-lB NA Replacement No ' 7. Description of Work Replace #1 seal house bolts. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) -tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 I Attachment II Page 62 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 (Back) PO# SY16838 9. Remarks-------------------------------------------,--- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed~~/_ &<'.:., .:;Br,EA.'6,~.¢ OwnaTSrawnei~nee, Title Date_~~~2"~v.~*~rfl=c2~----, 19 9.S-CERTIFICATE OF INSERVICE INSPECTION I, the.undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have inspecyid the components described in th is Owner's Report during the period /6
- I ':{-CJ::!>
to / 6 -I r..(
- C/ '-, and state that _to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspecti~
It) f\ ---->t~r-*'--=--~---__,,[_._~~~-------Commissions_* ______ V_a_._5_4_3 _______ ----'---. Inspector's Signature National Board, State, Province, and Endorsements Date ____ ----</'-'a,.'=---__._1 __ 19 Cf!.,-*-* *
- *
- Attachment I I Page 63 of 74 Serial No.: 95-594 Docket* No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1.
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __,v'-"i""r.,,g..._in..._1. ..
- a,,__,P,.,o,.,wcsec:r
_________ _ Name Same as above Address 10/10/95 Date ___________________ _ One Unit-------------------- W0#00326858-01, RR#95-208 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ...,Nc:,A..,__ ______ _ NA Authorization No.--------------- Expiration Date ___ N_A _ __:_ _________ _ 4. Identification of System ____ F_ee_d_w_a_t_e_r _______________________________ _ 5. (a) Applicable Construction Code 83 1.1 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Weld 1-12 NA NA NA Weld 1-12 NA Repaired No 7. Description of Work Repair weld 1-12 on drawing 11448-WMKS-lOlGl.
- 8. Tests Conducted:
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x. 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
- ".".!"*', :-'* ..:.i:_" ***,,* ,_ .... :* FORM NIS-2 (Back) None 9. Remarks-----------------------~------------------------
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repair conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A------------------------------ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed~..£_c;iA_
- <<<'. .LS£ ~er or O~nee, Title Date--0.~e~r;~~/~O~---, 19 ~.r CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co*
- of _______ H_a_r_t_f_o_r_d_, __ C_t_. --------------,a:=-----:have inspected the components described l{)-l LI.~ q'3 to { .... l L.{' 'H, , and state that in this Owner's Report during the period I to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in:accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspe~ ~-It) (\ --~4---=-----
..... tL,f--'~-~~~-------Commissions _______ v_a_. __ 5_4_3 ___________ _ Inspector's Signature National Board, State, Province, and Endorsements Date ____ f~6_-..L/_,,b.___19
- , . ' * *-*
- *
- Attachment II Page 64 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner ______________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23BB3 Address 3. Work Performed by _ __,.37'-'"i-'-r~g;.._i ou.1 ...
- a ...... P""a ...
Name Same as above Address 12/5/95 Date ___________________ _ One Unit-------------------- wo#00326410-02, RR#95-209 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ...,,.,.~------ Authorization No. __ N_A ___________ _ Expiration Date __ __:N::.A:.._ __________ _ 4. Identification of Systern ____ R_ea_c_t_o_r_c_oo_l_a_n_t _____________________________ _ 5. (al Applicable Construction Code B 31
- 1 19_5_5_ Edition,_N_A
______ Addenda, __ N_-_1_' _N_-_7 ___ Code Casa (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 B9 6. Identification of Components Repaired or Replaced and Replacement Components ASME _Code National Repaired, Stamped Name of Name of M_anufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Copes-Part# rim Assembly(plug) Vulcan, Inc. 13142B NA -RC-PCV-1455A NA Replaced No ' rim Assembly(plug) Copes-Part# Vulcan, Inc. 13142B NA -RC-PCV-1455A NA Replacement No 7. Description of Work.....c=mmuw=~--------------------,-__:_ _______________ _ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT511961
- 9. Remarks------------------------------------------------
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ Certificate of Authorization No. NA Expiration Date ____ N_A ___________ _ Signed <i)J<:/., ,t} :.c.ut,,-".'." D.Z:~4L~,,e Owner or Ownef~e, Title Date_).)-="-"L.,c. ..
- ce* ..... 'f'" ..... ______ , 199.S::::
CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of _______ H_a_r_t_f_o_r_d_, __ C_t_. --------,-,------,-,..=---"'.""have inspectesf the components described in this Owner's Report during the period _____ +-"'D"---..-,.l_'..\._,_ ... _._3 __ to lb .. I £.l..-lJ.,. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this i-n-sp_e_c_t-io-n-ll~r===-='--..:.::.--:f.-=-:.--&tL-=-=------Commissions _______ V_a_._5_4_3 ___________ _
- Inspector's Signature National Board, State, Province, end Endorsements Date ____ +/-=~~-~f
_f _19 'f * *
- *
- Attachment II Page 65 of 74 Serial No.: 95*594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------.,...,..-------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __,v_.i_.r,.g.._in.._* 1....,* a....._.P..:.o ... Neme Same as above Address . 11/7./95 Date ________ '--------'------ 1 1 Sheet _____ of _____________ _ One Unit ___________________ _ W0#00317397-01, RR#95-2i°O Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ~N"'A'--------'-- NA Authorization No,--------------- Expiration Date ___ N_A ___________ _ 4. Identification of System ____ ch_e_m_i_* c_a_l_a_nd_v_o_l_u_m_e_c_o_n_t_r_o_1 _______________________ _ 5. (a) Applicable Construction Code 83 1.1 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6: Identification of Components Repaired or Replaced. and Replacement Components '. National Name of Name of Manufacturer Board Other Compon.ent Manufacturer _Serial No. No. Identification Relief Valve Crosby. Type JB-25,B *.NA 1-CH-RV-1382B Relief Valve Crosby Type JB-25,B NA 1-CH-RV-1382B . -* 7. Description of Work Replace relief valve. 8. Tests Conducted: Hydrostatic Pneumatic 0 Other D Pressure NO,t>> Nominal Operating Pressure @' psi Test Temp. µor ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY:z in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SNT378396
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conform*s to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A-----------------------------~ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signe£}.£~
- I.ff ~jL/Z Owner orner's Deslgnee, Title Date-~~~""~*~"------, 19 9.£: CERTIFICATE OF INSERVICE INSPECTION . I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. ------------------------,--------have ins1?_e.9ted the components descri~ed in this Owner's Report during the period /t>-l':{*'l'3to
(()-/4-f.I.. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspecth~~
- . /U I\ Va. 543 ---'~>--""'"_,_"'~~-'---'L_.__
__ __ ~~-----Commissions ____________________ _
- Inspector's Signature National Board, State, Province, and Endorsements Date * *
- *
- Attachment II Page 66 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner_----------,-,,--------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ Name Same as above Address 12/5/95 Date ____________________ _ 1 1 Sheet _____ of _____________ _ One Unit--------------------- wo#00317907-01, RR#95-211 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stanip ___ ...cN.c:.A;:__ ______ _ NA Authorization No . .:.* ____ .:...;..;;.;.:._ ________ Expiration Date ____ NA ____________ _ 4. Identification of System ____ R_e_s_i_d_u_a_l_H_ea_t_R_e_m_o_v_a_l ___________________________ _ 5. (al Applicable Construction Code 83 1.1 19~Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. Relief Valve Crosby.Valve NA N6997.3.-Relief Valve Crosby Valve 01-0003 7, Description of Work Replace relief valve. 8. Tests Conducted: Hydrostatic Pneumatic D Other D Pressure IIOt' No. Identification NA 1-RH-RV-1721 NA 1-RH-RV-1721 Nominal Operating Pressure psi Test Temp, ~nrr ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT485706
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI.
- repair or replacement Type Code Symbol Stamp ______ N_A-----------------------------~
Certificate of Authorization No. ___ ..;:N.c:Ac.c.... __________ Expiration Date ____ N_A __________ _ Signe/.JJj/ L} */ ~eroTowWs~tle Date_~:::n='~t.t:G-~,-.S:~----, 19 9C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. have ins~c;ted the components described ID .. I 4 -'1 '-.. and state that . in this Owner's Report during the period to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a Joss of any kind arising from or connected with this inspectio~n. ~/f)r\a.. Va. 543 ---+-~<-----:...__...---'~--~~-------Commissions ____ -,--------------------lnspector's Signature National Board, State, Province, and Endorsements Date ___ --+-/-=l=-~-{'-'-( __ 19 q £ *
- Attachment I I Page 67 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner _______________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3; Work Performed by _ __.y .... i_.r.,.g..,.i,..n ... i...,a....._P,,o.,w""e""r _________ _ Name Same as above Address 11/7 /95 Date ____________________ _ 1 1 Sheet _____ of _____________ _ One Unit--------------------- W0#00317396-0l, RR#95-213 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ _eN,,cAs..._ ______ _ NA Authorization No. _____ ....:_....:_....:__;.._ __ ....:__:__ Expiration Date ___ N_A ____________ _ 4. Identification of System ____ c_h_e_m_i_c_a_l_an_d_v_o_l_u_m_e_c_o_nt_r_o_l _________________________ _ 5. (a) Applicable Construction Code B 3 l. 1 19_5_5_ Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Relief Valve Crosby Type JB-25,B NA 1-CH-RV-1382A NA Replaced No Relief Valve Crosby Type JB-25,B NA 1-CH-RV-1382A NA Replacement No 7. Description of Work Replace relief valve with valve previously installed at 1-CH-RV-1382B.
- 8. Tests Conducted:
Hydrostatic Pneumatic D Other D Pressure AJO~ Nominal Operating Pressure psi Test Temp. NO,..-° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) None *--~-.........._ __ ----------. . 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol StamP---------~---------------------------- NA NA Certificate of Authorization No, _______________ Expiration Date _______________ _ Signed '2£. / -'/ T,£7"" Owneror~ee, Title Date-~A4--=-- .. ~.._.,._~'?'-------, 19 2s CERTIFICATE OF INSERVICE INSPECTION I, the undersigne$1,, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . virginia HSBI and I Co. or Province of and employed by of Hartford, ct. have insp~tjld the components described in this Owner's Report during the period (D -.(4-'7.3 to I ti .. ( lf ... 7..b , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning th_e examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. n ...0... _/) /t) /) Va. 543 -----~_.1->-1'--->1"' 1~n=sp=-e.::..c-to_;__r'_s_S ... yh1g ... n'"" 0 a-tu-~=re:c...a'-------Commissions _____________________ _ National Board, State, Province, and Endorsements Date *
- Attachment II Page 68 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------.,..,..-------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant----------..,.,------------ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __,.v ..... i ... rg!,!,1..J 0 Pc.LJu 0 a ....... P"-a ... w.:e ... r _________ _ Name Same as above Address 10/24/95 Date _____________ ~------One Unit-------------------- W0#00326463-02, RR#95-222 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ .,J,i.eL_ ______ _ Authorization No. __ N_A ___________ _ Expiration Date __ ---=N"-A=--------------
- 4. Identification of System ____ B_l_o_w_D_o_wn
________________________________ _ 5. (a) Applicable Construction Code B 3 1.i 19~Edition,_N_A ______ Addenda, __ N_-_1_'_N_-7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components .. '* .. .... National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. No. Identification Bonnet Conval, In_c . NA NA 1-BD-21 Seller ID# Bonnet Conval, inc. 12G4C-105 NA 1-BD-21 7. Description of Work Repack ,raJ ve rep] ace bonnet 8. Tests Conducted: Hydrostatic Pneumatic D Other D Pressure Alo), Nominal Operating Pressure psi Test Temp. ;VO,: ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# SSY137912.
- 9. Remarks--------------.
,-,----,----------------
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI.
- repair or replacement Type Code Symbol Stamp ______ N_A _____________________________
_ Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed Q~ --.:zs_z-~,.v~ Owner or o~, Title Date __ cz_""'::-=*-Z.~Y----,, 19 'iC: CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State_ or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. in this Owner's Report during the period _____ __,~,_.(j_-~/Y~--'f_3 __ to have ins.g~ted the components described It? -(If *'ff.. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in.accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in* this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection~ !. II) t\ ----~-~~~---~L~--~--------Commissions _______ V_a_. __ 5_4_3 ___________ _ -Inspector's Signature National Board, State, Province, and Endorsements Date, ____ /---=c.D_-_l_b-'--19 er 5(
- f' *
- Attachment 11 Page 69 of 74 Serial No.: 95-594 Docket No.: 5D-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner ______________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __,Vc.i..;.r-iog:.._i o .... ,..,* a ....... Name Same as above Address 10/25/95 Date __________________ _ One Unit-------------------- W0#00307972-01, RR#95-223 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ _.N,::A,..._ ______ _ NA Authorization No.-------------- Expiration Date __ ___;:Nc:A::...... __________ _ 4. Identification of System ____ M_a1_* n_s_t_e_a_m _______________________________ _ 5. (a) Applicable Construction Code B 3 1.l 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 B9 6. Identification of Components Repaired or Replaced and Replacement Components .. ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Part# Plug & Stem Fisher 11A5392X042 NA 1-MS-PCV-102B NA Replaced No Part# Plug & Stem Fisher 11A53 92X042 NA 1-MS-PCV-102B NA Replacement No 7. Description of Work,-.J..IJllll:l:Lru.1..!._:lra..l..Y!L.... ________________________________ _ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Purchase order# CNT475943.
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A __________________ _,,_ __________ _ Certificate of Authorization No. NA Expiration Date ____ N_A __________ _ Signed~ ,.Lf/ p ./__,, $'.z-£.ug~ Date C&,,:; .2..C ~+/-r or0wn~!e~1e ,10 PC CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. ---------------------------=------have inspected the components described in this Owner's Report during the period _____ ...,/""l>_-~/_'-~/-~r~3~-to Io~ I Y -'(f. ' , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this i-n-sp_e_c_t-io-'~"-* .=..,-.=.....,LJ-=-.,__ _ __,:f~. _* -~--------Commissions _______ v_a_. _5_4_3 __________ _
- Inspector's Signature National Board, State, Province, and Endorsements Date ** '-.
- \
- Attachment II Page 70 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner _______________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant __________ -::-:------------- Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3; Work Performed by_----'v ... Name Same as above Address 11/2/95 Date_-"------~------------- 1 1 Sheet _____ of _____________ _ One Unit--------------------- W0#00327895-01, RR#95-224 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ _:N:::Ac:._ ______ _ NA Authorization No.--------------- Expiration Date ___ N_A ____________ _ 4. Identification of System ____ R_e_a_c_t_o_r_c_o_o_l_a_n_t ______________________________ _ 5. (a) Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Man u factu re r Serial No. No. Identification Built or Replacement or No) Component Repaired Support NA NA NA -RC-HCV-1557C NA No .**. 7. Description of Work Repair broken grout around support baseplate.
- 8. Tests Conducted:
Hydrostatic Pneumatic D Nominal Operating Pressure D Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 l FORM NIS-2 (Back) None 9. Remarks--------------------------------------------- Appllcable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repaired conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No. ____ N_A __________ Expiration Date ____ N_A __________ _ Signed Q.cL ,J . ,,, _::TSf Owner o~nee, Title D ~v! 19 ate--~~-~-~--~-----, CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. ---------------------------=,,.----Thave inspecte,d the components described in this Owner's Report during the. period (0 -!Ll.-C/ '3 to /D ft.I~ q !.. , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this
- I inspon. fl .{j.. ' /() /) Va. 543 -....u-lJ--u-~!..,_.~bl'"~-=a.---'~--"1-~*--~~~-------Commissions
____ -,------------------- ~Pecor's Signature National Board, State, Province, and Endorsements Date 1(-l ,01.C * ** *
- Attachment II Page 71 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner-----------,-------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3, Work Performed by _ __.v_.i.._r.,.a1..,* 0 .... 1 ..
- a._.P.,.o.,.w
... er.._ ________ _ Name Same as above Address 11/2/95 Date ___________________ _ One Unit ___________________ _ W0#00327495-0l, RR#95-225 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ~N=A~------- NA Authorization No.--------------- Expiration Date ___ N_A ___________ _ 4. Identification of System ____ R_e_a_c_t_o_r_co_o_l_an_t _____________________________ _ 5. (al Applicable Construction Code B 31
- 1 19_5_5_ Edition,_N_A
______ Addenda, __ N_-_1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Component Support NA NA .NA -RC-HCV-1556C NA Repaired No 7. Description of Work Repair broken grout around support baseplate.
- 8. Tests Conducted:
Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ______ °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is SY. in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered.and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) None 9. Remarks ____________________________________________ _ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the* report are correct and this repaired conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ Certificate of Authorization No, ___ .=Nc;:A:..::... _________ Expiration Date ___ .....:cN.:.::A=----------- Signed ;:}_ J j)_ 7ff ~;n{fc;,~e,"rltle Date-~M~tP~/4~~~-----, 19 ?.C CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia
- and employed by HSBI and I Co* of Hartford, Ct* have inspec:'}
the component~ described in this Owner's Report during the period /tJ., /ff -1Jto /tJ -/4-1'.:'-, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspecti~ 1 /,) n ---~ ....... _.,._~~--~-~-,---~~---~---Commissions _______ V_a_._5_4_3 __________ _ Inspector's Signature National Board, State, Province, and Endorsements Date *
- FORM NIS-2 OWNER'S REPORT FO~ REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 11/2/95 Attachment II Page n of 74 Ser;aL No.: 95-594 Docket No.: 50-280 Virginia Electric and Power Co. 1. Owner __________
,-,-__________ _ Name Date 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet of Address One Unit Surry Power Station 2. Plant Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00300427-01, RR#95-226 Address Repair Organization P.O. No., Job No., etc. 3'. Work Performed by _ __.v_.i..,r.,.a .. in ... 1...,* a.._.P""o"'w ... e._r _________ _ Name Type Code Symbol Stamp ___ _.N,,A"--------- NA Authorization No. _____________ _ Same as above Expiration Date ___ N_A ___________ _ Address 4. Identification of System ____ R_ea_c_t_o_r_c_o_o_la_n_t _____________________________ _ 5. (al Applicable Construction Code B 3 l.l 19~Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Pathon-Snubber Paul Munr9E: NA NA 1-RC-HSS-138 NA Repaired No ' 7. Description of Work Machine snubber rod eye paddle per BT# S-95-0375 1 Rev. o. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8Ya in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) None 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repaired conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _______________________________ _ ___ ...:N:..cA=-=-----------Expiration Date ____ N_A ___________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. in this Owner's Report during the period /CJ-It/,-'t3 to have inspecte9,, the components described /6 " I ':t -C/ 1c, , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.~/.
- f) () Va. 543 -----11-~---~--...,...~--,--~-~------Commissions
_____________________ _
- Inspector's Signature National Board, State, Province, and Endorsements Date ___ _._/-'-/ -__.i,__19 CZ s-* *-.
- Attachment II Page 73 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
- Virginia Electric and Power Co. 1.
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by _ __:Vc:i,.;:rcag.:i:.:n=.ia:::...:P:.;:o;..awc:e.:r _________ _ Name Same as above Address 11/30/95 Date ___________________ _ 1 1 Sheet _____ of _____________ _ One Unit-------------------- W0#00327955-0l, RR#95-227 Repair Organization P.O. No., Job No., ate. Type Code Symbol Stamp ____ N_A _______ _ NA Authorization No. ______________ _ Expiration Date ___ N_A ___________ _ 4. Identification of System ____ B_lo_w_d_o_w_n ________________________________ _ 5. (a) Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A ______ Addenda, __ N_-_1_'_N_-_7 __ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8 9 6. Identification of Components Repaired or Replaced and Replacement Components National Name of Name of Manufacturer Board Other Component Manufacturer Serial No. Fig.# Bonnet Conval 12G4-105 Fig.# Bonnet Conval 12G4-105 7. Description of Work Replace valve bonnet. 8. Tests Conducted: Hydrostatic Pneumatic 0 Other D Pressure 110> No. Identification NA 1-BD-1 NA 1-BD-1 Nominal Operating Pressure psi Test Temp, Nor ° F ASME Code Repaired, Stamped Year Replaced, (Yes Built or Replacement or No) NA Replaced No NA Replacement No NOTE: Supplemental sheets in form of lists, sketches, ,or drawings may be used, provided (1) size is 8Y:z in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY18342 9. Remarks---------------------------------------------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A----------------------------~~
Expiration Date ____ N_A __________
_ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct* have in~eyted the components described in this Owner's Report during the period /D
- I Lf ... q.3 to (0 *ft.( .. I b , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspe1:~ ~. Ir) (\ __ ib ...... ~~~'--~~---L~--,---~--------Commissions
_______ v_a_._5_4_3 ______ -'-----1 nspector's Signature National Board, State, Province, end Endorsements Date _____ _,_/.,.~_-_,_} _19 9 S-
- Attachment II Page 74 of 74 Serial No.: 95-594 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner _______________________
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3.
- Work Performed by __ v~1=* r""'g..,1=*
n=1=* a~P~o~w=e=r _________ _ Name Same as above Address 12/5/95 Date ____________________ _ 1 1 Sheet _____ of _____________ _ One Unit--------------------- W0#00328098-0l, RR#95-228 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ...:N:.::Ac:.._ ______ _ NA Authorization No.--------------- Expiration Date ____ NA ____________ _ 4. Identification of System ____ c_h_e_m_i_c_a_l_a_n_d_v_o_l_u_m_e_c_o_n_t_r_o_l ________________________ _ 5. (al Applicable Construction Code B 3 l.l 19_5_5_Edition,_N_A ______ Addenda, __ N_-1_' _N_-_7 ___ Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Allied Nut & Studs Bolt Co., Inc. NA NA l-CH-97-1502 NA Replacement No Cardinal Ind. Nuts Products, Inc. NA NA l-CH-97-1502 NA Replacement No 7, Description of Work Replace flange fasteners.
- 8. Tests Conducted:
Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SSY392856(studs), CSY356332(nuts)
- 9. Remarks ____________________________________________
_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A----------------------------'--- Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A ________ ~--Signed~ -/~,/J -tl~e"fSf .&,&,.v& ~~e,Tltle Date_-")-=:S::.=*'-".s':..__ _____ , 19 ~L CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. in this Owner's Report during the period ______ /~6_-~1~4---'i-J~-to have inspecte9 the components described I {j '"' I LI -9 k, , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspen !. /D ~AJ ---'11~,t!.-&L_~~='----...,d::..:.'-='----'~-""'---'""'"",_,"'-"'"'..__ ____ commissions _______ v_a_. _5_4_3 __________ _ Inspector's Signature National Board, State, Province, and Endorsements Date / :}.-/~19 9s-" * .}}