ML070600487: Difference between revisions
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| issue date = 02/23/2007 | | issue date = 02/23/2007 | ||
| title = Various IWE Data Sheets 10/19/2006-10/20/2006 | | title = Various IWE Data Sheets 10/19/2006-10/20/2006 | ||
| author name = O'Hara T | | author name = O'Hara T | ||
| author affiliation = NRC/RGN-I | | author affiliation = NRC/RGN-I | ||
| addressee name = | | addressee name = | ||
Line 17: | Line 17: | ||
=Text= | =Text= | ||
{{#Wiki_filter:TOP CLASSIFICATION: UNCLASSIFIED NRC INSPJTEAM: | {{#Wiki_filter:TOP CLASSIFICATION: UNCLASSIFIED NRC INSPJTEAM: trxaarpre 050002I 912006-013 DOCUMENT SOURCE: -mmp&s: LICENSEE FINAL-T Document DOCUMENT PROVIDER: Tim 0Hara (2/23/07) | ||
DOCUMENT SOURCE: - | |||
Tim | |||
ADAMS PROFILE INFORMATION PROFILE TAB: | ADAMS PROFILE INFORMATION PROFILE TAB: | ||
Document Date: Varies | Document Date: Varies see list below I d/.clbC Document Type: Licensee Document Availa bilify: | ||
==Title:== | |||
Non-Publicly Available (ALWAYS) | |||
(lY 1UV x w c o ~ Y , sid)? | |||
IWE Data Sheet I R21LR-003 VT, Bay 9 (3 IWE Data Sheet 7R2lLR-004VT, Bay 7 (6 IWE Data Sheet VT, Bay 15 (2 pages), | |||
) ~ | |||
IWE Data Sheet VT, Bay 13 (1 page), 10/20/06 IWE Data Sheet VT, Bay 1 (I page), 10/20/06 IWE Data Sheet VT, Bay 1 (2 pages), 10/20/06 Keyword [Mq: SUNSf Review Complete: Yes (ALWAYS) | |||
+Template: RGN-001 (Pick one) | |||
/ | Document Sensitivity: Non-Sensitive, Licensee document SECURITY TAB: | ||
RI DRS-BS as Owner DPC as Owner OGC as Author NRR as Viewer RI as Viewer Once saved, copy to DPC under Normal Processing Move Processed Document into ADAMS Profiling Complete Folder in WP Profile Complete Date: Initials: | |||
: | |||
:puabe I I 3 | |||
ER-AA-335-018 Revision 3 I Page 27 of 29 ATTACHMENT 4 ASME IWE (Class MC) Containment Visual Examination Record RESULTS Illumination Used L, w-,- lllumination Verified: | Bay 9 | ||
Date: io -zb- 0 b Time: | |||
I Component | ER-AA-335-018 Revision 3 I Page 27 of 29 ATTACHMENT 4 ASME IWE (Class MC) Containment Visual Examination Record Page 1 of 1 Station:a,,s&t 8 | ||
/ Item Number and Description (e.g. EIN, EID, etc.) | Unit: \ Exam Data Sheet. No.: Exam Date: 10 19 .& (33C System: \ g ~Examination P r o c e d u r e ~ . n ~ t - 3 3 5 - 0 lRev. ~ 3 Work Order No(s).'i?a88qo(, -, | ||
Location: Building: Elev.: 15 Col.: $4 Row: Azimuth/Radius: | |||
/ Notes ( | Exam Type: /JDV D G V W T - 1 UVT-3 Type Of Exam: BDirect CJRemote Matl. Type: qs I Design Drawing(s) .l/n Visual Aids: f-4 L&&- | ||
Surface: ID [OD) Surface / Components Coated: YES NO M&TE Used: | |||
VA i UTC or Serial No. Cal. Due Date: I$/ | |||
Illumination Used m , + C i G f i Illumination Verified: Date: lo.\q-oG Time: I 3 z0 Special / Specific Instructions: I Component / Item Number and RESULTS ExDlanation I Notes Description I.N. (As a minimum,' Record Location and Size of (e.9. EIN, EID, etc.) Recordable Indications as applicable) | |||
NI - No Indications RI - Recordable IndicatiGn 1.N.- Indication Number (if applicable) | |||
Recordable Indication Type Codes: | |||
A. Wear G. Blistering M. Missing Components S. Deviation From Design Drawing B. Corrosion I Pining H. Peeling N. Loose Components T. Missing Paint Or Coating C. Mech. Damage I. Discoloration 0. Tears U. Bulges / Deformation D. Erosion J. Pitting P. Coating Damaged V. Missing / Incomplete Welds E. Cracks K. Nicks I Gouges Q. Leakage / Moisture W. Arc Strikes F. Flaking L. Dents R. Dislodged Seal, Gasket, 2 . Other (Provide Explanation) or Moisture Barrier Supplemental Information :@Yes UNO Sketch to UVideo 0Other (Describe): | |||
VISUAL EXAMINER SIGNATURE & LEVEL 53-r DATE: l O - I q | |||
* O d NDE LEVEL Ill SIGNATURE: u wufi@L DATE: {O- 2o.gb RESP. INDIVIDUAL SIGNATURE: DATE: | |||
FINAL DISPOSITION BY LEVEL Ill I RESP. INDIVIDUAL Accept 0 Reject 5;ZE \ | |||
1 PEA A b *)(14; Comments: ~ O T E(I: | |||
&?El4 ;s ClE-5 .Caen!E? | |||
O f i Q 6 A T 5;0& | |||
I2 ' 3 " Et. c/40 %A-E=5u@%-c3-Loccr/l?dG md I , | |||
L i b 663Tdr COdC yz ANI1 REVIEW SIGNATURE: ' DATE: | |||
ER-AA-335-018 Revision 3 I Page 27 of 29 ATTACHMENT 4 ASME IWE (Class MC) Containment Visual Examination Record Illumination Used L, w-,- lllumination Verified: Date: io -zb- 0 b Time: 0 3 ~5 Special / Specific Instructions: I Component / Item Number and RESULTS Explanation / Notes Description R1 TYPE I.N. (As a minimum, Record Location and Size of (e.g. EIN,EID, etc.) Recordable Indications as applicable) idor: | |||
Results Legend: | |||
N1 - No Indications RI - Recordable Indication 1.N.- Indication Number (if applicable) | |||
Recordable IndicationType Codes: | |||
A. Wear G. Blistering M. Missing Components S. Deviation From Design Drawing | |||
: 8. Corrosion / Pitting H. Peeling N. Loose Components T. Missing Paint Or Coating C. Mech. Damage 1. Discoloration 0. Tears U. Bulges / Deformation D. Erosion J. Pitting P. Coating Damaged V. Missing / Incomplete Welds E. Cracks K. Nicks /Gouges Q. Leakage 1 Moisture W. Arc Strikes F. Flaking 1. Dents R. Dislodged Seal, Gasket, Z. Other (Provide Explanation) or Moisture Barrier Supplemental Information : MYes UNO Sketch aPhoto DVideo Other (Describe): | |||
VISUAL EXAM1NER SIGNATURE: s a | |||
. d Ti LEVEL J r DATE: / O - z d -e (b NDE LEVEL I l l SIGNATURE: DATE: | |||
RESP. INDIVIDUAL SIGNATURE: DATE: I FINAL DISPOSITION BY LEVEL 111 / RESP. INDIVIDUAL D Accept c)Reject Comments: | |||
I 1 ANI1 REVIEW SIGNATURE: DATE: | |||
c L | |||
Bay 15 | |||
ER-AA-335-018 Revision 3 I Page 27 of 29 ATTACHMENT 4 ASME IWE (Class MC) Containment Visual Examination Record Page 1 of 1 Station: O y s R cwc Unit: Exam Data Sheet. No.: Exam Date: /o-)fj-06 System: 89 Examination Procedure fR-1)R- 335-018 Rev. 3 Work Order No(s).:&~~&)~ Z O - , | |||
Location: Building: R )( Elev.: 15' Col.: d/A Row: N / f l Azimuth/Radius: | |||
Exam Type: DV D G V BVT-1 OVT-3 Type Of Exam: aDirect DRemote Matl. Type: C / 5 1 Design Drawing(s) AjA Visual Aids: FLAsHC1&)+r Surface: ID (OD) Surface / Components Coated: YES NO M&TE Used: E)( A- UTC or Serial No. E, I,+ Cal. Due Date: | |||
Illumination Used F M N L , b G r Illumination Verified: Date: 10- 18-06 Time: 2 3 j5 Special / Specific Instructions: I Component / Item Number and RESULTS I ExDlanation / Notes ~~ | |||
Description Ni RI TYPE I.N. (Asa rninimum,'Record Location and Size of (e.g. EIN, EID, etc.) I Recordable indications as applicable) | |||
Results Legend NI - No Indications RI - Recordable Indication 1.N.- Indication Number (if applicable) | |||
Recordable Indication Type Codes: | Recordable Indication Type Codes: | ||
A. Wear G. Blistering M. Missing Components S. Deviation From Design Drawing B. Corrosion / Pitting H. Peeling N. Loose Components T. Missing Paint Or Coating C. Mech. Damage I. Discoloration 0. Tears U. Bulges I Deformation D. Erosion J. Pitting P. Coating Damaged V. Missing I Incomplete Welds E. Cracks K. Nicks / Gouges Q. Leakage / Moisture W. Arc Strikes F. Flaking | |||
- L. Dents R. Dislodged Seal, Gasket, 2. Other (Provide Explanation) or Moisture Barrier Supplemental Information : Dyes B N o 0Sketch OPhoto UVideo 0Other (Describe): | |||
, r VISUAL EXAMINER SIGNATURE: .&%&d , 5 P - t &Fv\ LEVEL ZE DATE: i 0 - 1 & - 6 & | |||
NDE LEVEL Ill SIGNATURE: DATE: | |||
RESP. INDIVIDUAL SIGNATURE: DATE: | |||
FINAL DISPOSITION BY LEVEL I l l / RESP. INDIVIDUAL 0Accept Reject Comments: | |||
ANI1 REVIEW SIGNATURE: DATE: | |||
ER-AA-335-018 Revision 3 I Page 27 of 29 G | |||
Component / Item Number and RESU rs Explanation I Notes Description NI I RITYPE I.N. (As a minimum, Record Location and Size of (e.9. EIN, EID, etc.) Recordable Indications as applicable) | |||
@I4 Results Legend: | |||
NI - No Indications RI - Recordable Indication 1.N.- Indication Number (if applicable) | |||
Recordable IndicationType Codes: | |||
A. Wear G. Blistering M. Missing Components S. Deviation From Design Drawing | |||
: 8. Corrosion I Pitting H. Peeling N. Loose Components T. Missing Paint Or Coating C. Mech. Damage I. Discoloration 0. Tears U. Bulges I Deformation D. Erosion J. Pitting P. Coating Damaged V. Missing I Incomplete Welds E. Cracks K. Nicks f Gouges Q. Leakage f Moisture W. Arcstrikes F. Flaking L. Dents R. Dislodged Seal, Gasket, Z. Other (Provide Explanation) or Moisture Barrier Supplemental Information : U Y e s B N o Sketch UPhoto UVideo 0Other (Describe): | |||
dlSUAL EXAMINER SIGNATURE: &0;Dd R. Z ~ d U F Q LEVEL :< DATE: 10-19-Ed I D E LEVEL Ill SIGNATURE: DATE: | |||
3ESP. INDIVIDUAL SIGNATURE: DATE: | |||
-INAL DISPOSITION BY LEVEL Ill / RESP. INDIVIDUAL 0Accept 0Reject 2omments: | |||
4NII REVIEW SIGNATURE: DATE: | |||
ER-AA-335-018 Revision 3 I Page 27 of 29 ATTACHMENT 4 ASME IWE (Class MC) Containment Visual Examination Record Page 1 of 1 Station: ( 3 y S T t ~t e e g u n i t : i Exam Data Sheet. No.: Exam Date: jb-zo &, 63/a System: j p,7 Examination Procedure fg-.fip 345-016 Rev.- 3 Work Order No(s).:$~ap2&&bI Location: Building: @x Elev.: 15' Col.: U )/r Row: Azirnuth/Radius: | |||
Exam Type: DV D G V W T - 1 DVT-3 Type Of Exam: BDirect ORemote Matl. Type: c / 5 I Visual Aids: FLp,SC)Lj&rCt Surface I Components Coated: YES 0 NO M&TE Used: ),J\A UTC or Serial No. 1 A Cal. Due Date: u j ~ | |||
Illumination Used F ~ q ~ ~ ~ l 6 f i r Illumination Verified: Dale: 10- 20 -06 Time: 03 Special I Specific instructions: I Component / Item Number and RESU Description Rt TYPE (As a minimum, Record Location and Size of (e.g. EIN, EID, etc.) | |||
CONYAtHtVwtT sorrmct: | |||
ilmx BMRIER k w CbAffdG H A S f)REA of S E P f l f i N - ~ O ~ | |||
A. Wear G. Blistering M. Missing Components S. Deviation From Design Drawing B. Corrosion | Results Legend: | ||
/ Pitting H. Peeling N. Loose Components T. Missing Paint Or Coating C. Mech. Damage I. Discoloration | NI - No Indications RI - Recordable Indication 1.N.- Indication Number (if applicable) | ||
: Dyes | |||
.&%&d , | |||
DATE: | |||
ER-AA-335-018 Revision 3 I Page 27 of 29 rs I.N. | |||
Recordable Indication | |||
: 8. Corrosion I Pitting H. Peeling N. Loose Components T. Missing Paint Or Coating C. Mech. Damage I. Discoloration | |||
: | |||
dlSUAL EXAMINER SIGNATURE: | |||
& 0;Dd R. Z~d | |||
3ESP. INDIVIDUAL SIGNATURE: DATE: -INAL DISPOSITION BY LEVEL Ill / RESP. INDIVIDUAL | |||
4NII REVIEW SIGNATURE: DATE: | |||
i Exam Data Sheet. | |||
No.: Exam Date: jb-zo &, 63/a System: j p,7 Examination Procedure fg-.fip | |||
@x Elev.: 15' Col.: U )/r Row: Azirnuth/Radius: | |||
Exam Type: DV | |||
c/5 I Visual Aids: | |||
FLp,SC)Lj&rCt Surface I Components Coated: | |||
YES 0 NO M&TE Used: ),J\A UTC or Serial No. 1 A Cal. Due Date: | |||
10- 20 -06 Time: 03 Special I Specific instructions: | |||
I Component | |||
/ Item Number and Description (e.g. EIN, EID, etc.) CONYAtHtVwtT sorrmct: | |||
Results Legend: NI - No Indications RI - Recordable Indication 1.N.- Indication Number (if applicable) | |||
Recordable Indication Type Codes: | Recordable Indication Type Codes: | ||
A. Wear G. Blistering M. Missing Components S. Deviation From Design Drawing | A. Wear G. Blistering M. Missing Components S. Deviation From Design Drawing | ||
: 6. Corrosion I Pitting H. Peeling N. Loose Components T. Missing Paint Or Coating C. Mech. Damage I. Discoloration | : 6. Corrosion I Pitting H. Peeling N. Loose Components T. Missing Paint Or Coating C. Mech. Damage I. Discoloration 0. Tears U. Bulges I Deformation D. Erosion J. Pitting P. Coating Damaged V. Missing / Incomplete Welds E, Cracks K. Nicks / Gouges Q. Leakage I Moisture W. Arc Strikes F. - | ||
Flakina L. Dents R. Dislodged Seal, Gasket, or Moisture Barrier Z. Other (Provide Explanation) | |||
Arc Strikes F. Flakina L. Dents R. Dislodged Seal, Gasket, Z. Other (Provide Explanation) | Supplemental Information : @Yes U N O 0Sketch @Photo UVideo Other (Describe): | ||
: @Yes | -~ | ||
-~ VISUAL EXAMINER SIGNATURE: | VISUAL EXAMINER SIGNATURE: rt3 a,Fa - | ||
rt3 a, Fa LEVEL Lc DATE: | LEVEL Lc DATE: I D - 2 6 - @ & | ||
DATE: RESP. INDIVIDUAL SIGNATURE: DATE: FINAL DISPOSITION BY LEVEL Ill / RESP. INDIVIDUAL | NDE LEVEL Ill SIGNATURE: DATE: | ||
RESP. INDIVIDUAL SIGNATURE: DATE: | |||
FINAL DISPOSITION BY LEVEL Ill / RESP. INDIVIDUAL 0Accept Reject Comments: | |||
ANI1 REVIEW SIGNATURE: DATE: | |||
Bay 11}} | Bay 11}} |
Latest revision as of 19:38, 13 March 2020
ML070600487 | |
Person / Time | |
---|---|
Site: | Oyster Creek |
Issue date: | 02/23/2007 |
From: | O'Hara T NRC Region 1 |
To: | |
References | |
ER-AA-335-018 IR-06-013 | |
Download: ML070600487 (16) | |
Text
TOP CLASSIFICATION: UNCLASSIFIED NRC INSPJTEAM: trxaarpre 050002I 912006-013 DOCUMENT SOURCE: -mmp&s: LICENSEE FINAL-T Document DOCUMENT PROVIDER: Tim 0Hara (2/23/07)
ADAMS PROFILE INFORMATION PROFILE TAB:
Document Date: Varies see list below I d/.clbC Document Type: Licensee Document Availa bilify:
Title:
Non-Publicly Available (ALWAYS)
(lY 1UV x w c o ~ Y , sid)?
IWE Data Sheet I R21LR-003 VT, Bay 9 (3 IWE Data Sheet 7R2lLR-004VT, Bay 7 (6 IWE Data Sheet VT, Bay 15 (2 pages),
) ~
IWE Data Sheet VT, Bay 13 (1 page), 10/20/06 IWE Data Sheet VT, Bay 1 (I page), 10/20/06 IWE Data Sheet VT, Bay 1 (2 pages), 10/20/06 Keyword [Mq: SUNSf Review Complete: Yes (ALWAYS)
+Template: RGN-001 (Pick one)
Document Sensitivity: Non-Sensitive, Licensee document SECURITY TAB:
RI DRS-BS as Owner DPC as Owner OGC as Author NRR as Viewer RI as Viewer Once saved, copy to DPC under Normal Processing Move Processed Document into ADAMS Profiling Complete Folder in WP Profile Complete Date: Initials:
- puabe I I 3
Bay 9
ER-AA-335-018 Revision 3 I Page 27 of 29 ATTACHMENT 4 ASME IWE (Class MC) Containment Visual Examination Record Page 1 of 1 Station:a,,s&t 8
Unit: \ Exam Data Sheet. No.: Exam Date: 10 19 .& (33C System: \ g ~Examination P r o c e d u r e ~ . n ~ t - 3 3 5 - 0 lRev. ~ 3 Work Order No(s).'i?a88qo(, -,
Location: Building: Elev.: 15 Col.: $4 Row: Azimuth/Radius:
Exam Type: /JDV D G V W T - 1 UVT-3 Type Of Exam: BDirect CJRemote Matl. Type: qs I Design Drawing(s) .l/n Visual Aids: f-4 L&&-
Surface: ID [OD) Surface / Components Coated: YES NO M&TE Used:
VA i UTC or Serial No. Cal. Due Date: I$/
Illumination Used m , + C i G f i Illumination Verified: Date: lo.\q-oG Time: I 3 z0 Special / Specific Instructions: I Component / Item Number and RESULTS ExDlanation I Notes Description I.N. (As a minimum,' Record Location and Size of (e.9. EIN, EID, etc.) Recordable Indications as applicable)
NI - No Indications RI - Recordable IndicatiGn 1.N.- Indication Number (if applicable)
Recordable Indication Type Codes:
A. Wear G. Blistering M. Missing Components S. Deviation From Design Drawing B. Corrosion I Pining H. Peeling N. Loose Components T. Missing Paint Or Coating C. Mech. Damage I. Discoloration 0. Tears U. Bulges / Deformation D. Erosion J. Pitting P. Coating Damaged V. Missing / Incomplete Welds E. Cracks K. Nicks I Gouges Q. Leakage / Moisture W. Arc Strikes F. Flaking L. Dents R. Dislodged Seal, Gasket, 2 . Other (Provide Explanation) or Moisture Barrier Supplemental Information :@Yes UNO Sketch to UVideo 0Other (Describe):
VISUAL EXAMINER SIGNATURE & LEVEL 53-r DATE: l O - I q
- O d NDE LEVEL Ill SIGNATURE: u wufi@L DATE: {O- 2o.gb RESP. INDIVIDUAL SIGNATURE: DATE:
FINAL DISPOSITION BY LEVEL Ill I RESP. INDIVIDUAL Accept 0 Reject 5;ZE \
1 PEA A b *)(14; Comments: ~ O T E(I:
&?El4 ;s ClE-5 .Caen!E?
O f i Q 6 A T 5;0&
I2 ' 3 " Et. c/40 %A-E=5u@%-c3-Loccr/l?dG md I ,
L i b 663Tdr COdC yz ANI1 REVIEW SIGNATURE: ' DATE:
ER-AA-335-018 Revision 3 I Page 27 of 29 ATTACHMENT 4 ASME IWE (Class MC) Containment Visual Examination Record Illumination Used L, w-,- lllumination Verified: Date: io -zb- 0 b Time: 0 3 ~5 Special / Specific Instructions: I Component / Item Number and RESULTS Explanation / Notes Description R1 TYPE I.N. (As a minimum, Record Location and Size of (e.g. EIN,EID, etc.) Recordable Indications as applicable) idor:
Results Legend:
N1 - No Indications RI - Recordable Indication 1.N.- Indication Number (if applicable)
Recordable IndicationType Codes:
A. Wear G. Blistering M. Missing Components S. Deviation From Design Drawing
- 8. Corrosion / Pitting H. Peeling N. Loose Components T. Missing Paint Or Coating C. Mech. Damage 1. Discoloration 0. Tears U. Bulges / Deformation D. Erosion J. Pitting P. Coating Damaged V. Missing / Incomplete Welds E. Cracks K. Nicks /Gouges Q. Leakage 1 Moisture W. Arc Strikes F. Flaking 1. Dents R. Dislodged Seal, Gasket, Z. Other (Provide Explanation) or Moisture Barrier Supplemental Information : MYes UNO Sketch aPhoto DVideo Other (Describe):
VISUAL EXAM1NER SIGNATURE: s a
. d Ti LEVEL J r DATE: / O - z d -e (b NDE LEVEL I l l SIGNATURE: DATE:
RESP. INDIVIDUAL SIGNATURE: DATE: I FINAL DISPOSITION BY LEVEL 111 / RESP. INDIVIDUAL D Accept c)Reject Comments:
I 1 ANI1 REVIEW SIGNATURE: DATE:
c L
Bay 15
ER-AA-335-018 Revision 3 I Page 27 of 29 ATTACHMENT 4 ASME IWE (Class MC) Containment Visual Examination Record Page 1 of 1 Station: O y s R cwc Unit: Exam Data Sheet. No.: Exam Date: /o-)fj-06 System: 89 Examination Procedure fR-1)R- 335-018 Rev. 3 Work Order No(s).:&~~&)~ Z O - ,
Location: Building: R )( Elev.: 15' Col.: d/A Row: N / f l Azimuth/Radius:
Exam Type: DV D G V BVT-1 OVT-3 Type Of Exam: aDirect DRemote Matl. Type: C / 5 1 Design Drawing(s) AjA Visual Aids: FLAsHC1&)+r Surface: ID (OD) Surface / Components Coated: YES NO M&TE Used: E)( A- UTC or Serial No. E, I,+ Cal. Due Date:
Illumination Used F M N L , b G r Illumination Verified: Date: 10- 18-06 Time: 2 3 j5 Special / Specific Instructions: I Component / Item Number and RESULTS I ExDlanation / Notes ~~
Description Ni RI TYPE I.N. (Asa rninimum,'Record Location and Size of (e.g. EIN, EID, etc.) I Recordable indications as applicable)
Results Legend NI - No Indications RI - Recordable Indication 1.N.- Indication Number (if applicable)
Recordable Indication Type Codes:
A. Wear G. Blistering M. Missing Components S. Deviation From Design Drawing B. Corrosion / Pitting H. Peeling N. Loose Components T. Missing Paint Or Coating C. Mech. Damage I. Discoloration 0. Tears U. Bulges I Deformation D. Erosion J. Pitting P. Coating Damaged V. Missing I Incomplete Welds E. Cracks K. Nicks / Gouges Q. Leakage / Moisture W. Arc Strikes F. Flaking
- L. Dents R. Dislodged Seal, Gasket, 2. Other (Provide Explanation) or Moisture Barrier Supplemental Information : Dyes B N o 0Sketch OPhoto UVideo 0Other (Describe):
, r VISUAL EXAMINER SIGNATURE: .&%&d , 5 P - t &Fv\ LEVEL ZE DATE: i 0 - 1 & - 6 &
NDE LEVEL Ill SIGNATURE: DATE:
RESP. INDIVIDUAL SIGNATURE: DATE:
FINAL DISPOSITION BY LEVEL I l l / RESP. INDIVIDUAL 0Accept Reject Comments:
ANI1 REVIEW SIGNATURE: DATE:
ER-AA-335-018 Revision 3 I Page 27 of 29 G
Component / Item Number and RESU rs Explanation I Notes Description NI I RITYPE I.N. (As a minimum, Record Location and Size of (e.9. EIN, EID, etc.) Recordable Indications as applicable)
@I4 Results Legend:
NI - No Indications RI - Recordable Indication 1.N.- Indication Number (if applicable)
Recordable IndicationType Codes:
A. Wear G. Blistering M. Missing Components S. Deviation From Design Drawing
- 8. Corrosion I Pitting H. Peeling N. Loose Components T. Missing Paint Or Coating C. Mech. Damage I. Discoloration 0. Tears U. Bulges I Deformation D. Erosion J. Pitting P. Coating Damaged V. Missing I Incomplete Welds E. Cracks K. Nicks f Gouges Q. Leakage f Moisture W. Arcstrikes F. Flaking L. Dents R. Dislodged Seal, Gasket, Z. Other (Provide Explanation) or Moisture Barrier Supplemental Information : U Y e s B N o Sketch UPhoto UVideo 0Other (Describe):
dlSUAL EXAMINER SIGNATURE: &0;Dd R. Z ~ d U F Q LEVEL :< DATE: 10-19-Ed I D E LEVEL Ill SIGNATURE: DATE:
3ESP. INDIVIDUAL SIGNATURE: DATE:
-INAL DISPOSITION BY LEVEL Ill / RESP. INDIVIDUAL 0Accept 0Reject 2omments:
4NII REVIEW SIGNATURE: DATE:
ER-AA-335-018 Revision 3 I Page 27 of 29 ATTACHMENT 4 ASME IWE (Class MC) Containment Visual Examination Record Page 1 of 1 Station: ( 3 y S T t ~t e e g u n i t : i Exam Data Sheet. No.: Exam Date: jb-zo &, 63/a System: j p,7 Examination Procedure fg-.fip 345-016 Rev.- 3 Work Order No(s).:$~ap2&&bI Location: Building: @x Elev.: 15' Col.: U )/r Row: Azirnuth/Radius:
Exam Type: DV D G V W T - 1 DVT-3 Type Of Exam: BDirect ORemote Matl. Type: c / 5 I Visual Aids: FLp,SC)Lj&rCt Surface I Components Coated: YES 0 NO M&TE Used: ),J\A UTC or Serial No. 1 A Cal. Due Date: u j ~
Illumination Used F ~ q ~ ~ ~ l 6 f i r Illumination Verified: Dale: 10- 20 -06 Time: 03 Special I Specific instructions: I Component / Item Number and RESU Description Rt TYPE (As a minimum, Record Location and Size of (e.g. EIN, EID, etc.)
CONYAtHtVwtT sorrmct:
ilmx BMRIER k w CbAffdG H A S f)REA of S E P f l f i N - ~ O ~
Results Legend:
NI - No Indications RI - Recordable Indication 1.N.- Indication Number (if applicable)
Recordable Indication Type Codes:
A. Wear G. Blistering M. Missing Components S. Deviation From Design Drawing
- 6. Corrosion I Pitting H. Peeling N. Loose Components T. Missing Paint Or Coating C. Mech. Damage I. Discoloration 0. Tears U. Bulges I Deformation D. Erosion J. Pitting P. Coating Damaged V. Missing / Incomplete Welds E, Cracks K. Nicks / Gouges Q. Leakage I Moisture W. Arc Strikes F. -
Flakina L. Dents R. Dislodged Seal, Gasket, or Moisture Barrier Z. Other (Provide Explanation)
Supplemental Information : @Yes U N O 0Sketch @Photo UVideo Other (Describe):
-~
VISUAL EXAMINER SIGNATURE: rt3 a,Fa -
LEVEL Lc DATE: I D - 2 6 - @ &
NDE LEVEL Ill SIGNATURE: DATE:
RESP. INDIVIDUAL SIGNATURE: DATE:
FINAL DISPOSITION BY LEVEL Ill / RESP. INDIVIDUAL 0Accept Reject Comments:
ANI1 REVIEW SIGNATURE: DATE:
Bay 11