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{{#Wiki_filter:* Attachment 1 Surry Power Station Unit 1 Inservice Inspections Abstract of Examinations
{{#Wiki_filter:*
* *
Attachment 1 Surry Power Station Unit 1 Inservice Inspections Abstract of Examinations
* Attachment I
 
* Page I of 27 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules Virginia Electric and Power Company, 5000 Dominion Blvd., Glen Allen. VA 23060 1. Owner------------------------------------------(Name and Address of Owner) 2. Plant -----'=S""u"'rr'-'v....,P_,o..:..:w:.:.:e,,_,r_,S"'t"'"at"'-io""n,.,_,,....:c5"'5'-'-7-"0....!H~o"-'g:::...lce:cs"-'la:oon!!:d,_,R'°"d"'."-' (N ame and Address of Plant) N.-\ 3. Plant Unit __________
Attachment I
: 4. Owner Certificate of Authorization (if required)
* Page I of 27 Serial No.: 99-038 Docket No.: 50-280
________ _ S. Commercial Service Date _1_2_12_2_n_2 __ 6. National Board Number for Unit ____ N_ . .\ ________ _ 7. Components Inspected Manufacturer Component or Manufacturer or Installer State or National Appurtenance or Installer Serial No. Province No. Board No. Reactor Vessel Rotten.lam 137-1 VA 58201 NA Steam Generator Westinghouse Tampa Division 2982 VA 5820-1 682 1 Dr C TD RHR Heat Ex Atlas Industrial Manufacturing
* FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules Virginia Electric and Power Company, 5000 Dominion Blvd., Glen Allen. VA 23060
,* J_RI-Lf:-lR r,,mn:111\
: 1. O w n e r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
891 VA 'iR..,11 741 Class I & 7 Pi11ing Suuthwest Fahricating Company NA NA NA Clas, I & 2 Comp-oncnt Suppons Suuthwcst Fahricating Company NA NA NA .,.. Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (I) size is 8Y2 in. x 11 in., (2) information in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. 9902180302 990204 PDR ADOCK 05000280 G -PDR i 1 he Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300.
(Name and Address of Owner)
FORM NIS-1 (Back) 4/27/97 8. Examination Dates ------------
: 2. Plant -----'=S""u"'rr'-'v....,P_,o..:..:w:.:.:e,,_,r_,S"'t"'"at"'-io""n,.,_,,....:c5"'5'-'-7-"0....!H~o"-'g:::...lce:cs"-'la:oon!!:d,_,R'°"d"'."-'""S""uny'-!-".,._V-'-'-'A,..,2:.:3"-'8'""8"'3'---------------
11/16/98 to ------------
(N ame and Address of Plant)
Second Period (10-14-96  14-00)
N.-\
: 9. Inspection Period Identification
: 3. Plant Unit _ _ _ _ _ _ _ _ _ _ 4. Owner Certificate of Authorization (if required) _ _ _ _ _ _ _ __
------------------------------------
S. Commercial Service Date _ 1_212                                          _ _2    _n_2__ 6. National Board Number for Unit _ _ _ _N_..\_________
Third Interval ( 10-14-93 14-03)
: 7. Components Inspected Manufacturer Component or                                                          Manufacturer                                                                or Installer              State or                National Appurtenance                                                            or Installer                                                              Serial No.            Province No.              Board No.
: 10. Inspection Interval Identification
Reactor Vessel                    Rotten.lam                                                                                                          137-1              VA 58201                        NA Steam Generator                    Westinghouse Tampa Division                                                                                        2982              VA 5820-1                        682 1 Dr C  TD RHR Heat Ex                        Atlas Industrial Manufacturing                                                                    ,*
-----------------------------------
J_RI-Lf:-lR                      r,,mn:111\                                                                                                          891                VA 'iR..,11                      741 Class I & 7 Pi11ing Suuthwest Fahricating Company                                                                                                      NA                NA                              NA Clas, I & 2 Comp-oncnt Suppons                      Suuthwcst Fahricating Company                                                                                      NA                NA                              NA
1989 11. Applicable Edition of Section XI -----------
* Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (I) size is 8Y2 in. x 11 in.,
Addenda None February 5, 1997, Revision 7 12. Date/Revision of Inspection Plan -----------------------------------
(2) information in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form.
: 13. Abstract of Examinations and Tests. Include a list of examinations and tests and a statement concerning status of work required for the lospec;ion Plan. * *
9902180302 990204                                                                                                    i PDR ADOCK 05000280                                                                                                      he Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300.
* d :'.)ee Attachment I. Pages 1 through XX of abstract of examinations pertorrne See Attachment
G                                      - PDR                                                                            1
: 1. Pages 1 through X of abstract of system pressure tests 14. Abstract of Results of Examinations and Tests. Sec Attachment I. (Examination Summary, Pages 1-X) 15. Abstract of Corrective Measures.
 
Sec Attachment
FORM NIS-1 (Back) 4/27/97                      11/16/98
: 1. (Examination Summary, Pages X and X) 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. NA Certificate of Authorization No. (if applicable)
: 8. Examination Dates - - - - - - - - - - - - to - - - - - - - - - - - -
Date j~,vu"4J -:J., 7 Signed Expiration Date Virginia Elect. & Power Co. Owner NA CERTIFICATE OF INSERVICE INSPECTION I. the undcr,1gned.
Second Period (10-14 10-14-00)
holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Yic~inia and employed by Hartford S B T & I Co of ___ ___...H ... * ... ir ... ,~r,_,r~d~C-'T~------
: 9. Inspection Period Identification - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
have inspected the components described in this Owner*s Report during the period ____ .J,_l..,_J.,l~llc..J
Third Interval ( 10-14 10-14-03)
_____ to I I /16198 . 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 examinatiom.
: 10. Inspection Interval Identification - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
tests. and corrective measures described in this Owner"s Report. Furthermore.
1989                                    None
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. National Board. State. Province.
: 11. Applicable Edition of Section XI - - - - - - - - - - - Addenda February 5, 1997, Revision 7
and Endorsemenb Inspector's Signal"/ Date 4&? '7 19 7/ Commissions
: 12. Date/Revision of Inspection Plan - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
--~NB~~7~9~3~3~V~A~8~8~3
: 13. Abstract of Examinations and Tests. Include a list of examinations and tests and a statement concerning status of work required for the lospec;ion Plan.                                                             *   *
________ _ * * 
* d
*
:'.)ee Attachment I. Pages 1 through XX of abstract of examinations pertorrne See Attachment 1. Pages 1 through X of abstract of system pressure tests
* Introduction Examination Summary Virginia Electric and Power Company Surry Power Station Unit 1 1998 Refueling Outage 3rd Interval, 1st and 2nd Periods Attachment I Page 2 of27 Serial No.: 99-038 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 April 26, 1997 through November 16, 1998. 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.
: 14. Abstract of Results of Examinations and Tests.
Sec Attachment I. (Examination Summary, Pages 1-X)
: 15. Abstract of Corrective Measures.
Sec Attachment 1. (Examination Summary, Pages X and X)
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.
NA                                                  NA Certificate of Authorization No. (if applicable)                                                 Expiration Date Virginia Elect. & Power Co.
Date   j~,vu"4J             -:J., 7                           Signed Owner CERTIFICATE OF INSERVICE INSPECTION I. the undcr,1gned. holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of                     Yic~inia                         and employed by           Hartford S B T & I Co               of
_ _ ____...H...*...ir...,~r,_,r~d~C-'T~------ have inspected the components described in this Owner*s Report during the period
____       .J,_l..,_J.,l~llc..J_ _ _ _ _ to           I I /16198           . 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 examinatiom. tests. and corrective measures described in this Owner"s Report. Furthermore. neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
                  ~~-
Commissions --~NB~~7~9~3~3~V~A~8~8~3_ _ _ _ _ _ _ __
Inspector's Signal"/                                        National Board. State. Province. and Endorsemenb Date                                          4&? '7          19 7/
 
Attachment I Page 2 of27 Serial No.: 99-038 Docket No.: 50-280 Examination Summary Virginia Electric and Power Company Surry Power Station Unit 1 1998 Refueling Outage 3rd Interval, 1st and 2nd Periods Introduction 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 April 26, 1997 through November 16, 1998. 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.
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.A. Smith), 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.
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.A. Smith), and Surry technical staff.
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 sometimes preclude ultrasonic coupling or access for the required scan length or surface examination.
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 sometimes preclude ultrasonic coupling or access for the required scan length or surface examination.
Examinations Examinations were conducted to review as much of the examination zones as was practical within geometric, metallurgical and physical limitations.
Examinations Examinations were conducted to review as much of the examination zones as was practical within geometric, metallurgical and physical limitations. When 100% of the required ultrasonic examination volume could not be examined, the examination method was evaluated and alternate beam angles or volumetric techniques were considered in an attempt to achieve the maximum
When 100% of the required ultrasonic examination volume could not be examined, the examination method was evaluated and alternate beam angles or volumetric techniques were considered in an attempt to achieve the maximum Page 1 of 2
* Page 1 of 2
* *
 
* Attachment I Page 3 of27 Serial No.: 99-038 Docket No.: 50-280 examination volume. In the case of surface examinations where full coverage could not be achieved, alternative methods were considered and employed when possible to achieve maximum allowable coverage.
Attachment I Page 3 of27 Serial No.: 99-038 Docket No.: 50-280 examination volume. In the case of surface examinations where full coverage could not be achieved, alternative methods were considered and employed when possible to achieve maximum allowable coverage. When alternative methods would not increase the examination coverage, an alternate component was considered for examination. However, where 100%
When alternative methods would not increase the examination coverage, an alternate component was considered for examination.
examination was not possible the examination was considered a partial and so noted on the examination report. When the reduction in coverage was 10% or greater, per Code Case N-460, a subsequent relief request will be provided by separate correspondence. Examinations that do not receive the required examination coverage will be identified by a 'P' in the remarks column of the examination abstract.
However, where 100% examination was not possible the examination was considered a partial and so noted on the examination report. When the reduction in coverage was 10% or greater, per Code Case N-460, a subsequent relief request will be provided by separate correspondence.
Examinations that do not receive the required examination coverage will be identified by a 'P' in the remarks column of the examination abstract.
Results During the current time frame of examinations, for all examinations of components, piping and component supports, no reportable conditions were identified.
Results During the current time frame of examinations, for all examinations of components, piping and component supports, no reportable conditions were identified.
Analytical Evaluation No analytical evaluation of examinations was required.
Analytical Evaluation No analytical evaluation of examinations was required.
Evaluation Analyses None required or performed . Statement of Interval Status Virginia Electric and Power Company have completed 76 percent of the Second Period examinations and 56 percent of the 3rd interval examinations . Page 2 of 2 Attachment I Page 4 of27 Abstract of Examinations Performed Serial No.: 99-038 Docket No.: 50-280
Evaluation Analyses None required or performed .
* IWB, IWC and IWF Sect XI Sect XI Sect XI Exam Exam Drawing Number Mark No. Line No. Class Category Item Method Date Remarks 11448-WMKS-OIOOAIZ FLANGE A I Yi'-CH-97-1502 B-G-2 87.50 VT-I 11/5/98 l 1448-WMKS-0100A4Z l-RC-H012 2"-RC-53-1502 F-A Fl.ID VT-3 10/20/98 11448-WMKS-O 1 OOASZ l
* Statement of Interval Status Virginia Electric and Power Company have completed 76 percent of the Second Period examinations and 56 percent of the 3rd interval examinations .
* Page 2 of 2
 
Attachment I Page 4 of27 Serial No.: 99-038 Abstract of Examinations Performed        Docket No.: 50-280 IWB, IWC and IWF Sect XI    Sect XI  Sect XI    Exam            Exam Drawing Number        Mark No.        Line No.                Class      Category Item      Method          Date    Remarks 11448-WMKS-OIOOAIZ    FLANGE A          I Yi'-CH-97-1502                  B-G-2    87.50    VT-I              11/5/98 l 1448-WMKS-0100A4Z    l-RC-H012      2"-RC-53-1502                      F-A      Fl.ID    VT-3              10/20/98 11448-WMKS-O 1OOASZ    l-RC-H002      2"-RC-53-1502                      F-A      Fl
RR# 98-103, replace fasteners l-RC-SV-155 IC. This repair was performed on work order 00381886-01, and completed on 11-08-1998 RR# 98-104, replace pipe 14" -WFPD-13-60 I. This replacement was performed on work order 00376326-07, and completed on 11-3-1998.
RR# 98-103, replace fasteners l-RC-SV-155 IC. This repair was performed on work order 00381886-01, and completed on 11-08-1998 RR# 98-104, replace pipe 14" -WFPD-13-60 I. This replacement was performed on work order 00376326-07, and completed on 11-3-1998.
RR# 98-105, overhaul valve 1-RC-PCV-1456.
RR# 98-105, overhaul valve 1-RC-PCV-1456. This replacement was performed on work order 00365790-04, and completed on 10-31-1998.
This replacement was performed on work order 00365790-04, and completed on 10-31-1998.
RR# 98-106, replace valve bonnet l-RC-TV-1519. This replacement was performed on work order 00384333-01, and completed on 11-11-1998.
RR# 98-106, replace valve bonnet l-RC-TV-1519.
RR# 98-107, replace pipe 12"-RH-19-602. This replacement was performed on work order 00391924-01, and completed on 11-5-1998.
This replacement was performed on work order 00384333-01, and completed on 11-11-1998.
RR# 98-112, cut and reinstall pipe 2"-CH-216-152. This replacement was performed on work order 00377092-01, and completed on I 1-03-1998.
RR# 98-107, replace pipe 12"-RH-19-602.
This replacement was performed on work order 00391924-01, and completed on 11-5-1998.
RR# 98-112, cut and reinstall pipe 2"-CH-216-152.
This replacement was performed on work order 00377092-01, and completed on I 1-03-1998.
RR# 98-122, overhaul valve l-CS-MOV-1 OJA. This replacement was performed on work order 00365785-01, and completed on 11-5-1998.
RR# 98-122, overhaul valve l-CS-MOV-1 OJA. This replacement was performed on work order 00365785-01, and completed on 11-5-1998.
Page 3 of 5
Page 3 of 5
* Attachment 2 Page 4 of77 Serial No.: 99-038 Docket No.: 50-280 RR# 98-131, repair thermowell 1-RC-P-lB.
 
This repair was performed on work order 00386708-05, and completed on 10-31-1998.
Attachment 2 Page 4 of77 Serial No.: 99-038 Docket No.: 50-280 RR# 98-131, repair thermowell 1-RC-P-lB. This repair was performed on work order 00386708-05, and completed on 10-31-1998.
RR# 98-132, inspect check valve 1-CS-127.
RR# 98-132, inspect check valve 1-CS-127. This replacement was performed on work order 00381746-01, and completed on 10-29-1998.
This replacement was performed on work order 00381746-01, and completed on 10-29-1998.
RR# 98-133, install trunnion 1-WFPD-HSS-15 & 16. This replacement was performed on work order 00399355-01, and completed on 11-13-1998.
RR# 98-133, install trunnion 1-WFPD-HSS-15  
RR# 98-134, replace secondary manway bolts 1-RC-E-lB. This replacement was performed on work order 00380019-03, and completed on 11-3-1998.
& 16. This replacement was performed on work order 00399355-01, and completed on 11-13-1998.
RR# 98-135, overhaul valve 1-CH-HCV-1310A. This replacement was performed on work order 00399484-01, and completed on 11-6-1998.
RR# 98-134, replace secondary manway bolts 1-RC-E-lB.
RR# 98-138, replace valve 1-SI-185. This replacement was performed on work order 00362350-03, and completed on 11-6-1998.
This replacement was performed on work order 00380019-03, and completed on 11-3-1998.
RR# 98-140, replace relief valve 1-CH-RV-1203. This replacement was performed on work order 00384251-02, and completed on 11-3-1998.
RR# 98-135, overhaul valve 1-CH-HCV-1310A.
This replacement was performed on work order 00399484-01, and completed on 11-6-1998.
RR# 98-138, replace valve 1-SI-185.
This replacement was performed on work order 00362350-03, and completed on 11-6-1998.
RR# 98-140, replace relief valve 1-CH-RV-1203.
This replacement was performed on work order 00384251-02, and completed on 11-3-1998.
RR# 98-143, replace fasteners 1-FW-61. This replacement was performed on work order 00399726-01, and completed on 11-3-1998.
RR# 98-143, replace fasteners 1-FW-61. This replacement was performed on work order 00399726-01, and completed on 11-3-1998.
RR# 98-144, replace cap fasteners 1-FW-62. This replacement was performed on work order 00399729-01, and completed on 11-3-1998.
RR# 98-144, replace cap fasteners 1-FW-62. This replacement was performed on work order 00399729-01, and completed on 11-3-1998.
RR# 98-145, replace handhole gasket 1-RC-E-lC.
RR# 98-145, replace handhole gasket 1-RC-E-lC. This replacement was performed on work order 00399072-01, and completed on 11-10-1998.
This replacement was performed on work order 00399072-01, and completed on 11-10-1998.
RR# 98-146, replace snubber l-BD-MSS-10. This replacement was performed on work order 00384505-01, and completed on 11-6-1998.
RR# 98-146, replace snubber l-BD-MSS-10.
RR# 98-147, replace snubber 1-RC-MSS-lOC. This replacement was performed on work order 00384511-01, and completed on 11-6-1998.
This replacement was performed on work order 00384505-01, and completed on 11-6-1998.
RR# 98-150, replace fasteners 1-MS-SV-lOlA. This replacement was performed on work order 00381846-01, and completed on 11-14-1998.
RR# 98-147, replace snubber 1-RC-MSS-lOC.
RR# 98-151, replace fasteners 1-MS-SV-101B. This replacement was performed on work order 00397914-01, and completed on 11-14-1998.
This replacement was performed on work order 00384511-01, and completed on 11-6-1998.
RR# 98-152, replace fasteners 1-MS-SV-lOlC. This replacement was performed on work order 00381848-01, and completed on 11-14-1998.
RR# 98-150, replace fasteners 1-MS-SV-lOlA.
Page4 of5
This replacement was performed on work order 00381846-01, and completed on 11-14-1998.
 
RR# 98-151, replace fasteners 1-MS-SV-101B.
Attachment 2 Page 5 of 77 Serial No.: 99-038 Docket No.: 50-280
This replacement was performed on work order 00397914-01, and completed on 11-14-1998.
* RR# 98-
RR# 98-152, replace fasteners 1-MS-SV-lOlC
Applicable Manufacturer's Data Reports to be attached The manway was removed from an old replaced steam generator and installed on l-RC-E-2.
Applicable Manufacturer's Data Reports to be attached The manway was removed from an old replaced steam generator and installed on l-RC-E-2.
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 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        ___________ Expiration Date _ _ _ _N_A                      ___________
Expiration Date ____ N_A __________
Signed Q.t.~~
_ Signed Q.t.~~ J$" :Z-L~4.,,r1c..~U Owner ornars Deslgnee, Title Date __ ___._7_.,./__.~L-.__
Owner ornars Deslgnee, Title J$":Z-       L~4.,,r1c..~U             Date _ ____._7_.,./__.~L-.___ _ _ _ _ , 19       9,Y 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.
_____ , 19 9,Y 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. i4e /~ the components described Z. 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 inspection. C: --#I-. Va. 883 -----r~=" ....... ~-'--*-~-~~~.,.~~~~------Commissions
or Province of                                 and employed by                                                                         of Hartford, Ct.
_____________________
i4e /~
_ Inspector's Signature National Board, State, Province, and Endorsements Date ___ 7-'---r--/  
Z. 6, the components described
~~-19L c( 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.
* Attachment 2 Page 12 of77 Serial No.: 99-038 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 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant __________
  -----r~
..,.,.. __________
                  ~ C:
_ N11me 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________
                      .......= "
_ N11me Same as above Addre11 Date_6_/_s_/_9_B
                                              -  -#I-.
____________
                            ~-'--*-~-~~~.,.~~~~------Commissions Va. 883 Inspector's Signature                                 National Board, State, Province, and Endorsements Date_ _ _7-'---r--/~~-19L I
_ Sheet __ 1 ___ of ___ 1 __________
c(
_ Unit _o_n_e ________________
 
_ W0#00386551-01, RR#98-028 Repair Org11nlz11tlon P.O. No., Job No., etc. NA Type Code Symbol Stamp __________
Attachment 2 Page 12 of77 Serial No.: 99-038 Docket No.: 50-280
_ Authorization No. __ N_A ___________
* FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS
_ Expiration Date __ _,,."'------------
: 1. Owner Virginia Electric and Power Co.
: 4. Identification of System ____ s_a_f_e_ty,__r_n-'j'-e_;c_;t.:;i.:;on:;_
As Required by the Provisions of the ASME Code Section XI Date_6_/_s_/_9_B_ _ _ _ _ _ _ _ _ _ _ __
____________________________
Name 5000 Dominion Blvd., Glen Allen, Va. 23060                                             Sheet _ _1___ of ___        1 ___________
_ 5, (al Applicable Construction Code 831
Addre11
* 1 19_5_5 __ Edition,_N_A
: 2. Plant _Surry
______ Addenda, N-l through N-1 tode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19__,0'-'9'---
____      Power
: 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. "A N" '-ST-130 ''" Renl~ced No 7. Description of Work_R_e....;p:...l_a_c_e_f_a_st_e_n_e_r_s_.
____            Station
________________________________
_..,.,.._ _ _ _ _ _ _ _ _ __                        Unit _o_n_e_________________
_ 8. Tests Conducted:
N11me 5570 Hog Island Rd., Surry, Va. 23883                                                             W0#00386551-01, RR#98-028 Addre11                                                    Repair Org11nlz11tlon P.O. No., Job No., etc.
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 BY.a 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) BNT-467650
Virginia Power
: 9. Remarks------------------------------------------------
: 3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __                                                                                NA Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ __
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.
N11me                              Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ __
* repair or replacement Type Code Symbol Stamp ______ N_A _______________________________
Same as above                                                            Expiration Date _ __ , , . " ' - - - - - - - - - - - -
_ Certificate of Authorization No, ____ N_A __ ~~-------Expiration Date ____ N_A __________
Addre11
_ Signed(}~~.-*~"" fSf ownerfr~lgnee, Title Date----aW:
: 4. Identification of System ____s_a_f_e_ty,__r_n-'j'-e_;c_;t.:;i.:;on:;__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
....... t/: ______ , 19 9L 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 . virginia HSBI and I Co. or Province of and employed by of Hartford, Ct. h9v~ jns??:d the components described in this Owner's Report during the period J to &, ('f(Z~ , 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.  
5, (al Applicable Construction Code                 831
------t,.,...~--~o'""""--'''----'~'--,1-'/A_.~c....:c..'"-=------Commissions
* 1               19_5_5__ Edition,_N_A_ _ _ _ _ _ Addenda, N-l through N- 1 tode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19__,0'-'9'---
_______ v_a_. _8_8_3 __________
: 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National *
_ ~to~ature National Board, State, Province, and Endorsements Date 6 /a 19 P< *------'----#7--1-I-~-
                                                                                              ...                                     *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.           "A                       N"           '-ST-130           ''"       Renl~ced         No
* *  
: 7. Description of Work_R_e....;p:...l_a_c_e_f_a_st_e_n_e_r_s_._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
*
: 8. Tests Conducted:     Hydrostatic                    Pneumatic    D    Nominal Operating Pressure    D Other        D    Pressure ______ psi Test Temp,                                  &deg;F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is BY.a 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 .
* Attachment 2 Page 13 of77 Serial No.: 99-038 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-----------------------
* (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
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2.
 
N11me 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________
FORM NIS-2 (Back)
_ Name Same as above Addre11 5/22/98 . Date ___________________
BNT-467650
_ Sheet __ 1 ___ of ___ 1 __________
: 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
_ One Unit--------------------
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.
W0#00368301-0l, RR#98-029 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp ___________
* repair or replacement Type Code Symbol Stamp _ _ _ _ _ _            N_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
_ Authorization No. __ NA ___________
Certificate of Authorization No, ____N_A__~~-------Expiration Date _ _ _ _N_A                          ___________
_ Expiration Date __ ~N...,.A"-------------
Signed(}~~.-*~"" f S f ownerfr~lgnee, Title Date----aW:        t/:
: 4. Identification of System ____ R_e_a_c_t_o_r_c_o_o_l_a_n_t
                                                                                                  .......______,           19 9L 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 virginia                   and employed by HSBI and I Co.                                     of Hartford, Ct.
_____________________________
h9v~ jns??:d the components described in this Owner's Report during the period                           J ~          to &,   ('f(Z~                     , 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.
_ 5. (a) Applicable Construction Code 831*1 19_55 __ Edition,_NA
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.
______ Addenda, N-l through N-lbode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19--'8"-'9'---
  ------t,.,...~--~o'""""--'''----'~'--,1-'/A_.~c....:c..'"-=------Commissions _______         v_a_._8_8_3_ _ _ _ _ _ _ _ _ __
                  ~to~ature                                                       National Board, State, Province, and Endorsements Date*------'----#7--1-I-~-  6  /a          19 P<
 
Attachment 2 Page 13 of77 Serial No.: 99-038 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. O w n e r - - - - - - - - - - - - - - - - - - - - - - -
                                                                                          . Date _5/22/98 Name 5000 Dominion Blvd., Glen Allen, Va. 23060                                       Sheet _ _1  ___ of ___    1_ _ _ _ _ _ _ _ _ __
Addre11 Surry Power Station                                                                 One
: 2. P l a n t - - - - - - - - - - - : - - : - - - - - - - - - - - - -                    Unit--------------------
N11me 5570 Hog Island Rd., Surry, Va. 23883                                                      W0#00368301-0l,     RR#98-029 Addre11                                                Repair Organization P.O. No., Job No., etc.
Virginia Power                                                                                      NA
: 3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __                                  Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ _ __
Name                            Authorization No. _ _  NA Same as above                                                      Expiration Date _ _~N...,.A"-------------
Addre11
: 4. Identification of System ____R_e_a_c_t_o_r_c_o_o_l_a_n_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
: 5. (a) Applicable Construction Code              831
* 1            19_55__ Edition,_NA  _ _ _ _ _ _ Addenda, N-l through N-lbode 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
: 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 & Nuts Mackson, Inc. NA NA 1-RC-PCV-1455C NA Replacement No 7. Description of Work_R...;ep:...a_i_r_v_a_l_v_e_.
* Repaired,    Stamped Name of                    Name of              Manufacturer      Board              Other          Year        Replaced,      (Yes Component              Manufacturer              Serial No.        No,          Identification      Built    or Replacement or No)
-----------------------------------
Studs  &  Nuts        Mackson, Inc.                  NA                    NA      1-RC-PCV-1455C        NA        Replacement        No
: 8. Tests Conducted:
: 7. Description of Work_R...;ep:...a_i_r_v_a_l_v_e_.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Tamp, &deg; 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) CNT-467650
: 8. Tests Conducted:    Hydrostatic                Pneumatic  O    Nominal Operating Pressure  0 Other      O    Pressure _ _ _ _ _ psi Test Tamp,                        &deg;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 .
: 9. Remarks------------------------------------------------
* (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
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 _____________________________
 
_ ::~:~27:-<<-_z:j--;-~---?=&!-C_'l'i_<_~--'&-.-~-Expi::::_n_D_a_te~-1?,-~~~::~~-N-._A~~~~~~~~~-.-
FORM NIS-2 (Back)
1_9_7,_~---~ier or~ Designee, Title ""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. h;r m the components described , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken c~rrective 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.
CNT-467650
I/Jc-:? "'1T A-,, Va. 883 -----"'=,,...."+.,'4-.~-_.,""~_,_-...,.~~------Commissions
: 9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
_____________________
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        _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
_ .Jspe7toi's~
::~:~27:-<<-_z:j--;-~---?=&!-C_'l'i_<_~--'&-.-~-Expi::::_n_D_a_te~-1?,-~~~::~~-N-._A~~~~~~~~~-.-_ _7,_~---
National Board, State, Province, and Endorsements Date _____ 0-+--/~~'6'
19
__ 19 '1?5 * * 
            ~ i e r o r ~Designee, Title                                                      ""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 Hartford, Ct.
* Attachment 2 Page 14 of77 Serial No.: 99-038 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 -----------:-:--------------
and employed by                    HSBI and I Co*
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant __________ -c-,------------
                                                                                        ~~
Name 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________
h;r  m        the components described of
_ Name Same as above Addra11 Date_4_/_1_4_/_9_s
                                                                                                                      , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken c~rrective 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.
_ Sheet ___ 1 __ of ___ 1 __________
I/Jc-:? "'1T              A-,,                                      Va. 883
_ One Unit ___________________
  -----"'=,,...."+.,'4-.~-_.,""~_,_-...,.~~------Commissions _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
_ W0#00386554-01, RR#98-030 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp __________
                    .Jspe7toi's~                                                National Board, State, Province, and Endorsements Date_ _ _ _ _      0-+--/~~'6__ ' 19 '1?5
_ Authorization No. __ N_A ___________
 
_ Expiration Date ___ N""A'-'-------------
Attachment 2 Page 14 of77 Serial No.: 99-038 Docket No.: 50-280
: 4. Identification of System ____ R_e_s_i_d_u_a_l_H_e_a_t_R_e_mo_v_a_l
* 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. Ow ner - - - - - - - - - - - : - : - - - - - - - - - - - - - -
_ 5, (al Applicable Construction Code 831 '1 19_55 __ Edition,_N_A_*
Date_4_/_1_4_/_9_s_ _ _ _ _ _ _ _ _ _ __
_____ Addenda, N-l through N-1 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_Bc.:9;..__
Name 5000 Dominion Blvd., Glen Allen, Va. 23060                                  Sheet ___  1 _ _ of ___1_ _ _ _ _ _ _ _ _ __
: 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code
Addre11 Surry Power Station
: 2. Plant _ _ _ _ _ _ _ _ _ _          -c-,------------                              Unit _One Name 5570 Hog Island Rd., Surry, Va. 23883                                                W0#00386554-01,      RR#98-030 Addre11                                                  Repair Organization P.O. No., Job No., etc.
Virginia Power                                                                                  NA
: 3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __                              Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ __
Name                                  Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ __
Same as above                                                Expiration Date ___N""A'-'-------------
Addra11
: 4. Identification of System ____R_e_s_i_d_u_a_l_H_e_a_t_R_e_mo_v_a_l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5, (al Applicable Construction Code      831 '1              19_  55__ Edition,_N_A_*_ _ _ _ _ Addenda,        N-l  through  N-1Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_Bc.: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)
Energy  &
Sockolet          Process    Coro.      Ht. #171YNJ,                        12"-RH-19-602        NA        Replacement        No Edgecomb Plug            Metals Co.            NA                                  12"-RH-19-602        NA        Replacement        No
: 7. Description of WorkRepair through wall leak. Code Case N-416-1 applies.
: 8. Tests Conducted:      Hydrostatic        Pneumatic  D      Nominal Operating Pressure    lxJ 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) 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# CNT563767 (sockolet), 43088                                                (plug)
: 9. R e m a r k s - - - - -
------4-&-,..,;,...-""-"'---'~'---.~....,__..,,_..c.~.=_;;__
------4-&-,..,;,...-""-"'---'~'---.~....,__..,,_..c.~.=_;;__
_____ commissions
_____ commissions _ _ _ _- - , - - ~ ~ ~ ~ ~ - - - - - - - - - - -
____ --,--~~~~~-----------
lnspector'sSlgnatu~                                         National Board, State, Province, and Endorsements Date                         ,/12 77      19
lnspector'sSlgnatu~
 
National Board, State, Province, and Endorsements Date ,/12 19 77
Attachment 2 Page 55 of77 Serial No.: 99-038 Docket No.: 50-280
* 1. 2. Owner 5000 Plant Attachment 2 Page 55 of77 Serial No.: 99-038 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. Date __ l--'/_1_3-'---/_9_9
* FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
___________
: 1. Owner    Virginia Electric and Power Co.                                     Date __l--'/_1_3-'---/_9_9_ _ _ _ _ _ _ _ _ _ __
_ Name Dominion Blvd., Glen Allen, Va. 23060 Sheet __ -=l __ of __ --=1=------------
Name 5000 Dominion Blvd., Glen Allen, Va. 23060                                 Sheet _ _-=l__ of_ _--=1=------------
Address Surry Power Station Unit One Name 5570 Hog Island Rd., Sur,:y, Va. 23883 W0#00399484-0l, RR#98-135 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by_v_i_r_g_i_n_i_a_P_o_w_e_r
Address
___________
: 2. Plant      Surry Power Station                                                 Unit       One Name 5570 Hog Island Rd., Sur,:y, Va. 23883                                                       W0#00399484-0l, RR#98-135 Address                                                 Repair Organization P.O. No., Job No., etc.
_ Type Code Symbol Stamp ____ N_A ______ _ Name Authorization No.----"""------------
: 3. Work Performed by_v_i_r_g_i_n_i_a_P_o_w_e_r_ _ _ _ _ _ _ _ _ _ __              Type Code Symbol Stamp _ _ _ _N_A_ _ _ _ _ __
Same as above Expiration Date ____ N_A ___________
Name Authorization N o . - - - - " " " - - - - - - - - - - - -
_ Address Charging 4. Identification of System--,-----------------------------------------
Same as above                                             Expiration Date ____N_A_ _ _ _ _ _ _ _ _ _ __
B31.l 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, 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) Studs & Nuts Mackson, Inc. NA NA l-CH-HCV-1310A NA Replacement No Trim Copes-Ht. # Assembly (Plug) Vulcan 62348 NA l-CH-HCV-1310A NA Replacemen No 7. Description of Work __ o_v_e_r_h_a_u_l_v_a_l_v_e_.  
Address Charging
----------------------------------
: 4. Identification of S y s t e m - - , - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
8, Tests Conducted:
B31.l                 55             NA                             N-1 through N-13
Hydrostatic D Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. &deg; 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
: 5. (a) Applicable Construction Code                             19 ___ Edition, _ _ _ _ _ _ _ Addenda,                                 Code Case 89 (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 _ __ _
------------
: 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)
FORM NIS-2 (Back) 1------~~-~--~P~O~#'!...___CC~N~T-=---~5~7~3~3~5~3-'~n~u~t=s'--'-''--------'C=N~T~-~5~7~5=8=8~9~~n=u=t=s~~-SY-175881 9, Remarks------------------------------------------------
Studs   &
Nuts             Mackson, Inc.             NA                     NA     l-CH-HCV-1310A           NA       Replacement       No Trim             Copes-                     Ht. #
Assembly (Plug)         Vulcan                     62348                   NA     l-CH-HCV-1310A           NA       Replacemen         No
: 7. Description of Work _ _o_v_e_r_h_a_u_l_v_a_l_v_e_.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
8, Tests Conducted:     Hydrostatic   D     Pneumatic   D     Nominal Operating Pressure D Other   D   Pressure _ _ _ _ _ _ psi Test Temp.                       &deg;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
 
FORM NIS-2 (Back)
------~~-~--~P~O~#'!...___CC~N~T-=---~5~7~3~3~5~3-'~n~u~t=s'--'-''--------'C=N~T~-~5~7~5=8=8~9~~n=u=t=s~~-SY-175881 9, R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached (trim assembly)
Applicable Manufacturer's Data Reports to be attached (trim assembly)
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this rep) acement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ ~N=A-=----------------------------------
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this rep) acement                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 Authorization No, _ _ _-"N'-"A-=--------------Expiration Date -----"N'-=A-=--------------
Signed Q,t p 44&#xa3; rs.:z-Catt;,ll/EL4,, Date ___ '---,/,__6J_.,,_.,,.,___
Signed  Q,t p                44&#xa3; Owner o~Designee, Title rs.:z-        Catt;,ll/EL4,,          Date _ _ _'---,/,__6J_.,,_.,,.,____ _ _ _ _ ,
_____ , 19 99 Owner o~Designee, Title 1 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid
1 19  99 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 .                                                        half. insw,:,t;d the components described in this Owner's Report during the period                      /0  3D          to      7.ilf'FL                            , and state that to the best of my knowledge and belief,
:___ Comm~-N-at_i_o_n-al_B_o_a_r_d_,_S_t-at_e_,-P-ro_v_i_n_c-e,-a-n_d_E_n_d_o_rs_e_m_e_n_t_s_
:___ Comm~-N-at_i_o_n-al_B_o_a_r_d_,_S_t-at_e_,-P-ro_v_i_n_c-e,-a-n_d_E_n_d_o_rs_e_m_e_n_t_s_
Date ___ ~/_dJ..----i,/~7---19 9C * 
Date_ _ _~/_dJ..----i,/~7---19              9C
* *
 
* 1. 2. 3. 4. Attachment 2 Page 64 of77 Serial No.: 99-038 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 Co. Date __ 1_2_/_4_/_9_B
Attachment 2 Page 64 of77 Serial No.: 99-038 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
_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Plant Surry Power Station Unit __ O_n_e _________________
: 1. Owner Virginia Electric and Power Co.                                  Date __  1_2_/_4_/_9_B_ _ _ _ _ _ _ _ _ _ __
_ Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00397914-0l, RR#98-151 Address Repair Organization P.O. No., Job No., etc. Work Performed by Virginia Power NA Type Code Symbol Stamp ___________
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address
_ Name Authorization No. __ N_A ____________
: 2. Plant Surry Power Station                                              Unit __O_n_e__________________
_ Same as above Expiration Date ___ ~------------
Name 5570 Hog Island Rd., Surry, Va. 23883                                                  W0#00397914-0l, RR#98-151 Address                                            Repair Organization P.O. No., Job No., etc.
Address Identification of System Main Steam 5. (a) Applicable Construction Code B31.1 19~Edition,_N_A
Virginia Power                                                                            NA
______ Addenda, N-1 through N-1::Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 99 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-MS-SV-101B NA Replacement No Nuts Mackson, Inc. NA NA 1-MS-SV-101B NA Replacement No Replace fasteners. (Completed 11/14/98).
: 3. Work Performed by                                                          Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ _ __
: 7. Description of Work __________________________________________
Name                            Authorization No. _ _N_A  _ _ _ _ _ _ _ _ _ _ _ __
_ 8
Same as    above                                      Expiration Date _ _ _~ - - - - - - - - - - - -
Address
: 4. Identification of System            Main Steam
: 5. (a) Applicable Construction Code      B31.1            19~Edition,_N_A_ _ _ _ _ _ Addenda, N-1 through N-1::Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19    99
: 6. Identification of Components Repaired or Replaced and Replacement Components
* Name of Component Name of Manufacturer Manufacturer Serial No.
National Board No.
Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No)
Studs            Mackson, Inc.          NA                    NA      1-MS-SV-101B          NA        Replacement      No Nuts            Mackson,    Inc.      NA                    NA      1-MS-SV-101B          NA        Replacement      No
: 7. Description of Work _ _ _ _ _ _    Replace
____  fasteners.
_ _ _ _(Completed
_ _ _ _ _11/14/98).
: 8. Tests Conducted:    Hydrostatic    D    Pneumatic D    Nominal Operating Pressure D Other  D    Pressure _ _ _ _ _ _ psi Test Temp.                  &deg;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,
Certificate of Authorization No. ---~N=-=A=------------Expiration Date ---~N=-=A=------------
Certificate of Authorization No. ---~N=-=A=------------Expiration Date ---~N=-=A=------------
Signed <i) { ;J ..-: J5f h~,v6Ld, .. Date /~ Owner ~esignae, Title ,19 9-Y 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_*----------t----t-=:-7----havJe in511ec~ the components described in this Owner's Report during the period ______ l_l-+--,__~..,_-to I;:;;._ 't,L!'t5 , 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.
Signed <i){       ;J             ..-: J5f h~,v6Ld, Owner ~ e s i g n a e , Title
____ 4 a __ 7"'""' 10 ,....,. _ _.._C).~,,_-P~~'-"'-=-*"'-'----Commissions
                                                                              . Date         /~                         ,19   9-Y 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
_______ V_a_. _8_8_3 __________
_ _ _ _ _ _ _H_a_r_t_f_o_r_d_,_C_t_*----------t----t-=:-7----havJe in511ec~ the components described in this Owner's Report during the period _ _ _ _ _ _l_l-+--,__~..,_-to               I;:;;._ 't,L!'t5               , 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.
_ ~or*~~ National Board, State, Province, and Endorsements Date I~/ ct 19 7<{ I * *}}
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__7"'"10 inspection.
4
                          "',. . ,.__.._C).~,,_-P~~'-"'-=-*"'-'----Commissions _ _ _ _ _ _ _    V_a_._ 8_8_3_ _ _ _ _ _ _ _ _ __
                      ~or*~~                                                       National Board, State, Province, and Endorsements
/
Date                         I~/ ct I
19 7<{}}

Latest revision as of 04:18, 23 February 2020

ISI Summary Rept for 1998 Refueling Outage,Including Form NIS-1, Owners Rept for ISIs & Form NIS-2, Owners Rept for Repairs & Replacements.
ML18151A303
Person / Time
Site: Surry Dominion icon.png
Issue date: 01/29/1999
From:
VIRGINIA POWER (VIRGINIA ELECTRIC & POWER CO.)
To:
Shared Package
ML18151A304 List:
References
NUDOCS 9902180302
Download: ML18151A303 (179)


Text

{{#Wiki_filter:* Attachment 1 Surry Power Station Unit 1 Inservice Inspections Abstract of Examinations

Attachment I

  • Page I of 27 Serial No.: 99-038 Docket No.: 50-280
  • FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules Virginia Electric and Power Company, 5000 Dominion Blvd., Glen Allen. VA 23060
1. O w n e r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

(Name and Address of Owner)

2. Plant -----'=S""u"'rr'-'v....,P_,o..:..:w:.:.:e,,_,r_,S"'t"'"at"'-io""n,.,_,,....:c5"'5'-'-7-"0....!H~o"-'g:::...lce:cs"-'la:oon!!:d,_,R'°"d"'."-'""S""uny'-!-".,._V-'-'-'A,..,2:.:3"-'8'""8"'3'---------------

(N ame and Address of Plant) N.-\

3. Plant Unit _ _ _ _ _ _ _ _ _ _ 4. Owner Certificate of Authorization (if required) _ _ _ _ _ _ _ __

S. Commercial Service Date _ 1_212 _ _2 _n_2__ 6. National Board Number for Unit _ _ _ _N_..\_________

7. Components Inspected Manufacturer Component or Manufacturer or Installer State or National Appurtenance or Installer Serial No. Province No. Board No.

Reactor Vessel Rotten.lam 137-1 VA 58201 NA Steam Generator Westinghouse Tampa Division 2982 VA 5820-1 682 1 Dr C TD RHR Heat Ex Atlas Industrial Manufacturing ,* J_RI-Lf:-lR r,,mn:111\ 891 VA 'iR..,11 741 Class I & 7 Pi11ing Suuthwest Fahricating Company NA NA NA Clas, I & 2 Comp-oncnt Suppons Suuthwcst Fahricating Company NA NA NA

  • Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (I) size is 8Y2 in. x 11 in.,

(2) information in items I through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. 9902180302 990204 i PDR ADOCK 05000280 he Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300. G - PDR 1

FORM NIS-1 (Back) 4/27/97 11/16/98

8. Examination Dates - - - - - - - - - - - - to - - - - - - - - - - - -

Second Period (10-14 10-14-00)

9. Inspection Period Identification - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Third Interval ( 10-14 10-14-03)

10. Inspection Interval Identification - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

1989 None

11. Applicable Edition of Section XI - - - - - - - - - - - Addenda February 5, 1997, Revision 7
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 lospec;ion Plan. * *
  • d
'.)ee Attachment I. Pages 1 through XX of abstract of examinations pertorrne See Attachment 1. Pages 1 through X of abstract of system pressure tests
14. Abstract of Results of Examinations and Tests.

Sec Attachment I. (Examination Summary, Pages 1-X)

15. Abstract of Corrective Measures.

Sec Attachment 1. (Examination Summary, Pages X and X) 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. NA NA Certificate of Authorization No. (if applicable) Expiration Date Virginia Elect. & Power Co. Date j~,vu"4J -:J., 7 Signed Owner CERTIFICATE OF INSERVICE INSPECTION I. the undcr,1gned. holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Yic~inia and employed by Hartford S B T & I Co of _ _ ____...H...*...ir...,~r,_,r~d~C-'T~------ have inspected the components described in this Owner*s Report during the period ____ .J,_l..,_J.,l~llc..J_ _ _ _ _ to I I /16198 . 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 examinatiom. tests. and corrective measures described in this Owner"s Report. Furthermore. neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

                 ~~-

Commissions --~NB~~7~9~3~3~V~A~8~8~3_ _ _ _ _ _ _ __ Inspector's Signal"/ National Board. State. Province. and Endorsemenb Date 4&? '7 19 7/

Attachment I Page 2 of27 Serial No.: 99-038 Docket No.: 50-280 Examination Summary Virginia Electric and Power Company Surry Power Station Unit 1 1998 Refueling Outage 3rd Interval, 1st and 2nd Periods Introduction 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 April 26, 1997 through November 16, 1998. 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.A. Smith), 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 sometimes preclude ultrasonic coupling or access for the required scan length or surface examination. Examinations Examinations were conducted to review as much of the examination zones as was practical within geometric, metallurgical and physical limitations. When 100% of the required ultrasonic examination volume could not be examined, the examination method was evaluated and alternate beam angles or volumetric techniques were considered in an attempt to achieve the maximum

  • Page 1 of 2

Attachment I Page 3 of27 Serial No.: 99-038 Docket No.: 50-280 examination volume. In the case of surface examinations where full coverage could not be achieved, alternative methods were considered and employed when possible to achieve maximum allowable coverage. When alternative methods would not increase the examination coverage, an alternate component was considered for examination. However, where 100% examination was not possible the examination was considered a partial and so noted on the examination report. When the reduction in coverage was 10% or greater, per Code Case N-460, a subsequent relief request will be provided by separate correspondence. Examinations that do not receive the required examination coverage will be identified by a 'P' in the remarks column of the examination abstract. Results During the current time frame of examinations, for all examinations of components, piping and component supports, no reportable conditions were identified. Analytical Evaluation No analytical evaluation of examinations was required. Evaluation Analyses None required or performed .

  • Statement of Interval Status Virginia Electric and Power Company have completed 76 percent of the Second Period examinations and 56 percent of the 3rd interval examinations .
  • Page 2 of 2

Attachment I Page 4 of27 Serial No.: 99-038 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC and IWF Sect XI Sect XI Sect XI Exam Exam Drawing Number Mark No. Line No. Class Category Item Method Date Remarks 11448-WMKS-OIOOAIZ FLANGE A I Yi'-CH-97-1502 B-G-2 87.50 VT-I 11/5/98 l 1448-WMKS-0100A4Z l-RC-H012 2"-RC-53-1502 F-A Fl.ID VT-3 10/20/98 11448-WMKS-O 1OOASZ l-RC-H002 2"-RC-53-1502 F-A Fl.ID VT-3 10/20/98 11448-WMKS-O I OOASZ I-RC-HOOS 2"-RC-53-1502 F-A Fl.ID VT-3 10/20/98 11448-WMKS-OlOOASZ 1-RC-HOlO 2"-RC-53-1502 F-A Fl.ID VT-3 10/20/98 l 1448-WMKS-0100A7Z l-CH-H006 2"-CH-8-1503 F-A Fl.ID VT-3 10/20/98 l 1448-WMKS-0100A7Z 1-CH-HOlO 2"-CH-8-1503 F-A Fl.ID VT-3 10/20/98 l 1448-WMKS-0100A7Z l-CH-H014 2"-CH-8-1503 F-A Fl.ID VT-3 10/20/98 11448-WMKS-0100A7Z 1-CH-HOIS 2"-CH-8-1503 F-A Fl.IO VT-3 10/20/98 11448-WMKS-OlOODl H004-I 30"-SHP-1-601 2 C-C C3.20 MT 11/4/98 11448-WMKS-OlOOGI 1-WFPD-HOIOA 14"-WFPD-17-601 2 F-A Fl.20 VT-3 10/24/98 11448-WMKS-OlO!AlZ 1-01 !Yi'-CH-95-1502 B-J 89.40 PT 10/22/98 11448-WMKS-OIOIAIZ 1-04 I Yi' -CH-95-1502 B-J 89.40 PT 10/23/98 11448-WMKS-O l O1A2Z l-RC-H002 2"-RC-56-1502 F-A Fl.ID VT-3 10/22/98 KS-0101A2Z l-RC-HCV-15578 2"-RC-56-1502 B-G-2 87.70 VT-I 10/22/98 A KS-0101A3Z 1-CH-HCV- l 556B 2" -CH-9-1502 B-G-2 87.70 VT-1 10/22/98 A 11448-WMKS-O 10 l AZ-1 1-05DM 29"-RC-4-2501R 8-F 85.70 UT/PT 10/22/98 p 11448-WMKS-OlOIAZ-l 1-06DM 31"-RC-5-2501R B-F 85.70 UT/PT 10/22/98 p 11448-WMKS-O 101 G l HOOS-IA 14"-WFPD-13-601 2 C-C C3.20 MT 10/29/98 11448-WMKS-O!OlGl H005-2A 14"-WFPD-13-601 2 C-C C3.20 MT 10/29/98 l 1448-WMKS-0102A2Z l-RC-H006 2"-RC-59-1502 F-A Fl.ID VT-3 10/20/98 11448-WMKS-O 102D l H002-l 30"-SHP-3-601 2 C-C C3.20 MT/PT 11/6/98 p 11448-WMKS-O l 02G 1 HOOS-IA 14"-WFPD-9-601 2 C-C C3.20 MT 11/4/98 11448-WMKS-0102Gl H005-2A 14"-WFPD-9-601 2 C-C C3.20 MT 11/4/98 l 1448-WMKS-0!03A2-1 1-SHP-HOSO 4" -SHP-37-60 I 2 F-A Fl.40 VT-3 2/27/98 11448-WMKS-0103A2-2 l-SHP-H058 4" -SHP-38-60 I 2 F-A Fl.40 VT-3 2/27/98 l 1448-WMKS-0103A2-3 l-SHP-H054 4"-SHP-39-601 2 F-A Fl.40 VT-3 2/27/98 11448-WMKS-O l 22A2 1-S1-H031A 12"-SI-47-1502 F-A Fl.ID VT-3 10/20/98 A 11448-WMKS-0122A2 1-S1-H031B 12"-SI-47-1502 F-A Fl.ID VT-3 10/20/98 A 11448-WMKS-O I 22A2 1-S1-H032A 12"-SI-47-1502 F-A Fl.ID VT-3 10/20/98 A -=KS-0122A2 l-SI-H032B 12"-SI-47-1502 F-A Fl.ID VT-3 10/20/98 A KS-0122A2 l-SI-H033B 12"-SI-47-1502 F-A Fl.ID VT-3 10/20/98 11448-WMKS-O 1220 I l-S1-H004A 12"-SI-46-1502 F-A Fl.ID VT-3 10/20/98 A Page 1 of 4

Attachment I Page 5 of27 Serial No.: 99-038 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC and IWF Sect XI Sect XI Sect XI Exam Exam Drawing Number Mark No. Line No. Class Category Item Method Date Remarks 11448-WMKS-0122Dl 1-SI-H004B 12" -SI I 502 F-A Fl.10 VT-3 10/20/98 A l 1448-WMKS-0122Dl 1-SI-H006B 12"-S 1-46-1502 F-A Fl.10 VT-3 10/20/98 l 1448-WMKS-0122Kl 1-SI-88 6"-RC-18-1502 B-G-2 B?.70 VT-I 10/22/98 11448-WMKS-0122Kl l-SI-H002 6"-SI-48-1502 2 F-A Fl.20 VT-3 10/22/98 l 1448-WMKS-0122K1BZ 1-SI-H003 2" -Sl-81-1502 2 F-A Fl.20 VT-3 10/20/98 11448-WMKS-O 122Ll 1-SI-H005A 12"-Sl-45-1502 F-A Fl.10 VT-3 10/20/98 A 11448-WMKS-0122Ll 1-SI-HOOSB 12"-SI-45-1502 F-A Fl.10 VT-3 10/20/98 A 11448-WMKS-l 101A3 0-03 12"-CS-1-153 2 C-F-1 CS.II UT/PT 10/24/98 p 11448-WMKS-1106A4 1-16 3"-Sl-70-1503 2 C-F-1 CS.21 UT/PT 10/23/98 11448-WMKS-l !06A4 2-40 2" -Sl-76-1503 2 C-F-1 CS.30 PT 10/28/98 11448-WMKS-l 106A4Z 1-SI-HOIS 2"-SI-74-1502 2 F-A Fl.20 VT-3 10/20/98 l 1448-WMKS-l 106A4Z l-SI-H016 2"-SI-74-1502 2 F-A Fl.20 VT-3 10/20/98 11448-WMKS-RC-E-lB.1 CLMANWAY 1-RC-E-IB B-G-2 B?.30 VT-I 10/22/98 11448-WMKS-RC-E-lB.1 HLMANWAY 1-RC-E-IB B-G-2 B?.30 VT-I 10/22/98 .KS-RC-E-IB.1 TUBES 1-RC-E-IB B-Q B16.20 ET 11/12/98 I KS-RC-E-IB.2 1-RC-l-02ANIR 1-RC-E-IB B-D B3.140 VT-I 11/5/98 11448-WMKS-RC-E-IB.2 1-RC-l-02BNIR 1-RC-E-IB B-D B3.140 VT-1 11/5/98 11448-WMKS-RC-R-l.3 S-41 l-RC-R-1 B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.3 S-42 I-RC-R-1 B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.3 S-43 1-RC-R-I B-G-1 B6.30 MT/UT I0/31/98 11448-WMKS-RC-R-l.3 S-44 1-RC-R-l B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.3 S-45 1-RC-R-I B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.3 S-46 1-RC-R-I B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.3 S-47 I-RC-R-1 B-G-1 B6.30 MT/UT 10/30/98 11448-WMKS-RC-R-l.3 S-48 1-RC-R-l B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.3 S-49 1-RC-R-l B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.3 S-50 1-RC-R-l B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.3 S-51 1-RC-R-l B-G-1 B6.30 MT/UT 10/30/98 11448-WMKS-RC-R-l.3 S-52 1-RC-R-I B-G-1 B6.30 MT/UT 10/30/98 11448-WMKS-RC-R-l.3 S-53 1-RC-R-I B-G-1 B6.30 MT/UT 10/31/98 ~KS-RC-R-1.3 S-54 1-RC-R-I B-G-1 B6.30 MT/UT 10/30/98 WMKS-RC-R-1.3 S-55 l-RC-R-1 B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.3 S-56 1-RC-R-I B-G-1 B6.30 MT/UT 10/31/98 Page 2 of4

Attachment I Page 6 of 27 Serial No.: 99-038 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC and IWF Sect XI Sect XI Sect XI Exam Exam Drawing Number Mark No. Line No. Class Category Item Method Date Remarks 11448-WMKS-RC-R- l .3 S-57 l-RC-R-1 B-G-1 B6.30 MT/UT 10/29/98 11448-WMKS-RC-R-l .3 S-58 1-RC-R-l B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.4 CCW-41 l-RC-R-1 B-G-1 B6.50 VT-I 10/31/98 11448-WMKS-RC-R-l .4 CCW-42 1-RC-R-1 B-G-1 B6.50 VT-1 10/31/98 11448-WMKS-RC-R-l.4 CCW-43 1-RC-R-l B-G-1 B6.50 VT-1 10/31/98 11448-WMKS-RC-R-l.4 CCW-44 1-RC-R-1 B-G-1 B6.50 VT-I 10/31/98 11448-WMKS-RC-R-l.4 CCW-45 1-RC-R-l B-G-1 B6.50 VT-I 10/31/98 11448-WMKS-RC-R-l.4 CCW-46 1-RC-R-l B-G-1 B6.50 VT-I 10/31/98 11448-WMKS-RC-R-l.4 CCW-47 1-RC-R-l B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l .4 CCW-48 1-RC-R-l B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CCW-49 l-RC-R-1 B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CCW-50 1-RC-R-l B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CCW-51 1-RC-R-1 B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CCW-52 l-RC-R-1 B-G-1 B6.50 VT-1 10/29/98 .MKS-RC-R-1.4 CCW-53 1-RC-R-l B-G-1 B6.50 VT-1 10/29/98 MKS-RC-R-1.4 CCW-54 1-RC-R-l 'B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CCW-55 l-RC-R-1 B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CCW-56 l-RC-R-1 B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l .4 CCW-57 1-RC-R-1 B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CCW-58 1-RC-R-1 B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CVW-41 1-RC-R-l B-G-1 B6.50 VT-1 10/31/98 11448-WMKS-RC-R-l.4 CVW-42 1-RC-R-l B-G-1 B6.50 VT-1 10/31/98 11448-WMKS-RC-R-l.4 CVW-43 1-RC-R-l B-G-1 B6.50 VT-I 10/31/98 11448-WMKS-RC-R-l.4 CVW-44 1-RC-R-l B-G-1 B6.50 VT-I 10/31/98 11448-WMKS-RC-R-l.4 CVW-45 1-RC-R-l B-G-1 B6.50 VT-I 10/31/98 11448-WMKS-RC-R-l.4 CVW-46 1-RC-R-l B-G-1 B6.50 VT-1 10/31/98 11448-WMKS-RC-R-l .4 CVW-47 1-RC-R-l B-G-1 B6.50 VT-1 10/29/98 11448-WMKS-RC-R-l.4 CVW-48 1-RC-R-l B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CVW-49 1-RC-R-l B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CVW-50 1-RC-R-l B-G-1 B6.50 VT-I 10/29/98 ~-RC-R-1.4 CVW-51 1-RC-R-l B-G-1 B6.50 VT-I 10/29/98 I KS-RC-R-1.4 CVW-52 1-RC-R-l B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l .4 CVW-53 1-RC-R-l B-G-1 B6.50 VT-I 10/29/98 Page 3 of 4

Attachment I Page? of27 Serial No.: 99-038 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC and IWF Sect XI Sect XI Sect XI Exam Exam Drawing Number Mark No. Line No. Class Category Item Method Date Remarks 11448-WMKS-RC-R-l .4 CVW-54 1-RC-R-I B-G-1 B6.50 VT-1 10/29/98 11448-WMKS-RC-R-l .4 CVW-55 1-RC-R-I B-G-1 B6.50 VT-1 10/29/98 11448-WMKS-RC-R-l.4 CVW-56 1-RC-R-I B-G-1 B6.50 VT-1 10/29/98 11448-WMKS-RC-R-l.4 CVW-57 1-RC-R-I B-G-1 B6.50 VT-1 10/29/98 11448-WMKS-RC-R-l .4 CVW-58 1-RC-R-1 B-G-1 B6.50 VT-1 10/29/98 11448-WMKS-RC-R-l .4 N-41 1-RC-R-1 B-G-1 B6.IO VT-1 10/31/98 11448-WMKS-RC-R-l .4 N-42 1-RC-R-1 B-G-1 86.10 VT-1 10/31/98 11448-WMKS-RC-R-l .4 N-43 1-RC-R-1 8-G-1 86.10 VT-1 10/31/98 11448-WMKS-RC-R-l .4 N-44 1-RC-R-1 8-G-I 86.10 VT-I 10/31/98 11448-WMKS-RC-R-l .4 N-45 1-RC-R-l 8-G-I B6.10 VT-1 10/31/98 11448-WMKS-RC-R-l.4 N-46 1-RC-R-1 8-G-I B6.10 VT-1 10/31/98 11448-WMKS-RC-R-l.4 N-47 1-RC-R-1 B-G-1 B6.IO VT-1 10/29/98 11448-WMKS-RC-R-l .4 N-48 1-RC-R-1 B-G-1 86.10 VT-1 10/29/98 11448-WMKS-RC-R-l.4 N-49 1-RC-R-1 B-G-1 B6.IO VT-1 10/29/98 MKS-RC-R-1.4 N-50 1-RC-R-l 8-G-I B6.IO VT-1 10/29/98 MKS-RC-R-1.4 N-51 I-RC-R-1 8-G-l 86.IO VT-1 10/29/98 11448-WMKS-RC-R-l.4 N-52 1-RC-R-1 B-G-1 86.10 VT-1 10/29/98 11448-WMKS-RC-R-l.4 N-53 1-RC-R-1 8-G-I 86.10 VT-1 10/29/98 11448-WMKS-RC-R-l .4 N-54 1-RC-R-1 8-G-I 86.10 VT-1 10/29/98 11448-WMKS-RC-R-l .4 N-55 1-RC-R-1 8-G-I 86.10 VT-1 10/29/98 11448-WMKS-RC-R-l.4 N-56 1-RC-R-1 8-G-I 86.10 VT-1 10/29/98 11448-WMKS-RC-R-l .4 N-57 1-RC-R-l 8-G-I 86.10 VT-1 10/29/98 11448-WMKS-RC-R-l.4 N-58 1-RC-R-1 8-G-l 86.10 VT-1 10/29/98 11448-WMKS-RH-E-18 1-801 1-RH-E-18 2 C-A Cl.20 UT 10/24/98 44"-88" 11448-WMKS-RH-E-l B 1-802 1-RH-E-18 2 C-A Cl.10 UT 10/24/98 44"-88" 11448-WMKS-RH-E- l B I-B03 1-RH-E-18 2 C-8 C2.33 VT-2 10/23/98 11448-WMKS-RH-E-IB I-B04 1-RH-E-IB 2 C-B C2.33 VT-2 10/23/98 11448-WMKS-RH-E-IB 1-B06 1-RH-E-18 2 C-8 C2.31 PT 10/23/98 Remarks Codes: A: Re-examination of a component that required corrective measures during a previous outage. Partial examination, (reduction in coverage is greater than 10% as allowed by Code Case N-460) relief will be requested by separate correspondence. Portion of weld scheduled for examination in relation to 'O' datum point. Page 4 of4

  • Abstract of Examinations Performed System Pressure Test Pro2ram Section XI Section XI Section XI Zone Description Class Category Item Date
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Zone Description

  • Section XI Section XI Class Category Section XI Item Date
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I-SPM-086A- I- I REACTOR COOLANT SYSTEM B-P B15.50 I 1/18/98 I-SPM-086A- 1-2 REACTOR COOLANT SYSTEM B-P BI5.70 11/18/98 I-SPM-086A-l-2 REACTOR COOLANT SYSTEM B-P Bl5.50 11/18/98 1-SPM-086A-l-3 REACTOR COOLANT SYSTEM B-P B 15.50 11/18/98 l-SPM-086A-1-3 REACTOR COOLANT SYSTEM B-P B15.70 11/18/98 l-SPM-086A- l-4 REACTOR COOLANT SYSTEM B-P Bl5.70 I 1/18/98 l-SPM-086A- l-4 REACTOR COOLANT SYSTEM B-P BI5.50 11/18/98 I-SPM-086A- I-S REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 I-SPM-086A- I-S REACTOR COOLANT SYSTEM B-P B15.70 11 /18/98 l-SPM-086A l REACTOR COOLANT SYSTEM B-P BlS.30 11/18/98 l-SPM-086A l REACTOR COOLANT SYSTEM B-P B15.70 11/18/98 l-SPM-086A-2-1 REACTOR COOLANT SYSTEM B-P BIS.60 11/18/98 l-SPM-086A-2-l REACTOR COOLANT SYSTEM B-P B15.50 11/18/98 l-SPMc086A-2-2 REACTOR COOLANT SYSTEM B-P B15.50 11/18/98 I-SPM-086A-2-2 REACTOR COOLANT SYSTEM B-P BI5.70 I 1/18/98 l-SPM-086A-2-3 REACTOR COOLANT SYSTEM B-P B15.70 11/18/98 I-SPM-086A-2-3 REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 0 en g <>

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Section XI Section XI Section XI Zone Description Class Category Item Date I-SPM-086B- l-3 REACTOR COOLANT SYSTEM B-P B JS.50 11/18/98 I-SPM-0868-1-4 REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 I-SPM-086B- l-4 REACTOR COOLANT SYSTEM B-P BIS.70 11/18/98 l-SPM-086B-l-S REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 l-SPM-086B-1-S REACTOR COOLANT SYSTEM B-P BIS.70 11/18/98 l-SPM-086C-1-1 REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 l-SPM-086C-l-1 REACTOR COOLANT SYSTEM 1 B-P BlS.70 11/18/98 J-SPM-086C- l-2 REACTOR COOLANT SYSTEM B-P BIS.70 11/18/98 l-SPM-086C- l-2 REACTOR COOLANT SYSTEM 1 B-P BIS.SO 11/18/98 l-SPM-086C-2-l REACTOR COOLANT SYSTEM B-P BIS.70 11/18/98 1-SPM-086C l REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 l-SPM-087 A-1-1 REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 l-SPM-087 A-1-1 REACTOR COOLANT SYSTEM B-P BIS.70 11/18/98 J-SPM-087 A-1-2 RHR DISCHARGE PIPING TO RHR HX AND HX 2 C-H C7.30 10/26/98 , BYPASS l-SPM-087 A-1-2 RHR DISCHARGE PIPING TO RHR HX AND HX 2 C-H C7.70 10/26/98 BYPASS l-SPM-087 A-1-3 1-RH-P-IA 2 C-H C7.70 10/30/98 0 en g (1

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Zone Description

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Section XI Section XI Class Category Section XI Item Date 1-SPM-087 A-1-4 1-RH-P-IB 2 C-H C7.50 10/26/98 I-SPM-087A-l-5 REACTOR COOLANT SYSTEM B-P Bl5.70 11/18/98 I-SPM-087 A-1-5 REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 I-SPM-087 A-2-1 RHR DISCHARGE PIPING TO RHR HX AND HX 2 C-H C7.30 10/26/98 BYPASS l-SPM-087A-2-l RHR DISCHARGE PIPING TO RHR HX AND HX 2 C-H. C7.70 10/26/98 BYPASS l-SPM-087A-2-l RHR DISCHARGE PIPING TO RHR HX AND HX 2 C-H C7.l0 10/26/98 BYPASS l-SPM-087A-2-2 RHR TO RWST PIPING 2 C-H C7.70 10/30/98 l-SPM-087A-2-2 RHR TO RWST PIPING 2 C-H C7.30 10/30/98 l-SPM-087A-2-3 REACTOR COOLANT SYSTEM B-P Bl5.70 11/18/98 l-SPM-087A-2-3 REACTOR COOLANT SYSTEM B-P B15.50 11/18/98 l-SPM-087 A-2-4 REACTOR COOLANT SYSTEM B-P B15.70 11/18/98 l-SPM-087A-2-4 REACTOR COOLANT SYSTEM B-P Bl5.50 11/18/98 l-SPM-088A-3-2 BORATE FOR END OF CORE LIFE 2 C-H C7.70 9/28/98 l-SPM-088A-3-2 BORATE FOR END OF CORE LIFE 2 C-H C7.30 9/28/98 I-SPM-088C- I- I REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 0(/J I-SPM-088C- I- I REACTOR COOLANT SYSTEM 8-P Bl5.70 11/18/98 g "

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                                                                                                                                                       !!~-o:i, l-SPM-088C-l-2         REACTOR COOLANT SYSTEM                                                                          8-P        815.70     11/18/98 ~ ~~ s
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Zone

  • Description Section XI Section XI Class Category Section XI Item Date I-SPM-088C-l-3 REACTOR COOLANT SYSTEM B-P BI5.50 I 1/18/98 l-SPM-088C- l-6 REACTOR COOLANT SYSTEM B-P Bl5.50 11/18/98 l -SPM-08 8C- I -6 REACTOR COOLANT SYSTEM B-P B15.70 11/18/98 l-SPM-088C-2-8 REACTOR COOLANT SYSTEM B-P B15.60 11/18/98 l -SPM-08 8C-2-8 REACTOR COOLANT SYSTEM B-P B15.50 11/18/98 l-SPM-088C-2-8 REACTOR COOLANT SYSTEM B-P B15.70 11/18/98 l-SPM-089A-2-5 LOW HEAD SAFETY INJECTION DISCHARGE PIPING TO MOY- 2 C-H C7.30 11/10/98 1890C l-SPM-089A-2-5 LOW HEAD SAFETY INJECTION DISCHARGE PIPING TO MOY- 2 C-H C7.70 11/10/98 1890C l-SPM-089B- l- l REACTOR COOLANT SYSTEM B-P Bl5.70 11/18/98 l-SPM-089B-I-I REACTOR COOLANT SYSTEM B-P Bl5.50 11/18/98 l-SPM-089B-l-3 REACTOR COOLANT SYSTEM B-P Bl5.50 11/18/98 l-SPM-089B- l-3 REACTOR COOLANT SYSTEM 1 B-P B15.70 11/18/98 1-SPM-089B-2-1 REACTOR COOLANT SYSTEM B-P Bl5.50 11/18/98 l-SPM-089B-2-1 REACTOR COOLANT SYSTEM B-P Bl5.70 11/18/98 1-SPM-089B-2-3 REACTOR COOLANT SYSTEM B-P Bl5.70 I 1/18/98 1-SPM-089B-2-3 REACTOR COOLANT SYSTEM B-P 815.50 11/18/98 tl (;/)

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Zone

  • Description
  • Section XI Class Section XI Category Section XI Item Date l-SPM-089B-4-l REACTOR COOLANT SYSTEM B-P Bl5.70 11/18/98 l-SPM-089B l REACTOR COOLANT SYSTEM B-P Bl5.50 11/18/98 Page 7 of 7

Attachment I Page 15 of27 Serial No.: 99-038 Docket No.: 50-280 Abstract of Examinations Snubber Program During the Unit 1 Refueling Outage in October 1998, there were 20 snubbers selected for functional testing including 13 hydraulic snubbers, 6 mechanical snubbers and 1 large bore snubber. In addition, 14 hydraulic snubbers were selected for seal replacement. All snubbers that were selected for functional testing or seal replacement were functional tested and no failure was found. Visual inspection was not required due to the extended inspection interval per T.S. 4.17. However, as-found and as-left visual inspections were performed for all snubbers which were removed for functional testing or seal replacement.

Attachment l Page 16 of27 Abstract of Examinations Serial No.: 99-038 Docket No.: 50-280 Eddy Current Examinations of Nonferromagnetic Steam Generator Tubing In.service examination was performed on Steam Generator "B" In Steam Generator "B" 3334 tubes were inspected full length with bobbin probes to test for general degradation. The plan also consisted of the following:

1. 680 tubes hot leg top of tubesheet, rotating pancake coil (RPC) testing to detect cracking,
2. 19 tubes row 1 U-bend RPC testing to detect cracking;
3. 4 tubes plus point inspection for characterization of anomalous signals; and
4. 5 tubes ultrasonic (UT) inspection for characterization of anomalous signals.

Steam generator "B" had eight (8) plugged tubes at the beginning of the inspection, and six (6) tubes were plugged as a result of this inspection. Three tubes (Row I-Column 58, Row 1-Column 59, and Row I-Column

60) were preventively plugged due to restrictions. The following tubes (Row 32-Column 14, Row 32-Column 16, and Row 33-Column 16) were preventively plugged due to indications at the hot leg side baffle plate. The results of sizing of these indications, based on a qualified bobbin wear standard, shows all of these indications to be 21 %-26% through wall.

indications were reported that are significant to tube integrity. However, the following indications were eported during the inspection: Row Column Indication Location Remarks 8 4 MBM SC 12 5 MBM lH 13 6 MBM lH 15 6 MBM 4C 14 7 MBM lC 20 7 MBM BPH 23 7 MBM lH 8 8 MBM TSC

  • 8 9 MBM 5H Page 1 of 12

Attachment I Page 17 of27 Row ~olumn Indication Location Remarks Serial No.: 99-038 Docket No.: 50-280

  • 16 11 14 10 11 11 MBM MBM MBM IC 3H IH 22 11 MBM BPC 2 13 MBM 5H 4 14 MBM lH 4 14 DNT 7H 21 14 MBM 6H 14 15 MBM IC 21 15 MBM 5C 27 15 MBM TSC 8 16 MBM 5H 12 16 MBM 5C 33
  • 16 MBM 2C 33 16 26%TW BPH Preventively plugged 33 16 DNT 2H 33 16 DNT 2H 13 17 MBM 3H 13 17 MBM 5H 21 19 MBM BPC 33 19 MBM 2H 35 19 MBM 6 Page 2 of 12

Attachment I Page 18 of27 Serial No.: 99-038 Docket No.: 50-280 Row Column Indication Location Remarks 5 20 MBM 3 24 20 MBM 3H 27 20 MBM BPH 31 20 MBM BPH 35 20 MBM lH 17 22 MBM TSC 24 22 MBM *2H 35 22 MBM 2C 35 22 MBM BPC 17 22 MBM 3C 17 23 MBM 3C 17 23 MBM 2C 24 23 MBM BP 24 23 MBM 4H 24 23 MBM 5H 30 23 MBM 2C 26 24 MBM 3H 33 24 MBM 6H 33 24 MBM 6H 39 24 MBM AV2 39 24 MBM AV2

  • 21 25 MBM 5H Page 3 of 12

Attachment I Page 19 of27 Serial No.: 99-038 Docket No.: 50-280 Row Column Indication Location Remarks 29 25 MBM 2C 9 26 MBM 4H 21 26 MBM BPC 3 27 MBM TSH 38 27 MBM IH 1 28 MBM TSC 19 28 MBM IC 22 29 MBM 5H 30 29 MBM 6H 13 30 MBM 5H 42 30 MBM IC 39 31 MBM 6C 8 32 MBM 3H 39 32 MBM AVI 3 33 MBM 5H 11 33 MBM TSH 11 33 MBM IH 25 33 MBM 3H 39 34 MBM 6H 42 34 MBM 2C 9 35 MBM 3C

  • 20 35 MBM 3H Page 4 of 12

Attachment I Page20 of27 Serial No.: 99-038 Docket No.: 50-280 Row Column Indication Location Remarks 23 35 MBM BPH 31 35 MBM 2H 31 35 MBM 2H 22 37 MBM SH 39 37 MBM 2H 43 37 MBM 7H 24 38 MBM 6C 27 38 MBM 2H 27 38 MBM 4C 31 38 MBM 4H 42 38 MBM SC 34 39 MBM 3H 37 40 MBM 2H 43 40 MBM 3H 29 41 MBM SC 28 42 MBM 6C 29 42 MBM lH 7 43 MBM 3C 16 43 MBM AV3 32 43 MBM 3H 44 43 MBM BPH 42 44 MBM 6H Page 5 of 12

Attachment I Page 21 of27 Serial No.: 99-038 Docket No.: 50-280 Row Column Indication Location Remarks 44 44 MBM 3H 24 46 MBM IH 25 46 MBM AV3 34 46 MBM BPC 4 47 MBM 5H 12 47 MBM TSC 42 47 MBM 3C 44 47 MBM IC 6 48 MBM 5C 6 48 MBM 4C 34 48 MBM 5H 28 49 MBM 5C 3 50 MBM 5C 5 50 MBM 4H 31 51 MBM 3C 19 52 MBM 5C 40 52 MBM AV4 6 53 MBM lH 12 53 MBM 3C 12 53 MBM TSC 21 54 MBM TSH 21 54 MBM lH Page 6 of 12

Attachment I Page 22 of27 Serial No.: 99-038 Docket No.: 50-280 Row Column Indication Location Remarks 21 54 MBM 4C 44 55 MBM 4C 35 56 MBM SC 34 57 MBM IC 37 57 MBM 2H 39 57 MBM AV4 45 57 MBM IH 45 57 MBM AV2 22 58 MBM SC 13 59 MBM IC 26 59 MBM 5C 33 59 MBM 5H 33 59 MBM 5H 18 60 MBM 6C 5 63 MBM 2H 19 67 MBM 6C 26 68 MBM BPH 17 69 MBM BPH 19 70 MBM 6H 25 70 MBM TSH 28 70 MBM AVl

  • 39 70 MBM 5C Page 7 of 12

Attachment l Page 23 of27 Row Column Indication Location Remarks Serial No.: 99-038 Docket No.: 50-280

  • 6 31 26 71 72 73 MBM MBM MBM IC lH 6H 19 74 MBM 4C 19 75 MBM SC 34 76 MBM 6H 34 76 MBM 6C 34 76 MBM 6C 13 77 MBM 3H 23 77 MBM 6C 22 78 MBM 3H 30 78 MBM IC 29 80 MBM 3H 29 80 MBM 3H 29 80 MBM IC 29 80 MBM IC 29 80 MBM IC 7 81 MBM lH 7 81 MBM 3H 29 82 MBM 3C 31 82 MBM 2H 3 83 MBM lC 21 84 MBM 6H Page 8 of 12

Attachment I Page 24 of27 Row Column Indication Location Remarks Serial No.: 99-038 Docket No.: 50-280

  • 19 13 4

85 86 88 MBM MBM MBM BPC lC BPC 21 88 MBM BPH 26 75 MBM TSH 26 75 DNT 2H 14 90 MBM IC 1 58 RST TSH Preventively plugged 1 59 RST TSH Preventively plugged 1 60 RST TSH Preventively plugged 32 14 . 22%TW BPH Preventively plugged

  • 32 9

16 16 2 4 21%TW DNT DNT BPH 6H AV4 Preventively plugged 18 5 DNT QV4 18 5 DNT 6C 18 5 DNT 6C 1 6 DNT 7C 19 7 DNT 6C 4 12 DNT 7H 9 14 DNT SC 31 14 DNT 6C 8 15 DNT 7H Page 9 of 12

Attachment I Page 25 of27 Column Indication Location Remarks Serial No.: 99-038 Row Docket No.: 50-280

  • 2 7

11 17 21 22 DNT DNT DNT 7H 6C 7H 4 29 DNT 6H 15 32 DNT 6C 45 41 DNT QV4 42 43 DNT BPH 11 49 DNT 6C 10 49 DNT 7H 11 50 DNT 7H 19 51 DNT 4H

  • 19 19 43 51 51 54 DNT DNT DNT 6H IC 2C 1 58 DNT TSC 17 58 DNT 2H 1 59 DNT TSC 10 60 DNT TSH 10 60 DNT IC 6 63 DNT 3H 6 67 DNT 4C 4 68 DNT IC 34 69 DNT 3H Page 10 of 12

Attachment I Page26 of27 Row Column Indication Location Remarks Serial No.: 99-038 Docket No.: 50-280 36 70 DNT AV2 21 76 DNT IC 1 78 DNT 7H 27 80 DNT 6H 4 83 DNT 7H 20 83 DNT 2H I 87 DNT 7H 20 87 DNT 2H 18 89 DNT 7C 19 89 DNT 7C 20 89 DNT 7C 20 89 DNT 7C 4 90 DNT 6H 16 90 DNT 7C 17 90 DNT lH 17 90 DNT 7C 18 90 DNT 7C 18 90 DNT 7C 15 91 DNT 7C 16 91 DNT 7C 16 91 DNT 7C 4 92 DNT 7H Page 11 of 12

Attachment I Page 27 of27 Glossary of Terms Serial No.: 99-038 Docket No.: 50-280 Dent - A tube deformation resulting in a non-circular tube shape with areas of reduced diameter. MBM: Manufacturing Buff Mark - A shallow tube wall loss due to manual buffing of minor surface imperfections during steam generator construction. RST: Restricted tube %TW: Percent through wall reduction of tube Row-Column: Tube identifier numbers based on an X-Y coordinate system. Location: The location (in the tube) of the indication. Examples of locations are as follows: AV ( l through 4) Anti-vibration bars located on the top radius of the tubes H ( l through 7) Tube support plates on the hot leg of the steam generator. C ( I through 7) Tube support plates on the cold leg of the steam generator. TSH Top of tube sheet on the hot leg of the steam generator. TSC Top of tube sheet on the cold leg of the steam generator. THE Tube end on the hot leg of the steam generator. TEC Tube end on the cold leg of the steam generator. BPH Baffle plate on the hot leg of the steam generator PC Baffle plate on the cold leg of the steam generator Page 12 of 12

Attachment 2 Surry Power Station Unit 1 Inservice Inspections Repairs and Replacements

  • NIS-2 Forms

~-/ -

Attachment 2 Page I of77 Serial No.: 99-038 Docket No.: 50-280

  • Repair and Replacements 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# 97-235, replace valve 1-CS-MOV-102B. This replacement was performed on work order 00378524-01, and completed on 11-16-1998. RR# 98-017, overhaul valve l-SI-MOV-1869A. This replacement was performed on work order 00385298-01, and completed on 11-4-1998. RR# 98-019, repair valve l-SI-145. This repair was performed on work order 00365452-01, and completed on 3-25-1998. RR# 98-020, repair valve 1-RC-PVC-1456. This repair was performed on work order 00365790-01, and completed on 3-25-1998. RR# 98-021, repair valve 1-RC-PCV-1455C. This repair was performed on work order 00368301-01, and completed on 3-25-1998. RR# 98-022, replace pressurizer manway, l-RC-E-2. This repair was performed on work order 00364933-01, and completed on 3-26-1998. RR# 98-028, replace fasteners 1-SI-130. This replacement was performed on work order 00386551-01, and completed on 3-24-1998. RR# 98-029, repair valve 1-RC-PCV-1455C. This repair was performed on work order 00368301-01, and completed on 3-25-1998. RR# 98-030, repair through wall leak on 12"-RH-19-602. This repair was performed on work order 00386554-01, and completed on 3-29-1998. RR# 98-032, replace fasteners 1-RH-FE-1605. This replacement was performed on work order 00386554-02, and completed on 3-29-1998. RR# 98-038, replace pipe and flange, 1.5"-CH-93-1502. This replacement was performed on work order 00389205-01, and completed on 5-15-1998. RR# 98-039, replace flange fasteners, l.5"-CH-93-1502. This replacement was performed on work order 00389205-02, and completed on 5-15-1998 . Page 1 of 5

Attachment 2 Page 2 of77 Serial No.: 99-038 Docket No.: 50-280

  • RR# 98-041, replace valve l-RC-6. This replacement was performed on work order 00389419-01, and completed on 5-22-1998.

RR# 98-050, replace valve body l-CH-280. This replacement was performed on work order 00385550-02, and completed on 10-27-1998. RR# 98-057, replace valve l-CS-MOV-102B. This replacement was performed on work order 00378524-03, and completed on 11-11-1998. RR# 98-058, replace valve l-CS-MOV-102A. This replacement was performed on work order 00345557-03, and completed on 11-10-1998. RR# 98-059, replace valve 1-MS-182. This replacement was performed on work order 00371542-03, and completed on 11-2-1998. RR# 98-060, replace valve l-MS-178. This replacement was performed on work order 00371542-02, and completed on 11-2-1998. RR# 98-061, replace valve 1-MS-176. This replacement was performed on work order 00371542-01, and completed on 11-2-1998. RR# 98-062, replace valve stem 1-CH-HCV-1186. This replacement was performed on work order 00389563-01, and completed on 10-31-1998. RR# 98-063, repair valve 1-CH-FCV-1114A. This repair was performed on work order 00364451-01, and completed on 11-3-1998. RR# 98-067, replace trim assembly 1-CH-FCV-1160. This repair was performed on work order 00381710-01, and completed on 10-25-1998 .. RR# 98-084, replace fasteners l-RH-11. This repair was performed on work order 00389658-01, and completed on 11-2-1998. RR# 98-086, overhaul valve l-SI-243. This repair was performed on work order 00390395-01, and completed on 11-5-1998. RR# 98-087, replace fasteners 1-SI-229. This repair was performed on work order 00362345-01, and completed on 11-2-1998. RR# 98-088, replace fasteners 1-SI-228. This repair was performed on work order 00362346-01, and completed on 11-2-1998. RR# 98-089, inspect/repair check valve 1-SI-147. This repair was performed on work order 00365453-01, and completed on 11-1-1998. Page 2 of 5

Attachment 2 Page 3 of 77 Serial No.: 99-038 Docket No.: 50-280

  • RR# 98-091, replace valve 1-RC-107. This replacement was performed on work order 00395654-01, and completed on 11-11-1998.

RR# 98-092, replace valve body l-CH-280. l-CH-1200A, B & C. This replacement was performed on work order 00378715-02, and completed on 11-3-1998. RR# 98-093, replace valve 1-MS-196. This replacement was performed on work order 00263047-01, and completed on 11-20-1998. RR# 98-094, Fabricate supports. This replacement was performed on work order 00378715-01, and completed on 11-04-1998. RR# 98-097, replace trim set 1-MS-PVC-102A. This repair was performed on work order 00382372-01, and completed on 11-2-1998. RR# 98-098, replace trim set l-MS-PVC-102B. This repair was performed on work order 003 82374-01, and completed on 11-2-1998. RR# 98-101, replace fasteners 1-RC-SV-1551 A. This repair was performed on work order 00381884-01, and completed on 11-14-1998 .

  • RR# 98-102, replace fasteners 1-RC-SV-1551 B. This repair was performed on work order 00381885-01, and completed on 11-08-1998.

RR# 98-103, replace fasteners l-RC-SV-155 IC. This repair was performed on work order 00381886-01, and completed on 11-08-1998 RR# 98-104, replace pipe 14" -WFPD-13-60 I. This replacement was performed on work order 00376326-07, and completed on 11-3-1998. RR# 98-105, overhaul valve 1-RC-PCV-1456. This replacement was performed on work order 00365790-04, and completed on 10-31-1998. RR# 98-106, replace valve bonnet l-RC-TV-1519. This replacement was performed on work order 00384333-01, and completed on 11-11-1998. RR# 98-107, replace pipe 12"-RH-19-602. This replacement was performed on work order 00391924-01, and completed on 11-5-1998. RR# 98-112, cut and reinstall pipe 2"-CH-216-152. This replacement was performed on work order 00377092-01, and completed on I 1-03-1998. RR# 98-122, overhaul valve l-CS-MOV-1 OJA. This replacement was performed on work order 00365785-01, and completed on 11-5-1998. Page 3 of 5

Attachment 2 Page 4 of77 Serial No.: 99-038 Docket No.: 50-280 RR# 98-131, repair thermowell 1-RC-P-lB. This repair was performed on work order 00386708-05, and completed on 10-31-1998. RR# 98-132, inspect check valve 1-CS-127. This replacement was performed on work order 00381746-01, and completed on 10-29-1998. RR# 98-133, install trunnion 1-WFPD-HSS-15 & 16. This replacement was performed on work order 00399355-01, and completed on 11-13-1998. RR# 98-134, replace secondary manway bolts 1-RC-E-lB. This replacement was performed on work order 00380019-03, and completed on 11-3-1998. RR# 98-135, overhaul valve 1-CH-HCV-1310A. This replacement was performed on work order 00399484-01, and completed on 11-6-1998. RR# 98-138, replace valve 1-SI-185. This replacement was performed on work order 00362350-03, and completed on 11-6-1998. RR# 98-140, replace relief valve 1-CH-RV-1203. This replacement was performed on work order 00384251-02, and completed on 11-3-1998. RR# 98-143, replace fasteners 1-FW-61. This replacement was performed on work order 00399726-01, and completed on 11-3-1998. RR# 98-144, replace cap fasteners 1-FW-62. This replacement was performed on work order 00399729-01, and completed on 11-3-1998. RR# 98-145, replace handhole gasket 1-RC-E-lC. This replacement was performed on work order 00399072-01, and completed on 11-10-1998. RR# 98-146, replace snubber l-BD-MSS-10. This replacement was performed on work order 00384505-01, and completed on 11-6-1998. RR# 98-147, replace snubber 1-RC-MSS-lOC. This replacement was performed on work order 00384511-01, and completed on 11-6-1998. RR# 98-150, replace fasteners 1-MS-SV-lOlA. This replacement was performed on work order 00381846-01, and completed on 11-14-1998. RR# 98-151, replace fasteners 1-MS-SV-101B. This replacement was performed on work order 00397914-01, and completed on 11-14-1998. RR# 98-152, replace fasteners 1-MS-SV-lOlC. This replacement was performed on work order 00381848-01, and completed on 11-14-1998. Page4 of5

Attachment 2 Page 5 of 77 Serial No.: 99-038 Docket No.: 50-280

  • RR# 98-153, replace inlet flange fasteners l-MS-SV-102A. This replacement was performed on work order 00381849-01, and completed on 11-14-1998.

RR# 98-154, replace fasteners l-MS-SV-102B. This replacement was performed on work order 00397915-01, and completed on 11-14-1998. RR# 98-155. replace fasteners 1-MS-SV-I02C. This replacement was performed on work order 00381851-0 I. and completed on 11-14-1998. RR# 98-156, replace inlet flange fasteners l-MS-SV-103A. This replacement was performed on work order 00381852-01, and completed on 11-14-1998. RR# 98-157, replace fasteners 1-MS-SV-103B. This replacement was performed on work order 00397916-0 I. and completed on 11-14-1998. RR# 98-158. replace fasteners l-MS-SV-103C. This replacement was performed on work order 00381854-01. and completed on 11-14-1998. RR# 98-159, replace inlet flange fasteners l-MS-SV-I04A. This replacement was performed on work order 00381855-01, and completed on 11-14-1998 .

  • RR# 98-160. replace fasteners 1-MS-SV-104B. This replacement was performed on work order 00397917-01. and completed on 11-14-1998.

RR# 98-161. replace fasteners 1-MS-SV-104C. This replacement was performed on work order 00381857-01. and completed on 11-14-1998. RR# 98-162. replace fasteners 1-MS-SV-105A. This replacement was performed on work order 00381858-01. and completed on 11-14-1998. RR# 98-163. replace fasteners 1-MS-SV-105B. This replacement was performed on work order 00397918-01. and completed on 11-14-1998. RR# 98-164. replace fasteners 1-MS-SV-105C. This replacement was performed on work order 00381860-0 I. and completed on 11-14-1998 .

  • Page 5 of 5

Attachment 2 Page 6 of77 Serial No.: 99-038 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
1. Owner _ Virginia

______ Electric _ _ _.,.,..._and___ Power ____ Co._ _ __ 12/15/98 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Address

2. Plant _Surry

_ _ _ _Power____ Station One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 wo#00378524-o1, RR#97-235 Address Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ __

Name NA Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Addre;s

4. Identification of System ____c_o_n_t_a_i_n_m_en_t_s_p_r_a_y_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

B31 1 55 NA N-1 through N-13

5. (a) Applicable Construction Code
  • 19 ___ Edition, _ _ _ _ _ _ _ Addenda, 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
  • Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No)

                                                                                           ~...t1,rf~r
                                                                                              ,i:,

8 3/4" Nuts Mackson, Inc. NA NA 1-cs-Mov-102}'. NA Replacement No BW/IP tJ Valve International E138A-1-2 NA 1-CS-MOV-102f VA Replacement No Replace valve. Code Case N-416-1 applies(Complet~d 11/16/98). 7, Description of Work _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure ~

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 8Ya 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)

       ?o:t/ BNT-467650                (nuts), CNT-555934          (valve)
9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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/].. £ ~ ;:z:s:z::

          ~~mar o r ~ ' s Deslgnae, Title
                                                        ~6w6&i                  Date _ _~/_?....,.L~/.~'.L CERTIFICATE OF INSERVICE INSPECTION

_ _ _ ,19 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.

                                                                                         ~ins&ed the components described
                                                                                       /      'r,t./I   re            I and state that to the best of my knowledge and belief, the Owner has performed examinations and ~aken 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 - // _

               //J_-:::.>""""'-"~~=~--,---......,~------Commissions _______v_a_.__8_8_3_ _ _ _ _ _ _ _ _ _ __
            ~~
  ----+**_

National Board, State, Province, and Endorsements Date,_ ____./'--',?---<<--+-b_,?----'-/__19  ? 3"' I -

Attachment 2 Page 7 of77 Serial No.: 99-038 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 Co.                                                                            Date_l_l...;./_2_5...;./_9_8_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _l_ _ _ of _ _l_ _ _ _ _ _ _ _ _ _ __ Addre11

2. Plant Surry Power Station Unit One Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00385298-0l, RR#98-017 Addr1111 Repair Org11nlz11tlon P.O. No., Job No., etc.
3. Work Performed by_v_i_rg_i_*n_i_a_P_o_w_e_r_ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _N_A_ _ _ _ _ _ __

Name Authorization No. __N:.::A:.:__ _ _ _ _ _ _ _ _ __ Expiration Dete _ _~ i . . - - - - - - - - - - - -

4. Identification of System _ _ __.s:.::a::f""e_,.t,.....I..,n.:..*...e:.::c:.::t""io.:,ne:......._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (a) Applicable Construction Code B31.l 19~Edition,_N;;..;A:,:__ _ _ _ _ Addenda, N-1 through N-1:Code Casa (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19__.a,_,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)
           ~~- ~-              **--*-                             T--                     , ..                      , ..  .  ,., ... _-- ---_ ............... ...      -
                                                                                                                                                                          .  -             ~,~

Nuts Mackson Inc. NA NA 1-SI-MOV-1869A NA Renlacement No

7. Description of Work.....::cov..:..e:::r:.:h~a::.:ua::l'----'v-=a~lv..:..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 BY.a 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 end 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# BNT-467650 (studs), BNT-467064 (nuts)

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _. ; c N . c : A - " - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. _ _ _...=N..;;:A"'------------Expiration Date _ _ _ _N_A _ _ _ _ _ _ _ _ _ __ Signe!] "~~ <'

         ~wner ~ r ' s Deslgnee, Title or Province of Virginia

_rSr 4J4u!<f£1& Date _ _ _ CERTIFICATE OF INSERVICE INSPECTION and employed by HSBI and I Co*

                                                                                                          .........r_*- - , 19 98"'

l,...,.'/+f. I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Hartford, Ct. ~ ~ t e d the components described

                                                                                       /                                    , 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 exami.nations 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-.::-i. ~ -/-J - ., Va. 883

  -----+--'*_.,.-*.-.......,,~~'-,-'-EJ""'~-------Commissions _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Inspector's Signature National Boerd, State, Province, and Endorsements Date._ ______,_/_fJ----1/~~f---19 9c{

Attachment 2 Page 8 of77 Serial No.: 99-038 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
1. Owner Virginia Electric and Power Co. Date_s_/_2_2_/_9_8_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station Unit _O_n_e_________________

2. P l a n t - - - - - - - - - - - : - : - - - - - - - - - - - - -

N11me 5570 Hog Island Rd., Surry, Va. 23883 W0#00365452-0l, RR#98-019 Addre11 Aepelr Organlzetlon P.O. No., Job No., etc. Virginia Power

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _NA _ _ _ _ _ _ _ __

Name. Authorization No. _ _ NA _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _......,.___ _ _ _ _ _ _ _ _ __ Addre11

4. Identification of System _ _ _. .;S;;_;ac;:f:.. :e:.. :t.........=.;In;.;;...;'e;;.:c:...:t;;::i.:con:.;;.__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (al Applicable Construction Code 831
  • 1 19_55__ Edition,_NA _ _ _ _ _ _ Addenda, N-l through N- 1 code Case (bl Applicable Edition of Section* XI Utilized for Repairs or Replacements 19_s....Q.___
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)

BW/IP Stock# Disk International 20501390 NA l-SI-145 NA Reolacement No Studs Mackson, Inc. NA NA l-SI-145 NA Replacement No Nuts Mackson, Inc. NA NA 1-SI-145 NA Replace~ent No

7. Description of Work_R-'ep"-a_i_*r_v_a_l_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 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 (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) CNT-558594 (disk), BNT-467650 (studs & nuts)

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that ttie statements made in the report are correct and this replaced conforms to the rules of the ASME Code, Sectia'n XI. repair or replacement Type Code Symbol Stamp _ _ _ _ _ _N_A ______________________________ Certificate of Authorization No. _ _ _ _ NA_ _ _ _ _ _ _ _ _ _ _ Expiration D a t e - -NA -------------- Signed (2~£o-. Tit-!r:£ 461.116~,.f., _ _ _ _ _ _ _ _ , 19 Date _ _=s:..,jv_.....,. CERTIFICATE OF INSERVICE INSPECTION 97 I, the undersignefy 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.
  -------------------------,:--ir-----.-=-=-----:aye in!jP,ec~ - the components described in this Owner's Report during the period                                        to    ~~      ~!..!l'b__               , and state that to the best of my knowledge and belief, the Owner has performed examinati,ons and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report._ Furthermore, neither the Inspector nor his 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[) ~ -             '_-;j ~                                                Va. 883
  -----~~-'"'L,1'"""""--'-'-~....<....~r<-=-....c..--------Commissions _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
                   ~,;pee~                                                     National Board, State, Province, and Endorsements Date---~£;-+--"/,g.~c:(_ _1 9 ~

Attachment 2 Page 9 of77 Serial No.: 99-038 Docket No.: 50-280

  • 1 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 Co.                                            Date_S_/_2_2_/_9_8_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11

2. Plant _Surry

_ _ _ _Power ____ Station _..,.,.._ _ _ _ _ _ _ _ _ __ Unit _o_n_e_________________ Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00365790-0l, RR#9B-020 Addre11 Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ _ __

Name Authorization No. _ _ NA_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _--""";;1,,__ _ _ _ _ _ _ _ _ __ Addre11

4. Identification of System ____R_e_a_c_t_o_r_co_o_l_a_n_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (a) Applicable Construction Code 331 ' 1 19_55__ Edition,_NA _ _ _ _ _ _ Addenda, N-l through N- 1 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)

Part#

 ~rim Assemblv (olua)         Cooes-Vulcan               141703                 NA      1-RC-PCV-1456          NA          Renlacement       No
7. Description of Work_R_:ep=-a_i_r_v_a_l_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) 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) CNT-552053

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
          .          virgin1a CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~, holding ii valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State HSBI and I Co.

or Province of and employed by of Hartford, Ct. h,ie insljlec~ the components described in this Owner's Report during the period "3 to '> P %/9':6.,_ , and state that to the best of my knowledge arid 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. 3 _______,.{]=--""""'"Q"""'"---.1.'-~--L-....s.J;..=->."'-------Commissions _______v_a_._s_s_*__ _ _ _ _ _ _ _ _ __ Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _ _.,.:..._-,.f-/1.Lr}:___;:'b=----19 i zf{

Attachment 2 Page 10 of77 Serial No.: 99-038 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. Ow ner - - - - - - - - - - - - - - - - - - - - - - -

Date_s_/_2_2_/_9_8_ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 of _ _1_ _ _ _ _ _ _ _ _ _ __ Addre11 Surry Power Station

2. Plant _ _ _ _ _ _ _ _ _ _- : - : - - - - - - - - - - - - Unit _One Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00368301-0l, RR#98-021 Addre11 Repair Organization P.O. No., Job No., ate.

Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ _ __

Name Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date ___N'""A'-'------------- Addre11

4. Identification of System ____R_e_a_c_t_o_r_c_o_o_l_a_n_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5, (a) Applicable Construction Code 83 1. 1 19_55__ Edition,_NA _ _ _ _ _ _ Addenda, N-l through N- 1Code 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)

Part# rim Assembly (plug) Copes-Vulcan 141703 NA l-RC-PCV-14SSC NA Replacement No Part# Bonnet Copes-Vulcan 130895 NA l-RC-PCV-14SSC NA Replacement No

7. Description of Work_R_ep_a_i_r_v_a_l_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 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) CNT-552053 (trim), CNT-555625 (bonnet)

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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 _ _ _ _NA _ _ _ _ _ _ _ _ _ _ __ Signed (2~,# - Owner~~slgnee, Title j LS'.:Z- C *

                                                          .C.. d4 .,;.ve:L4 I

Date _ ___._,L.~-1-='U,...=-----, 19 CERTIFICATE OF INSERVICE INSPECTION

                                                                                                                                  ,_/
                                                                                                                                '7p I, the undersigne~,, 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 Harttord, Ct.

ha191 in~ected the components described in this Owner's Report during the period to ~ o/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 inspection.

  -----~a-=-.....,zf2_r:::1=+-~~-'--f,--+v1. . A_~~-~-----Commissions
                    ~nspect<>r~t~re
                                               ..                                                       883

_______v_a_.___ _ _ _ _ _ _ _ _ _ _ _ __ National Board, State, Province, and Endorsements Date_ _ _ _ ~-+-/.

                            , _oJ..__

_~ 19 z'.'7$

Attachment 2 Page 11 of77 Serial No.: 99-038 Docket No.: 50-280

  • 1. Owner FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS Virginia Electric and Power Co.

As Required by the Provisions of the ASME Code Section XI Date 7 /02/98

  • i Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11
2. Plant Surry Power Station Unit _o_n_e_________________

Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00364933-0l, RR#98-022 Addre11 Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N_A_ _ _ _ _ __

Name Authorization No. - ~ N - A ~ - - - - - - - - - - - Expiration Date _ _ _ _ _ _ _ _ _ _ _ _ _ __ Addre11

4. Identification of System Reacto Coo
5. (a) Applicable Construction Code B31.1 .19_ss__ Edition,_NA _ _ _ _ _ _. Addenda, N-1 through N-11!:ode Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19--',......--
6. Identification of Components Repaired or Replaced and Replacement Components ASME Coda National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol M- r.,,..,.....,l,-.:
                                                             '"                       '"          _'Oro .D ."J
                                                                                                                    '"        --  ., ~--...J     ..
                                                           , Part #

Studs Westinahouse 1873E97H01 NA 1-RC-E-2 NA Replaced No Part# Nuts ASTRO Nuclear 1873E97H02 NA 1-RC-E-2 NA Replaced No

7. Description of Work Replace pressurizer manway.
8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure ~

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# CNT-382243 (studs), CNT-537321 (nuts)

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached The manway was removed from an old replaced steam generator and installed on l-RC-E-2. 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.t.~~ Owner ornars Deslgnee, Title J$":Z- L~4.,,r1c..~U Date _ ____._7_.,./__.~L-.___ _ _ _ _ , 19 9,Y 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. i4e /~ Z. 6, the components described

                                                                                                                           , 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.

  -----r~
                  ~ C:
                     .......= "
                                             -  -#I-.
                            ~-'--*-~-~~~.,.~~~~------Commissions Va. 883 Inspector's Signature                                  National Board, State, Province, and Endorsements Date_ _ _7-'---r--/~~-19L I

c(

Attachment 2 Page 12 of77 Serial No.: 99-038 Docket No.: 50-280

  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS
1. Owner Virginia Electric and Power Co.

As Required by the Provisions of the ASME Code Section XI Date_6_/_s_/_9_B_ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _1___ of ___ 1 ___________ Addre11

2. Plant _Surry

____ Power ____ Station _..,.,.._ _ _ _ _ _ _ _ _ __ Unit _o_n_e_________________ N11me 5570 Hog Island Rd., Surry, Va. 23883 W0#00386551-01, RR#98-028 Addre11 Repair Org11nlz11tlon P.O. No., Job No., etc. Virginia Power

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ NA Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ __

N11me Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ __ , , . " ' - - - - - - - - - - - - Addre11

4. Identification of System ____s_a_f_e_ty,__r_n-'j'-e_;c_;t.:;i.:;on:;__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5, (al Applicable Construction Code 831

  • 1 19_5_5__ Edition,_N_A_ _ _ _ _ _ Addenda, N-l through N- 1 tode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19__,0'-'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 studs             Mackson             Inc.           "A                       N"           '-ST-130            "        Renl~ced          No
7. Description of Work_R_e....;p:...l_a_c_e_f_a_st_e_n_e_r_s_._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
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 BY.a 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) BNT-467650

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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 S f ownerfr~lgnee, Title Date----aW: t/:

                                                                                                 .......______,           19  9L 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 virginia                    and employed by HSBI and I Co.                                     of Hartford, Ct.

h9v~ jns??:d the components described in this Owner's Report during the period J ~ to &, ('f(Z~ , 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,.,...~--~o'""""------'~'--,1-'/A_.~c....:c..'"-=------Commissions _______         v_a_._8_8_3_ _ _ _ _ _ _ _ _ __
                 ~to~ature                                                       National Board, State, Province, and Endorsements Date*------'----#7--1-I-~-  6   /a          19 P<

Attachment 2 Page 13 of77 Serial No.: 99-038 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. O w n e r - - - - - - - - - - - - - - - - - - - - - - -
                                                                                         . Date _5/22/98 Name 5000 Dominion Blvd., Glen Allen, Va. 23060                                       Sheet _ _1  ___ of ___     1_ _ _ _ _ _ _ _ _ __

Addre11 Surry Power Station One

2. P l a n t - - - - - - - - - - - : - - : - - - - - - - - - - - - - Unit--------------------

N11me 5570 Hog Island Rd., Surry, Va. 23883 W0#00368301-0l, RR#98-029 Addre11 Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ _ __

Name Authorization No. _ _ NA Same as above Expiration Date _ _~N...,.A"------------- Addre11

4. Identification of System ____R_e_a_c_t_o_r_c_o_o_l_a_n_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (a) Applicable Construction Code 831
  • 1 19_55__ Edition,_NA _ _ _ _ _ _ Addenda, N-l through N-lbode 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)

Studs & Nuts Mackson, Inc. NA NA 1-RC-PCV-1455C NA Replacement No

7. Description of Work_R...;ep:...a_i_r_v_a_l_v_e_.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _ _ _ _ _ psi Test Tamp, °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) CNT-467650

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

~:~27:-<<-_z:j--;-~---?=&!-C_'l'i_<_~--'&-.-~-Expi::::_n_D_a_te~-1?,-~~~::~~-N-._A~~~~~~~~~-.-_ _7,_~---

19

           ~ i e r o r ~Designee, Title                                                      ""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 Hartford, Ct. and employed by HSBI and I Co*

                                                                                       ~~

h;r m the components described of

                                                                                                                     , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken c~rrective 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/Jc-:? "'1T A-,, Va. 883

  -----"'=,,...."+.,'4-.~-_.,""~_,_-...,.~~------Commissions _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
                   .Jspe7toi's~                                                National Board, State, Province, and Endorsements Date_ _ _ _ _      0-+--/~~'6__ ' 19 '1?5

Attachment 2 Page 14 of77 Serial No.: 99-038 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. Ow ner - - - - - - - - - - - : - : - - - - - - - - - - - - - -

Date_4_/_1_4_/_9_s_ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet ___ 1 _ _ of ___1_ _ _ _ _ _ _ _ _ __ Addre11 Surry Power Station

2. Plant _ _ _ _ _ _ _ _ _ _ -c-,------------ Unit _One Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00386554-01, RR#98-030 Addre11 Repair Organization P.O. No., Job No., etc.

Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ __

Name Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date ___N""A'-'------------- Addra11

4. Identification of System ____R_e_s_i_d_u_a_l_H_e_a_t_R_e_mo_v_a_l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5, (al Applicable Construction Code 831 '1 19_ 55__ Edition,_N_A_*_ _ _ _ _ Addenda, N-l through N-1Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_Bc.: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)

Energy & Sockolet Process Coro. Ht. #171YNJ, 12"-RH-19-602 NA Replacement No Edgecomb Plug Metals Co. NA 12"-RH-19-602 NA Replacement No

7. Description of WorkRepair through wall leak. Code Case N-416-1 applies.
8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure lxJ 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) 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# CNT563767 (sockolet), 43088 (plug)

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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 Symb.ol S t a m P - - - - , - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - NA Certificate of Authorization No. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Expiration D a t e - - - - - - - - - - - - - - - - NA

                   ~'

Signed~ilf--":-'~"-£',t!Y;"r,G wneor ~o@fiinee, Title _, ('

                                 ~~,,.......-::------=J~J:'"::f~-~~Afl.
                                                                     .......41,,1.~6$$-e."""""_ _ _ _ Date_,c.A)L.,l"-""'&~!&...:e_--,,~/.,.,_~'------,

CERTIFICATE OF INSERVICE INSPECTION

                                                                                                                ~

I, the undersigne91 .holdi.ng ~ valid commission issued by the National Board of_Boiler and P.ressur1;t. Vessel Inspectors and the State virginia HSBI and 1 co. 19 9T or Province of and employed by of Hartford, Ct.

  ------------------------:::---,1-c--=:7';==----~lfl'e i = : ~ the components described in this Owner's Report during the period                                               ;, {:P~       to     '(// 5 / - ~                          , 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. 3?,~-~

  -------t~="~~~-~-r-,...+-~'/(,A/~

Inspector's Signature Va. 883

                                                                - _ _ _ Commissions _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

National Board, State, Province, and Endorsements Date

Attachment 2 Page 15 of77 Serial No.: 99-038 Docket No.: 50-280

  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS
1. Owner Virginia Electric and Power Co.

As Required by the Provisions of the ASME Code Section XI Date_s_/_2_2_/_9_8_ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11

2. Plant _Surry

_ _ _ _Power ____ Station _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00386554-02, RR#9B-032 Addre11 Repair Org11nlz11tlon P.O. No., Job No., ate. Virginia Power NA

3. Work Performed b Y - - - - - - - - - , - , - - - - - - - - - - Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ __

Name Authorization No. _ _NA _ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _~N.,.A"'------------ Addre11

  • 4. Identification of System ____R_e_s_i_d_ua_l_H_e_a_t_R_e_m_o_v_a_l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5, (al Applicable Construction Code __ B3_1_*1_____ 19_5_5__ Edition,_NA_ _ _ _ _ _ Addenda, N-l through N- 1: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
-Niitforia1
                                                                                         ,_;,:*, ,.     **1. ..                           Repaired,* Stamped Name of                   Name of                Manufacturer        Board                    Other            Yea~            Replaced,     (Yes Component              Manufacturer                Serial No.          No.                 Identification       Built       or Replacement or Nol Studs    & Nuts         Mackson,         Inc.          NA                       NA            1-RH-FE-1605           NA           Replacement      No
7. Description of Work._R_epc...l_a_c_e_f_a_s_t_en_e_r_s_._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
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., (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 (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) BNT-467650

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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 (?nt;~Jtrfne~ 4 ~ Date _ _ =n"74=~='-------, 19 9.JV 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. hz ins,ected the components described

                                                                                                          ~ ;; %      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,

                 /7/'J

______,G,U.._""' ._L< C"')_ 'II

                       ..-'.=-i.....,,_,_Y'k'J--"-J<-lo'",MAA/'::::.....,~;;._-----Commissions                 Va. 883 Inspector's Signature                                                      National Board, State, Province, and Endorsements Date,_ _ _ _ _?"-,+-/,_fil._~               __19        '.z <ts'

Attachment 2 Page 16 of77 Serial No.: 99-038 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. Ow n e r * - - - - - - - - - - . , . . , . . - - - - - - - - - - - - -

Date_6_/_1_6_/_9_B_ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 of _ _1_ _ _ _ _ _ _ _ __:___ Addre11 Surry Power Station One

2. P l a n t - - - - - - - - - - - - , - , - - - - - - - - - - - - - Unit--------------------

N11me 5570 Hog Island Rd., Surry, Va. 23883 W0#00389205-0l, RR#98-038 Addre11 Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ __

Name Authorization No. __N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _....:N:.::A'"------------ Addre11

4. Identification of System ____c_h_e_m_i_c_al_&_v_o_l_um_e_c_o_n_t_r_o_l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5, (a) Applicable Construction Code 831 "1 19_5_5__ Edition,_NA _ _ _ _ _ _ Addenda, N-l through N- 1 toda 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)

Ht. # 1 1/2 11 Pine Guvon Allovs NSD1024 NA .5 11 -CH-93-1502 NA Renlaced No Energy & Ht. # Flange Process Corp. 860XNE NA b..5 11 -CH-93-1502 NA Replaced No

7. Description of Work Replace pipe and flange. Code Case N-416-1 applies.
8. Tests Conducted: Hydrostatic Pneumatic D Nominal Opereting 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 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 ba obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

FORM NIS-2 (Back) NS-31551 (pipe), CNT-570213 (flange)

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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___________ SignedQL . ~ '-",4./ _T5T Owner o r ~ ; Designee, Title k~ Date--W ~........,.P~----, 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigne$1,, holding a valid commission issued by the National Board of Boiler and Pdressure Vessel Inspectors and the State

          .            virginia                                                       HSBI an I Co.

or Province of and employed by of Hartford, Ct. hav; ins~ted the components described in this Owner's Report during the period to tzjcil J'jYfC' , 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.

                                    ~ --ft~                                                       Va. 883
  -----+-7"'-'lc-:l6:""""_.,~F-=.,.!.1AAA#:..,.,.<<-=----
                                                      - _____ commissions _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
                      '5f)8CtorsSlgn~                                               National Board, State, Province, and Endorsements

Attachment 2 Page 17 of77 Serial No.: 99-038 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. Ow ner - - - - - - - - - - . . , . , . . - - - - - - - - - - - -

Date_9_/_2_5_/_9_8_ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ 1 _ _ _ ot _ _1_ _ _ _ _ _ _ _ _ _ __ Addre11 Surry Power Station One

2. P l a n t - - - - - - - - - - - - = - , - - - - - - - - - - - - - Unit--------------------

N11me 5570 Hog Island Rd., Surry, Va. 23883 W0#00389205-02, RR#98-039 Addre11 Repair Org11nlz11tlon P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ _ __

Name Authorization No. __N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _~N=A-=------------ Addre11

4. Identification of System ____c_h_a_r=-gi_*n . . . . : g a . . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

5, (a) Applicable Construction Code 531 ' 1 19~Edition,_N_A_ _ _ _ _ _ Addenda, N-l through N*ltode 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
                                                                                    ..                               Repaired,    Stamped National Name of                Name of          Manufacturer       Board               Other          Year         Replaced,       (Yes Component            Manufacturer         Serial No,         No.            Identification     Built    or Replacement cir No) l "studs           Mackson     Inc.        NA                     NA      .50-CH-93-1502         NA        Reolacement        No l "Nuts            Mackson, Inc.           NA                     NA     ,50-CH-93-1502          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 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, 346 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

l . . . '. '

                                                                                                                                                       ~

FORM NIS-2 (Back) PO# BNT-467650 (studs & nuts)

9. R e m a r k s - - . . . . , . . . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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______________________________

a~ /J Certificate of Authorization No. ____N_A ___________ Expiration Date _ _ _ _N_A___________ Signed Owner ~ g n e e , Title

                                     . fr I                                    Date _ __,.zF--~....:;2...,..£..__ _ _ _ , 19      9r 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.

hav7 in5P1ct~the components described in this Owner's Report during the period 5"". '/ 3 c; ~ to 9,~Z:,~ 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 inspection.

                    //17        c")A_     ,c.fi/"'-'                                        Va. 883
  ------~-=~~'..,~-+-<~--------Commissions _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
i;;;;;;;;tor~ National Board, State, Province, and Endorsements Date,_ _ -+--491o~~'1_!_19 re?

l ~ /

Attachment 2 Page 18 of77 Serial No.: 99-038 Docket No.: 50-280

  • 1. Owner 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. Date_7_;/_0_6_/'---9_8_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet ___ l _ _ of ___l _ _ _ _ _ _ _ _ _ __ Addre11

2. Plant _Surry

_ _....:.._Power ____ Station _..,..,.._ _ _ _ _ _ _ _ _ __ Unit _O_n_e_________________ N11me 5570 Hog Island Rd., Surry, Va. 23883 W0#00389419-01, RR#98-041 Addre11 Repair Organization P.O. No., Job No., etc. Virginia Power

3. Wor k Performe dbY - - - - - - - - - - - - - - - - - - - Type Code Symbol Stamp ____ N_A_ _ _ _ _ _ __

Name Authorization No. _ __::N.::.A=--------------- same as above Expiration Date _ __,...__ _ _ _ _ _ _ _ _ _ __ Addre11

4. Identification of System ____R::.e;:;.a, .c:ct:coc..:r:.. . .,Cc..:oc.=oc:l.=:a-'-'n.::.t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (a) Applicable Construction Code 831
  • 1 19_5_5_ Edition,_N_A_ _ _ _ _ _ Addenda, N-1 through N-1ode Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_...,,___
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)

Energy & Ht. # D~~o -- -,""'°"'""' ,... ____ rn, ~o~ 1 ,.,,...._,..

                                                                                                                                              '"       -   .,   ,rl      u~

Dubose Nat. Ht. Code RW Elbow Energy Serv. Ht. # 39125 NA 1-RC-6 NA Reolaced No Edwards s. 0. # Valve Valves 36-21332 NA l-RC-6 NA Replaced No

7. Description of Work Replace valve. Code Case N-416-1 applies.
8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure  !&I 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# CNT-487834 (pipe), CNT-567357 (elbow),

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached SNT-351707 (valve)

                                                 . 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 _ _ _ _ _ _         NA_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

NA NA Certificate of Authorization No. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Expiration D a t e - - - - - - - - - - - - - - - - Date'-*_ __,,;>'-',~

                                                                                                  .......~ - - - - , - 1 9     9C:

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned,.holdjng iil valid commission issued by the National Board of Boiler and eressur.e Vessel Inspectors and the State Virginia HSB~ and~ co. or Province of Hartford, Ct . and employed by

  • of lljVe inspected the components described in this Owner's Report during the period to Z,!'2.."l;/9 8" , 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:a,,....."'-.Q
                        .__....,~
                               ... --,~~---------Commissions _______v_a_.__ _ _ _ _ _ _ _ _ _ _ _ __

I nspactor's Signature 883 National Board, State, Province, and Endorsements Date

Attachment 2 Page 19 of77 Serial No.: 99-038 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
1. Owner Virginia Electric and Power Co. Date_1_2_/_1_/_9_B_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station Unit _O_n_e______....,,.,__,--.,..,,.._--+-~----

2. Plant _ _ _~ - - - - - - - : - : - - - - - - - - - - - -

Name ,&o....-.n.... if:}$). r:1i11h.P

                                                                                                                '3~....,._.-,fl,.

5570 Hog Island Rd., Surry, Va. 23883 W0#00378715-02, RR#98-~ 0~--0 ~ Addra11 Aepelr Organization P.O. No., Job No., ate.

3. Work Performed by _ Virginia

_ _ _ Power _ _ _ _,....._ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _NA _ _ _ _ _ _ _ __ Name Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ _ __ same as above Expiration Date _ __......__ _ _ _ _ _ _ _ _ _ __ Addra11

4. Identification of System _ _ _---"ch'"'"a"'r=-=i==n=------------------------------------
5. (a) Applicable Construction Code B3 1. 1 19_5_5__ Edition,_NA_ _ _ _ _ _ Addenda, N-l through N-ll:ode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19__,a"'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)

Edward

                           '(7~1 ~*~~

Part#

                                                      "'J,::"l'\r-1'\AA              , ..      ., _ .....TT-"'""             , ..       - .-        -~    "-

Energy & 2" Elbow Process Corp. Ht. # 461886 NA 1-CH-280 NA Reolacement No Energy & 2" Pipe Process Corp. Ht. # 4313717 NA 1-CH-280 NA Replacement No 7, Description of Work Replace valve bodies. Code Case N-416-1 applies.

8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure IZ]

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) 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# CNT-571625 (valve), CNT-487834 (pipe), CNT-574420

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached elbow) 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:... j} ~ ;ZJ'f O w n e r ~ ~ . Title b/6Wc£.d:4 CERTIFICATE OF INSERVICE INSPECTION Date /~

                                                                                                        --~-=.---------

I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State

                                                                                                                                         , 19  9JY or Province of Virginia                                   and employed by                          HSBI and I Co.                                    of Hartford, Ct.

have i9spejed, jll-e* components described in this Owner's Report during the period to / :Z.? ~rr~ to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this

                                                                                                                                        , and state that 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. 883
  --------t=-=1-nl----l(.A_e""c~t'"'o~r.-s'~sJYJ1,...,,,g,-.n-a""'t~u""'re~~~""'~---Commissions _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

National Board, State, Province, and Endorsements Date  ;#/'& I 19 ~

Attachment 2 Page20 of77 Serial No.: 99-038 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 1 . Owner Virginia Electric and Power Co. Date _ _ 1_2_/_3_/_9_8_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address

2. Plant _ Surry

_ _ _ _Power _ _ _ _Station __ _ , , . . . . . . - - - - - - - - - - - Unit __O_n_*_e_________________ Name 5570 Hog Island Rd., sur,:y, Va. 23883 W0#00378524-03, RR#98-057 Address Repair Organization P.O. No., Job No., etc. Virginia Power Type Code Symbol Stamp ____N_A _ _ _ _ _ _ __

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _- - ' - - - - - -

Name Authorization No. _ _N_A _ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _~ ~ - - - - - - - - - - - - Address

4. Identification of System _ _ _~c=o=n=t=a=in=m=e=n=t~S~p=r=a~y------------------------------
5. (al Applicable Construction Code B31.l 19~Edition,_N_A_*_ _ _ _ _ Addenda, N-1 through N-l~ode Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89
6. Identification of Components Repaired or Replaced and Replacement Components
  • Name of Component 6" Elbow Name of Manufacturer Tioga Pipe Supply Manufacturer Serial No.

NA National Board No. NA Other Identification l-CS-MOV-102B Year Built NA Repaired, Replaced, ASME Code Stamped (_Yes or Replacement . or No) Replacement No 6" Pipe HUB, Inc. NA NA l-CS-MOV-102B NA Replacement No Consolidated 6" Flange Power supply NA NA l-CS-MOV-102B NA Replacement No Duoose National 6" Tee Energy Services NA NA l-CS-MOV-102B NA Replacement No 2" Elbow Frishkorn, Inc. NA NA l-CS-MOV-102B NA Replacement No 2" Elbow Frishkorn, Inc. NA NA l-CS-MOV-102B NA Replacement No

7. Description of Work ______R_e_p_l_a_c_e_v_a_l_v_e_._c_o_d_e_c_a_s_e_N_-4_1_6_-_a_p_p_l_i_e_s_(_co_m_p_1_e_t_e_d_1_1_;_1_1_/_9_8_)_.- - - - - - - - - -
8. Tests Conducted: Hydrostatic D 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 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

I FORM NIS-2 (Back) PO# CNT-525150, CNT-447334, CNT-563651, CNT-558834,

9. R e m a r k s - - - . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached SSY-347633, CSY-341372 CERTIFICATE OF COMPLIANCE We ce*rtify 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 e .. Certific~ateof Au;~rization No.  :. Expiration Date / Signed - "£_ * ~ 2 S'f e:,,#{§@"'~ Date _ _./.:..c2._/L..-.. _ _ _ _ __ 199;;/ wneror Oer'sDesignee, Title 1 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 Hartford, Ct. in this Owner's Report during the period and employed by HSBI and I Co* to / ~~ I h.7 7~

                                                                                                       ~r            the components described of
                                                                                                                                , 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 inspection. at2~ 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 Commissions _ _ _ _ _ _ _V_a_._8_8_3___________ Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _ /~.;2...-_,,_/_,.__)_ _19 1 7 z[

Attachment 2 Page 21 of77 Serial No.: 99-038 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
1. Owner Virginia Electric and Power Co. Date _ _ 1_2_/_3_/_9_8_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address

2. Plant _ _Surry

_ _ _Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00378524-03, RR#98-057 Address Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ _ __

Name Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _~ ~ - - - - - - - - - - - - Address

4. Identification of System _ _ _---'c-"o""'n-'-t-'-'a""in"'m""e""'ncc.tc....csc.....crc.ca...__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (a) Applicable Construction Code 83 1. 1 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, N-l through N-i:tode Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89
6. Identification of Components Repaired or Replaced and Replacement Components
  • Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) 2" Elbow HUB, Inc. NA NA 1-CS-MOV-102B NA Replacement No

7. Description of Work _ _ _ _ _ _ Replace

_ _ _ valve. ____ Code_ _Case_ _ N-416-applies _ _ _ _ _ _ _(Completed _ _ _ _ _11/11/98).

8. Tests Conducted: Hydrostatic D 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 SY. 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

FORM NIS-2 (Back) PO # C S Y - 1 9 - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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.c.cA=------------- Expiration Date -----=N.c.cA=------------- Signe'd ()L~..e&b: .:rs~ Owner orOer's Designee, Title

                                                                       £.,,,4,4/e!"-!4        Date 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

                                                                                                                                     .,9 £?"'

or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. ha/; g d the components described in this Owner's Report during the period 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

                       /7)=-*"-<...,,........_,-~-'-....L..--'--'--------Commissions _ _ _ _ _ _ _V_a_._8_8_3___________

i-n-s-pe_c_t-io_n_._,,,,,.

                     ~ t o r ' s Signature                                                   National Board, State, Province, and Endorsements Date,_ _ _-'-/-""-~__,/-+-'7_19                            9K

Attachment 2 Page 22 of77 Serial No.: 99-038 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
1. Owner Virginia Electric and Power Co. Date _ _ l_2_/_3_/_9_8_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station Unit __O_n_e _________________

2. P l a n t - - - - - - - - - - - . . , . , , - - - - - - - - - - - - -

Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00345557-03, RR#98-058 Address Repair Organization P.O. No., Job No., etc. Virginia Power

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp ____N_A _ _ _ _ _ _ __

Name Authorization No. _ _c.:Nc.:A:...__ _ _ _ _ _ _ _ _ __ Expiration Date _ ____.L)la_ _ _ _ _ _ _ _ _ _ __

4. Identification of System _ _ __::C::c:o,_,n-"t"'a""in"'m""e"'n"-'t"----'s'--"-=r'-"a'-L.__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (al Applicable Construction Code B31.l 19_s_5_Edition,_N_A_ _ _ _ _ _ Addenda, N-1 through N-1: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
  • Name of Component 6" Pipe Name of Manufacturer HUB, Inc.

Manufacturer Serial No. NA National Board No. NA Other Identification l-CS-MOV-102A Year Built NA Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Replacement No Tioga 6" Elbow Pipe Supply NA NA l-CS-MOV-102A NA Replacement No Consolidated 6" Flange Power Supply NA NA l-CS-MOV-102A NA Replacement No Energy & 2" Branch Process Corp. NA NA l-CS-MOV-102A NA Replacement No conso.L1aacea 2" Elbow Power Supply NA NA l-CS-MOV-102A NA Replacement No Consolidated 2" Pipe Power Supply NA NA l-CS-MOV-102A NA Replacement No 7, Description of Work ______R_e_p_l_a_c_e_v_a_l_v_e_._c_o_d_e_c_a_s_e_N_-_4_1_6-_a_p_p_l_i_e_s_(_c_om_p_l_e_t_e_d_1_1_/_1_0_/_9_8_)_._ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure ~

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

FORM NIS-2 (Back) PO# CNT-447334, CNT 525150. CNT-563251, CNT-563767.

9. R e m a r k s - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached SSY-355986, CNT-540879 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 ~ ft 4.4-....-..::Z::S:Z:-~,N$

          ~ e ~ a s , g n e e , Title or Province of Virginia Date-~/.=~c...+--/j CERTIFICATE OF INSERVICE INSPECTION and employed by                   HSBI and I Co*

f _ _ _ _ _ _ _ , 19 ()?" I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State of Hartford, Ct. have in~ected the components described in this Owner's Report during the period to /;i./~'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 inspection.

  -------/'7~4---'!Jbd"l--'~-L..__.L...!.'---'- ______ commissions_~_ _ _ _ _V_a_._8_8_3___________
                     ~ Signature                                                National Board, State, Province, and Endorsements Date_ _ _ __,_/-"-~-+/_7,____19               ? c('

Attachment 2 Page 23 of77 Serial No.: 99-038 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
1. owner Virginia Electric and Power Co. Date __ 1_2_/_3_/_9_8_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet ___2_ _ of ___2_ _ _ _ _ _ _ _ _ __ Address

2. Plant Surry Power Station Unit __O_n_e_________________

Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00345557-03, RR#98-058 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by_v_i_r_g_i_n_i_a_Po_w_e_r_ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _N_A_ _ _ _ _ _ __

Name Authorization N o . - - = - - - - - - - - - - - - Expiration D a t e - - - - , l f f l : - - - - - - - - - - - - Address

4. Identification of System _ _ _- < : ; : o t i . t : . a l l l l 1 1 1 e J i t : - - l S J = = L ¥ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
5. (a) Applicable Construction Code B31.1 19_5_5_ Edition,__.u,.__ _ _ _ _ Addenda, N-J tbrougb N-J ;Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_..,.,.__
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)

John H. 2" Elbow Frischkorn, Inc. NA NA 1-CS-MOV-102A NA Replacement No

7. Description of Work Replace valve. Code Case N-416-applies (Completedll/10/98).
8. Tests Conducted: Hydrostatic D 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 8Y:z 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

FORM NIS-2 (Back) PO CSY-341372

9. R e m a r k s _ . . . . , , . . . - - - - - - - - - - - - - - - ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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 D a t e - -NA --~----------- Sigoed Q~.Tpr ~~. D,<*--~"'~~~f~/r-~-----,19 FY or Province of irginia CERTIFICATE OF INSERVICE INSPECTION I, the undersignei holding a valid commission issued by the National Board of*Boiler and Pressure Vessel Inspectors and the State and employed by HSBI and I Co* of Hartford, Ct. ha' i/'.ected the components described

                                                                                       / ;z.., 7'7    g"             , 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 Coae, 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.            < ~
  ----i~c=_...__--=~~~-~-,....~~~-------Commissions Inspector's Signature

_______ Va. ___ 883 National Board, State, Province, and Endorsements Date r

                               /'9-../ 7 93' J

19 i

                                                                                                                                       ~-J   : *..

Attachment 2 Page 24 of77 Serial No.: 99-038 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 1

  • owner Virginia Electric and Power Co. Date __ l_2_/_4_/_9_8_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address

2. Plant Surry Power Station Unit __O_n_e__________________

Name 11;/,iha' 5570 Hog Island Rd., Surry, Va. 23883 W0#00371542-03)1'; RR#98-059 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by_v_i_r_g_i_n_i_a_P_ow_e_r_ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp ____N_A_ _ _ _ _ _ __

Name Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ _ __ Expiration Date _ _- - - i - - - - - - - - - - - - - Address

5. (al Applicable Construction Code B31.1 19_5_5_ Edition,__,_N=A,___ _ _ _ _ Addenda, N-1 through N-1:Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19_....,.__
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 Tioga 3" Elbow Pipe Supply NA NA 1-MS-182 NA Replacement No Model #

3" Valve Enertech 3"-600 ANS DRV-Z NA 1-MS-182 NA Replacement No Energy & 3" Elbow Process Corp. NA NA 1-MS-182 NA Replacement No Dubose Nat. 3" Pipe Energy Services NA NA 1-MS-182 NA Replacement No Dubose Nat. 3" Flange Energy Services NA NA 1-MS-182 NA Replacement No

7. Description of Work ______R_e_p_l_a_c_e_v_al_v_e_._c_o_d_e_c_a_s_e_N_-4_1_6_-_a_P_P_l_i_e_s_(_c_om_p_l_e_t_e_d_1_1_;_2_/_9_8_)_.- - - - - - - - - -
8. Tests Conducted: Hydrostatic D 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 l size is 8% in. x 11 in., (2l informa-tion in items 1 through 6 on this report is included on each sheet, and (3l each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82l '-- This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CNT-576104 BNT-467650 CNT-558078 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ aceroent 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~ ~ Owner or

                      ,;} e--      .d...<  I~:r Des\1inee, Title
                                                         ~(iu..-&~~ Date _ ____./,_..'L-=-,,,__H_,_1

_ _ _ _ , 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 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.~* ~:fr-~


+~-=-""lc-7""""-'.,....,.*-~-'--+-~-"--'=-------Commissions _ _ _ _ _ _~V~a~.~8~8~3___________

Inspector's Signature National Board, State, Province, and Endorsements Date /if/7 I 19 ~~

Attachment 2 Page 25 of77 Serial No.: 99-038 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 1 . Owner Virginia Electric and Power Co. Date _ _ 1_2_/_4_/_9_B_ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet ___2__ of ___2 ____________ Address Surry Power Station Unit __O_n_e__________~ - ~ - - - - -

2. P l a n t - - - - - - - - - - - - - - - - - - - - - - -

Name lSiJJ. ~ I ,.._1,((i<j 5570 Hog Island Rd., Surry, Va. 23883 W0#00371542-037, RR#98-059 Address Repair Organization P.O.No., Job No., etc.

3. Work Performed by_v_i_r_g_i_n_i_a_P_o_w_e_r------------ Type Code Symbol Stamp ____N_A_ _ _ _ _ _ __

Name Authorization No. _ _N_A _ _ _ _ _ _ _ _ _ _ _ __ Expiration Date _ _ _.,,..._ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System _ _ _~M=a=i=n_s=t=e=a=m~---------------------------------
5. (a) Applicable Construction Code B31.l 19_5_5_Edition,___cNcc.A'-------Addenda, N-1 through N-1:?(;ode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 es
6. Identification of Components Repaired or Replaced and Replacement Components
  • Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, or Replacement or No) ASME Code Stamped (Yes 3/4" Nuts Mackson, Inc. NA NA 1-MS-182 NA Replacement No 3/4" Studs Mackson, Inc. NA NA 1-MS-182 NA Replacement No

7. Description of Work ______R_e_p_l_a_c_e_v_a_l_v_e_._c_o_d_e_c_a_s_e_N_-4_1_6_-_a_P_P_l_i_e_s_(_co_m_p_l_e_t_e_d_1_1_;_2_/_9_8_)_.- - - - - - - - - -

8, Tests Conducted: Hydrostatic D 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 8Y:z 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 J

FORM NIS-2 (Back)

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ aceroeot 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 ./ ,/l "'L-- 6wr£(;;~Designee, Title 7££ d;v(f.,,qtt£&'L Date _ _/~?-;;4'-+-----, 19 CERTIFICATE OF INSERVICE INSPECTION I fC 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};cted the components described

                                                                                              ~* ~r;
                                                                                       / ;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"4?'-~ W ,

  ----~~>"'--~-~~~~~~~-------Commissions _ _ _ _ _ _------'V_,a=....,_.___,8""8=3___________

Inspector's Signature National Board, State, Province, and Endorsements Date_ _ __,/~~---1-/~7_19 f ~

Attachment 2 Page 26 of77 Serial No.: 99-038 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

1. Owner Virginia Electric and Power Co. Date _ _ l_2_/_4_/_9_B_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet ___l _ _ of ___l___________ Address

2. Plant Surry Power Station Unit __O_n_e_________________

Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00371542-02, RR#98-060 Address Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ _ __

Name Authorization No. ___ NA Same as above Expiration Date _ _- - ' " " " - - - - - - - - - - - - - Address

4. Identification of System Main Steam
5. (a) Applicable Construction Code 83 1. 1 19_5_5_ Edition,_N_A_ _ _ _ _ _ Addenda, N-1 through N-1: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
  • Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, or Replacement ASME Code Stamped (Yes or No) Tioga 3" Elbow Pipe Supply NA NA 1-MS-178 NA Replacement No Model # 3" Valve Enertech 3"-600 ANS: DRV-Z NA 1-MS-178 NA Replacement No Energy & 3" Elbow Process Corp. NA NA 1-MS-178 NA Replacement No J..J ......... ~~- ~*- 3" Pipe Energy Service, NA NA 1-MS-178 NA Replacement No Dubose Nat. 3" Flange Energy Service, NA NA 1-MS-178 NA Replacement No Replace valve. Code Case N-416-applies (Completed 11/2/98).

7. Description of Work _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure I&]

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) 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

FORM NIS-2 (Back) PO# CNT 575132. CNT 566425, CNT 550541, CNT 563042,

9. R e m a r k s - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached CNT-576104 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;~r ~ e , Ti-l""S:T b~qa,.1,,<f~ Date _ _ _ ~/.~dt-+--+*------, 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/i spe.9-tecifae components described in this Owner's Report during the period to / 1-~ /9 ~ , and state that to the best of my knowledge and belief, the Owner has pe ormed 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

               /"/1""""+-...,,,.Ld'~~' ~~-r__,.__.-.....-~
             ~~o~
  -----ic....,,

1

                                                          ~  77"~-.,.._L__.,__ commissions _______        V_a_._ 8_8_ 3_ _ _ _ _ _ _ _ _ __

National Board, State, Province, and Endorsements Date_ _ _--4-<o/..A"-+-/-+7_ _19 9~

Attachment 2 Page 27 of77 Serial No.: 99-038 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. Date _ _ 1_2_/_4_/_9_B_ _ _ _ _ _ _ _ _ _ __
1. Owner Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address
2. Plant Surry Power Station One Unit--------------------

Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00371542-01, RR#98-061 Address Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ _ __

Name Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _~ ~ - - - - - - - - - - - - Address

4. Identification of System Main Steam
5. (a) Applicable Construction Code 83 1. 1 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, N-1 through N-1: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
  • Name of Component 3/4 " Nuts Name of Manufacturer Mackson, Inc.

Manufacturer Serial No. NA National Board No. NA Other Identification 1-MS-176 Year Built NA Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Replacement NO 3/4"Studs Mackson, Inc. NA NA 1-MS-176 NA Replacement No Model # 3" Valve Enertech 3"-600 ANSl DRV-Z NA 1-MS-176 NA Replacement No Energy & 3" Elbow Process Corp. NA NA 1-MS-176 NA Replacement No Duoose Nae. 3" Pipe Energy Services NA NA 1-MS-176 NA Replacement No Dubose Nat. 3" Flange Energy Services NA NA 1-MS-176 NA Replacement No

7. Description of Work _ _ _ _ _ _ Replace

____ valve. ___ Code _ _Case _ _ N-416-applies _ _ _ _ _ _ _(Completed _ _ _ _ _11/2/98). 8, Tests Conducted: Hydrostatic D 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 8Y:, 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

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CNT-563042, CNT-576104 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 /1_ J p

       ~nMci'r ~es1gnee, Title
.,e,.. ¢_,,, f <:;,.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 Hartford, Ct.

havA&~ the components described

                                                                                              //l.., 7.                     , 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. r),

            /7.,,,..""'t--,(~--~~                    __~
                            . . . .'---.,__,"'~,,.-*-fr _____ Commissions _ _ _ _ _ _ _V_a_._8_8_3___________
         ~c~

National Board, State, Province, and Endorsements Date _ _ _ /,~°7--+--/--L-2_19 z<t:

Attachment 2 Page 28 of77 Serial No.: 99-038 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
1. Owner _Virginia

______ Electric _ _ _ _ _and ___ Power ____ Co._ _ __ 12/15/98 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 1 _ _ _ _ _ _ _ _ _ __ of _ _ _ Address

2. Plant _ Surry

_ _ _ _Power_ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00389563-0l, RR#98-062 Address Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol S t a ' n . f - - - - - - - - - - -

Name Authorization N o , - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System _ _ _ _c h _ a _ r _ g _ i _ n _ g - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

B31 1 55 NA N-1 through N-13

5. (a) Applicable Construction Code
  • 19 ___ Edition, _ _ _ _ _ _ _ Addenda, 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
  • Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Trim Copes- Part #1327 Assemblv (Plug) Vulcan OMKD NA 1-CH-HCV-1186 NA Replacement No Replace valve stem. (Completed 10/3f98).

7. Description of Work----------------------::--.,...-...,...,cr--.,..-----------------
                                                                                     )1,'-, ' " ' " '

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) 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) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ acerneot 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_.______-c::--,f-.,----,1==------have )nspe~ the components described in this Owner's Report during the period to /..2;/9 ~/7"t) , 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~'-c,,,--'-'%?~~'~--#'---/lr-.....Au~~~---Commissions _ _ _ _ _v_a_._8_8_3_ _ _ _ _ _ __
                  -lnspe~s~                                                   National Board, State, Province, and Endorsements Date_ _ _          ~/~cJ-_,.,/_<9-_/_19     n .

r

Attachment 2 Page 29 of77 Serial No.: 99-038 Docket No.: 50-280

  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS 1 . Owner Virginia Electric and Power Co.

As Required by the Provisions of the ASME Code Section XI Date _l_l~/_2_5_:/c..._9_8_ _ _ _ _ _ _ _ _ _ __ Name SOOD Dominion Blvd., Glen Allen, Va. 23060 Addre11

2. Plant Surry Power Station Unit One
                                                               . N11me 5570 Hog Island Rd., Surry, Va. 23883                                                                                     W0#00364451-Dl,      RR#98-063 Addre11                                                                     Repair Orgenlz11tlon P.O. No., Job No., ate.

Virginia Power Type Code Symbol Stamp _ _ _N_A_ _ _ _ _ _ __ 3 . Wor k Pe rforme dby ____-----"e":""--------- Name Authorization No. __N ' " ' A ~ - - - - - - - - - - - Expiration Date _ _~ : . - - - - - - - - - - - -

4. Identification of System _ _ _' " ' c " ' - h = a = r = i n ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
  • 5. (a) Applicable Construction Code 83 1. 1 19_s_s__ Edition,_N_A_ _ _ _ _ _ Addenda, N-1 through N-1:Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19__.a"'9.___
6. Identification of Components Repaired or Replaced and Replacement Components ASME Code Nah~niif Repaired, . Stamped Name of Name of Manufacturer Board Other Yaar Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

Part#

      - *-         ... . **-'    -                 -"**'                         .,"l ....... ,.,.              ,,.    ., __ .... _---_...... "
                                                                                                                                                    '"       ~
             ~,...
7. Description of Work_R::,.e=a:0.:i::.::r:....:vc::a:.:::l-"-v,,_e.;.._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.:..__ _ __
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., (21 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

                                                                                                                                                 \ I FORM NIS-2 (Back)

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~~

             ~ ~ g n a e , Title
                                       -        JS::Z-                                 Date _ _ _~/_/~~~L.~$----,,

CERTIFICATE OF INSERVICE INSPECTION 19 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-=---t-==,------have;, ir:is~! the components described in this Owner's Report during the period to l~L~LY._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 inspection?l(J.. , ~

- - - ~ ~ + - \ ~ A - , 1- - - ' - ' - ~_
                                                      - -_  . . _ _ _ Commissions _______
                                                         , __                                       v_a_.__8_8_3_ _ _ _ _ _ _ _ _ _ __
                   -nspector's Signature                                              National Board, State, Province, and Endorsements Date_ _            ---+(-~-fr----+-7_19 %

Attachment 2 Page 30 of77 Serial No.: 99-038 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
1. Owner Virginia Electric and Power Co. Date _ _l....:./_1_4....:./_9_9_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address

2. Plant Surry Power Station Unit One Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00381710 RR#98-067 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed by_v_i_r_g_in_i_a_Po_w_e_r_ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _N_A_ _ _ _ _ _ __

Name Authorization No. _ _....,N,,A"------------- Same as above Expiration Date ____N_A_ _ _ _ _ _ _ _ _ _ __ Address Charging

4. Identification of System _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

B31.1 55 NA N-1 through N-13

5. (a) Applicable Construction Code 19 ___ Edition, _ _ _ _ _ _ _ Addenda, Code Case 8

(b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 _ __9__

6. Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Trim Copes- Ht. # Assembly (Plug) Vulcan 715571 NA 1-CH-FCV-1160 NA Replacemen No

7. Description of Work _ _R_e_p_l_a_c_e_t_r_i_m_a_ss_e_mb_l_y_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
8. Tests Conducted: Hydrostatic D 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) 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

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this "'"Pl.o:emeata conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol S t a m P - - - - - ~ ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. - - - ~ i - - - - - - - - - - - E x p i r a t i o n D a t e - - - - ' - ' ' - = - - - - - - - - - - - - Signed() ~ j> ~ Owner or ~Designee, Title ff'£ C~(i ,:,vc't=-k.., Date-~L<.....;<&~d'------, 19

                                                                                             /     T 9f CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commissi~n issued by the National Board of Bo.iler and Pressure Vessel Inspectors and the State or Province of   Vi rgi n i a               and employed by                     HSBI and I Ca                                         of Hartford          Ct .                                                 .l)ave il:!S£ected the components described in this Owner's Report during the period                                         to   I jcl i:,-/'77'                 , 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. Ai?L~ _ _ _ ____.CLLJ.-~_.Ld,_""'--"--~-'--:L...S..-"-'---------Commissions _ _ _ _ _ _.._,_....__,_"'"'--.,__ _ _ _ _ _ _ _ _ __ Inspector's Signature National Board, State, Province, and Endorsements Date

Attachment-2 Page 31 of77 Serial No.: 99-038 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
1. Owner Virginia Electric and Power Co. Date __l~/'--1_1-'-/_9_9_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _-=1'---_of _ ___:1:...__ _ _ _ _ _ _ _ __ Address

2. Plant Surry Power Station Unit _ __:Oc.::n::.ce=------------------

Name 5570 Hog Island Rd., Sur:ry, Va. 23883 W0#00389658-0l, RR#98-084 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _ _N_A_ _ _ _ _ _ __

Name Authorization No. _ _....,,.,,,__ _ _ _ _ _ _ _ _ __ Same as above Expiration Date ____N_A_ _ _ _ _ _ _ _ _ _ __ Address Residual Heat Removal

4. Identification of System B31.1 55 NA N-1 through N-13
5. (al Applicable Construction Code 19 ___ Edition, _ _ _ _ _ _ _ Addenda, Code Case 89 (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19_ __ _
6. Identification of Components Repaired or Replaced and Replacement Components
  • Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Studs & Nuts Mackson. Inc. NA NA 1-RH-11 NA Replacement No

7. Description of Work. _ __:R"-'e===l:..:a:..:c:..:e'--"fc::a:.=s..::t..::e:..:n.:ce=-r=-s-'-.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. *o 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 ji

                                                                                                                                                                                          ' *, ~* ?

FORM NIS-2 (Back)


~P~O..e#,._~B~N~T--'--"4""'6,_,7'-'6,-..5"-'0.,__+,(s..tud.~S...+)~,---'-C_.1,i...JT~~-d - b ~ - 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 rs,.laesmsRt conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol S t a m P - - - - - ~ ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. _ _ _..,,_,a,.___________ Expiration D a t e - - - - ' - ' ' - = - - - - - - - - - - - - Signed /7 .£ / '4:4,,L,,:

                             ~ n e r or O~Designee, Title
                                                              ~

CERTIFICATE OF INSERVICE INSPECTION Date _ _ _,._/,,_i...s.z.'_ 7 I' _ _ _ _ _ , 19 I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Yessel Inspectors and the State 9 9'. or Province of Virgin i a and employed by HSBI and I Co of Hartford Ct. ~v~ected the components described

                                                                                                                   ~             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 inspection. 4?. ~~~

                     -----<=~-~"""""-"---'--,~-1-:-:+-+-"-':c.....=-------Commissions Inspector's Signature

_ _ _ _ _ _.,__._...___,_Ll..L...,____________ National Board, State, Province, and Endorsements Date I. t' _L

Attachment 2 Page32 of77 Serial No.: 99-038 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

1. owner Virginia Electric and Power Co. Date __l~/~l_l~/_9_9_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address

2. Plant __S::...u=r..:;rc..y'--"-P...::o....:w:....e:...;r"--..:;S....:t:...ca:....t~i...::o_n'----------- Unit ---'0....:n..:.e..:.___________________

Name 5570 Hog Island Rd., Sur:ry, Va. 23883 W0#00390395-01, RR#98-086 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by_v_i_r_g_i_n_i_a_Po_w_e_r_ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _N_A_ _ _ _ _ _ __

Name Authorization N o . - - - " " " - - - - - - - - - - - - - Same as above Expiration Date ____N_A_ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System _ _ _ _ Safety ____ Injection B31.1 55 NA N-1 through N-13
5. (a) Applicable Construction Code 19 ___ Edition, ________ Addenda, _ _ _ _ _ _ _ _ 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 & Nuts Mackson. Inc. NA NA 1-SI-243 NA Replacemen No Serial # Disc Velan 6947 NA 1-SI-243 NA Replacemen No

7. Description of Work _ _o_v_e_r_h_a_u_l_v_a_l_v_e_.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
8. Tests Conducted: Hydrostatic D 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) 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

FORM NIS-2 (Back) 1~--------------'"'-'"'--'--*NT=.4--9-2-385 (disc), BNT 467650 (nuts), CNT 567187

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this :i::.,pbc;smsiat conforms to the rules of the ASME Code, Section XI. repair or replacement Type Cede Symbol Stamp _ _ _ _ __ _ . . , _ = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No*---~~----------Expiration D a t e - - - ~ ~ - - - - - - - - - - - Signed Wt. j} ~ Owner ~ g n e e , Title or Province of Virginia

                                                      .k'r'k and employed by Date _ _ _~l.....

CERTIFICATE OF INSERVICE INSPECTION tr~/.~'/~-----, 19 99 I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State BSBI and I Co of Hartford Ct. h~e..,_i~pected the components described in this Owner's Report during the period ~ to ///*99 , 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.

                ---+w-,~---7"~~n~__
                        ~ c t ~

l_~~-~.,_~--------Commissions _ _ _ _ _ _~ ~ ~ ~ ~ - - - - - - - - - - - National Board, State, Province, and Endorsements Date

Attachment 2 Page33 of77 Serial No.: 99-038 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
1. Ow ner _Virginia

______ Electric _ _ _ _ _and ___ Power ____ Co. _ _ __ Date _ _ 12/15/98 Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet__,____1 of _ _ _1 _ _ _ _ _ _ _ _ _ __ Addreas

2. Plant _Surry

_ _ _ _Power ____ Station _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 wo#00362345-ol, RR#98-087 Address Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ __

Name NA Authorization N ! > , - - - - - - - - - - - - - - - Same as above Expiration Date _ _....;;.Nc.:A'------------- Address

4. Identification of System _ _ _ _ sa_f_e_t_.y_I_n=-je_c_t_i_o_n_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

13

5. (a) Applicable Construction Code B3 l.l 19~Edition,_N_A_ _ _ _ _ _ Addenda, N-l through N- Code Casa (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-SI-229 NA Replacement No Nova Nuts Machine Corp. NA NA 1-SI-229 NA Replacement No Replace fasteners. (Completed 11/2/98).

7. Description of W o r k - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D OtherD Pressure _ _ _ _ _ psi TestTemp. _ _ _ _ _ _°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# CNT 567187 (studs), SSY 419075 (nuts)

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ areroent 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... r-/ /! '4,~,,,, O w ~ ~ Designee, Title

                                        ,:::Z:-52     b6,PU4:                   Date _    __,_/_..2__,....b....,,.r 1

_ _ _ _ _ , 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~ in~ed the components described in this Owner's Report during the period to /.,: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 inspection. Date_ _ _/~¥"-+-',?~/_19f'.S::

Attachment 2 Page 34of77 Serial No.: 99-038 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
1. Owner _Virginia

______ Electric _ _ _ _ _ and ___ Power ____ Co._ _ __ Date _ _ 12/15/98 Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet. _____ o f - - - - - - - - - - - - ~ - Address

2. Plant _ Surry

_ _ _ _Power ____ Station _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Sur,:y, Va. 23883 wo#00362346-o1, RR#98-088 Address Repair Organization P.O. No., Job No., ate. Virginia Power NA

3. Work Performed b Y - - - - - - - - - , - , - - - - - - - - - - Type Code Symbol S t a ' n f - - - - - - - - - - -

Name Authorization No, _ _ _ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System _ _ _ _s_a_fe_t_y_r_n_j_e_ct_i_'o _ n - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

B31 1 55 NA N-1 through N-13

5. (al Applicable Construction Code
  • 19 ___ Edition, _ _ _ _ _ _ _ Addenda, 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 .I studs Mackson, . Inc . NA NA 1-SI~228 NA Replacement No Nova Nuts Machine Corp. NA NA 1-SI-228 NA Replacement No Replace fasteners. (Completed 11/2/98).
7. Description of W o r k - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
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 8% In. x 11 in., (2) lnforma-tion in items 1 through 6 on this report is in~luded 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) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this "ep,laeemcnt. conforms to the rules of the ASME Code, Section XI. repa r or replacement . Type Code Symbol Stamp _ _ _ _ __ , _ . - = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. ---...uo.=----------- Expiration Date _______.....,,___ _ _ _ _ _ _ _ __ Signed /)_ i j) ~1k". fS°':C-

        ~tner or ~esignee, Title
                                                            ~Q,ei1vcrt"d          Date _ _ _/._',l..-+;;-'/'-.S--"'------, 19 9?"

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressur_e Vessel Inspectors and the State or Province of Virginia and employed by BSBI and I Ca of Hartford, Ct. have in,eecJe,l tlJI components described in this Owner's Report during the period to l',ijoZ (,ff '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.


r'--: 4}~""""'"-:-l-~-:........,.,_,~...

        ~pector'sSign~
                                              =--------Commissions _______V~a~-~~8~8~3~-----------
                                           ~"'c::'-.

National Board, State, Province, and Endorsements

Attachment 2 Page 35 of77 Serial No.: 99-038

                                                                                                                                                          ,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.                                                                               Dete_l_l_/_2_4_/_9_8_ _ _ _ _ _ _ _ _ _ __
1. Ow ner - - - - - - - - - - - ------------

Neme 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____1 of _ _1_ _ _ _ _ _ _ _ _ _ __ Addreu

2. Plant _Surry

_ _ _ _Power ____ Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 wo#00365453-01, RR#98-089 Addr1111 Repair Organization P.O. No., Job No., ate. Virginia Power NA

3. Work Performed b Y - - - - - - - . . . . , . , , - - - - - - - - - - Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ __

Name Authorization No. _ _NA _ _ _ _ _ _ _ _ _ _ _ __ eafet.y IUJ ecdotr s~at Af ,rJ{fey,f Expiration Date _ _- ' N A = - - - - - - - - - - - - l Addreu

              ),/!.. 11/~tft                                                           -
  • 1~N!.f.Z.Al'if~,!l.-'J2..lf"!:!!..._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
4. Identification of System ___~S1:a=a:::r~g:::i1'~11~S:,'.!!-9~:/"'.~"l'f"~11)!__.-d_
5. (a) Applicable Construction Code_8_ 3_1_*_1_____ 19_5_5__ Edition,_NA _ _ _ _ _ _ _ Addenda, N-l through N- 11::ode 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
                                             ..        . '                                                                                                                     Stamped National                                                       Repaired, Name of                  Name of              Manufacturer                                 Board                          Other           Year       Replaced,         (Yes Component              Manufacturer                Serial No.                                  No.                     Identification      Built   or Replacement or Nol Studs   &  Nuts          Mackson, Inc.               NA                                                      NA             l-SI-147           NA       Replacement          No
7. Description of Work Inspect/repair 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) size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, end (31 each sheet is numbered end the number of sheets is recorded et 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# BNT-476650 mar s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Appllcable 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 S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. ____N_A ___________ Expiration Date _ _ _ _N_A ___________ Signed ~/ ([2Owneror~?;rta;;ll"H, .::rs..r b{ivvEd Title Date /lb~ , 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~,,.holdjng p valid commission issued by the National Board of Boiler and dPressure Vessel Inspectors and the State or Province of v1rg1n1a and employed by HSBI an I Co. of

.                       Hartford, ct.

haye i~cted the components described in th is Owner's Report during the period to / I ' ~ '1't:.!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 inspection.

              /?rJc:-) __ :-Tl""'_/                                                             Va. 883

,~c....,4=~Ld.-..::L..1...**-~-"-.p...,~c.=-"'---------Commissions _ _ _ _ _ _- - - - , - - - - - - - - - - - - - - -

i n ~ National Board, State, Provines, and Endor11&ments Dat.,_e-----'-/~/,_/"'"",::;_y..____19 I Z <ts'

Attachment 2 Page 36 of77 Serial No.: 99-038 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 1 . Owner Virginia Electric and Power Co. Date_l_2_/_3_1_/_9_B_ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 _ _ of _ _ _1 _ _ _ _ _ _ _ _ _ __ Address Surry Power Station One

2. Plant _ _ _. . . : : . . - - - - - - - : - : - - - - - - - - - - - - - Unit---------------------

Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00395654-0l, RR#98-091 Address Repair Organization P.O. No., Job No., etc. Virginia Power NA 3 . Wor k Pe rforme d by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ __ Name Authorization No, _ _N_A _ _ _ _ _ _ _ _ _ _ _ __ Expiration Date _ ___,N,,,A~------------

4. Identification of System _ _ _~R~e~a~c~t~o=r_C~o~occlcca=n~t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (a) Applicable Construction Code 53 1. 1 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, N-l through N- 1: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)

Edwards

            .._'**-          't7'~1 ... .- ...
                                                              ""                       Nll       1-RC-107            NA       Reolacement         No Energy &                         Ht. #

D;ne Process Corn. 421377 NA 1-RC-107 NA Replacement No Energy & Ht. # Process Corp. RW NA 1-RC-107 NA. Replacement No Elbow

7. Description of Work _ _Replace____ valve.

_ _ _Code ___ Case __ N-416-1 ____ applies.

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 SYa 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# CNT 575623 (elbow), CNT-487834 (pip@),

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached CNT-571625 (valve) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ areroeot 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 ~ - - - - - - - - - -
                                                                                           -~L~~">'~---..c,J--1'+-/---, 19        qr 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,-b.--1.;;=sc=7'----hav.9'  !~~~ed the components described in this Owner's Report during the period _ _ _ _ _ _ _-1--'~.......~~-to l/.~L.77* , 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 examinatio*ns 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""""' _ __,_a_,,.<C...lc=*

                    ...  .......-~+--++--"'--'"'---"'--""---------Commissions _______V_a_.__8_8_3____________
                        ~1nspector'sSigna                                            National Board, State, Province, and Endorsements Date 1,l

Attachment 2 Page 37 of77 Serial No.: 99-038 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

1. Owner Virginia Electric and Power Co. Date 12/1/98 Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11
2. Plant Surry Power Station Unit One N11me 5570 Hog Island Rd., Surry, Va. 23883 W0#00378715-02, RR#98-092 Addre11 Repair Organization P.O. No., Job No., etc.
3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N_A_ _ _ _ _ _ __

N11me Authorization No. _ _e;:N!!Ac......_ _ _ _ _ _ _ _ _ __ Expiration Date _ _-:.J.ill.------------

4. Identification of System _ _ _~ c = h = a = r = i n ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
5. (al Applicable Construction Code B31.1 19~Edition,_NA _ _ _ _ _ _ Addenda, N-1 through N-1:Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19*__,Sii.l9'--
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 Copes-                9750-96330-                       1-CH-HCV-Valves            Vulcan     Tn,-.       1 -1 1-? IC. 1 -3        '"    1?0nh R <- C             NA            Renlacement      No 1-CH-HCV-2" Pipe           Hub, Inc.              Ht. # 46188~             NA    1200A, B, & C            NA            Replacement      No Energy &                                                 1-CH-HCV-2" Pipe           Process Corp.          Ht. # 4313717            NA    1200A, B, & C            Nl;,          Replacement      No
  • 1. Description of Work Replace valve bodies. Code Case N-416-1 applies.
8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure 1XJ 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.a in. x 11 in., (21 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.

(12/821 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) ~~~~~~~~~~-E,O# CNT-563957 (valves), CNT-487834 (pipe) CSY-321292

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached i e 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 Hartford, Ct. h~v~ insl}~tep the components described in this Owner's Report during the period to / CJC'S/~ , 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.~ C::::::-:,_ A , c'ff~ Va.

         -----1~,----  .......,,....~.....-~~l-,.-~-~-------Commissions _ _ _ _ _ _ _ _ _ 8_8_                      3
                              ~~                                                             National Board, State, Province, and Endorsements Date

q Attachment 2 Page 38 of77 Serial No.: 99-038 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

1. Owner Virginia Electric and Power Co. Date _ _ 1_2_/_4_/_9_8_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet ___1_ _ of___l_ _ _ _ _ _ _ _ _ _ __ Address Surry Power Station

2. Plant _ _ _ _ _ _ _ _ _ _.....,.,,-------------

One Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00263047-0l, RR#98-093 Address Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed b Y - - - - - - - - , . . , . - - - - - - - - - - Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ _ __

Name Authorization No. _ _N_A _ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _....,.__ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System _ _ _ _M_a_i_n_st_e_a_m_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (a) Applicable Construction Code 33 1.l 19~Edition,_N_A_ _ _ _ _ _ Addenda, N-l through N* 1: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)

Tioga 3" Pipe Pipe Supply NA NA 1-MS-196 NA Replacement No 3" Valve Crane C3946 NA 1-MS-196 NA Replacement No

7. Description of Work _ _ _ _ _ _ Replace

_ _ _ valve. ____ Code _ _Case _ _N-416-applies _ _ _ _ _ _ _(Completed _ _ _ _ _11/20/98).

8. Tests Conducted: Hydrostatic D 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 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

FORM NIS-2 (Back) pipe) CNT-438892 (valve)

9. R e m a r k s - - . . . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Appllcable 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 Hartford, Ct. hai ij~ the components described

                                                                                       / P..~7~                      , 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.

  --------r-7"'~--'-       ...U~-~--~+-"--------Commissions _ _ _ _ _ _ _                    v_a_._8_8_3___________
                     ~tor's~                                                   National Board, State, Province, and Endorsements Date_ _ _           ~/~(}_____,/~1_19'('(

Attachment 2 Page 39 of77 Serial No.: 99-038 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 Co.                                         Date _ _ 1/4/99 1

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 of _ _ _ 1 __________ ~ Address

2. Plant _ _ Surry_ _ _Power

____ Station _..,.,.._ _ _ _ _ _ _ _ _ __ One Unit--------------------- Name 5570 Hog Island Rd., Sur,:y, Va. 23883 wo#00378715-01, RR#98-094 Address Repair Organization P.O. No., Job No,, etc. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _..,...._ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ _ __

Name Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ ____:N:.::A:.:..._ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System _ _ _ _c _ h _ a _ r = g _ i _ n = g - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
5. (al Applicable Construction Code 33 1.l 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, N-l through N- 13Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89
6. Identification of Components Repaired or Replaced and Replacement Components
  • Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol 1/4" Dubose. Nat. HT. # Pipe

        .,..,.c   c:!ro.o.1    Rn*--*   ~--*            662507                 NA         suooorts              NA           Replacement       No 1/4"           Consolidated            Ht. #                                 Pipe Tube Steel             Power Suoolv            A77174                  NA         supports              NA           Replacement       No Consolidated            Ht. #                                 Pipe Power Supply             C4286                  NA         Supports              NA           Replacement       No 1/2" Plate 1/4" X 2"           Consolidated            Ht. #                                 Pipe Flatbar          Power Supply             K8467                  NA         supports              NA           Replacemenl       No 1/4" X 4"           Consolidated             Ht. #                                Pipe Flatbar          Power Supply             B54617                 NA         Supports              NA           Replacement       No Fabricate supports.
7. Description of W o r k - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . , - - - - - - - - - -
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., (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 (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) ~~---~~-----~P~o~#11-----CbDwJ~T---a5~7~2~5~7~2:-------1(~t~uu:,,be-steel), CNT 564228

9. R e m a r k s _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . . . . . . , -

Applicable Manufacturer's Data Reports to be attached CNT-5608 05 <J (2" pl a tel CNT-555935 (flatbar) CNT-546862 (flatbar) CERTIFICATE OF COMPLIANCE

                             *We certify that the statements made in the report are correct and this    repJ aceroeut     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 .£/ -...e,,,.d..-< fSh Owner o r ~ i:5'iislgnee, Title Date---1-/-)r...c.,if'--------, 19 9 z' 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. h7 :'.&!ected the components described

                                                                                                           / ,0 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 examinatii:ms 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;J;2_.,£.-+.>-4,,----~.....,,.__~,__,,'-

                                                            ."--------Commissions_--,-,---,----V_a--'-.--'8'--8'--'-3
                                   .Jnipe~                                                        National Board, State, Province, and Endorsements

Attachment 2 Page 40 of77 Serial No.: 99-038 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
1. Owner Virginia Electric and Power Co. Date _ _l-'-/_1_1....c./_9_9_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address

2. Plant Surry Power Station Unit One Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00382372-0l, RR#98-097 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed by_v_i_r_g_i_n_i_a_P_o_w_e_r_ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _N_A_ _ _ _ _ _ __

Name Authorization No. - - ~ N = A ~ - - - - - - - - - - - Same as above Expiration Date ____N_A_ _ _ _ _ _ _ _ _ _ __ Address Main Steam

4. Identification of System _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

B31.l 55 NA N-1 through N-13

5. (a) Applicable Construction Code 19 ___ Edition, _ _ _ _ _ _ _ Addenda, Code Case 89 (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 _ ___
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 & Nuts Mackson. Inc. NA NA l-MS-PCV-102A NA Replacemen1 No Trim Set Part # (Plug) Fischer 17B6692X022 NA l-MS-PCV-102A NA Replacemen1 No 7, Description of Work _ _R_e~p_l_a_c_e_t_r_im_s_e_t_._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 8, Tests Conducted: Hydrostatic D 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) 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

FORM NIS-2 (Back) PO# CNT 556155 (p]ng), CNT 569504 (nuts) CNT 575958

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ aceroeot conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _ _ __ , , N , . , A - - " - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. - - - ~ ~ - - - - - - - - - - E x p i r a t i o n D a t e - - - ~ ~ - - - - - - - - - - - Signed (2~ ;J ~ g 4,c: Ow~r*;B"esignee, Title X-~L t' .

                                                           ~ "°'4,n/6:~4.-        Date---~1-,.         1
                                                                                                           /

L.4--..,.,_/_ _ _ _ _ _ , 19~9_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. 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.

              ~.~
                 /?rJ ~~                                      Commissions                        Va.        883
                                                                           --N-at_i_o_n-al_B_o_a~r~d~.~S-ta~t~e~,=P-ro_v_i_n_c-e,_a_n_d_E_n_d_o-rs_e_m_e_n_t_s_

Date i

Attachment 2 Page41 of77 Serial No.: 99-038 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
1. Owner Virginia Electric and Power Co. Date_....:1::..,/....:1"--1"--/<--=-9-=--9_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet ___l_ _ of _ _ _l___________ Address

2. Plant_...cS=-u=r""r__.y__P=-.cco...c.wccec...cr=--"'S""t-'a"-t=-1cc.*-'-o-"-n=----------- Unit_~O_n_e~----------------

Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00382374-0l RR#98-098 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by_v_i_rcc.g_in_i_*a_P_o_w_e_r_~---------- Type Code Symbol Stamp _ _ _ _N_A_ _ _ _ _ _ __

Name Authorization N o . - - ~ ~ - - - - - - - - - - - Same as above Expiration Date ____N_A_ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System _ _ _ _ Main ___ Steam B31.1 55 NA N-1 through N-13
5. (a) Applicable Construction Code 19 _ _ _ Edition, _ _ _ _ _ _ _ Addenda, 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
  • Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Studs & Nuts Mackson. Inc. NA NA l-MS-PCV-102B NA Replacemen1 No Trim Set Part # (Plug) Fischer 17B6692X022 NA 1-MS-PCV-102B NA Replacemen 1 No 7, Description of Work _ _R_e_l_a_c_e_t_r_im_s_e_t_*---------------------------------- 8, Tests Conducted: Hydrostatic D 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) 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

  • ti*

FORM NIS-2 (Back) PO# CNT 556155 (plng). CNT 569504 (rnits) CNT 575958

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ aceroeut conforms to the rules of the ASME Code, Section XI. re.pair or replacement Type Code Symbol Stamp _ _ _ _ _~N~A..________________________________ Certificate of Authorization No. - - - ~ ~ - - - - - - - - - - E x p i r a t i o n Date _ _ __.,...:.._ _ _ _ _ _ _ _ _ __ 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. hi,it~;;, i'.}6~ected the components described in this Owner's Report during the period to tjl7Y7 , and state.that to the best of my knowledge and belief, the Owner has per ormed 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~
            ~~
               /7-:r-"'='"o~--"~-,--:rc--,.--*__. .1-;h.

_____'_commissions _ _National _ _ _ _V.,,_,_..._---"'"'"'"'"'------------- Board, State, Province, and Endorsements Date- - - - - - - - ~ 7 ,I - . .~

                                   . ~ - - -19~ >  9'7

Attachment 2 Page 42 of77 Serial No.: 99-038 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
1. owner Virginia Electric and Power Co. Date __l_,/_6_,/'-'9'-'9_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address

2. Plant _ _ s_u_r'-'r~y~_P_o~w~e_r__s_t_a_t_i_o_n__________ Unit _-..::0:..:n=e_________________

Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00381884-0l, RR#9B-101 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by_v_i_r_g_i_n_i_a_P_o_w_e_r_ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _N_A_ _ _ _ _ __

Name Authorization No. _ __w,__ _ _ _ _ _ _ _ _ __ Same as above Expiration Date ____N_A_ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System _ _ _ _ Reactor _ _ _ _Coolant _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

B31.1 55 NA N-1 through N-13

5. (a) Applicable Construction Code 19 ___ Edition, _ _ _ _ _ _ _ Addenda, 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
  • Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Studs & Nuts Mackson. Inc. NA NA 1-RC-SV-1551A NA Replacemen No

7. Description of Work,_---'R=e~lccac..ccc...cec.......cfcc.acccs...ct...cec.cn_ecc.rc...s_.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
8. Tests Conducted: Hydrostatic D Pneumatic D 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

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this .,- 8 pho: 8 m9 "'t conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol S t a m P - - - - - ~ ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ___.ui..,,,___________ Expiration Date _ _ _,....,_,=------------ Signed~~~""-'~goz.;;~~4"~-==-....L..eee::=:.......,=~,i!...:;=,:,c:;:;e.."'--- Date _ __.4,+L_.,.,_ _ _ _ _ _ _ _, 199)? 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 VirginiEl and employed by BSBI and I Co of Hartford Ct. haJ.:e, p,si:1ected the components described in this Owner's Report during the period 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.


+----7""---lcc=Q_q..---i1~~~-~~~--~----Commissions _ _ _ _ _ _..,,_,_......___,_'--'-'-..._-----------

              ~ s signature                                                 National Board, State, Province, and Endorsements Date_ _ _ _               1,,__/~?_19fz

Attachment 2 Page 43 of77 Serial No.: 99-038 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
1. Owner Virginia Electric and Power Co. Date _ _l--'-/_6'-'/--'9'--'9'-------------

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address

2. Plant_....;S=-u.=...cr~r~y~~P.c.o_w....;e~r"'-.c.S...ct....;a_tc..1_*.c.oc...n_ _ _ _ _ _ _ __ Unit _ _O_n_e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00381885-0l, RR#98-102 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by_v_i_r_g_in_ia_P_o_w_e_r_ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _N_A_ _ _ _ _ _ __

Name Authorization N o . - - ~ ~ - - - - - - - - - - - Same as above Expiration Date ____N_A_ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System _ _ _ _ Reactor _ _ _ _Coolant _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

B31.1 55 NA N-1 through N-13

5. (al Applicable Construction Code 19 ___ Edition, _ _ _ _ _ _ _ Addenda, 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)

Studs & Nuts Mackson. Inc. NA NA 1-RC-SV-1551B NA Replacemen No

7. Description of Work_---'R"'"'e'"""l'-'a'-'c'-'e'-=f-"a""s-'-t-'-en"'e;:.;r=cs::....:.....- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
8. Tests Conducted: Hydrostatic D 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 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

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this "e!!laeeme!'lis conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _ _ __.......__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. Expiration Date /~ Signe'42J~ .:Z::~ C~q,,~,;.4 O w n ~ r ' s Designee, Title

  • Date _ ______...,

CERTIFICATE OF INSERVICE INSPECTION 7 _________,19 99 I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginie and employed by HSBI and I Co of H r f rd Ct . hl}"e. ~ected the components described in this Owner's Report during the period to l1 /7pZ , 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. Date

Attachment 2 Page 44 of77 Serial No.: 99-038 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
1. Owner Virginia Electric and Power Co. Date __l=,...~6'--'--9~9~-------------

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address

2. Plant _ _.S"'""u"'r~r._y,,___.Pa..:o=w.,.e"'r~..

S.,.t'""a""'t"""'i_,.o'-'-n..___________ Unit _ _,_'-'-n~----------------- Name 5570 Hog Island Rd., Surry, Va. 23883 WO#DD381886-D1 RP#98-103 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by_V_i_r=g_in_i_*a_P_o_w_e_r_ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _~N=A~------

Name Authorization No. _ _.....,,.__ _ _ _ _ _ _ _ _ __ Same as above Expiration Date ____N_A_ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System _ _ _ _R_e_a_c_t_o_r_c_o_o_l_a_n_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (a) Applicable Construction Code 83 1. 1 - 19 __5_5 _Edition, __N_A______ Addenda, N-l through N-lCode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89
6. Identification of Components Repaired or Replaced and Replacement Components
  • Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Studs & Nuts Mackson. Inc. NA NA 1-RC-SV-1551C NA Replacemen No

8. Tests Conducted: Hydrostatic O 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) 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

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this rei;,hsemeiat conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _ _ _......._.::,.__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. _ _ _......,.,__ _ _ _ _ _ _ _ _ _ Expiration Date _ _ _.......,-=----------- Signed /J_L._. ,I}_ -Ab f s.£"'~ 4 ' - 6

           ~~~ Designee, Title                                                                 ~

D a t e - - ~ - - - - , 19 P9 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 Virgj nj a and employed by HSBI and I Co of Hartford Ct. ha.Jc i'lpected the components described in this Owner's Report during the period to /,t"S,/P , 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 manrier for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. 1/)

    .         . / ' / ~ L C " " . : : ) _ ~Commissions _ _--"-'-'----..u.u...,__ _ __
           ~ o r ' ~                                                           National Board, State, Province, and Endorsements Dat ....

e _ _ _"-_ _ _ _ l'__,/.__4,7__19?2? I

Attachment 2 Page 45 of77 Serial No.: 99-038 Docket No.: 50-280

  • 1. Owner 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. Date_l_2..;_/_2..;_/_9_8_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station

2. Plant _ _ _-=-------..,..,------------ Unit _O_n_e-----------,:-::=--:--r---r:=--
                                               . Name                                                                                     ()7 ~         1iJrJ/'f'f" 5570 Hog Island Rd., Surry, Va. 23883                                                                          W0#00376326-.e-.!',    RR#98-104 Addre11                                                         Repair Organization P.O. No., Job No., etc.

Virginia Power NA

3. Wor k Performe d bY - - - - - - - - - - - - - - - - - - Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ __

Name Authorization No. _ _c.;NAc.:...._ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ __.._.___ _ _ _ _ _ _ _ _ __ Addre11

4. Identification of System _ _ _..:F..:e;.::e..::da.:.wa"'"t~e:;.:r=-----------------------------------

5, (a) Applicable Construction Code B3 l. l 19_5_5__ Edition,_N_A_ _ _ _ _ _ Addenda, N-1 through N-1:t:ode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19__.a,_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                  Manu~acturer            Serial No.             No,             Identification          Built    or Replacement or No)
          , .11.rr et *.* ~ - -

Energy

                                                                                                       ---*    ~---~         ...        -  ~
                                                                                                                                             -        ,+-     "~

Energy &

  • ll.4" 120 Deqree Bend Process Coro. NA NA 4"-WFPD-13-601 NA Renlacement No Tioga Pipe 14" Pipe Supply NA NA 4"-WFPD-13-601 NA Replacement No
                                                                            -11
7. Description of Work Replace pipe. Code Case N-416-1 applies.
8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure 13]

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) 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

I FORM NIS-2 (Back) CNT-557531 (14" sweep & 120 degree bend) CNT-553709

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached 14" i e 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 ~ - - - - - - - - - - SignedW--~ ~ P.,,,4---' f Owner or()er's Deslgnee, Title

                                               >.L c:..Svuuv&-ed                   Date _ _ _~/_2---+,4=~L~~---, 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.

havo/ insp~teg..-the components described in this Owner's Report during the period to  !~L"67 (

                                                                                                      /~~              , 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

    ;ospectloo.~

Commissions _ _ _ _ _ _ _ Va. ___ 883

                     ~                                                           National Board, State, Province, and Endorsements
                           /d-/ c£ Date- - - - - ~ - - , . ( - - -19            %

Attachment 2 Page46 of77 Serial No.: 99-038 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
1. Owner Virginia Electric and Power Co. Date_l_2..:.../_3..:.../_9_8_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11

2. Plant Surry Power Station Unit _o_n_e____-r--r:-,:1------------

Neme . ?,.1,w* 5570 Hog Island Rd., Surry, Va. 23883 W0#0;65790-04, RR#98-105 Addre11 Repair Org11nlz11tlon P.O. No., Job No., etc.

3. Work Performed by_v_i_r_gi_*n_i_*a_P_o_w_er--:-:----------- Type Code Symbol Stamp _ _ _N_A_ _ _ _ _ _ __

N11me Authorization No. _ _=.;N;.;;A_ _ _ _ _ _ _ _ _ _ __ Expiration Date _ _....uA.------------

4. Identification of System _ _ _~R=e=a=c=to=r~C=o=oc.=l=a""n=t-------------------------------

5, (al Applicable Construction Code B3 1. i 19_5_5__ Edition,_N_A_ _ _ _ _ _ Addenda, N-1 through N-1:Code Case (bl Appliceble Edition of Section XI Utilized for Repairs or Replacements 19.__.9..,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
 -   ,_.       . ., ... tn,
                            -   --  *--'1:7',,1 Part#

1 T1,-._---_ .. A~, , .. n

                                                                                                                                       = -
7. Description of Work Overhaul valve. (Completed 10/31/98).
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# CNT-576469

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Date Reports to be attached l. CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. ____N_A ___________ Expiration Date _ _ _ _N_A ___________ Signed /:1 ~ _f ~.,<

          ¥wneror~r's Deslgnee, Title
                                               .:I.ST                               Date--~/.'-'~=-------, 19 CERTIFICATE OF INSERVICE INSPECTION
                                                                                                                               ?JV 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.

hav/ins~cted the components described I rJ. "6~9'i(" 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. /--J(}~.-f-1 _ Va.

  ----~~___,_.--,-_w     ... +-......,,_,..,...,,.._,~A/f/~-------Commissions _ _ _ _ _ _ _ _ _ _
                   ~spector'sSlnature 883 National Board, State, Province, end Endorsements

Attachment 2 Page 47 of77 Serial No.: 99-038 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 1 . Owner Virginia Electric and Power Co. Date_1_2_/_1_/_9_8_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station Unit _O_n_e_________________

2. Plant _ _ _-=--------------------

N11me 5570 Hog Island Rd., Surry, Va. 23883 W0#00384333-0l, RR#98-106 Addresa Repair Organization P.O. No., Job No., etc. Virginia Power Type Code Symbol Stamp _ _ _NA _ _ _ _ _ _ _ __ 3 . Wor k Pe rforme d b Y - - - - - - - - - , , - , - - - - - - - - - - Neme Authorization No. --"'NA:;c__ _ _ _ _ _ _ _ _ _ __ Expiration Date _ _- I I ' - ' ' - - - - - - - - - - - - -

4. Identification of System _ _ _..acR=e=a=ct=o=r~c=o~o=-l=an:.:.t=-------------------------------
5. (a) Applicable Construction Code B3 1. i 19_5_5__ Edition,_N_A_ _ _ _ _ _ Addenda, N-1 through N-1:tode Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19__.a,._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)
      ~    ~  - ...         ..                       ...                        *--  ~ --  -- - --           *--      -     -. -              ..

ITT Eng. Drawing No. Bonnet u~1**-- 1 no co< ---- ,.. "n '-D'°-='-1 .... --,, _, --* ent No c, a>

7. Description of Work Replace operator/bonnet assembly.
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 8% in.>< 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# CNT-563390 (studs). B=-..--=._c;t.5,J_l_SL..)'-l../____µ,ll-U-J:>..J_-1--~u.-=_,,_,_.,__,,___.,_,_,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _-----1 Applicable Manufacturer's Data Reports to be attached (bonnet assembly) 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.


::;;--cr.~----J-.=--;;,------have )nspp;.,ted the components described in this Owner's Report during the period----+--+~~+-+--b'---to /:Z./f,/t'?;': , 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 inspection.

             /7(
           ~or~

a.~-*,,~ 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.~               Commissions _ _ _ _ _ _ _ _ _ 883 Va.

National Board, State, Province, end Endorsements Date

Attachment 2 Page48 of77 Serial No.: 99-038 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 1 . Owner Virginia Electric and Power Co. Date _ _ 1_2_/_3_/_9_B_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station Unit __O_n_e__________________

2. P l a n t - - - - - - - - - - - , - , - - - - - - - - - - - -

Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00391924-0l, RR#98-107 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by_v_i_r_g_i_n_i_a_P_o_w_er---,-,---------- Type Code Symbol Stamp ____N_A _ _ _ _ _ _ __

Name Authorization No. ___ NA_ _ _ _ _ _ _ _ _ _ _ __ Expiration Date _ _ _..,.,_ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System _ _ _~R=e=s=i=du=a=l~H=e=a=t~R=e=m=o~v=a=l----------------------------
5. (a) Applicable Construction Code B31.1 19_5_5_ Edition,----'N""A'--_ _ _ _ _ Addenda, N-1 through N-1:Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19_......,.__
6. Identification of Components Repaired or Replaced and Replacement Components
  • Name of Component 12" Flange Name of Manufacturer Tioga Pipe Supply Manufacturer Serial No.

NA National Board No. NA Other Identification 12"-RH-19-602 Year Built NA Repaired, Replaced, Replacement ASME Code Stamped (Yes or Replacement or No) No Energy & 12" Pipe Process Corp. NA NA 12 11 -RH-19-602 NA Replacement No Tioga 3" Flange . Pipe Supply NA NA 12 11 -RH-19-602 NA Replacement No Consolidated 3" Branch Power Supply NA NA 12 11 -RH-19-602 NA Replacement No 3" Pipe Dubose Steel NA NA 12"-RH-19-602 NA Replacement No Radnor 12" Pipe Alloys, Inc. NA NA 12"-RH-19-602 NA Replacement No

7. Description of Work _ _ _ _ _ _R_e_p_l_a_c_e_p_ip_i_*n_g_._c_o_d_e_c_a_s_e_N_-4_1_6_-_a_P_P_l_i_e_s_(_co_m_p_l_e_t_e_d_1_1_/_5_/_9_8_)_._ _ _ _ _ _ _ _ __
8. Tests Conducted: Hydrostatic D 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 SY. 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

FORM NIS-2 (Back) PO# CNT-567979. CNT 574JQ3, CNT 576661 CNT 575.Jli:Z,

9. R e m a r k s - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached CSY-211480. CNT-576259 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ aceroeot 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 _ _ _ _,.,,....__ _ _ _ _ _ _ _ __ Signed (2 £ ~ 4 k Owner o~Designee, Title or Province of Virginia _rr_-, Date _ _,_,/?i=rJ__.,,__ _ _ _ _ , CERTIFICATE OF INSERVICE INSPECTION 19 9.? I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State and employed by HSBI and I Co of Hartford, Ct. have 0.spepec:l_,;fle components described in this Owner's Report during the period to /;;i..~i,?'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 inspection.

                  ~
  ------+--~-,IL--'":>"""--'=----'-'~-'-,/<--Jl-""-=--"------Commissions _ _ _ _ _ _~V~a~*~8~8~3___________

S ~ National Board, State, Province, and Endorsements Date_ _ _ __,_/..>e_~__,__/_~-=---19L<{' I

Attachment 2 Page 49 of77 Serial No.: 99-038 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
1. Owner Virginia Electric and Power Co. Date _ _ 12/30/98 Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 of _ _ _ 1 _ _ _ _ _ _ _ _ _ __

Address Surry Power Station One

2. P l a n t - - - - - - - - - - . , . . , - - - - - - - - - - - - Unit--------------------

Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00377092-01, RR#9B-112 Address Repair Organization P.O. No., Job No., ate. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ __

Name Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ ___,_N'"'A'------------- Address

4. Identification of System _ _ _ _ ch_a_r~g"--i_n_.g'----------------------------------
5. (al Applicable Construction Code B31.i 19~Edition,_N_A_ _ _ _ _ _ Addenda, N-l through N-lXode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89
6. Identification of Components Repaired or Replaced and Replacement Components
  • Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or Nol Dubose Nat. Ht. # p;l""I"" r'n11nl.: ............. o---- "--.. 600562 NA 2"-CH-216-152 NA Renlacement No Cut and reinstall section of pipe. Code Case N-416-1 applies.

7. Description of Work _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 'g]

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 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) PO# CNT-576104 (couplings)

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 repJ arerneot 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 ;;} _ / ,/J._ ~'4-L

           ~ w n ~ r
  • s Dtrslgnee, Title
Z:9J c.~4~U-,. Date _ ___,_,/A'""~c.-..l:2.e..__ _ _ , 199L 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,6e£cted the components described
                                                                                            ~ ~ 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 inspection.

  - - - - - ~ ~/1""'--1-'!;7{)~__.C::,e-._*
                  ~r~

W'--_A_/___ Commissions---,-,----,---,------V_a_._8_8_

                                    '---+--"-A*-=                                                       3_ _ _ _ _ _ _ _ _ __

National Board, State, Province, and Endorsements Date_ _ _ _ _ _ ~l+-/~j,__19 f 9

Attachment 2 Page 50 of77 Serial No.: 99-038 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
1. Owner Virginia Electric and Power Co. Date _ _l~/_1_2_/_9_9_ _ _ _ _ _ _ _ _ _ __

Name SOOD Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ l __ of _ _ _l ___________ Address

2. Plant Surry Power Station Unit _ _ O_n_e__________________

Name 5570 Hog Island Rd., Surry, Va. 23883 WO#D0365785-0l, RR#97-122 Address Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _ _N_A_ _ _ _ _ _ __

Name Authorization No. - - ~ N = A ~ - - - - - - - - - - - Same as above NA Expiration Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Address Containment Spray

4. Identification of System B31.1 55 NA N-1 through N-13
5. (a) Applicable Construction Code 19 ___ Edition, _ _ _ _ _ _ _ Addenda, Code Case 89 (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 _ __ _
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)

Nuts Mackson. Inc. NA NA 1-CS-MOV-101A NA Replacement No Posi-Seal Serial # Disc International 22462-0lA NA 1-CS-MOV-101A NA Replacement No 7, Description of Work _ _o_v_e_r_h_a_u_l_v_a_l_v_e_._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

8. Tests Conducted: Hydrostatic D 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) 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

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE


We certify that the statements made in the report are correct and this rsp1a.ie,. 8 R1; conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _ _ _. . . . , - = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Certificate of Authorization No. _ _ _...,..c,__ _ _ _ _ _ _ _ _ _ Expiration D a t e - - - ~ ~ - - - - - - - - - - - Signed /l. ~ /

           ~~s Des,gnee, Title e4,,£<'      .;n:z--£<<?/P"'-~~4                Date _ _ _

CERTIFICATE OF INSERVICE INSPECTION

                                                                                                  ,_,¢~z..~----, 19~9'.~f__

I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI and I Co of Hartford Ct. ha9 ins~cted the components described in th is Owner's Report during the period to tjleil,/'9 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 inspection.

  -----+...,,,..//1<-t"""'Q~_._,_~_,_---~~""'------Commissions _ _ _ _ _ _~ ~ ~ ~ ~ - - - - - - - - - - -
                ~tor~                                                          National Board, State, Province, and Endorsements Date'---.<.-r~o;~t7"-_19                     z?z

Attachment 2 Page 51 of77 Serial No.: 99-038 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
1. Owner Virginia Electric and Power Co. Date _1_2....c./_2....c./_9_8_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _l___ of _ _l____________ AddreH 2 . Plant Surry Power Station Unit One Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00386708-05, RR#98-131 Addre11 Repair Organization P.O. No., Job No., ate. Virginia Power Type Code Symbol Stamp _ _ _NA _ _ _ _ _ _ _ __ 3 . Wor k Pe rforme d bY--------,..,---------- Name Authorization No. _ _:;.;N;;.:A'------------- Expiration Date _ __...._ _ _ _ _ _ _ _ _ _ __

4. Identification of System _ _ _-"R"'e""a""c""to=-r"--'C""o"'o"'l.,.a...._nt"------------------------------

5, (al Applicable Construction Code B31.1 19~Edition,_N_A_ _ _ _ _ _ Addenda, N-1 through N-1:Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19__,=---

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
        'T'h---*-*-'1       ..    .,
                                                                            '"        _nr1_T">_ ..
                                                                                                                          *n T">
7. Description of Work..=Re=a""i""r'--"t:e.:h.::.erm=o"-'w""'e""l""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 l size is 8% in. x 11 in., (2l informa-tion in items 1 through 6 on this report is included on each sheet, and (3l 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. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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---f;~~IA:~~~:-tf:4-<~===,:-:-"'~:___~~J£J.U~=.~!l-'---Date _ _ _~/_2..--"7'4~~~~----, 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.

  --------------------------,~-=---1:r=---- 1a~

in this Owner's Report during the period _ _ _ _ ___.c:.....,::.+I.L:..---'=cµ.--"',..._to / ~da h

?=e
                                                                                                         .       d h                  d t e components escn e
                                                                                                                                            'b d 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.

  --------fae--?l...;~"'-"--'L.r+c-"--'--------Commissions _ _ _ _ _ _ _                            V_a_._B_B_3_ _ _ _ _ _ _ _ _ __

Inspector's Signature National Board, State, Province, and Endorsements Date._ _ ______,_/_..2.---t/_<r;=*_19 zr::

Attachment 2 Page 52 of77 Serial No.: 99-038 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. Date_1_1_/_2_s_/_9_B_ _ _ _ _ _ _ _ _ _ __

1. Ow ner - - - - - - - - - - - ------------

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station One

2. P l a n t - - - - - - - - - - , , . , - - - - - - - - - - - - Unit--------------------

Name 5570 Hog Island Rd., SurJCY, Va. 23883 W0#00381746-0l, RR#98-132 Addra11 Repelr Organization P.O. No., Job No., ate. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ __

Name Authorization No. __N_A _ _ _ _ _ _ _ _ _ _ __

                         @en'ea!.1NG1a1it sgzay                                                         Expiration Date ___N.,A...___ _ _ _ _ _ _ _ _ __

Addra11

                   }1,,it,,/uhr
                                                                                         'tfee:.:..l""_.:::>>Lt'.:::~~"9",Yi<------------------------
4. Identification of System ____e_h_u_z;::.g_it-=*9'c.-_a,=,,r'~Z:.c.'2ie,f;.,~"'*""'"...
5. (al Applicable Construction Code 831 "1 19....::_Edition,_NA _ _ _ _ _ _ _ Addenda, N-l through N-ltode Cesa (bl Applicable Edition of Section XI Utilized for Repeirs 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) order#

Studs Velan P?-753'15-u" >Jn , _,...,_, 07 .,~ Renlacement No 7, Description of Work 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 usad, provided (1) size is 8% in. x 11 in., (2) informa-tion -in items 1 through 6 on this report is included on aach 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, I

FORM NIS-2 (Back) PO# SY-343872

9. R e m a r k s _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPL.:IANCE 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 S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. NA Expiration Date _ _ _ _N_A _ _ _ _ _ _ _ _ _ __ S i g n e d ~ t : ~ _ T S ' ~ &6.,Pd'&/oate _ _/.--'-t,'~........c.z.'-.s' _ _ _ _, 19 ")tf" Owner or Owner's D~e, Tltle ' CERTIFICATE OF INSERVICE INSPECTION I, the undersigne.d.,,,holdjng !I valid commission issued by the National Board of Boiler and Preuur11. Vessel Inspectors and the State v1rg1n1a HSBI and i co. or Province of and employed by of Hartford, Ct. have j.n,sp_lcted the components described in this Owner's Report during the period to /..L,L7!Yft' _ , 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~/7t ~ Va. 883

  ----.,~=-""--'-.,.._~
                      ......~-~----~---------Commissions _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Inspector's Signature National Board, State, Province, and Endorsements Date,_ _ _ .£.../_~-f!~'l'-----19 ? g'

Attachment 2 Page 53 of77 Serial No.: 99-038 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 1, 0 wner _Virginia Electric and Power Co.

_ _ _ _ _ _ _ _ _- : - : - - - - - - - - - - - - - Date _ _ 12/4/98 Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 _ _ of_ _ _ 1 __________ ~ Address

2. Plant _ _ Surry

_ _ _Power ____ Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit--------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00399355-01, RR#98-133 Address Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ _ __

Name Authorization No. ___ NA_ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _~ N = A ~ - - - - - - - - - - - - Address

4. Identification of System _ _ _ _F_e_e_dw_*a_t_e_r_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5, (al Applicable Construction Code 53 1. 1 19_5_5_Edition,_N_A_ _ _ _ _ _ Addenda, N- 1 through N~ 1 :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
  • Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, or Replacement or No)

                                                                                                                                 .~;*

ASME Code Stamped (Yes Consolidated 1-WFPD-HSS-15 & ~¥~* 6" Pipe Power Supply Ht # X6265E NA 1-WFPD-HSS-16 NA Replacement No Consolidated 1-WFPD-HSS-15 & 1/2" Plate Power Supply Ht # C4286 NA 1-WFPD-HSS-16 NA Replacement No Install trunnion. (Completed 11/13/98).

7. Description of Work _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D Other D Pressure _ _ _ _ _ _ psi Test Temp. *o 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

FORM NIS-2 (Back) CNT-468417 6" i e CNT-56080 1 2" late

9. R e m a r k s - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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.. cAc.::.. . _ _ _ _ _ _ _ _ _ _ Expiration Date _____N_A _ _ _ _ _ _ _ _ _ __ Signed Ci

          ¥wnk~   * / p <,4/            ,   ..Z: S Z:: L J/q t , ~ Date _ ___,_~-=2-.......,__,,_;¥-+----, 19 Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1

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. hav/ i~cted the components described in this Owner's Report during the period _ _ _ _ _ _~/.~'/)~/-~_*_,z'~--to / ;i. 7~ to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this

                                                                                                                              . and state that 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-:7"'_-U_~-'-~r--~.,,*      ~-~________

Inspector's Signature Commissions _ _ _ _ _ _ _ V_a_._8_8_3___________ National Board, State, Province, and Endorsements

                          /Jl-/?

Date- - - - - - ~ - - - 1 7 - ~ - -197'z;'

Attachment 2 Page 54 of77 Serial No.: 99-038 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
1. Owner Virginia Electric and Power Co. Date __l....:./_1_3-'/'--9_9_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet ___l_ _ of _ _ _l ___________ Address

2. Plant Surry Power Station Unit One Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00380019-03, RR#98-134 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed by_v_i_r_g_in_i_*a_P_o_w_e_r_ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _N_A_ _ _ _ _ _ __

Name Authorization .I\Jo. - - ~ N = A ~ - - - - - - - - - - - Same as above Expiration Date ____N_A_ _ _ _ _ _ _ _ _ _ __ Address Reactor Coolant

4. Identification of System _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

B31.1 55 NA N-1 through N-13

5. (a) Applicable Construction Code 19 ___ Edition, _ _ _ _ _ _ _ Addenda, Code Case 89 (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19___ __
6. Identification of Components Repaired or Replaced and Replacement Components
  • Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Astro Nuclear Bolts Dynamics NA NA 1-RC-E-lB NA Replacement No

7. Description of Work _ _R_e_p_l_a_c_e_se_c_o_n_d_a_ry

__m_a_n_w_a_y_bo_lt_s_.- - - - - - - - - - - - - - - - - - - - - - - - - - -

8. Tests Conducted: Hydrostatic D 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 811:. 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

                                                                                                                           )

FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that*the statements made in the report are correct and this rel"laeemeHs

  • conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol S t a m P - - - - - ~ ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Certificate of Authorization No. - - - ~ ~ - - - - - - - - - - E x p i r a t i o n D a t e - - - ~ ~ - - - - - - - - - - - Signed ( ) ~ ~

  • Owner o ~ r ' s Designee, Title U..Z- Vt;i,&1U£c Date _ _ /,,,_&_?_____, 19 99 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 Vj rgj n j s and employed by HSBI and I Co of Hartford Ct. hi)e ~ected the components described in this Owner's Report during the period ~ to I~ 7 {Z7' , 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.


4-&-,..,;,...-""-"'---'~'---.~....,__..,,_..c.~.=_;;__

_____ commissions _ _ _ _- - , - - ~ ~ ~ ~ ~ - - - - - - - - - - - lnspector'sSlgnatu~ National Board, State, Province, and Endorsements Date ,/12 77 19

Attachment 2 Page 55 of77 Serial No.: 99-038 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
1. Owner Virginia Electric and Power Co. Date __l--'/_1_3-'---/_9_9_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _-=l__ of_ _--=1=------------ Address

2. Plant Surry Power Station Unit One Name 5570 Hog Island Rd., Sur,:y, Va. 23883 W0#00399484-0l, RR#98-135 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed by_v_i_r_g_i_n_i_a_P_o_w_e_r_ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _N_A_ _ _ _ _ __

Name Authorization N o . - - - - " " " - - - - - - - - - - - - Same as above Expiration Date ____N_A_ _ _ _ _ _ _ _ _ _ __ Address Charging

4. Identification of S y s t e m - - , - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

B31.l 55 NA N-1 through N-13

5. (a) Applicable Construction Code 19 ___ Edition, _ _ _ _ _ _ _ Addenda, Code Case 89 (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 _ __ _
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 & Nuts Mackson, Inc. NA NA l-CH-HCV-1310A NA Replacement No Trim Copes- Ht. # Assembly (Plug) Vulcan 62348 NA l-CH-HCV-1310A NA Replacemen No

7. Description of Work _ _o_v_e_r_h_a_u_l_v_a_l_v_e_.- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

8, Tests Conducted: Hydrostatic D 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) 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

FORM NIS-2 (Back)


~~-~--~P~O~#'!...___CC~N~T-=---~5~7~3~3~5~3-'~n~u~t=s'--'---------'C=N~T~-~5~7~5=8=8~9~~n=u=t=s~~-SY-175881 9, R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached (trim assembly) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this rep) acement 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,t p 44£ Owner o~Designee, Title rs.:z- Catt;,ll/EL4,, Date _ _ _'---,/,__6J_.,,_.,,.,____ _ _ _ _ , 1 19 99 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 . half. insw,:,t;d the components described in this Owner's Report during the period /0 3D to 7.ilf'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.

                                        /7fl, (.
                                     ~-,:.,.Signature
                                                         ~ m m i s s i o n s _ _ _ _ _V.c....:::;;a.:..*.......::8--=8--=3'-----------

National Board, State, Province, and Endorsements Date_ _ _ _ i,,___,//~f_19 I 7/

Attachment 2 Page56 of77 Serial No.: 99-038 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 1 . Owner Virginia Electric and Power Co. Date_1_2....;./_1....;./_9_B_.:_*- - - - - - - - - - -

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station

2. Plant _ _ _...;;..._ _ _ _ _ _ -=-:------------ Unit _O_n_e_______- - - ' - - - - - - - - -

N11me 5570 Hog Island Rd., Surry, Va. 23883 W0#00362350-03, RR#98-138 Addre11 Repair Org11nlz11tlon P.O. No., Job No., etc. Virginia Power Type Code Symbol Stamp _ _ _NA _ _ _ _ _ _ __

3. Wor k Pe rforme dbY--------,...,....---------

N11me Authorization No. _ _ NA Same as above Expiration Date _ _- " " " - - - - - - - - - - - - Addre11

4. Identification of System _ _ _-'s""a""f:..:ec:t.,___"'In"-'-'e:.:c:..:tc:i""o,.,n_.
5. (a) Applicable Construction Code B3 1. 1 19_5_5__ Edition,_N_A_ _ _ _ _ _ Addenda, N-l through N-1:Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19__.s~g,___
6. Identification of Components Repaired or Replaced and Replacement Components ASME Code
                                                                                                                                             ..    *-- *,,           Repaired,     Stamped National*'

Name of Name of Manufacturer Board Other Year Replaced, (Yes C.omponent Manufacturer Serial No. No. Identification Built or Replacement or No) Figure#

            ,,_, .._        .. ---                           VS,-~<< ,D_<                   M~        ,,.         < -"T_nc                       ,,.           --,..,. ..... ,- --    lJn
7. Description of Work Replace valve. Code Case N-416-1 applies.
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 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 J

FORM NIS-2 (Back) 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 )n2r the components described 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.


f-CJ-....,.., 71--+-/J----"'"7F-+-C--::-+

                  ~~~
                                                      ~~;-1;{
                                      ..........,.-'""'"  __P--'

_____ Commissions _______v_a_.__ 8_8_3_ _ _ _ _ _ _ _ _ _ __ National Board, State, Province, and Endorsements Date------~--+.~---- / a--/q 19ri

Attachment 2 Page 57 of77 Serial No.: 99-038 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 12/15/98
1. Owner _Virginia

______ Electric _ _ _ _ _and ___ Power ____ Co._ _ __ Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 1 of _ _ _ _ _ _ _ _ _ _ _ _ __ Address Surry Power Station Unit _ One

2. P l a n t - - - - - - - - - - . , . . . , . . . . - - - - - - - - - - -

Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00384251-02, RR#98-140 Address Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Coda Symbol S t a ' l } f - - - - - - - - - - -

Name Authorization N o . - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System ____R_e_l_i_*e _ f _ v _ a _ l _ v e - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

B31.1 55 NA N-1 through N-13

5. (a) Applicable Construction Coda 19 ___ Edition, _ _ _ _ _ _ _ Addanda, 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
  • Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) N72390-00-0003 NA 1-CH-RV-1203 NA Replacement No Relief Valve Crosby Replace relief valve. (Completed 11/3/98).

7. Description of Work _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure lg)

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., (21 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# SY-09865

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp ______N_A_______________________________ Certificate of Authorization No. ----'N'""'"Ac.....__________ Expiration Date _ _ _ _N_A___________ SignedCJ.t owner j) ~&'. lfg;er's :rs.:z:- Deslgnee, Title Date--~~-1o<-b~-+?-----, 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.

  ---------------------;-r---t-=-::;;,,.....------:: la'?! m~ec e                          h
  • t d th e componen s escn e d t d 'b in this Owner's Report during the period _ _ _ _,___-,...~____.,,,__ _ _ to /~t!z{,{!Z_ S , 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.

               ~ Signature
                   /J(d~Commissions_ _ _                                                      Va_.8_83 _ _ __

National Board, State, Province, and Endorsements Date_ _-----'--/_P---F-i_c?-_,__/_19 7

                                                ?   L

Attachment 2 Page 58 of77 Serial No.: 99-038 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. 12/15/98 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1. O w n e r - - - - - - - - - - - - - - - - - - - - - - -

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _____ o f - - - - - - - - - - - - - ' - ~ Address Surry Power Station One

2. P l a n ~ - - - - - - - - - - - - - - - - - - - - - - Unit--------------------

Name 5570 Hog Island Rd., Surry, Va. 23883 wo#00399726-ol, RR#98-143 Address Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol S t a ' l J f - - - - - - - - - - -

Name Authorization N o . - - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System ____F _ e _ e _ d _ w _ a _ t _ e r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

B31.1 55 NA N-1 through N-13

5. (a) Applicable Construction Code 19 ___ Edition, _ _ _ _ _ _ _ Addenda, 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) 5/8"                                                                                                                      No studs  & Nuts         Mackson, Inc.         NA                       NA        1-FW-61             NA        Replacement Replace fasteners.      {Completed 11/3/98).
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) 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) nuts Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ aceroeut conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _ _ _- - - = c N = - A = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. _ _ _~N=A~----------Expiration Date _ _ _~N=A~----------- Signed < f 2 n ~ ~ g n ! ' ~ " f /A(i,vcU& +1~£~-----, 19 9,C Date _ _~/.~:l.=7 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_.-------:-:--cr/--r=--==-----have )nspe9ted the components described in this Owner's Report during the period / / /7 / 9R"" to ~/?-,;:ffZ:: , 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. VJ . , 77' ---~/

       ~t~

__"Cd,,{.d___/~4----"'

                 /               '-~-,1<-~I'-,....._. .,,'/f./
                                                    ;'>~      ~

______ commissions _______V_a_._8_8_3____________ National Board, State, Province, and Endorsements Date

Attachment 2 Page 59 of77 Serial No.: 99-038 Docket No.: 50-280

  • _1 . Owner Virginia Electric and Power Co.

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Date_l_2_/_l_/_9_B_ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11

2. Plant _Surry _ _..;;;..._ Power

____ Station _ _ _ _ _ _ _ _ _ _ _ __ Unit _O_n_e_________________

                                                         . Name 5570 Hog Island Rd., Surry, Va. 23883                                                       W0#00399729-0l, RR#98-144 Addre11                                                Repair Organization P.O. No., Job No., etc.

Virginia Power Type Code Symbol Stemp _ _ _NA _ _ _ _ _ _ _ __

3. Wor k Pe rforme d b V--------,.,.----------

Name Authorization No. __N_A_ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _~ ~ - - - - - - - - - - - Addre11

4. Identification of System _ _ _""'M""a""i""n'-=st""e"'a"'m"---------------------------------
5. (al Applicable Construction Code 53 1.i 19_5_ 5_ _ Edition,_N_A_ _ _ _ _ _ Addenda, N-l through N- 1:tode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19__.e~9'---
6. Identification of Components Repaired or Replaced and Replacement Components
                                                                                                                                                    ',     ASME Code National                                          Repl!ired,
  • Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol
       .... .a.. *  ...::1- r. ?I.T,~+-""'    M~~tr---   ~--        "n                       ,,n         1 -1'W-~~           "n       T"I- ., ""--*    ...   -
7. Description of Work Replace cap 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 mav be used, provided (1 I size is 8% in. x 11 in., (21 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 (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# CNT-578078 (studs)

  • CNT-569504 (nllts)
9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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 ____________ Signe~L;:J/..4;:,J[a;~~~:::_-~-,------------Date_~/_'2..._;{~------, CERTIFICATE OF INSERVICE INSPECTION 19 9,;>- 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.

  ------------------------+---,.,,,_,-=-~----- ave JDSP~te t e components escn            h     *   ~       h               d     "bed in this Owner's Report during the period                 //                    to      /~/9,/Y                     , 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 iii 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. ~ 701 __________ commissions _______v_a_.__8_8_3____________

  ---1-/7(....,..C-{---,VP,C....~~~....,..__,L...,<

GVi,;;pector's Signature National Board, State, Province, and Endorsements Date_ _~ / rry...._,/~~'.?_19?'6'

Attachment 2 Page 60 of77 Serial No.: 99-038 Docket No.: 50-280

  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS 1 . Owner Virginia Electric and Power Co.

As Required by the Provisions of the ASME Code Section XI Date_l_l....:./_2_5....:./_9_8_ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11

2. Plant _Surry

_ _ _ _Power ____ Station _ _ _ _ _ _ _ _ _ _ _ _ __ Unit _o_n_e_________________ Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00399072-01, RR#98-145 Addre11 Aepalr Organlz11tlon P.O. No., Job No., etc. Virginia Power

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _NA _ _ _ _ _ _ __

Name Authorization No. _ _ NA Same as above Expiration Date _ _- " " " - - - - - - - - - - - - Addre11

4. Identification of System ____R_e_a_c_to_r_c_o_o.;;;;l.c.caccn.c..t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (al Applicable Construction Code 831
  • 1 19_5_5__ Edition,_N_A_ _ _ _ _ _ Addenda, N-l through N-ltode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19__,s.._,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 Part#

o~lt-~ ,..., __ ... .: --\..-.. .., ... e:::c:.1 .............. .,., .. 1 ,n , _o,.._,,_,,..

                                                                                                                                                          ""        0--1---           "-
7. Description of Work Replace handhole gasket.
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 I size is 8% in. x 11 in., (21 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 IE00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N. Y. 10017 REPRINT 12/91 C,
                                                                                                                                                                                              *J ;./** .
                                                                                                                                                                                           ....~*,      .

FORM NIS-2 (Back) PO# SNT 392192

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 repair or replacement ASME Code, Section XI.

Type Code Symbol Stamp NA NA NA Certificate of Authorization No. Expiration Date Signed r:il-i~ Owner or ~ e e , Title _I~t LC..v~c_1,1~<'~ Date // /2,,,,s:- ,19Pr: CERTIFICATE OF INSERVICE INSPECTION I, the undersigne-{y 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 HarUora:, CE. have;n,cted the components described in this Owner's Report during the period 11/6/9'b to / ~' 0 i':' y' , 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.

                      <:£6.~                                    Commissions Va. 883 National Board, State, Province, and Endorsements Date                  L~L~   I 19  rr:t I:

Attachment 2 Page 61 of77 Serial No.: 99-038 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.

0 wner - - - - - - - - - - : - , - - - - - - - - - - - - - Date _ 12/15/98 1. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 Address Surry Power Station One

2. P l a n t - - - - - - - - - - , , . . , . . - - - - - - - - - - - - Unit--------------------

Neme 5570 Hog Island Rd., Surry, Va. 23883 W0#00384505-0l, RR#98-146 Address Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ __

Name NA Authorization N o . - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System ____B_l_o_w_d_o_wn _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

13

5. (a) Applicable Construction Code 831 '1 19_5_5_ Edition,_N_A_ _ _ _ _ _ Addenda, N-l through N- 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)

Anchor/ Snubber Darlincr 1117 NA 1-BD-MSS-10 NA Replacement No Replace snubber. (Completed 11.(;'98).

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) 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) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ areroent conforms to the rules of the ASME Code, Section x I. repair or replacement Type Code Symbol Stamp _ _ _ _ _~ N = A ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~

                                       -----"'"""-----------Expiration Date _ _ ____.N"'A....___________

Signel;Lil"4---M~~~~~~---,,.~~~---"~~~~~:'...---Date _ _ _~/~=-,,-~'J CERTIFICATE OF INSERVICE INSPECTION _ _ _ _ , 19 'J'r 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. - -- - * .~av,1- ins1.ected the components described in this Owner's Report during the period II to / ~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. ~~ "'--/--/


r-

           ~~
              /7'--=-=-.~--~-'--~--~~-----Commissions
                        .                                                 _______V_a_.__8_8_3_ _ _ _ _ _ _ _ _ _ __

National Board, State, Province, and Endorsements Date_ _-----$-/-=-cG)..-1-&'--"'cP::._:_/_ 1 9 7 7' 15

Attachment 2 Page 62 of77 Serial No.: 99-038 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. Date _ _ 12/15/98
1. 0 wner - - - - - - - - - - - - - - - - - - - - - - -

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address

2. Plant _ _Surry

_ _ _Power _ _ _ _Station _ _ _ _ _ _ _ _ _ _ _ _ __ One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00384511-01, RR#98-147 Address Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed b Y - - - - - - - - - - - - - - - - - Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ __

Name NA Authorization N o , - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System ____R_e_a_c_t_o_r_c_o_o_l_a_n_t_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

B31 1 55 NA N-1 through N-13

5. (al 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 Nol Anchor/

Snubber Darling 1383 NA 1-RC-MSS-lOC NA Replacement No Replace snubber. (Completed 11/6/98).

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 I size is SY. 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 (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)

                       /'0:11:  s:BY=-3_:ll.9..'.Z2__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

f--------~9c--.-----=R,..e_m_a_r*k-s~=====-.:-------------------------------------------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ aceroent conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _ _ _- - - = c N c : : . A = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. -----'N=A=------------- Expiration Date ------'N'-"A=-=------------ Signe,Q_ s!,_ / O w ~ n e e , Title

                                            '.L.--      IJ'f         ~61ve&4                   Date _ _--'-/=-~--'--~-~J"-------,19        9Y 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 i9spec~ the components described in this Owner's Report during the period                       II                   to     /~0,'.?Y'.8"."               , 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)

            ---*-1*-**/A_,:;;,,""=::;;;,~---~~'--=~,..,..-,...--,-~*~~~---Commissions _______v---,--a...,.,-----B-B_3_ _ _ _ _ _ _ _ _ _ __
                      ~~ ~                                                                    National Board, State, Province, and Endorsements Date,_ _ _.L.../.-'--cP----,<~'---cfl--"---/-19 7
                                                              '7 'b

Attachment 2 Page 63 of77 Serial No.: 99-038 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. Date _ _ 12/4/98
1. Owner Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 _ _ of _ _ _ 1 _ _ _ _ _ _ _ _ _ __

Address Surry Power Station One

2. Plant Unit--------------------

Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00381846-0l, RR#98-150 Address Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ _ __

Name Authorization No. _ _N_A _ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _~ N = A ~ - - - - - - - - - - - - Address

4. Identification of System Main Steam
5. (a) Applicable Construction Code 831
  • 1 19_5_5_ Edition,_N_A_ _ _ _ _ _ Addenda, N-l through N- 1 :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
  • Name of Component Name of Manufacturer Manufacturer Serial No.

Board No. National Other Identification Year Built Repaired, Replaced, or Replacement ASME Code Stamped (Yes or No) Studs Mackson, Inc. NA NA 1-MS-SV-lOlA NA Replacement No Nuts Mackson, Inc. NA NA 1-MS-SV-lOlA NA Replacement No Replace fasteners. (Completed 11/14/98).

7. Description of Work _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D
  • I 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) 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

FORM NIS-2 (Back) BNT-467064 (1 1 4" nuts CNT-575889 1 1 4" s

9. R e m a r k s - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _ _N_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. _ _ _ _N_A ___________ Expiration Date _____N_A___________ Signed ~ ~ - ~ ~ -e.,.,,~,,, f o/wner or ~ s Des1gnee, Title S :C Date--~L=~Cj'------;,__*- - - , 19 f?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. hz ffected the components described

                                                                                          / .;z., 7;  7*cg;                       , 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 ' s Signature
                                                        ~iss              s              .        Va. 883
___ Comm~-N-at_i_o_n-al_B_o_a_r_d_,_S_t-at_e_,-P-ro_v_i_n_c-e,-a-n_d_E_n_d_o_rs_e_m_e_n_t_s_

Date_ _ _~/_dJ..----i,/~7---19 9C

Attachment 2 Page 64 of77 Serial No.: 99-038 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
1. Owner Virginia Electric and Power Co. Date __ 1_2_/_4_/_9_B_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address

2. Plant Surry Power Station Unit __O_n_e__________________

Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00397914-0l, RR#98-151 Address Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ _ __

Name Authorization No. _ _N_A _ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _~ - - - - - - - - - - - - Address

4. Identification of System Main Steam
5. (a) Applicable Construction Code B31.1 19~Edition,_N_A_ _ _ _ _ _ Addenda, N-1 through N-1::Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 99
6. Identification of Components Repaired or Replaced and Replacement Components
  • Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) Studs Mackson, Inc. NA NA 1-MS-SV-101B NA Replacement No Nuts Mackson, Inc. NA NA 1-MS-SV-101B NA Replacement No

7. Description of Work _ _ _ _ _ _ Replace

____ fasteners. _ _ _ _(Completed _ _ _ _ _11/14/98).

8. Tests Conducted: Hydrostatic D 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) 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

FORM NIS-2 (Back) BNT-467064 (1 1/4" nuts). 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 ( ) £ ;) - , .:z: Owner or ~ n e e , Title 5"..Z.- ~~6<<Jc/4 Date _ __./'--"Z..."',,f--'~----, 19 I...¥- 9L 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. hav/ in~ctKthe components described in this Owner's Report during the period _______l'_l-+-_ _ /_l___ to / t,... 7'9I 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. - - - - - - - - , f - -~~4-....,."4---'~.____,,_-+-+-"'-"""--=-----'*----Commissions _ _ _ _ _ _ _ V_a_._8_8_3___________ b-,~.~ National Board, State, Province, and Endorsements Date_ _ _ _...,_/....::~----1/_7_,__19 I

                                                   ~

Attachment 2 Page 65 of77 Serial No.: 99-038 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
1. Owner _Virginia

______ Electric _ _ _ _ _and ___ Power ____ Co._ _ __ Date _ _ 12/15/98 Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _____ of _ _ _ _ _ _ _ _ _ _ _ _...;.._ Address

                                                                                             . One
2. Plant _Surry

____ Power _ _ _Station _ _,__ _ _ _ _ _ _ _ __ Unit _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5570 Hog Island Rd., Surry, Va. 23883 W0#0038184B-Ol, RR#98-152 Address Repair Organization P.O. No., Job No., etc.

                      . Virgiriia Power                                                                                    NA
3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol S t a ' I J . f - - - - - - - - - -

Name Authorlzation No, _ _ _ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System ____M _ a _ i _ n _ s _ t _ e _ a m - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

531 1 55 NA N-1 through N-13

5. (al Applicable Construction Code
  • 19 ___ Edition, _ _ _ _ _ _ _ Addende, 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) 1 1/4" No Studs & Nuts Mackson, Inc. NA NA 1-MS-SV-lOlC NA Replacement f

Replace fasteners. (Completed 11/14/98). 7, Description of W o r k - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 8, Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psl 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) 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) BNT-467064 (nuts), CNT-575889 (studs)

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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]£cJJ Owner~lgnee, Title

                                  '/  ::Z::S£ .kv&,~                             Date_---'.,;.:;'-=~-F---'-'/b"-----,,   19 9Y 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                                                         HSBI and I Co*

Hartford, Ct. and employed by

  --------------------------f---,---J-.,=;-::::,,----

in this Owner's Report during the period II' to h

                                                                                       -;y'j az   .       d h                 d m~ctee!___J e components escn e C7~

of "b d

                                                                                                                      , 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 e ~ t i o n- .

  ----,"l"--"7'"-""""'?."~*~.,.*-~-:.I'"=:.,-,--:*
                                        -~"_______ Commissions _______                       v_a_._8_ 8_3_ _ _ _ _ _ _ _ _ _ __

4nsi,ecto~ National Board, State, Province, and Endorsements Date,_ _ _-'-'/o?;~/cJ."'---'-(_19  %

Attachment 2 Page 66 of77 Serial No.: 99-038 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
1. Owner Virginia Electric and Power Co. Date_l_2...:../_l...:../_9_B_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _l _ _ of _ _l_ _ _ _ _ _ _ _ _ _ __ Addra11 Surry Power Station Unit _O_n_e_________________

2. Plant _ _ _- ' - - - - - - - - : - : - - - - - - - - - - - -

N11me 5570 Hog Island Rd., Surry, Va. 23883 W0#00381849-0l, RR#98-153 Addre11 Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed b Y - - - - - - - - - , . , - . - - - - - - - - Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ __

Neme Authorization No. __N_A_ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ __.......__ _ _ _ _ _ _ _ _ __ Addre11

4. Identification of System _ _ _""M'"'"a""iccn_sc..tc..ec...ca.cccm'---------------------------------
5. (a) Applicable Construction Code B31.i 19~Edition,_N_A _ _ _ _ _ _ Addenda, N-l through N- 1:Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19~s,..9,___
6. Identification of Components Repaired or Replaced and Replacemeot 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)
     "'"""~ "' ~, "        M--*----    T--        ~Tn                     ~Tn     1 -M.C!-C!.'tT-1 "'"""'       ~,n      oe~lacement       No
7. Description of Work Replace inlet 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 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# CNT 575813 (studs), BNT 467650 (nuts)

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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 ___________ Signedr;l, 'If:~ ,r ~

         ~ n e r or O~lgnee, Title 4-<:  .J;};:Z: e:.C:W4 ,Mc.<--~ Date _ _~/.~:..l..~/_;_ _ _ _ _ , 19 2cF:

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.

  ------------------------r---,....---:=,------- av; m;peSle t e components escn ed         h
  • d h d 'b in this Owner's Report during the period ______/_lt----'--:f---~--tO / P-f'.;ff8 , 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. AC!~~ _______,.c...dJ~-""=""Li_"'_.....

                                     .......~-'""'------Commissions Inspector's Signature
                                                ~                            _______          Va.883 National Board, State, Province, and Endorsements Date._ _            ~/_J---+-/__,_7_19         czi

Attachment 2 Page 67 of77 Serial No.: 99-038 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. 12/8/98 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1. O w n e r - - - - - - - - - - ~ - - - - - - - - - - - -

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _ _ _ _ of _ _ _ _ _ _ _ _ _ _ _ __ Addre;s Surry Power Station One

2. Plant _ _ _ _ _ _ _ _ _ --e-,------------

Name Unit _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 5570 Hog Island Rd., Surry, Va. 23883 W0#00397915-01, RR#98-154 Addreaa Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Type Code Symbol S t a ' R . f - - - - - - - - - - Name Authorization N o , - - - - - - - - - - - - - - Same as above Expiration Data _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Addreus Main Steam

4. Identification of S y s t e m - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

B31, 1 55 NA N-1 through N-13

5. (a) Applicable Construction Code _ _ _ _ _ _ _ 19 _ _ Edition, _ _ _ _ _ _ _ Addenda, 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

(:omponent Manufacturer Serial No. No. Identification Built or Replacement or No) 1 3/8" Studs & NUtfl Mackson, Inc. NA NA 1-MS-SV-102B NA Replacement No Replace fasteners. (Completed 11/14/98).

7. Description of W o r k - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Ot~er 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) 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) BNT-467650 (nuts) CNT-575813 (studs)

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

~~~ca~?f 2iza~j N:-~---~-A_:£_J..

Wwner or O~esignee, Title CERTIFICATE OF INSERVICE INSPECTION

                                                                                                                     ...-=;-.,.h~N"'---.JY'..,"'---A_'-_-_-_-_-_-_-_-_-:.-,-__9:_,,p/_

____L_~_tf:_ti_<".l_'l/._~-:::::_n_D_a_te:_--'/~-~ I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State 9 or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct.

   -----------------------:-:--:f-:-;--7,;:;;:;;:::::::::----;-hav9 i:'=cted the components described in this Owner's Report during the period _ _ _ _ _....c.../_/+--'---+-'-......""--to /~L~L.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 Joss of any *kind arising from or connected with this i_n_s_p-ec-t-io_n_.-fa=--"'-.l..>Q_""_.,,,. __~~..,...'=+--L-.;._-------Commissions _______V_a_.__8_8_3_ _ _ _ _ _ _ _ _ _ __

  • Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _/_t>-_ 1--/_ct"~*~-19 1

z:6':

Attachment 2 Page 68 of77 Serial No.: 99-038 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. 12/15/98 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1. O w n e r _ - - - - - - - - - . , . , - - - - - - - - - - - - -

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet. _____ 1 1 of _ _ _ _ _ _ _ _ _ _ _ _ __ Addre1s

2. Plant _ _ Surry

_ _ _Power ____ Station _..,.,..._ _ _ _ _ _ _ _ _ __ Unit _ _One _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5570 Hog Island Rd., Surry, Va. 23BB3 W0#003B1B51-0l, RR#9B-155 Addre11 Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol S t a ~ - - - - - - - - - - -

Name Authorlzation N o , - - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address Main Steam

4. Identification of S y s t e m - - - - - - - - - - - - - - - - - - ' - - - - - - - - - - - - - - - - - - - - - - - -

B31.1 55 NA N-1 through N-13

5. (a) Applicable Construction Coda 19 ___ Edition, _ _ _ _ _ _ _ Addanda, Code Casa (b) Applicable Edition of Section XI Utilized for Repairs or.Replacements 19__8_9_ _
6. Identification of Components Repaired or Replaced and Replacement Components
  • Name of Component Name of Manufacturer Manufacturer Serial No, National Board No, Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) 1 3/B" No Mackson, Inc. NA NA 1-MS-SV-102C NA Replacemenl Studs & Nuts Replace fasteners. (Completed 11/14/9B).

7, Description of W o r k - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - B. 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) 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 et 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 f,

FORM NIS-2 (Back) BNT-467650 nuts), CNT-575813 (stnds)

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ aceroent 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 <i2£ A ~ Owner ~Tueslgnee, Title 15'_:r L,4,,.,cSM, Date _ _ CERTIFICATE OF INSERVICE INSPECTION

                                                                                              ~/.=ry~l. . .c. ____ ,19 'zL 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~ce components described
                                                                                       /.,,2,,4:>~                         , 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 t_his 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_.,_,__
                 /'//,,,,..-b-'f '~--~-£---------Commissions _______v_a_._8_8_3___________
              ~ o r ' s Signature                                              National Board, State, Province, and Endorsements Date------,-~..,/-~~--     ./,;2.RI       19'73

Attachment 2 Page 69 of77 Serial No.: 99-038 Docket No.: 50-280

  • 1. Owner Virginia Electric and Power Co.

FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Date_1_2....:./_1....:./_9_8_ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 2

  • Plant Surry Power Station Unit _o_n_e_________________

Name 5570 Hog Island Rd., Surry, Va. 23BB3 W0#003B1B52-01, RR#9B-156 Addre11 Repair Organization P.O. No., Job No., etc. Virginia Power Type Code Symbol Stamp _ _ _NA _ _ _ _ _ _ __ 3 . Wor k Pe rforme d bY--------,...,..---------- Name Authorization No. -,---N~A;.;;...._ _ _ _ _ _ _ _ _ __ Expiration Date _ _...u.:.------------

4. Identification of System _ _ __,_M"'a"'i'°'n'-=st""e"'a"'m"--------------------------------
5. (a) Applicable Construction Code B31.i 19~Edition,_N_A _ _~_ _ _ Addenda, N-1 through N-1:Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19,__.a._,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)

C!f,.,,,..:,.,.. t:'. ,.,, ....... M-. _, __ *-- T-- ""

                                                                                           ,,.     , -M~-~"-'        n~ >
                                                                                                                                 ""       'n--, -            "T~
7. Description of Work Replace inlet flange 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 l 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# CNT 575813 (studs), BNT 467650 (nuts)

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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 jnsp~~ the components described in this Owner's Report during the period to / P;/~,Ct& , 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-       ///,,,..-"'-t,;t2.,...'-t--'~~-.,...-~~------Commissions _______              v_a_.__8_8_ 3_ _ _ _ _ _ _ _ _ _ __
              ~ ; : ~                                                            National Board, State, Province, and Endorsements Date,_ _ _ _ __;_/_d---+/-+-f--19

Attachment 2 Page 70 of77 Serial No.: 99-038 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. Date _ 12/8/98
1. Owner _ _ _ _ _ _ _ _ _ _- : - : - - - - - - - - - - - - - -

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 _~of_ _ _ 1 _ _ _ _ _ _ _ _ _ __ Addre;s Surry Power Station Unit _One

2. P l a n t - - - - - - - - - - - : - : - - - - - - - - - - - - -

Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00397916-0l, RR#98-157 Address Repair Orgenlzatlon P.O. No., Job No., etc. Virginia Power NA

3. Work Performed b Y - - - - - - - - , . , - - - - - - - - - Type Coda Symbol S t a W . f - - - - - - - - - - -

Name Authorlzation N o , - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Addre11s

4. Identification of System ____M_a_i_*n _ s _ t _ e _ a m - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

B31 1 55 NA N-1 through N-13

5. (a) Applicable Construction Coda
  • 19 ___ Edition, _ _ _ _ _ _ _ Addenda, 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 Menufactu rer Serial No, No. Identification Built or Replacement or No) 1 3/8" Studs & Nuts Mackson, Inc. NA NA 1-MS-SV-103B NA Replacement No Replace fasteners. (Completed 11/14/98) .
7. Description of W o r k * - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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) Informa-tion In Items 1 through 6 on this report ls 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

                                                                                                                                          ~J

FORM NIS-2 (Back) ,----------~BNT-467650 (nnts) CNT 5-1-5-813 (studs)

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ acerne,at conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _ _ __ , N , . . , , A = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - a~~- Certificate of Authorization No. _ _ _...,N"'A..,,___________ Expiration D a t e - - - ~ ~ ~ - - - - - - - - - - Signed Ow~Deslgnee, Title

                                                   "'Ad             fs_z;- ~4~,vce""<<:,g                  Date _ _~/~"---+-

CERTIFICATE OF INSERVICE INSPECTION Y~-----, 19 I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State 9C or Province of Virginia and employed by HSBI and I Co. of _______H_a_r_t_f_o_r_d-'-,_C_t_._________ _-r:=::,,-----havp in~ctjld the components described 7 in this Owner's Report during the period II to /,P. L ~/'7'~ , 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.

            ----11--?"'-->o~--..,..___\:.......,,-,,_..,..,__,_..::...._ _ _ _ _ _ _ commissions _______              V_a_._8_8_3____________
                                 ~                                                                       National Board, State, Province, and Endorsements Date_ _                ___,_J_.;.._/_~_19 I

7'6

Attachment 2 Page 71 of77 Serial No.: 99-038 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. 12/15/98
1. O w n e r - - - - - - - - - - . , . . , . . - - - - - - - - - - - - Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address

2. Plant _Surry

_ _ _ _Power ____ Station _ _ _ _ _ _ _ _ _ _ _ __ Unit _ _ One_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00381854-0l, RR#98-158 Address Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ __

Name NA Authorization N o , - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System ____M_a_1._*n _ s _ t _ e _ a m - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - -

B31 1 55 NA N-1 through N-13

5. (a) Applicable Construction Code
  • 19 ___ Edition, _ _ _ _ _ _ _ Addenda, 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
  • Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No, Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) 1 3/8" Studs & Nuts Mackson, Inc. NA NA 1-MS-SV-103C NA Replacement No Replace fasteners. (Completed 11/14/98).

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) 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) BNT-467650 (ru~1kt~s~)_,_~C~NLT~-~5i7L:::J.5b8~]~3~1__s:(::.UC.ls..-/---------------------------~ 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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp _ _ _ _ _..:cNcc:A.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. haz insp~ed the components described

                                                                                   µ    I .A /71$'
                                                                                               /                  , 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.

                     ...'2-"'.___*_~,__-+-+~--~-----Commissions _______v_a,-._8_ 8_3_ _ _ _ _ _ _ _ _ _ __

____...,.'--//.._....,,. b:£1n7i>ector'~ National Board, State, Province, and Endorsements Date / rJ-U- I I 19 9r(

Attachment 2 Page 72 of77 Serial No.: 99-038 Docket No.: 50-280

  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS 1 . Owner Virginia Electric and Power Co.

As Required by the Provisions of the ASME Code Section XI Date 12/1/98 Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11

2. Plant Surry Power Station Unit One Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00381855-01, RR#98-159 Addre11 Repair Organization P.O. No., Job No., etc.
3. Work Performed by_v_i_rg_i_*n_i_a_P_o_w_er--,,..,------------ Type Code Symbol Stamp _ _ _N_A_ _ _ _ _ _ __

Name Authorization No. --"'NA,.,__ _ _ _ _ _ _ _ _ __ Expiration Date _ _41,;,.__ _ _ _ _ _ _ _ _ __ Addre11

4. Identification of System _ _ _-"M"'a""i.,,,n_s"-t=e=a=m"---------------------------------
5. (al Applicable Construction Code B31.1 19_5_s__ Edition,_N;;..;;Ac.c...__ _ _ _ _ Addenda, N-1 through N-1:Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19__.e~s'---
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)

C!+-11~.r!!! r:_ l\T,,~ ... M--1,,- T-- "' '"

                                                                                                 '1 _Mo_---_ .. ,..,..,. ...       ~
7. Description of Work Replace inlet flange 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 l 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# CNT-575813 (s 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 repair or replacement ASME Code, Section XI. Type Code Symbol Stamp ______N = = - A = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. ____N=A=-----------Expiration Date _ _ _......cNc.c...A_ _ _ _ _ _ _ _ _ __ Signed CJ-4 )_ ~ -*~./ D w n ' f - ; ; ~ e , Title L5k Lµ~tNc&a ILL

                                                                             ~ate _ __,_.-,=,..._,__ _ _ _ _ _ _ , 19       Z 3"'

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_.----------1--,.-,t=-=~----hav~ in~cted the components described in this Owner's Report during the period // to / :.i...;'fj't' r::; , 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~Q~~~V'MA.~~-*_commissions _ _v_a._883 _ __

        ~'eUsifuinature                                                     National Board, State, Province, end Endorsements Date_ _          -----+-/~d:-+-/-+-f__,/fS
                                                                                                                                         .J

Attachment 2 Page 73 of77 Serial No.: 99-038 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. 12/8/98 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1. O w n e r - - - - - - - - - - . . , . , - - - - - - - - - - - - -

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 _~of _ _ _ 1 _ _ _ _ _ _ _ _ _ __ Address Surry Power Station One

2. P l a n t - - - - - - - - - - - : - - : - - - - - - - - - - - - - Unit--------------------

Name 5570 Hog Island Rd., Surry, Va. 23883 wo#oo397911-01, RR#98-160 Address Repair Organization P.O. No., Job No., ate. Virginia Power NA

3. Work Performed bY---------,-~-------- Type Code Symbol S t a ' l J R - - - - - - - - - - -

Name Authorization N o , - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Addreaa

4. Identification of System ____M_a_i_*n _ s _ t _ e _ a _ m - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

B31 1 55 NA N-1 through N-13

5. (a) Applicable Construction Code
  • 19 ___ Edition, _ _ _ _ _ _ _ Addenda, 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
  • Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No, Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) 1 3/B" No Mackson, Inc. NA NA 1-MS-SV-104B NA Replacement Studs & Nuts Replace fasteners. (Completed 11/14/98).

7. Description of W o r k * - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
8. Tests Conducted: Hydrostatic Pneumatic O 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) 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) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ arement 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~.,!:.....14..!....1Lg¥~~~::=:~~-i::;;,;,~~rd...C!~"t,.,._--Date _ _ CERTIFICATE OF INSERVICE INSPECTION __./_..l--+-h~r-------, I 19 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/. i n s ~ the components described in this Owner's Report during the period 11 to /~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. ~ Commissions _______V_a_.__ 8_8_3_ _ _ _ _ _ _ _ _ _ __

        ~Signature
           ,///                t ~

National Board, State, Province, end Endorsements Date_ _-+-/..IL.~--E--/-~..........__-19 ?3:' j

Attachment 2 Page 74 of77 Serial No.: 99-038 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. 12/15/98 Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
1. O w n e r - - - - - - - - - - - - - - - - - - - - - - -

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _____ 1 of _ _ _1 _ _ _ _ _ _ _ _ _ __ Address

2. Plant _ Surry

_ _ _ _Power ____ Station One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 wo#00381857-ol, RR#98-161 Address Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed b Y - - - - - - - - - , - , - - - - - - - - - - Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ __

Name NA Authorization N o , - - - - - - - - - - - - - - Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System ____M_a_1_*n _ s _ t _ e _ a m - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

B31 1 55 NA N-1 through N-13

5. (a) Applicable Construction Code
  • 19 ___ Edition, _ _ _ _ _ _ _ Addenda, 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) 1 3/8 11 Studs & Nuts Mackson, Inc. NA NA 1-MS-SV-104C NA Replacement No Replace fasteners. (Completed 11/14/98).
7. Description of Work _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi TestTemp. ______°F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informs*

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) BNT-467650 (nuts), CNT-575813 (studs)

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ aceroeot conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______N_A_______________________________ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Expiration Date _ _ _---=N:..:.=.A=------------ Signed~,,,,.e.~o.Ll,~~~~~~~~-=.J.ZJ~;;:;,a:;~--Date _ _~/,~Z-c....+k-+-"'5"'~----, CERTIFICATE OF INSERVICE INSPECTION 7 I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State 19 ar r or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. 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~
                                                                ~____ Commissions _______v_a_.__8_8_3_ _ _ _ _ _ _ _ _ _ __

__C.,,,.t2.'-""'"---'-'-or--F-+-AA~"=--7/"""'-~- National Board, State, Province, and Endorsements

Attachment 2 Page 75 of77 Serial No.: 99-038 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 12/15/98
1. Owner _Virginia

______ Electric _ _ _ _ _and ___ Power ____ Co._ _ __ Date _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheat _____ of_-,-_ _ _ _ _ _ _ _ _ _....;.._ Address Surry Power Station One

2. P l a n t - - - - - - - - - - - , - , - - - - - - - - - - - - Unit--------------------

Name 5570 Hog Island Rd., Surry, Va. 23883 wo#oo381858-01, RR#98-162 Addresa Repair Organization P.O. Ngj{ Job No., etc. Virginia Power

3. Work Performed b Y - - - - - - - - - , - , - - - - - - - - - - . Type Code Symbol S t a ' I J R - - - - - - - - - -

Name Authorization No. _ _ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Address Main Steam

4. Identification of S y s t e m - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

531.1 55 NA N-1 through N-13

5. (al Applicable Construction Coda 19 _ _ Edition, _ _ _ _ _ _ _ Addenda, Coda Casa (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, (Vas Component Manufacturer Serial No. No. Identification Built or Replacement or No)
         . 1 3/8" NA                        NA      1-MS-SV-105A          NA       Replacement        No Studs & Nuts          Mackson, Inc.

Replace fasteners. (Completed 11/14/98).

7. Description of W o r k - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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) Informa-tion in items 1 through 6 on this report ls 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) BNT-467650 (nuts), CNT-575813 (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 _ _ _ _ _. . : : c N . : . : : A - = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No, _ _ _...cN-"'A=------------Expiration Date ------=N.:.::A=------------- Signed /J.L LJ 44-<

         * ~ e r or ~ s l g n e a , Title rs.c L~~~                             Date _ _L...,/~-~_........c 1

_ _ _ ,19 9.7"" 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. hav;, insP9ctevhe components described in this Owner's Report during the period _ _ _ _ _ _..,_/-'-1-+--'-~'-'-__,...._to /,;l.[!!!'-/ I I L9':£_ , 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.

  -----//(=-""'+~Q
                ~ r ' s ~
                         ... '+-~*~~-,..---~--------Commissions _ _ _ _-,---_V_a_._8_ 8_3_ _ _ _ _ _ _ _ _ __

National Board, State, Province, and Endorsements Date_ _ __,_/_...,_,~__,./c-'-'c;)---'/-19 <rC

Attachment 2 Page 76 of77 Serial No.: 99-038 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 1_ Owner Virginia Electric and Power Co. Date _ _ l_2_/_8_/_9_8_ _ _ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _ _ 1 _ _ of _ _ _ 1 _ _ _ _ _ _ _ _ _ __ Address Surry Power Station One

2. P l a n t - - - - - - - - - - - - - , - , - - - - - - - - - - - - - Unit--------------------

Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00397918-0l, RR#98-163 Address Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed b Y - - - - - - - - , . . . , . - - - - - - - - - - Type Code Symbol Stamp _ _ _ _ _ _ _ _ _ _ __

Name Authorization No. _ _N_A_ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Date _ _____,.,.,.__ _ _ _ _ _ _ _ _ _ __ Address

4. Identification of System _ _ _ _M_a_i_n_S_t_e_a_m_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (a) Applicable Construction Code 831
  • 1 19_5_5_ Edition,_N_A_ _ _ _ _ _ Addenda, N-l through N- 1 :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
  • Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Year Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) 1 3/8" Studs & Nuts Mackson, Inc. NA NA 1-MS-SV-105B NA Replacement No Replace fasteners. (Completed 11/14/98).

7. Description of Work _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
8. Tests Conducted: Hydrostatic D 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) 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

 /

FORM NIS-2 (Back) I BNT-467650 (nuts), CNT-575813 (studs)

9. R e m a r k s - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

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 W, <{. _? - * .Z:ST Owner o r ' , n e e , Title Date _ _~/.-~--~?'~----, 19 CERTIFICATE OF INSERVICE INSPECTION 98"" 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.

      - - - - - - - - - - - - - - - - - - - - - - - - - r - - - - r . = - ~ - - - - h a v / if"!s~_ectE;P- the components described in this Owner's Report during the period                   II                  to    /,;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.

      ----{-a~""'=-Q"""'--'--~-.L...-1--1'--"""'-

0

                                               --------Commissions _______V_a_._8_8_3___________

lnspe~ National Board, State, Province, and Endorsements Date

Attachment 2 Page 77 of77 Serial No.: 99-038 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. Dete _ _12/8/98
1. O w n e r - - - - - - - - - - ~ - - - - - - - - - - -

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 Sheet _ _1_ _ of _ _ _ _ _ _ _ _ _ _ _ __ Address Surry Power Station One

2. P l a n t - - - - - - - - - - - e - : - - - - - - - - - - - - Unit*_-----------------

Name 5570 Hog Island Rd., Surry, Va. 23883 wo#00381860-01, RR#98-164 Addres1 Repair Organization P.O. No., Job No., etc. Virginia Power NA

3. Work Performed by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Type Code Symbol S t a ' l J . f - - - - - - - - - - -

Name Authorlzation No. _ _ _ _ _ _ _ _ _ _ _ _ _ __ Same as above Expiration Dete _ _ _N_A_ _ _ _ _ _ _ _ _ _ __ Addre1s Main Steam

4. Identification of S y s t e m - - - - - - - - - - - - - - - , , - - - - - - - - - - - - - - - - - - - - - - - - - - -

531.1 55 NA N-1 through N-13

5. (al Applicable Construction Code 19 _ _ Edltion, _ _ _ _ _ _ _ Addenda, 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
  • Name of Component Name of Manufacturer Manufacturer Serial No, National Board No.

Other Identification Vear Built Repaired, Replaced, ASME Code Stamped (Yes or Replacement or No) 1 3/8" Studs & Nuts Mackson, Inc. NA NA 1-MS-SV-105C NA Replacement No I Replace fasteners. (Completed 11/14/98).

7. Description of W o r k - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
8. Tests Conducted: Hydrostatic Pnaumetic 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 BY. In. x 11 in., (2) Informa-tion in items 1 through 6 on this report is included on each sheet, end (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. V. 10017 REPRINT 12/91

                                                                                                         \

I. FORM NIS-2 (Back) BNT-467650 (nuts) CNT-575813 (studs)

9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this rep) acement 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){ ;J ..-: J5f h~,v6Ld, Owner ~ e s i g n a e , Title

                                                                              . Date         /~                         ,19   9-Y 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_*----------t----t-=:-7----havJe in511ec~ the components described in this Owner's Report during the period _ _ _ _ _ _l_l-+--,__~..,_-to I;:;;._ 't,L!'t5 , 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__7"'"10 inspection. 4

                         "',. . ,.__.._C).~,,_-P~~'-"'-=-*"'-'----Commissions _ _ _ _ _ _ _     V_a_._ 8_8_3_ _ _ _ _ _ _ _ _ __
                     ~or*~~                                                       National Board, State, Province, and Endorsements

/ Date I~/ ct I 19 7<{}}