ML18151A224

ISI Summary Rept for 1994 Refueling Outage

ML18151A224
Person / Time
Site:	Surry
Issue date:	05/24/1994
From:	Coden R VIRGINIA POWER (VIRGINIA ELECTRIC & POWER CO.)
To:
Shared Package
ML18151A225	List: ML18151A224 ML18153A963
References
94-194, NUDOCS 9406090242
Download: ML18151A224 (211)

Text

{{#Wiki_filter:ATTACHMENT 1 SURRY POWER STATION UNIT 1 ISi INSPECTIONS

• NIS
• 1 FORM 9406090242 940602 PDR ADOCK 05000280 Q PDR

Attachment I Page 1 of 29 Serial No.: 94-194 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 COll1)8ny, 5000 Dominion Blvd., Glen Allen, VA 23060

1. O w n e r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

(Name and Address of Owner) Surry Power Station, P.O. Box 315, Surry, VA 23883

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

(Name and Address of Plant) NA

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

12/22/72 NA

5. Commercial Service Date _ _ _ _ _ 6. National Board Number for Unit - - - - - - - - - - - - -

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

Reactor Vessel Rotterdam 137-1 VA58201 NA Steam Generator Westinghouse Ta~ Division 2981 VA 58203 681 1-RC-E-1A Steam Generator Westinghouse Ta~ Division 2982 VA 58204 682 1-RC-E-1B Steam Generator Westinghouse Ta~ Division 2983 VA 58205 683 1-RC-E-1C Reactor Coolant Westinghouse 458 NA NA PUil) 1-RC-P-1A Reactor Coolant Westinghouse 460 NA NA PLIIK> 1-RC-P-1C Seal Injection Commercial Filters Corporation NA NA NA Filter 1-CH-FL-4A Seal Injection Commercial Filters Corporation NA NA NA Filter 1-CH-FL'-4B Pressurizer Westinghouse NA VA 58202 1031 1-Rr.-F-:> RHR Heat Exchger Atlas Industrial Mfg. Co. 890 VA 58212 740 1-RH-E-1A SI Puip Byron Jackson Puips, Inc. NA NA NA 1-SI-P-1A Recirc. Spray ' .. PUil) 1-RS-P-2A Byron Jackson Puips, Inc. NA NA NA Class 1/2 Piping Southwest Fabricating Comany NA NA NA Class 1/2 Component Supports Southwest Fabricating COll1)8ny NA NA NA Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (I) size is 8¥2 in. x 11 in., (2)'information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and

• • • the number of sheets is recorded at the top of this form.

(12/86) This form (E00029) may be obtained from the Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300.

FORM MS-1 (Back)

8. Examination Dates 513192 to 3/24/94 9. Inspection Interval from 12/22/82

10. Applicable Editions of Section XI ~1~9...A~O_ _ _ Addenda -W~SO_ _ _ __

to 7/15/94

11. Abstract of Examinations. Include a list of examinations and a statement concerning status of work required for current interval. see Attachment 1, Pages 4 through 15

12. Abstract of Conditions Noted. See attachment 1, Page 4

13. Abstract of Corrective Measures Recommended and Taken. See Attachment 1, Page 4 We certify that the statements made in this report are correct and the examinations and corrective mea-sures taken conform to the rules of the ASME Code, Section XI.

Certificate of Authorization No. (if applicable) ~Y~A~------- Expiration Date - ~ - - - - - - - - - Date ___ m_~l'l. . ,.,_V_ _/_t__ 19 9"-/ Signed Virginia Elect. & Power Co.Byf;J ~~ Owner CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors an~at.lrt&M!e& Province of Virginia and employed by Hartford S.B. I. & I. Co. of _ _ _ _ _ _ _ _ _ _ _ _ _ have inspected the components described in this Owner's Report during the period 03/21 (22 to 03/24/94 , 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 inspection plan and as required by the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations 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~.~~=~~~f_.

          .                     ~C,JL.......,~~~~--Commissions _VA---,-5_4_3_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Inspector's Signature National Board, State, Province, and Endorsements Date .5"* ~ ~ 19 _jJ£_ J

Attachment I Page 2 of 29 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules

1. Owner ---"-'/i1-1r,c;g~i-11F1"'iaa-1Ee-1Lc4le~e~t,,.ri..ie-a1r:1ndl8-aPfl<oMW.u;e~rc....GCompMV:~a1r:1F11¥Yc,,..,~s"Olli01Y()LCl)1J<001oouiei1R1-1-i00F11t-.11lul,\<V'Cld1..-.~,-1G~le4;ell'IR>-.AAt-ll~e"'Rh,--'lc\l.At.__.2~3"'01G6>YO-------

(N ame and Address of Owner)

2. Plant Surry Power Station, P.O. Box 315, Surry, VA 23883 (Name and Address of Plant)

3. Plant Unit ------4>-----------4. Owner Certificate of Authorization (if required) _ _---INHAt------

5. Commercial Service Date --t-2122--112----- 6. National Board Number for Unit ------#A-----------

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

Reactor Vessel Rotterdam 137-1 VA58201 NA Class 1/2 Piping Southwest Fabricating Comany NA NA NA uass,:. C~nent Supports Southwest Fabricating Company NA NA NA Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8V2 in. x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/86) This form (E00029) may be obtained from the Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300.

FORM NIS-1 (Back)

8. Examination Dates 21 15194 to 3/24/94 9. Inspection Interval_ from

10. Applicable Editions of Section XI -1....9...8~9--- Addenda __Nis,A,.__ __

10/14/93 to 10/14/03

11. Abstract of Examinations. Include a list of examinations and a statement concerning status of work required for current interval. see Attachment 1, Page 4 and Pages 14 and 15

12. Abstract of Conditions Noted. See Attachments 1, Page 4

13. Abstract of Corrective Measures Recommended and Taken. See Attachments 1, Page 4 We certify that the statements made in this report are correct and the examinations and corrective mea-sures taken conform to the rules of the ASME Code, Section XI.

Certificate of Authorization No. (if applicable) NA Expiration Date -PIA---------- Date _ _ _ ~m~~h~/~~/~&~ 19 ~Signed Virginia Elect. & Power Co.By~-zt,Jc:,,_~ Owner CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors an~}A:1§~a~e& Province of Virginia and employed by Hartford S.B. I. & I. Co. of _ _ _ _ _ _ _ _ _ _ _ _ _ have inspected the components described in this Owner's Report during the period 02115/94 to 03/24/94 , 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 inspection plan and as required by the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations 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                   M                 Commissions _VA_5_4_3_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Inspector's Signature National Board, State, Province, and Endorsements Date Y-Jl.Y- 19~

Attachment I Page 3 of 29 Serial No.: 94-194 Docket No.: 50-280

• • Examination summary Virginia Electric and Power company Surry Power Station Unit 1 1994 Refueling outage 2nd Interval, 3rd Period and 3rd Interval, 1st Period 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 May 3, 1992 through March 24, 1994. For Interval 2, Period 3 the examinations were conducted to meet the requirements of ASME Section XI, 1980 Edition through the Winter 1980 Addenda. For Interval 3, Period 1 the examinations were conducted to meet the requirements of ASME Section XI, 1989 Edition, of the ASME Boiler and Pressure Vessel Code.

Examination procedures were approved prior to the performance of

• the examinations. Certification documents relative to personnel, equipment and materials were reviewed and determined to be satisfactory.

Inspections, witnessing and surveillance of the examinations and related activities were conducted by personnel from the Hartford steam Boiler Inspection and Insurance Company, One State Street, Hartford, Connecticut 06102 (Mr. R.L. Coder), Surry station Quality Assurance Department and Surry technical staff. Limitations Some of the arrangements and details of the piping systems and components were designed and fabricated before the access and examination requirements of ASME Section XI of the 1980 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 .

• Page 1 of 2

Attachment I Page 4 of 29 Serial No.: 94*194 Docket No.: 50*280

• Examinations Examinations were conducted to review as much of the examination zones as was practical within geometric, metallurgical and physical limitations. When the required ultrasonic examination volume or area could not be examined 100%, the examination method was evaluated and alternate beam angles or methods were considered in an attempt to achieve the maximum examination volume. However, where 100% examination was not possible the examination was considered to be a partial and so noted on the examination report. Where the reduction in coverage was 10% or greater, per Code Case N-460, a subsequent relief request has been provided by separate correspondence.

Results Examinations of components, piping and component supports resulted in no items being reported on the basis of procedure reporting criteria. Analytical Evaluation Analytical evaluation(s) of examination results (Volumetric and/or Surface examinations):

• None required or performed.

Evaluation Analyses Evaluation analyses of examination results (Visual Examinations): None required or performed. Statement of Interval Status Virginia Electric and Power Company has completed one-hundred (100) percent of the second interval examinations and is on schedule with its examination requirements for interval three .

• Page 2 of 2

Attachment I Page 5 of 29 Serial No.: 94-194 Docket No.: 50*280 Abstract of Examinations Performed IWB, IWC & IWF Drawing Nark Line Sect XI Sect XI Sect XI Exam. Exam. Niiii>er No- No. Class category Item No. Method Date Remarks Interval 2 Examinations 11448-WMKS-0100A2Z 1-01BC 2"-CH-5-1502 1A B-J B9.32 PT 02/04/94 11448-WMKS-0100A2Z 1-02 2"-CH-5-1502 1A B-J B9.21 PT 02/04/94 11448-WMKS-0100A2Z 1-03 211 -CH-5-1502 1A B-J B9.21 PT 02/03/94 11448-WMKS-0100A2Z 1-04 2"*CH-5-1502 1A B-J B9.21 PT 02/03/94 11448-WMKS-0100A2Z 1-05 2"-CH-5-1502 1A B-J B9.21 PT 02/03/94 11448-WMKS-0100A2Z 1-06 2"-CH-5-1502 1A B*J B9.21 PT 02/03/94 11448-WMKS*0100A4Z 1-07 211 -RC-53-1502 1A B-J B9.40 PT 02/03/94 11448-WMKS-0100A4Z 1-08 211 -RC-53-1502 1A B-J B9.40 PT 02/03/94 11448-WMKS-0100A4Z 1-11 2"-RC-53-1502 1A B-J B9.40 PT 02/03/94 11448-WMKS-0100A4Z 1-12 211 -RC-53-1502 1A B-J B9.40 PT 02/03/94 11448-WMKS-0100A4Z 1* 13 2"-RC-53-1502 1A B*J B9.40 PT 02/03/94 11448-WMKS-0100A4Z 1-14 2"-RC-53-1502 1A B-J B9.40 PT 02/03/94

• 8-YMKS-0100A4Z 1-15 211 -RC-53-1502 1A B-J B9.40 PT 02/03/94 11448*WMKS-0100A4Z 1-16 211 -RC-53-1502 1A B-J B9.40 PT 02/03/94 11448*WMKS-0100A4Z 1-19 211 -RC-55-1502 1A B-J B9.40 PT 02/04/94 11448*WMKS-0100A4Z 1-20 2"-RC-55-1502 1A B-J B9.40 PT 02/03/94 11448*WMKS-0100A4Z 1-21 211 -RC-55-1502 1A B-J B9.40 PT 02/03/94 11448-WMKS-0100A4Z 1-RC-H001 2"-RC-53-1502 1A F*C FC1234 VT-3 02/10/94 11448-WMKS-0100A4Z 1-RC-H003 211 -RC-55-1502 1A F-C FC1234 VT-3 02/10/94 11448*WMKS-0100A6Z 1-02 211 -RC-198-1502 1A B-J B9.40 PT 02/04/94 11448-WMKS-0100A6Z 1-03 211 -RC-198-1502 1A B-J B9.40 PT 02/03/94 11448-WMKS-0100A6Z 1-04 2"-RC-198-1502 1A B-J B9.40 PT 02/03/94 11448-WMKS-0100A6Z 1-05 211 -RC-198-1502 1A B-J B9.40 PT 02/03/94 11448-WMKS-0100A6Z 1-RC-H001 211 -RC-198-1502 1A F-C FC1234 VT-3 02/10/94 11448-WMKS-0100A7Z 1-CH-H-019 211 -CH-8*1503 1A F-C FC1234 VT-3 02/18/94 11448-WMKS-0100AZ-1 1-06DM 31 11 -RC*2-2501R 1A B-F B5.30 UT/PT 02/05/94 Note 2 11448-WMKS-0100AZ-1 1-07 31 11 -RC*2-2501R 1A B-J B9.11 UT/PT 02/05/94 11448-WMKS-0100AZ-1 1-17DM 27211 -RC*3-2501R 1A B*F B5.10 UT Auto 02/17/94 11448-WMKS-0100AZ-1 1-20 31 11 -RC*2-2501R 1A B-J B9.12 UT & PT 01/30/94

~8-WMKS*0100AZ-1 1-21 31 11 -RC*2-2501R 1A B-J B9.12 UT & PT 01/30/94 Page 1 of 11

Attachment I Page 6 of 29 Serial No.: 94-194 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC & IWF Drawi~ Nark Line Sect XI Sect XI Sect XI Exam. Exam. Nllli>er No. No. Class category Item No. Method Date Remarks 11448-WMKS-0100D1 1-SHP-H073 3011 -SHP-1-601 2A F-A FA123 VT-3 02/14/94 11448-WMKS-0100D1 1-SHP-HSS-007 30 11 -SHP-1-601 2A TS3.2 TS4.17 VT-3 02/15/94 11448-WMKS-0100D1 1-SHP-HSS-008 30 11 -SHP-1-601 2A TS3.2 TS4.17 VT-3 02/15/94 11448-WMKS-0100G1 1-WFPD-H076 1411 -WFPD-17-601 2A F-A FA123 VT-3 02/14/94 11448-WMKS-0100G1 1-WFPD-HSS-003 1411 -WFPD-17-601 2A TS3.2 TS4.17 VT-3 02/15/94 11448-WMKS-0100G1 1-WFPD-HSS-008 1411 -WFPD-17-601 2A TS3.2 TS4.17 VT-3 02/15/94 11448-WMKS-0101A3Z 1-CH-H001 211 -CH-9-1502 1A F-C FC1234 VT-3 02/14/94 11448-WMKS-0101AZ-1 1-12 27'/:z"-RC-6-2501R 1A 8-J 89.11 UT/PT 03/01/94 Note 1 11448-WMKS-0101AZ-1 1-15 27'/:z11 -RC-6-2501R 1A 8-J 89.11 UT/PT 02/10/94 11448-WMKS-0101AZ-1 1-17DM 27'/:z11 -RC-6-2501R 1A 8-F 85.10 UT Auto 02/17/94 11448-WMKS-0101D1 1-SHP-H074 30 11 -SHP-2-601 2A F-A FA123 VT-3 02/14/94 11448-WMKS-0101D1 1-SHP-HSS-013A 30 11 -SHP-2-601 2A TS3.2 TS4.17 VT-3 02/15/94 11448-WMKS-0101D1 H003-1 30 11 -SHP-2-601 2A c-c C3.40 Surface 02/19/94

• 11448-WMKS-0101D1 H003-2 30 11 -SHP-2-601 2A c-c C3.40 Surface 02/19/94

~-WMKS-0102A3Z 1-CH-H001 2"-CH-10-1503 1A F-C FC1234 VT-3 02/10/94 11448-WMKS-0102AZ-1 1-17DM 27'/:z"-RC-9-2501R 1A 8-F 85.10 UT Auto 02/17/94 11448-WMKS-0102AZ-1 1-18 31 11 -RC-8-2501R 1A 8-J 89.12 UT/PT 02/04/94 11448-WMKS-0102AZ-1 1-19 31 11 -RC-8-2501R 1A 8-J 89.12 UT/PT 02/04/94 Note 1 11448-WMKS-0102AZ-1 *1-20 31 11 -RC-8-2501R 1A 8-J 89.12 UT/PT 02/04/94 11448-WMKS-0102AZ-1 1-20 31 11 -RC-8-2501R 1A 8-J 89.12 UT/PT 02/04/94 11448-WMKS-0102AZ-1 1-21 31"-RC-8-2501R 1A 8-J 89.12 UT/PT 02/04/94 11448-WMKS-0102AZ-1 1-21 31"-RC-8-2501R 1A 8-J 89.12 UT/PT 02/04/94 11448-WMKS-0102D1 H002-1 30"-SHP-3-601 2A c-c C3.40 Surface 02/17/94 11448-WMKS-0103A2-2 1-SHP-H086 611 -SHP-46-601 2A F-8 F8123 VT-3 12/30/93 11448-WMKS-0103A2-2 4-28 3011 -SHP-2-601 2A. C-F CS.21 UT 02/16/94 11448-WMKS-0103A2-3 H001-1 30 11 -SHP-24-601 2A c-c C3.40 Surface 01/31/94 11448-WMKS-0103A2-3 H001-2 30"-SHP-24-601 2A c-c C3.40 Surface 01/31/94 11448-WMKS-0117A1-1 1-018C 1411 -RH-1-1502 1A 8-J 89.31 UT/PT 02/09/94 Note 2 11448-WMKS-0117A1-1 1-RH-H-001 1411 -RH-2-1502 2A F-C FC123 VT-3 03/21/92 PSI 11448-WMKS-0117A1-1 1-RH-H-002 14 11 -RH-2-1502 2A F-C FC123 VT-3 03/21/92 PSI 11448-WMKS-0117A1-1 1-RH-H-003 1411 -RH-18-602 2A F-C FC123 VT-3 03/28/92 PSI ~-WMKS-0117A1-1 1-RH-H-004 1411 -RH-18-602 2A F-C FC123 VT-3 03/28/92 PSI Page 2 of 11

                      -------~

Attachment I Page 7 of 29 Serial No.: 94-194 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC & IWF Drawing Marie Line Sect XI Sect XI Sect XI Exam_ Exam. NUJber No. No. Class category Item No. Method Date Remarks 11448-WMKS-0117A1-1 1-RH-HSS-013 14"-RH-18-602 2A TS3.2 TS4.17 VT-3 02/14/94 11448-WMKS-0117A1-1 1-RH-HSS-019 14"-RH-1-1502 1A TS3.2 TS4.17 VT-3 02/15/94 11448-WMKS-0117A1-1 1-RH-HSS-026 14"-RH-2-1502 2A TS3.2 TS4.17 VT-3 02/14/94 11448-WMKS-0117A1-1 2-05 14"-RH-2-602 2A C-F C5.21 UT/PT 02/17/94 11448-WMKS-0117A1-1 2-06 14"-RH-2-602 2A C-F C5.21 UT/PT 02/17/94 11448-WMKS-0117A1-2 1-RH-HSS-009 10"-RH-5-602 2A TS3.2 TS4.17 VT-3 02/14/94 11448-WMKS-0117A1-2 1-RH-HSS-027 10"-RH-5-602 2A TS3.2 TS4.17 VT-3 02/15/94 11448-WMKS-0117A1-2 1-RH-HSS-028 12"-RH-6-602 2A TS3.2 TS4.17 VT-3 02/15/94 11448-I.IMKS-0117A2 1-RH-HSS-024 12"-RH-19-602 2A TS3.2 TS4.17 VT-3 02/14/94 11448-WMKS-0122A2 1-SI-H032A 12 11 -SI-47-1502 1A F-C FC123 VT-3 02/15/94 Note 5 11448-WMKS-0122A2 1-SI-H032B 1211 -Sl-47-1502 1A F-C FC123 VT-3 02/15/94 Note 5 11448-WMKS-0122D1 1-11 12"-SI-46-1502 1A B-J B9.11 UT/PT 02/01/94 11448-WMKS-0122D1 1-12 12"-SI-46-1502 1A B-J B9.11 UT/PT 02/01/94 11448-WMKS-0122D1 1-SI-128 1211 -SI-46-1502 1A B-M-2 B12.40 VT-3 02/26/94 Note 6 es-WMKS-0122D1 1-SI-130 1211 -SI-46-1502 1A B-M-2 B12.40 VT-3 02/26/94 Note 6 11448-WMKS-0122L1 1-01BC 12 11 -RC-22-1502 1A B-J B9.31 UT/PT 02/05/94 Note 2 11448-WMKS-0122L1 1-11 12 11 -SI-45-1502 1A B-J B9.11 UT/PT 01/30/94 11448-WMKS-0122L1 1-12 12"-SI-45-1502 1A B-J B9.11 UT/PT 01/30/94 11448-WMKS-0122L1 H006-1 1211 -SI-45-1502 1A B-K-1 B10.10 Surface 02/16/94 11448-WMKS-0122L1 H006-2 12"-SI-45-1502 1A B-K-1 B10.10 Surface 02/16/94 11448-WMKS-0122L1 H006-3 12 11 -SI-45-1502 1A B-K-1 B10.10 Surface 02/16/94 11448-WMKS-0122L1 H006-4 12 11 -SI-45-1502 1A B-K-1 B10.10 Surface 02/16/94 11448-WMKS-0123J1 1-02 8"-CS-34-153 2A C-F C5.11 UT/PT 01/25/94 11448-WMKS-0123J1 1-26 811 -CS-34-153 2A C-F C5.11 UT/PT 01/25/94 11448-WMKS-0123J1 1-27 811 -CS-34-153 2A C-F C5.11 UT/PT 01/25/94 11448-WMKS-0123K1 1-02 8"-CS-33-153 2A C-F C5.11 UT/PT 01/25/94 11448-WMKS-0123K1 1-20 811 -CS-33-153 2A C-F C5.11 UT/PT 01/25/94 11448-WMKS-0123K1 1-21 811 -CS-33-153 2A C-F C5.11 UT/PT 01/25/94 11448-WMKS-0123N1 1-RS-H006 10"-RS-9-153 2C F-A FA123 VT-1 01/13/94 11448-WMKS-0123N2 0-4L 10"-RS-10-163L 2A C-F C5.12 PT 01/25/94 11448-WMKS-0123P1 0-10 12"-CS-1-153 2A C-F C5.11 UT/PT 01/25/94 ~-WMKS-0123Q1 0-12 1211 -CS-2-153 2A C-F C5.11 UT/PT 01/25/94 Page 3 of 11

Attachment I Page 8 of 29 Serial No.: 94-194 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC IWF Drawing Nark Line Sect XI Sect XI Sect XI Exam. Exam. Nllli>er No. No. Class category Item No. Method Date Remarks 11448*1JMKS*0125A1*1 H018*1 411 -RC-14*1502 1A B-K-1 B10.10 Surface 02/22/94 11448-IJMKS-0125A1*1 H018*2 411 -RC-14-1502 1A B*K-1 B10.10 Surface 02/22/94 11448*WMKS*0125A1*1 H018*3 411 -RC-14-1502 1A B*K-1 B10.10 Surface 02/22/94 11448*WMKS*0125A1*1 H018*4 411 -RC-14-1502 1A B-K-1 B10.10 Surface 02/22/94 11448*WMKS-0127F1 0-01 1011 -SI-6-153 2A C*F CS.11 PT 01/26/94 11448-WMKS-0127F1 0-02 1011 -Sl-6-153 2A C*F CS.11 PT 01/26/94 11448-IJMKS*0127F1 0-08 1011 -SI-6*153 2A C*F CS.11 PT 01/26/94 11448-IJMKS-0127F1 0-10 10 11 -SI-6*153 2A C*F CS.11 PT 01/26/94 11448-IJMKS-0127F1 1-Sl*H002 10 11 -SI *6-153 2A F*A FA123 VT-3 01/13/94 11448-WMKS-0127F1 1*Sl*H003 10 11 -SI-6-153 2A F*A FA123 VT-3 01/13/94 11448-WMKS-0127F1 1-Sl*HOOS 1011 -SI-6-153 2A F*B FB123 VT-3 01/13/94 11448-WMKS-0127G1*1 1*Sl*H002 811 -SI-92-153 2A F*A FA123 VT-3 01/12/94 11448*\JMKS*0127G1*1 1*SI*H006 811 -SI-92-153 2A F*A FA123 VT-3 01/12/94 11448*WMKS*0127G1-2 0*09L 811 -CH-17-152 2A C*F CS.12 UT/PT 02/27/94

• 8*WMKS-0127G1*2 1-BEF 811 -CH-17-152 2A C*F CS.11 PT 02/21/94 11448-WMKS-0127G1*2 1-BHF 8 11 -CH-17-152 2A C*F CS.11 UT/PT 02/27/94 11448-WMKS*0127G1-2 1-BLS 811 -CH-17-152 2A C*F CS.11 UT/PT 02/27/94 11448*1JMKS-0127G1*2 1-BX 611 -CH-18-152 2A C-F CS.11 UT/PT 02/27/94 11448*WMKS*0127G2 1sAGF 10"-Sl-6-153 2A C*F CS.11 PT 02/02/94 11448-WMKS-0127G2 1-AJF 10"-Sl-6-153 2A C*F C5.11 PT 02/15/94 11448-WMKS*0127G2 1-AKF 1011 -SI-6-153 2A C*F C5.11 PT 02/09/94 11448*1JMKS-0127G2 1-AMF 1011 -SI-6-153 2A C*F C5.11 PT 02/14/94 11448*\JMKS*0127G2 1-AVF 811 -SJ-102-152 2A C*F C5.11 PT 02/14/94 11448-IJMKS*0127G2 1-AWF 8"-SI-102-152 2A C*F C5.11 PT 02/14/94 11448-IJMKS*0127G2 1-AYF 8 11 -SI
• 7-152 2A C*F C5.11 PT 02/14/94 11448*1JMKS*0127G2 1-BAF 811 -SI-7-152 2A C*F CS.11 PT 02/01/94 11448-IJMKS*0127G2 1-BJF 811 -SJ-102-152 2A C*F C5.11 PT 02/14/94 11448-WMKS*0127G2. 1-BSF 811 -SI-170-153 2A C*F C5.11 PT 02/01/94 11448*\JMKS*0127G2 1-BUF 811 -SI-171*153 2A C*F C5.11 PT 02/01/94 11448*1JMKS-0127G2 1-BWF 811 -SJ-171-153 2A C*F C5.11 PT 02/01/94 11448*WMKS*0127G2 1-CEF 8"-SI-170-153 2A C-F CS.11 PT 02/09/94

~-IJMKS-0127G2 1-CFF 811 -SI-170-153 2A C*F CS.11 PT 02/02/94 Page 4 of 11

Attachment I Page 9 of 29 Serial No.: 94*194 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC & IWF Drawing Nark Line Sect XI Sect XI Sect XI Exam- Exam. Nud>er No. No. Class category Item No. Method Date Remarks 11448-WMKS-0127G2 1-CJF 811 -SI-170-153 2A C-F C5.11 PT 02/01/94 11448-WMKS-0127G2 1-CLF 811 -SI-170-153 2A C-F C5.11 PT 02/01/94 11448-WMKS-0127G2 1*Sl*H028 811 -SI-170-153 2A F-A FA123 VT-3 01/12/94 11448-WMKS-0127G2 1*SI-H029 8"*Sl*170*153 2A F-C FC1234 VT-3 01/12/94 11448-WMKS*0127G2 1*SI-H030 811 -Sl-170-153 2A F-A FA123 VT-3 01/12/94 11448-WMKS*0127G2 1-SI*H031 811 -Sl-170-153 2A F-C FC1234 VT-3 01/12/94 11448*WMKS-0127G2 1-SI-H034 811 -SI-102-152 2A F-C FC1234 VT-3 01/12/94 11448-WMKS*0127G2 1*Sl*H035 811 -Sl-102-152 2A F-A FA123 VT-3 01/12/94 11448*WMKS*0127G2 1-SI-H036 10"-Sl-6-153 2A F-B FB123 VT-3 01/12/94 11448-WMKS-0127G2 1*Sl*H037 1011 -Sl-6-153 2A F-A FA123 VT-3 01/12/94 11448*WMKS*0127G2 1-SI-H038 10"-Sl-6-153 2A F-B FB123 VT-3 01/12/94 11448-WMKS*0127G2 1*SI-H039 10 11 -Sl-6-153 2A F-A FA123 VT-3 01/12/94 11448-WMKS-0127G2 1*Sl*H040 1011 -Sl-6*153 2A F-B FB123 VT-3 01/12/94 11448*WMKS*0127G2 1*Sl*H041 10"-Sl-6-153 2A F-A FA123 VT-3 01/12/94

• 8-WMKS*0127G2 1*Sl*H042 10"-Sl-6-153 2A F-A FA123 VT-3 01/12/94 11448*WMKS-0127G2 1-YF 811 -CH-204-152 2A C-F C5.11 UT/PT 02/27/94 11448*WMKS*0127G2 53 811 -Sl-170-153 2A C-F C5.11 PT 02/09/94 11448*WMKS-0127G2 xx 10"-SI-6-153 2A C-F C5.11 PT 02/02/94 11448-WMKS*0127J1 1-08 2"-Sl-74-1502 1A B-J B9.21 PT 02/03/94 11448-WMKS*0127J1 1-09 2"-Sl-74-1502 1A B-J B9.40 PT 02/03/94 11448*WMKS-0127J1 1*SI-H004 611 -Sl-145-1502 2A F-B FB123 VT-3 02/10/94 11448-WMKS-0127J2 1-03 611 -RC-19-1502 1A B-J B9.11 UT/PT 02/10/94 11448*WMKS-1101A3 0-02 12"-CS-1-153 2A C-F C5.11 UT/PT 02/19/94 11448-WMKS*1101A3 0-07 1211 -CS-2-153 2A C-F C5.11 UT/PT 02/19/94 11448*WMKS*1101A6 0-01 16"-SI-5-153 2A C-F C5.11 PT 02/21/94 11448*WMKS-1101A6 0-02 16"-Sl-5-153 2A C-F C5.11 PT 02/19/94 11448-WMKS-1101A6 0-03 16"-Sl-5-153 2A C-F C5.11 PT 02/19/94 11448*WMKS*1103A1Z 1-14 2"-RC-45-1502 1A B-J B9.40 PT 02/03/94 11448*WMKS-1103A1Z 1-15 211 -RC-45-1502 1A B-J B9.40 PT 02/03/94 11448-WMKS*1103A1Z 1-16 211 -RC-45-1502 1A B-J B9.40 PT 02/04/94 11448-WMKS*1103A1Z 1*17BC 2"-RC-45-1502 1A B-J B9.32 PT 02/04/94

~-WMKS-1103A3 1-02 811 -RC-12-2501R 1A B-J B9.11 UT/PT 02/24/94 Page 5 of 11

Attachment I Page 10 of 29 Serial No.: 94-194 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC & IWF Drawing Nark Line Sect XI Sect XI Sect XI Exam- Exam. Nuit>er No. No. Class category Item No. Method Date Remarks 11448-WMKS-1103A3 1-03 811 -RC-12-2501R 1A 8-J 89.11 UT/PT 02/24/94 11448-WMKS-1103A3Z 1-12 211 -RC-46-1502 1A 8-J 89.40 PT 02/09/94 11448-WMKS-1103A3Z 1-13 211 -RC-46-1502 1A 8-J 89.40 PT 02/09/94 11448-WMKS-1103A3Z 1-RC-45 211 -RC-46-1502 1A 8-G-2 87.70 VT-1 02/09/94 11448-WMKS-1103A3Z FE-1481 211 -RC-46-1502 1A 8-G-2 87.50 VT-1 02/09/94 Note 5 11448-WMKS-1105C4 1-018C 311 -CH-1-1502 1A 8-J 89.32 PT 02/09/94 11448-WMKS*1105C4 1-09 311 -CH-1-1502 1A 8-J 89.21 PT 02/09/94 11448-WMKS-1105C4 1-10 311 -CH-1-1502 1A 8-J 89.21 - PT 02/09/94 11448-WMKS-1106A6 0-03 12"-SI-5-153 2A C-F C5.11 PT 02/08/94 11448-WMKS-1106A6 0-04 12"-SI-5-153 2A C-F C5.11 PT 02/08/94 11448-WMKS-1106A6 1-S1-H001 12"-SI-5-153 2A F-8 F8123 VT-3 01/13/94 11448-WMKS-1106A7 1-18 12"-SI-2-153 2A C-F C5.11 PT 02/02/94 11448-WMKS-1106A7 1-S1-H001 12"-SI-5-153 2A F-A FA123 VT-3 01/13/94 11448-WMKS-1106A7 1-S1-H015 12"-SI-5-153 2A F-A FA123 VT-3 01/13/94 ea-WMKS-1106A7 2-17 12"-SI-5-153 2A C-F C5.11 PT 01/25/94 11448-WMKS-1106A7 2-18 12"-SI-5-153 2A C-F C5.11 PT 01/25/94 11448-WMKS-1106A7 2-19 12 11 -SI-5-153 2A C-F C5.11 PT 01/25/94 11448*WMKS-1106A7 3-03 12"-SI-107-153 2A C-F C5.11 PT 01/25/94 11448-WMKS-CH-FL*4A 1-01 1-CH-FL-4A 2A C-A C1.20 UT 08/31/92 Note 2 11448-WMKS*CH*FL*4B 1-02 1-CH-FL-4B 2A C-A C1 .10 UT 08/31/92 23 11 - 011 11448-WMKS-RC-E-002 1-07 1-RC-E-2 1A 8-8 B2.11 UT 02/27/94 Note 4, 360° 11448-WMKS-RC*E-002 1-15 1-RC-E-2 1A B-8 82.12 UT 03/16/94 Note 3 11448-WMKS-RC*E-002 1*RC*18NIR 1-RC-E-2 1A B-D 83.120 VT-1 02/10/94 SR-007 11448-WMKS*RC-E-002 1-RC-19NIR 1-RC-E-2 1A 8-D 83.120 VT-1 02/10/94 SR-007 11448-WMKS-RC-E-002 1*RC*20NIR 1-RC-E-2 1A 8-D 83.120 VT-1 02/10/94 SR*007 11448-WMKS-RC-E-002 H001-1 1-RC-E-2 1A 8-H B8.20 MT 02/11/94 11448-WMKS-RC-E-002 H001-2 1-RC*E-2 1A B-H 88.20 MT 02/11/94 11448-WMKS-RC-E-002 H001-3 1-RC-E-2 1A 8-H 88.20 MT 02/11/94 11448-WMKS-RC-E-002 H001*4 1-RC*E-2 1A 8-H B8.20 MT 02/11/94 11448-WMKS-RC-E-002 Heater Elements 1-RC-E-2 1A 8-E 84.20 VT-2 03/24/94 11448-WMKS-RC-E-002 Instrument Nozzle 1-RC-E-2 1A 03/24/94 8-E 84.13 VT-2 Page 6 of 11

Attachment I Page 11 of 29 Serial No.: 94-194 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC & IWF Drawing Nark Line Sect XI Sect XI Sect XI Exam- Exam-Nllli>er No- No- Class category Item No- Method Date Remarks 11448-WMKS-RC-E-002 Lower Saq,le Nozzles 1-RC-E-2 1A 8-E 84.11 VT-2 . 03/24/94 11448-WMKS-RC-E-1A.1 2-02 1-RC-E-1A 2A C-A C1.30 UT 02/01/94 Note 1 11448-WMKS-RC-E-1A.1 2-03 1-RC-E-1A 2A C-A C1.10 UT 02/01/94 284 11 - 424.2 11 11448-WMKS-RC-E-1A.1 2-05 1-RC-E-1A 2A C-A C1 .10 UT 02/20/94 284 11 - 424.211 11448-WMKS-RC-E-1A.1 2-06 1-RC-E-1A 2A C-A C1.10 UT 02/20/94 37011 - 552.211 11448-WMKS-RC-E-1A.1 2-06 1-RC-E-1A 2A C-A C1 .10 UT 02/23/94 Note 5 11448-WMKS-RC-E-1A.1 2-08 1-RC-E-1A 2A C-A C1.20 UT 02/18/94 370 11 - 552.2 11 11448-WMKS-RC-E-1A.2 1-RC-HSS-138 1-RC-E-1A 2A TS3.2 TS4.17 VT-3 02/22/94 11448-WMKS-RC-E-1A.2 1-RC-HSS-140 1-RC-E-1A 2A TS3.2 r"s4.17 VT-3 02/22/94 11448-WMKS-RC-E-1A.2 2-09 1-RC-E-1A 2A C-8 C2.21 UT/MT 02/20/94 Note 1, 360° 11448-WMKS-RC-E-1A.2 2-10 1-RC-E-1A 2A C-8 C2.21 UT/MT 02/18/94 360° 11448-WMKS-RC-E-18.1 2-06 1-RC-E-18 2A C-A C1.10 UT 02/25/94 Note 5 11448-WMKS-RC-E-18.2 1-RC-HSS-142 1-RC-E-18 2A TS3.2 TS4.17 VT-3 02/15/94 ~8-WMKS-RC-E-18.2 1-RC-HSS-144 1-RC-E-18 2A TS3.2 TS4.17 VT-3 02/15/94 8-WMKS-RC-E-1C.2 1-RC-2-03CNIR 1-RC-E-1C 2A C-8 C2.22 VT-2 03/24/94 SR-007 11448-WMKS-RC-E-1C.2 1-RC-HSS-146 1-RC-E-1C 2A TS3.2 TS4.17 VT-3 02/15/94 11448-WMKS-RC-E-1C.2 1-RC-HSS-148 1-RC-E-1C 2A TS3.2 TS4.17 VT-3 02/15/94 11448-WMKS-RC-MOV1590 1-RC-MOV-1590 1-RC-MOV-1590 1A 8-M-2 812.40 VT-3 02/24/94 Note 6 11448-WMKS-RC-MOV1590 FLANGE 1-RC-MOV-1590 1A 8-G-1 86.220 VT-1 02/24/94 Note 6 11448-WMKS-RC-MOV1592 NUTS 1-26 1-RC-MOV-1592 1A 8-G-1 86.230 VT-1 02/07/94 11448-WMKS-RC-MOV1592 STUD 1-26 1-RC-MOV-1592 1A 8-G-1 86.210 UT 02/07/94 11448-WMKS-RC-MOV1593 NUTS 1-26 1-RC-MOV-1593 1A 8-G-1 86.230 VT-1 02/07/94 11448-WMKS-RC-MOV1593 STUD 1-26 1-RC-MOV-1593 1A 8-G-1 86.210 UT 02/07/94 11448-WMKS-RC-P-1A.1 1-01 1-RC-P-1A 1A 8-L-1 812.10 Visual 02/05/94 Note 7 11448-WMKS-RC-R-1.1 01-RC-1-CSS 1-RC-R-1 1A 8-N-3 813.30 VT-3 02/21/94 11448-WMKS-RC-R-1.1 01-RC-R-1-IA08R 1-RC-R-1 1A 8-N-3 813.30 VT-3 02/21/94 11448-WMKS-RC-R-1.1 01-RC-R-1-IAWBR 1-RC-R-1 1A 8-N-3 813.30 VT-3 02/21/94 11448-WMKS-RC-R-1.1 1-01 1-RC-R-1 1A 8-A 81.30 UT Auto 03/06/94 180° 11448-WMKS-RC-R-1.1 1-02 1-RC-R-1 1A 8-A B1.11 UT Auto 02/15/94 11448-WMKS-RC-R-1.1 1-03 1-RC-R-1 1A 8-A B1.11 UT Auto 02/15/94 Note 8 ~8-WMKS-RC-R-1.1 1-04 1-RC-R-1 1A B-A B1.11 UT Auto 02/20/94 Note 8 Page 7 of 11

Attachment I Page 12 of 29 Serial No.: 94*194 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC IWF Drawing Nark Line Sect XI Sect XI Sect XI Exam. Exam. NudJer No. No. Class category Item No. Method Date Remarks 11448-WMKS-RC-R-1.1 1-05 1-RC-R-1 1A 8-A 81.21 UT Auto 02/20/94 11448-WMKS-RC-R-1.1 1-06 . 1-RC-R-1 1A 8-A 81.12 UT Auto 02/15/94 Note 8 11448*WMKS-RC-R-1.1 1-07 1-RC-R-1 1A 8-A 81.12 UT Auto 02/15/94 11448-WMKS-RC-R-1.1 1-08 1-RC-R-1 1A 8-A 81.12 UT Auto 02/16/94 Note 8 11448-WMKS-RC-R*1.1 1-09 1-RC-R-1 1A 8-A 81.12 UT Auto 02/15/94 Note 8 11448-WMKS-RC-R*1.1 1*RC*11NIR 1-RC*R-1 1A 8-D B3.100 UT Auto 02/19/94 11448-WMKS*RC*R-1.1 1*RC*13NIR 1*RC*R-1 1A B*D B3.100 UT Auto 02/19/94 11448-WMKS*RC*R-1.1 1*RC*15NIR 1-RC*R-1 1A B*D B3.100 UT Auto 02/19/94 11448-WMKS*RC*R-1.1 1-RC*PAD-1 1-RC*R-1 1A F*A FA123 VT-3 03/07/94 11448-WMKS*RC*R-1.1 1-RC*PAD-2 1-RC*R-1 1A F*A FA123 VT-3 01/28/94 11448-WMKS*RC*R-1.1 1-RC*PAD-3 1-RC*R-1 1A F*A FA123 VT-3 03/07/94 11448-WMKS*RC-R-1.1 1-RC*PAD-4 1-RC*R-1 1A F*A FA123 VT-3 03/07/94 11448-WMKS*RC*R-1.1 1*RC*PAD*5 1-RC*R-1 1A F*A FA123 VT-3 03/07/94 11448-WMKS*RC*R-1.1 1-RC*PAD-6 1-RC*R-1 1A F*A FA123 VT-3 03/07/94

• 8-WMKS*RC*R-1.1 2-11 1-RC*R-1 1A B-D B3.90 UT Auto 02/19/94 11448-WMKS*RC-R-1.1 2-13 1-RC*R-1 1A B*D B3.90 UT Auto 02/19/94 11448-WMKS*RC*R-1.1 2-15 1-RC*R-1 1A B*D B3.90 UT Auto 02/19/94 11448-WMKS*RC*R-1.1 RV Instrument Nozzle 1-RC*R-1 1A B-E B4.13 VT-2 03/24/94 11448-WMKS*RC*R-1.2 CRD-58 1-RC*R-1 1A B*O B14.10 PT 02/15/94 11448-WMKS*RC*R-1.2 CRD-62 1-RC*R-1 1A B*O B14.10 PT 02/15/94 11448-WMKS*RC*R-1.2 CRD-69 1-RC*R-1 1A B*O B14.10 PT 02/15/94 11448-WMKS*RC*R-1.2 CROM Nozzles 1-RC*R-1 1A B*E B4.12 VT-2 03/24/94 11448-WMKS*RC*R-1.2 Vessel Vent 1-RC*R-1 1A B*E B4.11 VT-2 03/24/94 11448-WMKS*RC*R-1.3 TIF-03 1-RC*R-1 1A B*G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TI F-04 1-RC*R-1 1A B*G-1 B6.40 UT
• 03/06/94 11448-WMKS*RC*R-1.3 TIF-05 1-RC*R-1 1A B*G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-06 1-RC*R-1 1A B*G-1 B6.40 UT 03/06/94 11448-WMKS-RC*R-1.3 TIF-07 1-RC*R-1 1A B*G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-12 1-RC-R-1 1A B*G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-13 1-RC*R-1 1A B*G-1 B6.40 UT 03/06/94

~8-WMKS*RC*R-1.3 TIF-14 1-RC*R-1 1A B*G-1 B6.40 UT 03/06/94 Page 8 of 11

Attachment I Page 13 of 29 Serial No.: 94-194 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC & IWF Drawing Mark Line Sect XI Sect XI Sect XI Exam- EXIIII-Nlllber No_ No. Class category Item No. Method Date Remarks 11448-WMKS-RC-R-1.3 TIF-15 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-16 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-17 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-18 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-19 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TI F-20 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TI F-21 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-22 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-IJMKS-RC-R-1.3 TIF-23 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-33 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-34 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TI F-35 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-IJMKS-RC-R-1.3 TIF-36 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-37 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94

• 8-WMKS-RC-R-1.3 TIF-38 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-IJMKS-RC-R-1.3 TIF-39 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-IJMKS-RC-R-1.3 TI F-52 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-IJMKS-RC-R-1.3 TIF-53 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-54 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-IJMKS-RC-R-1.3 TIF-55 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-IJMKS-RC-R-1.3 TIF-56 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RH-E-1A H002-1 1-RH-E-1A 2A c-c C3.10 Surface 02/15/94 11448-WMKS-RS-P-2A 2-05 1-RS-P-2A 2C C-G C6.10 Surface 02/04/94 11448-WMKS-SI-P-1A 2-05 1-SI-P-1A 2A C-G C6.10 surface 01/27/94 Interval 3 Examinations 11448-WMKS-0100AZ-1 1-01DM 29 11 -RC-1-2501R 1A B-F B5.10 UT Auto 02/18/94 11448-IJMKS-0101AZ-1 1-01DM 29 11 -RC-4-2501R 1A B-F B5.10 UT Auto 02/16/94 11448-IJMKS-0102AZ-1 1-01DM 29 11 -RC-7-2501R 1A B-F B5.10 UT Auto 02/17/94 11448-IJMKS-0102G1 1-WFPD-HSS-013 1411 -YFPD-9-601 2A TS3.2 TS4.17 VT-3 03/11/94 PSI 11448-IJMKS-0122A1 01-RH-MOV-1720A 1011 -RH-16-1502 1A B-M-2 B12.50 VT-3 02/24/94 11448-IJMKS-0122A1 01-RH-MOV-1720A 10"-RH-16-1502 1A B-G-2 B7.70 VT-1 02/24/94 PSI

~-IJMKS-0122A2 1-SI-145 1211 -Sl-47-1502 1A B-G-2 B7.70 VT-1 02/26/94 PSI Page 9 of 11

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Attachment I Page 14 of 29 Serial No.: 94-194 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC & IWF Drawing Nark Line Sect XI Sect XI Sect XI Exam. Exam. Nllli>er No. No. Class Category Item No. Method Date Remarks 11448-WMKS-0122J1 1-Sl-240 611 -RC-21-1502 1A 8-M-2 812.40 VT-3 02/16/94 PSI 11448-WMKS-0122J1 1-Sl-240 611 -RC-21-1502 1A 8-G-2 87.70 VT-1 01/16/94 PSI 11448-WMKS-0122H1 2-07 611 -Sl-49-1502 2A C-F-1 C5.11 UT/PT 02/18/94 11448-WMKS-0124A1-1 1-RC-H003 4"-RC-34-1502 1A F-C FC1234 VT-3 03/11/94 PSI 11448-WMKS-0124A1-1 1-RC-SV-1551A 611 -RC-39-1502 1A 8-G-2 87.70 VT-1 01/27/94 PSI 11448-WMKS-0124A1-1 1-RC-SV-1551A 611 -RC-39-1502 1A 8-M-2 B12.40 VT-3 03/01/94 PSI 11448-WMKS-0124A1-1 1-RC-SV-15518 611 -RC-38-1502 1A 8-G-2 87.70 VT-1 01/27/94 PSI 11448-WMKS-0124A1-1 1-RC-SV-1551C 611 -RC-37-1502 1A 8-G-2 87.70 VT-1 01/27/94 PSI 11448-WMKS-0124A1-1 1-RC-SV-1551C 611 -RC-37-1502 1A 8-M-2 B12.40 VT-3 02/15/94 PSI 11448-WMKS-110585 2-AM 3"-CH-2-1503 2A C-F-1 C5.21 UT/PT 02/20/94 PSI 11448-WMKS-110585 2-AN 3 11 -CH-2-1503 2A C-F-1 C5.21 UT/PT 02/20/94 PSI 11448-WMKS-110585 2-AV 3 11 -CH-3-1503 2A C-F-1 C5.21 UT/PT 02/20/94 PSI 11448-WMKS-110585 2-AW 3 11 -CH-3-1503 2A C-F-1 C5.21 UT/PT 02/20/94 PSI 11448-WMKS-110585 2-8E 2"-CH-20-1503 2A C-F-1 C5.30 PT 02/15/94 PSI es-WMKS-110585 2-DD 2"-CH-20-1503 2A C-F-1 C5.30 PT 02/15/94 PSI 11448-WMKS-110589 1-CH-H-009 311 -CH-71-1503 2A F-A F1.20 VT-3 02/22/94 PSI 11448-WMKS-RC-E-002 MANWAY 1-RC-E-2 1A 8-G-2 87.20 VT-1 02/26/94 PSI 11448-WMKS-RC-P-1C.2 LSH8 1-RC-P-1C 1A 8-G-2 87.60 VT-1 02/04/94 PSI 11448-WMKS-RC-R-1.1 1-01 1-RC-R-1 1A B-A 81.30 UT Auto 03/06/94 180° 11448-WMKS-RC-R-1.1 1-RC-10NIR 1-RC-R-1 1A 8-D 83.100 UT Auto 02/19/94 11448-WMKS-RC-R-1.1 1-RC-12NIR 1-RC-R-1 1A B-D B3.100 UT Auto 02/19/94 11448-WMKS-RC-R-1.1 1-RC-14NIR 1-RC-R-1 1A B-D 83.100 UT Auto 02/19/94 11448-WMKS-RC-R-1.1 2-10 1-RC-R-1 1A B-D B3.90 UT Auto 02/19/94 11448-WMKS-RC-R-1.1 2-12 1-RC-R-1 1A B-D B3.90 UT Auto 02/19/94 11448-WMKS-RC-R-1.1 2-14 1-RC-R-1 1A 8-D 83.90 UT Auto 02/19/94 11448-WMKS-RC-R-1.3 TIF-01 1-RC-R-1 1A 8-G-1 86.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-02 1-RC-R-1 1A 8-G-1 86.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-08 1-RC-R-1 1A 8-G-1 86.40 UT 03/06/94 11448-WMKS-RC-R-1.3 Tl F-09 1-RC-R-1 1A 8-G-1 86.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-10 1-RC-R-1 1A 8-G-1 86.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-11 1-RC-R-1 1A 8-G-1 86.40 UT 03/06/94 ~-WMKS-RC-R-1.3 Tl F-24 1-RC-R-1 1A 8-G-1 86.40 UT 03/06/94 Page 10 of 11

Attachment I Page 15 of 29 Serial No.: 94-194 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC & IWF Drawing Nark Line Sect XI Sect XI Sect XI Exam. Exam. Nllli>er No. No. Class category Item No. Method Date Remarks 11448-WMKS*RC*R-1.3 TI F*25 1-RC*R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-26 1-RC*R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-27 1-RC*R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-28 1-RC*R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-29 1-RC*R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TI F-30 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-31 1-RC*R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TI F-32 1-RC*R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-40 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TI F-41 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-42 1-RC*R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-43 1-RC*R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TI F-44 1-RC*R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TI F-45 1-RC*R-1 1A B-G-1 B6.40 UT 03/06/94 .8~WMKS*RC*R*1.3 TIF-46 1-RC*R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-47 1-RC*R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-48 1-RC*R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-49 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-50 1-RC*R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TI F-51 1-RC*R-1 1A B*G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-57 1-RC-R-1 1A B-G-1 B6.40 UT . 03/06/94 11448-WMKS*RC*R-1.3 TI F-58 1-RC*R-1 1A B-G-1 B6.40 UT 03/06/94 Note 1: Partial examination, (reduction in coverage is greater than 10% as allowed by Code Case N-460) relief request has been provided by separate correspondence. Note 2: Relief request submitted previously. Note 3: No examination could be performed at the Code required examination area of 011 - 1211

• This is the second attempt to examine this area. However, the weld from 24 11 - 36 11 was examined on 5-18-86. Relief Request SR-005 applies.

Note 4: Per Relief Request SR-005 the expected percent coverage of the weld for reflectors parallel to the weld was 66.7% and the actual coverage was 37.25% For reflectors transverse to the weld seam the expected coverage was 79% and the actual coverage was Br~. Note 5: Credit not taken, reexamination of a previous indication. Note 6: Valve internal inspection per 1989 Code, relief request SR-016. 7: Reference Code Case N-481. 1 8: Examination performed per CFR 10, 50.55a (g) (6) (ii) (2). Page 11 of 11

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.c..--..., U 111 GI 111 GI*- .),t system Pressure Test Program ... a, .. u +' 111 GI 0 <a. enc Sect XI Test Zone Description Class Type Date Remarks 1-SPM-64A-1-1 IIA 11 MAIN S/G SECONDARY SIDE 2 INSERVICE/N498 01/22/94 p

                 , 1-SPM-64A-2-1   8 MAIN S/G SECONDARY SIDE 11 11                                          2        INSERVICE/N498  01/22/94 p
                 '1-SPM-64A-3-1    C MAIN S/G SECONDARY SIDE 11 11                                          2        INSERVICE/N498  01/22/94 p 1-SPM-68A-1-4 AUX. FEEDWATER HEADERS                         2        FUNCTIONAL/N498 03/15/94 p 1-SPM-68A-1-1 S/G 11A11 FEEDWATER                            2        INSERVICE/498   01/22/94 F 1-SPM-68A-1-2 S/G 11 811 FEEDWATER                           2        INSERVICE/N498  01/22/94 F 1-SPM-68A-1-3 S/G 11 cn FEEDWATER                            2        INSERVICE/N498  01/22/94 F 1-SPM-79D-1-1 "A11 BORIC ACID TRANSFER PUMP                  2        INSERVICE/N498  12/19/93 F 1-SPM-79D-1-2 11911  BORIC ACID TRANSFER PUMP                2        INSERVICE/N498  12/18/93 F 1-SPM-79D-1-3   C BORIC ACID TRANSFER PUMP 11 11                                          2        INSERVICE/N498  12/18/93 F

1-SPM-79D-1-4 D BORIC ACID TRANSFER PUMP 11 11 2 INSERVICE/N498 12/18/93 F 1-SPM-82A-1-1 VCT & LETDOWN HEADER 2 INSERVICE/N498 12/14/92 F 1-SPM-82A-1-2 CHARGING PUMP SAMPLING LINES 2 INSERVICE/N498 01/22/94 F 1-SPM-82A-1-3 VCT & LETDOWN HEADER 2 INSERVICE/N498 12/14/92 F 1-SPM-82A-1-5 LETDOWN SAMPLE UNIT 1 2 INSERVICE/N498 12/29/93 F 1-SPM-82A-1-6 LETDOWN SAMPLE UNIT 2 2 INSERVICE/N498 02/08/94 F 1-SPM-828-2-5 RHR SAMPLE 2 FUNCTIONAL/N498 01/25/94 F 1-SPM-828-2-6 PRESSURIZER RELIEF TANK SAMPLE 2 FUNCTIONAL/N498 01/30/94 F 1-SPM-83A-1-2 PRIMARY DRAIN TRANSFER TANK PUMP DISCHARGE 2 FUNCTIONAL/N498 02/23/94 F 1-SPM-83A-2-1 POST ACCIDENT SAMPLE RETURN 2 FUNCTIONAL/N498 01/29/94 F Page 1 of 6

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.c.- - ..., u CU CU*-~ cu cu system Pressure Test Program ... Cl .. u ._, CU CU 0 CCO. IIIC Sect XI Test Zone Description Class Type Date Remarks 1*SPM*83A*2*2 CONTAINMENT SUMP PUMP DISCHARGE 2 FUNCTIONAL/N498 02/24/94 F 1*SPM*83B*1*2 PRIMARY DRAIN TRANSFER TANK PUMP DISCHARGE 2 FUNCTIONAL/N498 02/23/94 F 1*SPM*83B*3*2 CONT. SUMP PUMP DISCHARGE 2 FUNCTIONAL/N498 02/24/94 F 1*SPM*83B*3*3 RCS TO PRIMARY VENT FUNCTIONAL/N498 03/08/94 F 1*SPM*83B*3*4 CONTAINMENT SPRAY RINGS 2 FLOW 02/07/94 F 1*SPM*84A*1*1 RWST 2 HYDROSTATIC ATM TANK 12/31/93 F 1*SPM*84A*1*2 LHSI SUCTION FROM RWST 2 INSERVICE/BURIED/N498 02/26/94 F 1*SPM*84A*1*3 LHSI PUMP DISCHARGE TO RWST 2 FUNCTIONAL/FLOW/N498 10/18/93 F 1*SPM*84A*1*4 1*CS*P*1A, & 1B DISCHARGE TO RWST 2 FUNCTIONAL/FLOW/N498 03/10/94 F 1*SPM*84A*2*1 RWST 2 HYDROSTATIC ATM TANK 12/31/93 F 1*SPM*84A*2*2 1*CS*P*1A & 1B DISCHARGE TO RWST 2 FUNCTIONAL/FLOW/N498 03/10/94 F 1*SPM*84A*2*3 1*CS*P*1A & 1B DISCHARGE TO RWST 2 FUNCTIONAL/FLOW/N498 03/10/94 F 1*SPM*84A*2*6 CONTAINMENT SPRAY RINGS 2 FLOW 02/07/94 F 1*SPM*84A*2*8 CONTAINMENT SPRAY PUMP SUCTION PIPING 2 INSERVICE/BURIED/N498 03/18/94 F 1*SPM*84A*3*1 CONTAINMENT SPRAY PUMP SUCTION PIPING 2 INSERVICE/BURIED/N498 03/18/94 F 1*SPM*84A*3*2 CONTAINMENT SPRAY PUMP SUCTION PIPING 2 INSERVICE/BURIED/N498 03/18/94 F 1*SPM*84A*3*3 CONTAINMENT SPRAY PUMP SUCTION PIPING 2 INSERVICE/BURIED/N498 03/18/94 F 1*SPM*84A*3*4 CONTAINMENT SPRAY PUMP SUCTION PIPING 2 INSERVICE/BURIED/N498 03/18/94 F 1*SPM*84B*1*1 RECIRC SPRAY RINGS* B 2 FLOW/FUNCTIONAL 02/07/94 F 1*SPM*84B*1*2 RECIRC SPRAY RINGS* A 2 FLOW/FUNCTIONAL 02/07/94 F 1*SPM*84B*2*1 OUTSIDE RECIRC SPRAY PUMP SUCTION SUMP 2 FUNCTIONAL 03/09/94 p Page 2 of 6

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+' 't,a 0,. 0,. " ' ... N I I cooo a!cozz Abstract of Examinations Performed .c.--..., U co RI QI a,, ... .:,J,. system Pressure Test Program ... CILU .., RI QI 0 < II. UI C Test Sect XI Zone Description Class Type Date Remarks 1*SPM-84B-2*2 "A" OUTSIDE RECIRC SPRAY PUMP 2 FUNCTIONAL 03/09/94 F 1-SPM*84B*2*3 "B" OUTSIDE RECIRC SPRAY PUMP 2 FUNCTIONAL 03/09/94 F 1*SPM-84B-2*6 RECIRC SPRAY RINGS - D 2 FLOW/FUNCTIONAL 02/07/94 F 1-SPM-84B-2-7 RECIRC SPRAY RINGS - C 2 FLOW/FUNCTIONAL 02/07/94 F 1-SPM-85A*1*2 LEAKAGE MONITORING OPEN PRESSURE TAPS 2 FLOW 02/13/94 F 1-SPM*85A*1*4 LEAKAGE MONITORING 2 FUNCTIONAL 02/13/94 F 1-SPM*86A*1*1 RC SYSTEM "A" DEAD LEGS FUNCTI0NAL/N498 03/08/94 p 1*SPM*86A-2*1 RC SYSTEM 11 B11 DEAD LEGS FUNCTI0NAL/N498 03/07/94 p 1*SPM-86A-3*1 RC SYSTEM "C" DEAD LEGS & MISC. FUNCTIONAL/N498 03/08/94 p 1-SPM-86B-1*4 RCS HIGH POINT VENT FUNCTI0NAL/N498 02/26/94 F 1*SPM*86B-1*5 PRESSURIZER VENT HOSE FUNCTIONAL/N498 03/04/94 F 1-SPM-87A-1*4 11 B11 RHR PUMP 2 INSERVICE/N498 02/28/94 F 1-SPM-87A-2*2 RHR TO RWST PIPING 2 FUNCTIONAL/N498 02/13/94 F 1-SPM-87A-2*5 LETDOWN HEADER 2 INSERVICE/N498 01/22/94 F 1*SPM-88A-1*2 11 A11 BORIC ACID TRANSFER PUMP 2 . INSERVICE/N498 12/19/93 F 1-SPM*88A*1*3 "B" BORIC ACID TRANSFER PUMP 2 INSERVICE/N498 12/18/93 F 1-SPM*88A*1*4 "C" BORIC ACID TRANSFER PUMP 2 INSERVICE/N498 12/18/93 F 1-SPM*88A*1*5 "D" BORIC ACID TRANSFER PUMP 2 INSERVICE/N498 12/18/93 F 1-SPM*88A*1*6 BORIC ACID LINES TO CHARGING PUMPS 2 INSERVICE/N498 03/13/94 F 1*SPM*88A*2*1 "A" BORIC ACID TRANSFER PUMP 2 INSERVICE/N498 12/19/93 F 1-SPM-88A*2*2 11 B11 BORIC ACID TRANSFER PUMP 2 INSERVICE/N498 12/18/93 F Page 3 of 6

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cu a, C1J * - .::J. System Pressure Test Program ... tJ) ... u ..,a,a,o <o. enc Sect XI Test Zone Description Class Type Date Remarks 1-SPM-88A-2-3 11 C11 BORIC ACID TRANSFER PUMP 2 INSERVICE/N498 12/18/93 F 2-SPM-88A-2-2 LETDOWN SAMPLE UNIT 2 2 INSERVICE/N498 02/08/94 p 1-SPM-88A-3-1 VCT & LETDOWN HEADER 2 INSERVICE/N498 12/14/92 F 1-SPM-88A-3-2 DEBORATING DEMIN BEDS 2 FUNCTIONAL/N498 01/08/94 F 1-SPM-88A-4-1 LETDOWN HEADER 2 INSERVICE/N498 01/22/94 F 1-SPM-88A-4-2 LETDOWN SAMPLE UNIT 2 INSERVICE/N498 12/29/93 p 1-SPM-88B-1-1 DISCHARGE TO RWST FROM SI PUMPS 2 FUNCTIONAL/FLOW/N498 10/18/93 F 1-SPM-88B-1-2 SEAL RETURN HEADER 2 INSERVICE/N498 01/22/94 F 1-SPM-88B-1-3 SEAL RETURN HEADER & CHARGING PUMP SUCTION 2 INSERVICE/N498 12/14/92 F 1-SPM-88B-1-4 VCT & LETDOWN HEADER 2 INSERVICE/N498 12/14/92 F 2-SPM-88B-1-S BORIC LINES TO CHARGING PUMPS 2 INSERVICE/N498 03/13/94 F 1-SPM-88B-1-6 MISCELLANEOUS CHARGING 2 INSERVICE/N498 01/24/94 F 1-SPM-88B-2-6 SEAL RETURN HEADER & CHARGING PUMP SUCTION 2 INSERVICE/N498 01/24/94 p 1-SPM-88B-2-7 CHARGING PUMP SAMPLING LINES 2 INSERVICE/N498 01/22/94 F 1-SPM-88C-1-1 EXCESS LETDOWN HEAT-EXCHANHER 2 INSERVICE/N498 01/22/94 p 1-SPM-88C-1-S REGEN HEAT EXCHANGER &AUX SPRAY 2 INSERVICE/N498 01/22/94 F 1-SPM-88C-1-7 SEAL RETURN HEADER 2 INSERVICE/N498 01/22/94 F 1-SPM-88C-1-9 LETDOWN HEADER 2 INSERVICE/N498 01/22/94 F 1-SPM-88C-2-2 SEAL RETURN HEADER 2 INSERVICE/N498 01/22/94 F 1-SPM-88C-2-3 RCP SEAL INJECTION 2 INSERVICE/N498 01/22/94 F 1-SPM-88C-2-4 RCP 11A11 SEAL RETURN 2 INSERVICE/N498 01/22/94 F Page 4 of 6

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0 .CN-',IJ zz Abstract of Examinations Performed u lU GI*-~ lU GI system Pressure Test Program t g, ~ 8 ca.enc Sect XI Test Zone Description Class Type Date Remarks 1*SPM*88C-2*5 RCP 11 811 SEAL RETURN 2 INSERVICE/N498 01/22/94 F 1*SPM*88C-2*6 RCP 11 C11 SEAL RETURN 2 INSERVICE/N498 01/22/94 F 1-SPM-89A*1*4 LOW HEAD SAFETY INJECTION FROM RWST 2 PRESS DROP/CHANGE IN FLOW 02/26/94 F 1-SPM-89A-1*5 LOW HEAD SAFETY INJECTION FROM SUMP 2 FUNCTIONAL/N498 04/19/92 F 1*SPM*89A*2*2 LOW HEAD SAFETY INJECTION TO HOT & COLD LEGS 2 FUNCTIONAL/N498 03/15/94 F 1-SPM*89A*2*6 DISCHARGE INTO RWST FROM SI PUMPS 2 FUNCTIONAL/N498 10/18/93 F 1*SPM*8r*2*8 SEAL RETURN HEADER & CHARGING PUMP SUCTION 2 INSERVICE/N498 12/14/92 F 1*SPM*89A-3* 1 Ni TO SI ACCMULATOR 2 FUNCTIONAL/N498 02/16/94 F 1-SPM*89A-3*2 HIGH HEAD SAFETY INJECTION TO HOT & COLD LEGS 2 FUNCTIONAL/N498 02/27/94 F 1-SPM-89B-1*4 HIGH HEAD SAFETY INJECTION TO COLD LEGS 2 FUNCTIONAL/N498 01/22/94 F 1*SPM*89B*1*8 Ni TO SI ACCUMULATOR 2 FUNCTIONAL/N498 02/16/94 F 1*SPM*89B*2*4 HIGH HEAD SAFETY INJECTION TO COLD LEGS 2 FUNCTIONAL/N498 01/22/94 F 1-SPM-89B-3*4 HIGH HEAD SAFETY INJECTION TO COLD LEGS 2 FUNCTIONAL/N498 01/22/94 F 1*SPM*89B*4*2 HIGH HEAD SAFETY INJECTION TO HOT & COLD LEGS 2 FUNCTIONAL/N498 03/15/94 F 1*SPM*118A*2*1 RX CAVITY PURIFICATION INTAKE 2 FUNCTIONAL/N498 02/07/94 F 1-SPM-118A*2*2 RX CAVITY PURIFICATION DISCHARGE 2 FUNCTIONAL/N498 02/07/94 F 1-SPM*124A*1*1 S/G 11 A11 RECIRC & TRANSFER 2 INSERVICE/N498 03/09/94 F 1*SPM*124A-1-2 S/G "A" BLOIJDOWN 2 INSERVICE/N498 01/22/94 F 1*SPM-124A*2-1 S/G 11 811 RECIRC & TRANSFER 2 INSERVICE/N498 03/07/94 F 1*SPM-124A-2-2 S/G 8 BLOIJDOWN 11 11 2 INSERVICE/N498 01/22/94 F 1*SPM*124A*3*1 S/G "C" RECIRC & TRANSFER 2 INSERVICE/N498 03/08/94 F Page 5 of 6

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.cN-.., Abstract of Examinations Performed 0 CUQl*-.:.1. CU QI system Pressure Test Program .... tJ) L. u ._,CUQIO CCC. inc Sect XI Test Zone Description Class Type Date Remarks 1-SPM-124A-3-2 S/G 11 C11 BLO\IDOWN 2 INSERVICE/N498 01/22/94 F NA 3rd Interval, 1st Period SYSTEM LEAKAGE TEST 03/24/94 P = Partial Test - A portion of this zone was completed this outage, and the remaining portions of this zone was completed previously. F = Full Test Piping and components shown on SPM drawings can be found on FM drawings with the same number. Page 6 of 6

Attachment I Page 22 of 29 Serial No.: 94-194 Docket No.: 50-280

• Abstract of Examinations Snubber Program During snubber visual inspection per Technical Specifications 4.17, three (3) hydraulic snubbers (1-MS-HSS-6A, 1-MS-HSS-12 and 1-RH-HSS-22) were found to have empty (0%) fluid reservoirs. All three snubbers were removed and functionally tested to demonstrate operability in accordance with Technical Specifications 4.17.B.2, and all snubbers passed. The snubbers were replaced with spares.

Thirty-eight (38) snubbers were selected for functional testing and seal replacement this refueling outage. There were no failures identified . Page 1 of 1

Attachment I Page 23 of 29 Serial No.: 94-194 Docket No.: 50-280

• Abstract of Examinations Eddy current Examinations of Nonferromagnetic steam Generator Tubing Inservice examination was performed on steam generator "B" In Steam Generator "B", all available tubes were inspected full length with bobbin probes. A 301 tube sample was tested with a rotating pancake coil (RPC) probe in the hot leg transition (TSH

 +/- 3 11 ) region. Supplemental examinations were also performed using RPC probes where additional confirmatory or other data was desired. The following tubes were preventively plugged for anti-vibration bar wear.

Row Column 34 17 34 19 39 23 43 31

• This Steam Generator contains a total of eight plugged tubes.

See the attached list for details. steam Generator "B" Row Col Ind Loe Remarks 19 7 SAA 6H 31 14 SAA 6H 3 15 14 2H 6 16 10 2C 23 17 MAA 6H 34 17 24 AV4 TUBE PREVENTIVELY PLUGGED 35 17 16 AV3 24 18 SAA 6H

• Page 1 of 7

Attachment I Page 24 of 29 Serial No.: 94-194 Docket No.: 50-280

• 34 31 33 19 21 21 22 SAA

        . 17 AV2 4C 7H TUBE PREVENTIVELY PLUGGED 38 21   19     AVl 24 23   SAA    BPH 39 23   19     AV3      TUBE PREVENTIVELY PLUGGED 39 23   20     AV4      TUBE PREVENTIVELY PLUGGED 34 24   SAA    6C 13 26   SAA    2H 28 26   SAA    TSC 20 28   10     5H 26 28   11     6H 27 28   SAA    4H 39 29   11     6H 41 29   14     5H 42 29   18     AV2 42 29   SAA    7H 25 31   MAA    6H 43 31   21     AV2      TUBE PREVENTIVELY PLUGGED 13 32   SAA    TSH 33 32   SCA    6C 15 34   SCA    lC 24 34   SAA    BPH 3  35   SAA    TSH 15 35   SCA    2C 1  36   SAA    TSH 33 36   SAA    4H

• • Page 2 of 7

Attachment I Page 25 of 29 Serial No.: 94-194 Docket No.: 50*280

• 10 15 36 36 37 37 38 38 19 19 SCA SCA JH lC 6C TSC 38 38 18 6H 9 39 SAA TSH 11 40 10 5C 20 40 SAA TSH 1 41 SAA TSC 17 41 13 6H 21 42 SAA TSH 3 43 SAA TSH 6 43 SAA TSH 39 43 SAA 7H 45 43 11 lC 21 44 SAA TSH 2 45 SAA TSH 5 45 MAA TSH 7 45 SAA 2C 13 46 SAA TSH 36 46 SCA JC 3 47 SAA TSH 45 47 SAA TSC 6 48 SAA JC 15 48 SAA 7C 21 48 SAA lC 45 48 SAA TSC Page 3 of 7

Attachment I Page 26 of 29 Serial No.: 94*194 Docket No.: 50-280

• 11 12 20 49 49 49 16 SAA SAA 2C TSH lC 13 50 SAA TSH 28 51 SAA lC 22 52 SAA 2C 27 52 SAA 6C 40 52 18 TSC 41 52 15 7C 46 52 10 6C 46 52 SAA 6C 7 53 14 TSC 43 53 SAA 5C
• 40 16 45 45 54
• 55 55 55 SAA SAA 10 11 2C 5C BPH AV4 3 56 SAA TSH 25 56 MAA 3C 3 57 SAA TSH 37 57 11 2C 37 57 13 2C 1 58 SAA TSC 4 58 11 2C 11 58 SAA TSH 20 58 MAA 6C 34 58 16 AV2
• Page 4 of 7

Attachment I Page 27 of 29 Serial No.: 94-194 Docket No.: 50-280

• 11 16 43 59 59 59 SAA 18 SCA 3C 7C 7C 28 62 SAA BPC 1 63 SAA 5H 32 63 SAA 2H 43 64 SAA 7C 5 66 SAA TSH 7 66 SAA TSH 13 66 SAA TSH 24 66 SAA 4H 4 67 16 4C 7 67 MAA 4C
• 14 21 39 67 67 67 16 10 SAA 2C 6C 2C 7 68 SAA TSH 26 68 SAA 1C 26 69 12 6H 36 69 SAA 4C 16 70 15 2C 29 70 12 AV4 32 70 12 TSH 40 70 10 AV3 8 71 SCA TSH 2 72 SAA 4C
• Page 5 of 7

Attachment I Page 28 of 29 Serial No.: 94-194 Docket No.: 50-280

• 11 13 13 33 72 74 74 75 SAA 16 SAA 19 TSC 2H lC AV4 3 79 16 2C 31 79 10 2H 27 80 12 6H 13 83 18 2C 17 83 MAA 6C 25 83 SAA TSH 28 83 SAA 7H 4 85 16 SC 19 87 16 4C 2 88 14 2C 4 89 SAA 2C 15 89 17 TSC 13 90 MAA 6C 13 90 SAA 2C 18 90 19 TSC 18 90 SAA 6C
• Page 6 of 7

Attachment I Page 29 of 29 Serial No.: 94-194 Docket No.: 50-280

• 1.

2. ROW, COL COLUMN coordinate system. IND INDICATION tube identifier numbers an X-Y Character codes and numerics that represent the analysis results of the data for that tube, e.g., SAA, 25%, etc.

3. LOCN LOCATION The location in the tube of the INDICATION called.

4. MAA MULTIPLE AXIAL ANOMALY Describes multiple axially oriented anomalies.

5. 55 A number in the indication column shows the%

through wall depth of the indication.

6. SAA Describes a single axially oriented anomaly.

7. SCA Describes a single circumferentially oriented anomaly 8 TEH Tube End Hot leg.

9. TEC Tube End Cold leg.

10 . TSH Top of Tubesheet Hot leg.

11. TSC Top of Tubesheet Cold leg.

12. BPH, BPC BAFFLE PLATE HOT AND COLD

13. #C, #H (#=number) of Support Plate Hot or Cold leg.

e.g., 3H, 6H, 7C.

14. AVl, AV2, AV3, AV4 Anti-Vibration Bars 1 through 4.

Note: Where no comment appears in the remarks column the tube is still in service *

• Page 7 of 7

ATTACHMENT 2 SURRY POWER STATION UNIT 1 ISi INSPECTIONS

• NIS
• 2 FORMS

Attachment II Page 1 of 93 Serial No.: 94-194 Docket No.: 50-280

• Repair and Replacements Repairs and replacements completed during this refueling outage for Interval 2, Period 3 were performed in accordance with Section XI of the ASME Boiler and Pressure Vessel Code, 1980 Edition through the Winter 1980 Addenda. For Interval 3, Period 1 the repairs and replacements were performed in accordance with the Section XI, 1989 Edition, of the ASME Boiler and Pressure Vessel Code.

The following paragraphs and the attached NIS-2 Forms represent those repairs and replacements performed on Class 1 and Class 2 systems: Interval 2 Repairs and Replacements

1. Replaced valve internals (trim set) on valve 01-CH-FCV-1160 on line No. 2"-CH-8-1503, Class 1. The applicable work order number is 3800124514. The replacement was completed on 4-3-92.

2. Replaced bonnet on valve 01-GN-1 on line No. 2"-GN-23-601, Class 2. The applicable work order number is 3800267155-01.

The replacement was completed on 8-26-93.

• 3* Replaced trim assembly on valve 01-RC-PCV-1455A on line No.

4"-RC-14-1502, Class 1. The applicable work order number is 00266806-01. The replacement was completed on 8-24-93. Interval 3 Repairs and Replacements

4. Removed a test flange and installed a blank flange on 01-RS-P-2A, Class 2. The applicable work order number is 002785-25-24. The replacement was completed on 2-3-94.

5. Removed a test flange and installed a blank flange on 01-RS-P-2B, Class 2. The applicable work order number is 002785-25-26. The replacement was completed on 2-3-94.

6. Replaced valve bonnet bolting on valve 01-SI-56, on line No.

12"-SI-1-153, Class 2. The applicable work order number is 00267801-01. The replacement was completed on 2-5-94.

7. Removed a test flange and installed a blank flange on 01-RS-P-1A, Class 2. The applicable work order number is 002785-25-20. The replacement was completed on 2-4-94.

8. Removed a test flange and installed a blank flange. on 01-RS-P-1B, Class 2. The applicable work order number is 002785-25-22. The replacement was completed on 2-4-94

• Page 1 of 7

Attachment II Page 2 of 93 Serial No.: 94*194 Docket No.: 50-280

• 9*

10. Replaced bolting on valve Ol-DG-TV-108A on line No. 2"-DG-42-152, Class 2. The applicable work order number is 00283-443-02. The replacement was completed on 3-11-94. Replaced studs between flanges on valve 01-IA-TV-100 on line No. 2"-ACC-73-153, Class 2. The applicable work order number is 00264444-01. The replacement was completed on 3-10-94.

11. Replaced trim assembly on valve Ol-RC-PCV-1455B on line No.

4 11 -RC-15-1502, Class 1. The applicable work order number is 00276738-01. The replacement was completed on 3-10-94.

12. Replaced trim assembly on valve Ol-RC-PCV-1455C on line No.

4 11 -RC-34-1502, Class 1. The applicable work order number is 00267643-01. The replacement was completed on 3-7-94. *

13. Replaced valve bonnet bolting on valve 01-CH-276 on line No.

3 11 -CH-3-1503, Class 2. The applicable work order number is 00281758-01. The replacement was completed on 2-16-94.

14. Ground out a 1 11 long indication (on valve 01-SI-410) found by liquid penetrant examination. The area was examined again by the liquid penetrant method and found acceptable.

No welding was required. The applicable line No. is 10 11 -SI-6-153, Class 2. The applicable work order number is 002672-41-02. The repair was completed on 3-14-94 *

15. Replaced rod extension with extended rod eye on support 01-SI-HSS-24A on line No. 12 11 -SI-46-1502, Class 1. The appli-cable work order number is 00269060-0l. The replacement was completed on 2-28-94.

16. Replaced rod extension with extended rod eye on support 01-SI-HSS-24B on line No. 12"-SI-46-1502, Class 1. The appli-cable work order number is 00269068-0l. The replacement.was completed on 2-8-94.

17. Replaced snubber V-0511 with snubber V-0696 (Ol-MS-HSS-33B) on line No. 30"-SHP-23-601, Class 2. The applicable work order number is 00269105-0l. The replacement was completed on 1-26-94.

18. Replaced snubber V-0512 with snubber V-0697 (01-MS-HSS-34A) on line No. 30"-SHP-24-601, Class 2. The applicable work order number is 00268933-01. The replacement was completed on 1-26-94.

19. Replaced snubber V-0511 with snubber V-0698 (Ol-MS-HSS-34B) on line No. 30"-SHP-24-601, Class 2. The applicable work order number is 00269006-0l. The replacement was completed on 1-26-94

• Page 2 of 7

Attachment II Page 3 of 93 Serial No.: 94-194 Docket No.: 50-280

• 20.

21. Replaced snubber V-0515 with snubber V-0699 (Ol-MS-HSS-35B) on line No. 30"-SHP-22-601, Class 2. The applicable work order number is 00266018-0l. The replacement was completed on 1-25-94. Replaced rod extension with elongated rod eye on support Ol-MS-HSS-6B on line No. 30 11 -SHP-1-601, Class 2. The applica-ble work order number is 00281727-01. The replacement was completed on 1-31-94.

22. Replaced snubber V-0681 with snubber V-0702 (Ol-MS-HSS-12) on line No. 30"-SHP-2-601, Class 2. The applicable work order number is 00281726-01. The replacement was completed on 2-7-94.

23. Replaced bracket on support Ol-RC-H003 on line No. 4 11 -RC 1502, Class 1. The applicable work order number is 002843-81-01. The replacement was completed on 3-10-94.

24. Replaced bracket on support 01-RC-HOlO on line No. 4"-RC 1502, Class 1. The applicable work order number is 002844-70-01. The replacement was completed on 3-11-94.

25. Replaced bolting on valve 01-SI-240 on line No. 6"-RC 1502, Class 1. The applicable work order number is 002817-62-01. The replacement was completed on 2-17-94 .

26. Replaced bolting on valve Ol-SI-142 on line No. 2"-SI 602, Class 2. The applicable work order number is 00282537-

01. The replacement was completed on 3-9-94.

27. Replaced bolting on valve 01-CS-52 on line No. 6"-CS-98-153, Class 2. The applicable work order number is 00282293-01.

The replacement was completed on 3-9-94.

28. Replaced valve Ol-RC-160 and bolting on line 3"-RC-52-152, Class 2. The applicable work order number is 00282592-01.

The replacement was completed on 3-10-94.

29. Replaced bolting on valve Ol-SI-MOV-1864A on line lO"-SI 153, Class 2. The applicable work order number is 00260128-

01. The replacement was completed on 2-4-94.

30. Replaced bolting on valve Ol-CH-MOV-1287C on line No. 3 11 -CH-71-1503, Class 2. The applicable work order number is 00260234-01. The replacement was completed on 2-16-94.

31. Replaced trim assembly on valve Ol-RC-HCV-1557C on line No.

2"-RC-59-1502, Class 1. The applicable work order number is 00282151-01. The replacement was completed on 3-12-94 *

• Page 3 of 7

Attachment II Page 4 of 93 Serial No.: 94-194 Docket No.: 50-280

• 32.

33. Replaced bolting on valve 01-CH-MOV-1115E on line No. 3"-CH-73-152, Class 2. The applicable work order number is 00260-233-03. The replacement was completed on 2-16-94. Modified support 1-CH-H-009 for check valve access (01-CH-276) on line No. 3 11 -CH-71-1503, Class 2. The applicable work order number is 00281758-03. The replacement was completed on 2-18-94. The preservice examination was com-pleted on 2-22-94.

34. Replaced disc and cap screw on valve 01-MS-176 on line No.

3 11 -SHP-30-601, Class 2. The applicable work order number is 00267618-04. The replacement was completed on 2-1-94.

35. Replaced disc and cap screw on valve 01-MS-182 on line No.

3 11 -SHP-28-601, Class 2. The applicable work order number is 00267616-04. The replacement was completed on 2-20-94.

36. Replaced disc and cap screw on valve 01-MS-178 on line No.

3"-SHP-29-601, Class 2. The applicable work order number is 00267617-01. The replacement was completed on 2-1-94.

37. Replaced valve 01-MS-158 on line No. 4"-SHP-27-601, Class 2.

The applicable work order number is 00264340-01. The re-placement was completed on 2-22-94.

• 38.

39. Replaced valve 01-MS-116 on line No. 6"-SHP-46-601, Class 2

• The applicable work order number is 00260328-02. The re-placement was completed on 3-15-94.

Repair flanges and replace fasteners on valve 01-MS-SV-101A on line No. 4"-SHP-37-601, Class 2. The applicable work order number is 00270975-01. The replacement was completed on 3-14-94.

40. Replaced valve 01-BD-14 on line No. 2~"-WGCB-3-601, Class 2.

The applicable work order number is 00283463-02. The re-placement was completed on 3-4-94.

41. Replace bolting on valve Ol-SI-47 on line No. 12"-SI-2-153, Class 2. The applicable work order number is 00267798-01.

The replacement was completed on 3-9-94.

42. Replace bolting on valve Ol-SI-145 on line No. 12"-SI 1502, Class 1. The applicable work order number is 002678-02-01. The replacement was completed on 2-27-94.

43. Replace bolting on valve Ol-FW-72 on line No. 14"-WFPD 601, Class 2. The applicable work order number is 00267621-

01. The replacement was completed on 2-11-94 *

• Page 4 of 7

Attachment II Page 5 of 93 Serial No.: 94-194 Docket No.: 50-280

• 44.

45. Replaced bolting on flow element 01-FW-FE-lOlC on line No

• 3 11 -WAPD-13-601, Class 2. The applicable work order number is 00263046-0l. The replacement was completed on 2-8-94.

Replaced nut and spring can on support Ol-RS-H003 on line No. 4 11 -RS-14-153, Class 2. The applicable work order number is 00275127-0l. The replacement was completed on 3-30-94.

46. Replaced bolting and trim assembly on valve Ol-RC-HCV-1556B on line No. 2 11 -RC-199-1502, Class 1. The applicable work order number is 00267649-01. The replacement was completed on 2-2-94.

47. Replaced valve Ol-RC-160 on line No. 3 11 -RC-52-152, Class 2.

The applicable work order number is 00282592-02. The re-placement was completed on 3-10-94.

48. Replaced valve Ol-RC-SV-155A on line No. 6 11 -RC-39-1502, Class 1. The applicable work order number is 00279407-01.

The replacement was completed on 3-12-94.

49. Replaced valve Ol-RC-SV-155B on line No. 6 11 -RC-38-1502, Class 1. The applicable work order number is 00279409-0l.

The replacement was completed on 3-12-94.

50. Replaced valve Ol-RC-SV-155C on line No. 6"-RC-37-1502, Class 1. The applicable work order number is 00279410-0l

• The replacement was completed on 3-12-94.

51. Replaced bolting on valve Ol-RC-MOV-1590 on line No. 29 11 -RC-l-2501R, Class 1. The applicable work order number is 00267153-02. The replacement was completed on 2-27-94.

52. Replaced valve Ol-CH-267 on line No. 3 11 -CH-2-1503, Class 2.

The applicable work order number is 00263361-0l. The re-placement was completed on 2-17-94.

53. Replaced valve Ol-CH-RV-1203 on line No. 2"-CH-232-602, Class 2. The applicable work order number is 00282950-0l.

The replacement was completed on 3-10-94.

54. Replaced valve Ol-CH-276 on line No. 3 11 -CH-3-1503, Class 2.

The applicable work order number is 00281758-02. The re-placement was completed on 2-18-94.

55. Replaced bolting on pump 01-CS-P-lB, Class 2. The applica-ble work order number is 00273520-02. The replacement was completed on 3-6-94.

56. Replaced snubber bracket for Ol-FW-HSS-13 on line No. 14 11 -

WFPD-9-601, Class 2. The applicable work order number is 00269067-02. The replacement was completed on 3-13-94

• Page 5 of 7

Attachment II Page 6 of 93 Serial No.: 94-194 Docket No.: 50-280

• 57.

58. Replaced orifice flange on 01-FW-FE-lOOA on line No. 3"- WAPD-9-601, Class 2. The applicable work order number is 00271826-0l. The replacement was completed on 3-7-94. Replaced disc on valve 01-MS-SV-lOlC on line No. 4"-SHP 601, Class 2. The applicable work order number is 00270977-

01. The replacement was completed on 3-14-94.

59. Replaced disc on valve Ol-MS-SV-102A on line No. 30"-SHP 601, Class 2. The applicable work order number is 00270996-0l. The replacement was completed on 3-14-94.

60. Replaced orifice on Ol-MS-FE-100 on line No. 3"-SHP-31-601, Class 2. The applicable work order number is 00283862-0l.

The replacement was completed on 3-9-94.

61. Removed support tube steel (due to interference with adja-cent work on valve Ol-CC-242) on valve 01-BD-TV-lOOE on line 3"-WGCB-3-601, Class 2. The applicable work order number is 00263120-02. The replacement was completed on 3-11-94.

62. Replaced plug (overhauled valve) on valve Ol-VG-TV-109A on line No. 2"-VG-2-152, Class 2. The applicable work order number is 00260396-01. The replacement was completed on 3-12-94.

• 63.

64. Replaced bolting on 01-CH-E-4, Class 2. The applicable work order number is 00262027-0l. The replacement was completed on 3-4-94. Replaced bolting on valve Ol-CH-MOV-1270A on line No. 6"-CH-19-152, Class 2. The applicable work order number is 00260-266-0l. The replacement was completed on 2-15-94.

65. Replaced valve Ol-CH-256 on line No. 3 11 -CH-20-1502, Class 2.

The applicable work order number is 00263363-0l. The re-placement was completed on 2-15-94.

66. Replaced valve Ol-SI-141 on line No. 2"-SI-67-602, Class 2.

The applicable work order number is 00274969-0l. The re-placement was completed on 2-10-94.

67. Replaced bolting on valve Ol-RH-MOV-1720A on line No. 10"-

RH-16-1502, Class 1. The applicable work order number is 00281617-01. The replacement was completed on 2-26-94.

68. Replaced valve Ol-CS-MOV-102A on line No. 6 11 -CS-98-153, Class 2. The applicable work order number is 00263050-05.

The replacement was completed on 3-5-94 *

• Page 6 of 7

Attachment II Page 7 of 93 Serial No.: 94-194 Docket No.: 50-280

69. Replaced valve Ol-CS-MOV-102B on line No. 6"-CS-99-153, Class 2. The applicable work order number is 00263050-09.

The replacement was completed on 3-5-94.

70. Replaced manway cover bolt on Ol-RC-E-2, Class 1. The applicable work order number is 00274598-0l. The replace-ment was completed on 2-28-94.

71. Replaced seal housing bolting on 01-RC-P-lC, Class 1. The applicable work order number is 00265628-02. The replace-ment was completed on 2-28-94 .

• Page 7 of 7

Attachment II Page 8 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Sectil:>n XI

1. Owner Virginia Electric & Power Co. Date _ _ 9.___-_,e.~_-_9=-*=Z.=-*- - - - - - -

Nama

        . 5000 Dominion Blvd. , Glen Allen, Va. 23060 Sheet _ __.'--_ of _ __.__ _ _ _ _ _ _ __

Addrea

2. Plant Surry Power Sta ti on Unit _ ___:O=-:N-==:Ee......._ _ _ _ _ _ _ _ _ _ _ __

Name P.O. Box 315, Surry, Va. 23883 3SOO(Z.4S(4 Addrea Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N~/_A _ _ _ _ _ __

Name Authorization No. -----..JNUL,,_l.,,,A~----- P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _..,._,'-"'------- Addrea

4. Identification of System __c,..~'-'/./-"'i==fv_.1..../=tA'-'-L=--'A~N....,7)~.x..ll..:O=L""U"'-14-'--=E'---(=-O-*-'A.J'-Ti_,R..::.;:_D..:;L_ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code B3 l , 1 19__.f;i]_Edition, _ _.N.,../i:...A...__ _ _ Addenda, N-1, N-1 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80

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

    *1~/14     SG,          t'opes.,. Vulc-t,..,                       N/4-                           I(/~                   0/-{!./ FtV-llld>                N4-       Reo/4(!,eP AJl>

r/l/r,,., S6T C!.qes-Vvlcflt-J NA A.IA Df-e/1-R!V-/lf,,O {~!'~ 9 fl&p/4eEM~lv + >../0

7. Description of Work H~DiJl'R Vn/111= ( 0J-'IL /~,M.v,.P"'S')

I '

8. Tests Conducted: Hydrostatic D Pneumatic D 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 I size is 8% in. x 11 in., (21 i_nforma-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)

9. Remarks _f,_o._~(!~5c.....+V-~Z~t....t~f-5~Z~--I__Z~e=-~tf/d~f-/.F_r Appllceble Manufacturer'* Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this,R&;>-'"*'d'&..!,.v,.-conforms to the rules of the ASME Code, Section XI. *

• repair or replacement Type Code Symbol Stamp ___N-"-""A;.__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

                                          ---'""""~-----------Expiration Date _ ___,N,,./                 ......A.____________

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co. of Hq,p T Fe..- d , Cf-, have inspected the components described in th is Owner's Report during the period / i-~':\.- g ~ to IO' 14 * "f 'L , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.~ f. ~ Commissions Va* 543 Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _ _*_._1_-_/_l__19 q~

Attachment II Page 9 of 93 Serial No.: 94-194 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 Nam* Date _4.ilfa..:...~-"-(,.L...!i£:...9~.]_ _ _ _ __ 5000 Dominion Blvd., Glen-Allen, VA 23060 Sheet _ _/,___ of_....L_ _ _ _ _ _ _ _ __ Addre11

2. Plant Surry Power Station Unit__.b..-----------------

Nam* P.O. Box 315, Surry, VA 23883 Addreu Aep111lr Organization P.O. No., Job No., ate,

3. Work Performed by Virginia Power Type Code Symbol Stamp __N-'/'-A _ _ _ _ _ _ _ __

Nam* Authorization No. NIA P.O. Box 315, Surry, VA 23883 Expiration Date __..,N~/_.A;o.....____________ Addresa

4. Identification of System (;./....04 0L4&&m& /1,l;.4l[J6~ G.,J,~.,.,f-::;.r?,;4 5, (al Applicable Construction Code B31.l 19~Edition,_N_/_A_ _ _ _ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 1980 W80

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)

7. Description of Work_~4=c:;)'-'&-4"""'...,(=-~.("--_.(1'"'--'-tJ""'µ=,G/::;...::c!:=-'Z.,,.r

8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure ~

Other D Pressure JtJn) psi Test Temp, AIOY'. °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) eech 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)

9. Rem~rks _p~(2~~-~u/~;_*-~J~J=-=-?"_,_/,.,_'J=L.,__,__6:..,.1J"----------------

Appllcabla Manufacturer's Date Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this.k'c'k/.lc~.-<;.,(.,£1 ,./ conforms to the rules of the ASME Code, Section XI. repair or replacement N/A Type Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - __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 tha State or Province of Virginia and employed by HSBI & I Co. of Hartford, CT have inspected the components described in th is Owner's Report during the period /j.

• 11- 8 9 to / 0 ~ I LI - 'J j , and state that to the bast 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 r S : " * : - : ~- ill~

  -°'ir_._._..,,~1.:~=-=;:__---"---""rL--,--:~c7"""=-:'---------Commissions ___V_A Inspector'* Signature

__S_4_3_______________ National Board, State, Province, and Endorsements Date _ _ _---'--'/ /_-_tj_19 C/3

Attachment II Page 10 of 93 serial No.: 94-194 Docket No.: 50-280 -* FORM*NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requ1r1d by the Provisions ot the ASME Code Section XI

1. Owner '/ i rginia Electric and Power Co -

                                              \ilam*

Date _ _ ~s-4/w~S~/w'i._,f~--------- 5000 Dominion Blvd., Glen Allen, VA 23060

         ------------,-A-a-,a,-.-..-------'------

2. Plant Surry Power Station Unit---'------------------

Nam* P.0- Box 315, Surry, VA 23883 /Iv ,o. # oo 7- rd, fJ'DC:,-o/ ~*12.:-:tt f'3 -1 '5 C::. AddrllU Repair Or;aniratlon P.O. No., JoD No., ata.

3. Work Performed bv Virginia Power Tvp1 Coda Svmbol Stamp __N;,;,.:.../,;;,;A;,__ _ _ _ _ __

Name Authormmon No. HIA P-0. Box 315, Surry, VA 23883 Expir111on D1te ___..H,..l""A""------------- Addre11

4. ldentific111on of Svn1m 721::A-c..7Z?rz. CoOL(Ar;A([

5. (11 Appllcao11Con11ruct1onCod1 B31.l :9§2.._Edition, __ N,;_/_A_ _ _ _ Addlnd1,N-l, ll-1 (bl Applicao11 Edition of Section XI Utilizea tor Aepaira or Aeo11e1mant1 198 Q

6. lden11flc11uon of Comoon1nu Aep11rea or Aeolaclld 1na Aeolec:ement Components

• I N1m1 of Compon1nt NMM ol M1nufactur1r I I

Manufactur., S1ri1I No. I I N1tion11 Board No. Otlltr ld1ntific11ion Y11r Built A1P1irad, AIPlaced, or Aaplaclfflltlt or Not ASME COde s........ IY11 1"~1/o// Al S 5E'n-t B c.. V /VA , fVA -1 .VA l-!N-PtY-/l/<<4 /\/A T<t=Pl4c.~J:> /\.I 0

     '77c/WI                      eope;-

11 ~5-vi,, 6 l 1/ Vvlt1A.u I NA I J t I l.991 I 7c~t!Bl1,a.;r l I I I

7. 01scric,1ion of Work _ _::g_.__~1--/,._4._c..1a

                                                    ............              ....._.s_e_M.....,$.._,'-,.,.Y------------------------

E---a'-"1.......aA-.5

8. Tesu Conductld: Hydrostatic Pneumatic O Nominal OP1rat1ng Pre11ur1 0 Othar O Pressure----- psi Ten T1mo. *F NOTE: Sui;,pl1m1nt1l shnn 1n form of li1t1, 1k11tchn. or drawings mav bl una, providld (1 J siza is 8% in.* 11 In., 121 lnfonna.

tion in i11m1 1 throuvn 6 on this report is includ1d on 11cll 1hNt, and lJI Heh 1hNt ii nu~blred and th1 number of lhNII ii recorded at th* toP of 11111 form .

• 112/B21 This Form IEOOOJOI m1v bl obt11n1a from,,,, Order Dept., ASME, 345 E. 47th St., N1w York, N.Y. 10017 REPRINT 12/91

FORM NIS-2 (Backl

?. Remarks __S;:a....k.J~T_3_s.;c_:o;..s-~~...::b:::._-LI..JG~nul?'>:..!.!IM:::L...=A...,,<;.:2S~e'!M=..1,8~L,,4¥,.i.,)1--_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Aopllcallle Manutacturer'1 Data Reporu to r:,e anachad

                                                                              ~ERTi FiCA TE OF COMPLIANCE We cen1tv that the statements maae ,n tne reoon are correct and* this &:'ro11:"dd:'!..,tSc,l'conform1 to th* rul" of the ASME Cod*. Section XI.                                                                                                            '9'>alr or rei,iacement

(? Tyo* Code Symbol Stamp _ _ _N_/_A_ _ _ _ _ _ _....;..._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Cenific1t* of Authorization No. __N_/_A_____________ Exoir*tion Oat* ____N_I_A___________ Signed(}~ ,L~

                 . Own;~*1l9nH, Title
                                             ~        fl"£ CERTIFICATE OF INSEAVICE INSPECTION oat11_.,.&;...L,AL..,:.:;y~C..___ _ _ _ _ ,

I, th* undera1gnea, holding I valid comm1111on ,aulld by the National Board of Boilar and Pr1t1111rw V*nal lnsoec:to" and the Stet* 1s e:-t or Province of Virginia end llfflOIOVlld by HSBI ' I Co. of

    ..cH;..;aca.r~t~f'-o_r_d_.,_C_T________________....,..,..._..,._.,...,....- - - h - 1nJiMJC1ed the comoonanu delCfibld in thi1 Owner*, Repon during tl'.le oerlOd                                                                       /d ~t'-(-CfJ,   10     (l>-t':f, 'fJ,,,              '   and . . . . . .

to th~ belt ~f my knowled91 and belief, th* Owner h* Darformect axam1nat1on1 and takan ~rectlW measurH daacribld In tflll Owner*,. R9$>ort in accordance Wllh tha. l'WQU1rametl11 of th* ASME Coda, Section XI. By 1i9ni119 thi1 cenificate n**thar th* lnsoactOr nor his amployer mak* any warrantv, *XCIRllld or impliad, callCllffliftt die exam1nat1on1 and correc:tiw meaaur* descnt,ed in thi1 Owner'1 R*pc,r1. Funhermor11, n11ithar m* lnSC>Ktor nor hi1 llftllllOI.* shell be liabl* in any manner tor any o*'10nal in1urv or prop11ny damege or I Ion of any kind arising from or connllC111d wltfl tfll1 in1DK1i~ f n (\

                         -      ---~-----.,,.,...-~------------Commiuion1_----;.;;:V;A::;~5;:4;:3;;--;;;:;:--;;;:;;:;;;-;;;;;;.;;;;;;;;;;;;;;;;;--
                                  ~

1nsoector"1 Signature Natlonat Boanl, Stale, ~rovlnc11, anct Endo,..-. Dat11 _ _ _ _ _ S_-_/__t)___. _19 '?f

Attachment I I Page 11 of 93 Serial No.: 94-194 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 ~b Is I l~~4

                                                         '.am*

5000 Dominion Blvd., Glen Allen, VA 23060 Sheet I of ( Addrua

2. Plant Surry Power Station Name Unit Once P.O. Box 315, Surry, VA 23883 ld,O. # oo Z7 BS'2S- (j4"w.011 Addrftl Repel, Or11an1utlon P.O. No., Job No., etc.

3. Work Performed bv Virginia Power Type Code Symbol Stamp __N...;/...;A_;__ _ _ _ _ __

Name Authorization No. -----NJ.1.L/..c.l\1._______ P.O. Box 315, Surry, VA 23883 Expiration Date ..........,N...,/_.A:,..__ _ _ _ _ _ _ _ _ __ AddrlH

4. Identification of System --1-t. ...,.P_(._.,..:.",,_f.;:;;C._ ___,,,5""'-'.pr-'-f)-"C\.-';)-+--------------------------

5. (al Applicable Conurucuon Code B31. l 19§2.__Edition,_N.....;_/_A_ _ _ _ Addenda, H-1, ll-7 Coda Cua (bl Applicable Edition of Section XI Utilized tor Repairs or Reotacemenu 19::c8___:..'1_ _

6. Identification of Componenu Repaired or Replaced and Replacement Components

• Nam* of Component Nam1of Manufacturer M1nufac:1urar Serial No.

N1tion11 Board No. Other ld1ntific1tion YHr Built Repaired, Replac:9d, ASME Coda Stamped IYaa or Replacament or Nol

  §' /g ':..1 / fj(Ul. <J')                                                                                                                                                             /VO J-lu HtXT                         N   /A-                                   tV/fr                tv/A-        /-/l.S--f)- 2A                   rl/4          ~p/ocecl l)>tl!r /1 /tClt/N5

• I-fr 11 J JS1o 7Y I

  -%-//           Hel\vy          'l,Pof>UCTS                                                                          ftS-f-21}                 I /J/ft             ]-ep)t1£eYH~t Ah)

H.e,1 AIL.t --r o i?-dnfl ft-fl o, I i.STJl..-Jto-2o 1713a /II IA- I s4-11 Jex t}-w.cl ~e.p/o.ce,,-I f'.A-P ,e_,. oe,.1 ;J//f iJ/A N/A /- [<.S- p-zlt I /11/lrf ~f) bfc, 11-il\i&)( rvoJfJ M/tC/-J//116 !fr# .576S/JSb fkA /111,) 5cl'ew rppoi:>1)0[5

                                       '11 r112. ~ll-rtot<I                   .5w-11, o/, I '2.LL..=       IV/A           I,... f?.s-p- 2ft                ,,J/IJ Cleple1cem-e11{       ;Jo

8. Tosti Conductnd: Hydroat;tic Pneumatic O Nominal Ooararing Preuur11 0

                                  *Other     O     Pressure----- psi                                   Test Temp,                    *F NOTE: Supplemental 1heet1 in form of li1u, 1k11tch111. or drawings may be uaed, provided 111 size ia 8% in. x 11 In., 121 lnforma*

tion in item* 1 through 6 on this reoort i1 included on each 1hee1, and 131 each sheet i1 nu~bered and the number of 1hNt1 ia recorded at the top of thil form .

• I 12/821 Thi1 Form IE000301 mav be obtained from the Order Dept., ASME, 345 E. 47th St .. New York, N.Y. 10017 REPRINT 12/91

FORM NIS-2 (Backl

9. Remarks _-,....,P~IJ_#-__._e"-"N'-L..C-....L..9:~fr'.~s?£.l,/:._,if"--4-~~.J_;;_:...!,_µ..:;;.f....,,,r<....::f:....___ _ __

                            \.      --H"                    Appllcabla Ma"J,fajurar's Data Raport1 to ba anached raff               (uC ft/Orto U,- : t...dj>set11:~h CERTIFICATE OF COMPLIANCE We cenify that the statements maae in the report are correct 11na this ~~..i:'A~<f4r&;itorms to the rules of tha ASME Code, Section XI.                                                                                                     rapalr or raplacamant Type Code Symbol Stamp _ _ _N_/_A                  _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Canificat11 of Authorization No. __N_/_A____________ Exciration Date ____N_/_A ____________ Signed ~L~~.t:,<

             ~~ero*eP.                              ISX:

OatlQnH, Tltla Oate _ _..../6~~..._,_.__/._,S.__::::_ _ _, 19 2!;1 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid comm,ss,on iuued by the National Board of Boilar 11nd Pressure Vessel lnsoectors and the State or Province of Virginia end employed by HSBI & I Co* of _H_a_r_t_f_o_r_d___* _C_T ________________"""7~---:--:...-~---h11Yt1 insp~ed the components described in thi1 Ownar'1 Repon during the period _ _ _ _ _ _ _....,..__ _.__........ to / D - {Lj -:1'!, . , and ltete that 10 the ban of my knowledga and belief, the Owner has performad examination, and teken corrective measures described In thl1 Owner's Repon in accordance with the ntQuiraments of tha ASME Code, Section XI. By 1igning thi1 cenificate naither the Inspector nor hi1 employar makn any warranty, expmlld or implied, conc:eming the examination, and corractive measur111 described in thi1 Owner'* Report. Furtharmore, naither tha Inspector nor hit emplover shall ba liable in any manner for any personal injury or propany damage or a 1011 of any kind 1ri1i1111 from or connected with thil i_n_ap_ect_Q~io,...n,1-.,4~1--'rl-U--,- ____ _.f""-_._ _ . .~--...;.._ lni;,.ctor1 Slgnatura

                                                           ~ . . . . : a -_ _ commi11ion1 _ _ _                             v_A__s_4_3_____________

National Board, St1ta, Provinca, and Endor1MT1ant1 Date

                                                                        ,,.g....... cc::5.c.2:,~""'-, .,I( X\!** .l*"'.'-~ ... u ...,, iPQ.1,.tCL. ~~- ** *- .-:

Attachment II Page 12 of 93 serial No.: 94-194 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. Oate _N.,__,e;;;..cb:.......:/_5__,,1--1~fq~qf.,__ ____

                                                     'lam*

5000 Dominion Blvd., Glen Allen, VA 23060 Sheet _ _..,./__ ot _ __,.....;/_ _ _ _ _ _ _ _ ___

      -----------,.A....,.dd_,.r-a-11----------

2. Plant Surry Power Station Name P.O. Box 315, Surry, VA 23883 Addrftl J. Work Performed bv Virginia Power Type Code Symbol Stamp __N_/_A _ _ _ _ _ _ __

Name Authorization No. _ _ _ _ _,. H, _I....A..._______ P.O. Box 315, Surry, VA 23883 Expiration 011111 _...H..,.l""'A=>------------- Addre11

4. Identification of System _ _:f-......_e __c.,=-'*~i"'."""C'...."---=O~ft9:_._-:J+---------------------------

5. (a) Applic11bleConstruct1onCode B31.l ;9§2._Edition,_N_/_,A,,___ _ _ Addend1,H-l, ll-1 Codi Case (b) Applicable Edition of Section XI Utilized tor Rep111rs or Reolecements 19_8_'}_ _

6. Identification of Components Rep11r1d or Replaced 11na Replacement Components

• N1m1 of Component N1m1 of Manufacturer M1nufectur1r Serial No.

National Board No. Other Identification Y11r Built Repaired, Replar:9d, or Rep Iac1mant ASME Code Stempea IY11 or Nol Stt -II /1e,;x /lead f'no ..,:;aew rJ/1-r JVfe A) /Ir /-/!.S - f-2]!, JV/4 tep/oa~  ;.Jo sJs "-11 f-/e,x: Heac/ //)o 11/t !1tklJ/NG- *lfr# ~7'/,.SISJD t_f2.of>u e,D ,o(k I No (!a,.p ~e,v /1.

• Po.tZ. 17*1"ID,.J ',/k:tt o6/86¥Jl /-/l-s- f- zf) I ;JJ/} ?e,p /6.ceMe,rl 5/rc"-I/ f/ecw') ;V fa Hex rJu1  ;)/ft ;JfA I -rz.~-p- z~ f)/11 (iZep/ae,eJ rJo

5/r-JJ f/ev1vy /JOiJ/j_ M~1,ve t/TIJ /IS- fo7f

                                      'P~'i>Ll TS
     ~        H_~ NU7 fl,,,RPOl!.trr1orJ STklr ozo l?93o                                JJ/IJ-      /- {<$-p- 2-f>                    ;J/1} 2e j)lo.oewient        ~o

8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _ _ _ _ _ psi Test Temp. "F NOTE: Supplemental sheets in form of lists, 1ketch111, or drawings mey be used, provided (1) size is 8% in. x 11 In., 121 lnforma*

tion in items 1 through 6 on this reoon is included on each sheet, and (JI each sheet is nu.:nbered and the number of 1hHt1 is recorded at the top of this form .

• (12/821 Thia Form IE00030l mey be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

FORM NIS-2 (Backl

9. RemarlCI _P~(}:.._#_~C-1..</=l:.._-_..:o/':++~.s.!0~6',--J.l:.L.O~G.L,,t-)--=-;-1.C-Ad.~t~su..:c-M-W-+f---------

                        'l'F                        Appllcabla M?'f81turar'1 Data Aeport1 to be enliched ffl         ev,r ¥?/P:624 (Z l                      7
                                                                                ; <<110 CERTIFICATE OF COMPLIANCE We certify that the statements maoe in the report are correct ana this ~ ~ n f o r m s to the rules of thll ASME Code, Section XI.                                                                           repair or replacamant Type Code Symbol Stamp _ _ _N_/_A           _________________________________

H/A

                                        ---------------Expiration Cate----------------

CERTIFICATE OF INSERVICE INSPECTION I, tha undersigned, holding

• valid eommimon iuued by the National Board of Boiler and Pressure 1/euel lnsPectors and the Stet*

or Province of Virginia al'ld employed by HSBI & I Co* of Hartford* CT have inSPec,ea the components described in this Owner's Report during the period / 0 -/t..l .. '.f '.3 10 / D'It..( - Llo , and 1tete that to the best of my knowledge 1nd belief, the Owner has performed examination, and taken corrective maasur111 described in this Owner's Report in accordance with the n,quirernanta of the ASME Coda, Section XI. By signing this certificate neither the inspaetor nor his employer makes any warrantv, expl'ISlld or implied, eonc:11ming the examinations and corrective measures described in this Owner's Report *. Furthermore, neither the Inspector nor his employer Jo~oa,o~ f 004 shell be liable in any manner for any personal injury or property damage or a 1011 of any kind ari1i1111 from or connaeted with this Commiuion1 ___V_A__s_4_J_______________ I napec:tor-1 Signature National Soard, Stata, Province, and Endonamant1 Date Q.- 15 19 'ff

Attachment II Page 13 of 93 Serial No.: 94-194 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 _0::.-.:ae;;.,.:b'--'-/...._5"__,,.......J/L-.Jq....:....q4-_,_*- - - -

5

                                                '<1me
                                                                                                 ~

5000 Dominion Blvd., Glen Allen,* VA 23060 Sheet _ _,../__ ot":""-_ _ _ _ _ _ _.,.-_ __ Addre11

2. Plant Surry Power Station N1me Unit One.:

P.O. Box 315, Surry, VA 23883 w.o. -:/t oozbzBoi - o/ U411-eiY'.) Addreu A9"*1r Or9an1utlon P.O. No., Job No., ato. ~

3. Work Performed by Virginia Power Tvpe Code Svmbol Stamp __N_/_A _ _ _ _ _ _ __

Name Authorization No. _ _ _ ___.N..,{....A..._______ P.O. Box 315, Surry, VA 23883 Expir111on D1te .........,H""/""A....__ _ _ _ _ _ _ _ _ __ Addr111

4. 1den,ific1,,on of svuem _ _..,c.3_A ....F_G_--r-'-+Y_ __._J_tJ"""'J=&;...;t!:=T........_t=orJ I

5. (11 Applic11bl1ConstrucuonCod1 B31.l :9~Edition,_N_/_A _ _ _ _ Addend1,N-l, ll-1 Code Cua (bl Applic1bl1 Edition of S~ction XI Utilized tor Rep,;,. or Reol1e1ment1 19_8~']_ _

6. ldent1flcation of Compon1nu R.eP1ir1d or Replaced and Rapl1cament Components

• N1m1 of Compon1nt Nam1ol Manufecturer Manufacturer Sarial No.

National Board No. Other ldantification Y11r Built Repaired, Replaced, or R1pl1eem1nt ASME Code Stamoed IYn or Nol Cover Si'-1/) &t....T rv(r+- ~iA- ,N)A- /-8:1. t/AL-V& ~ll'r 'R,ep/({c.ed ;VO fi., Jer 5,v1D /!PLT CAAAJE ._ ~LO'jfo 1-f-ri i9o9 i tJ/1+ /-,SI-.5/,- tlJl-v'G I Iv'//} °?..-ep/O(fh'Jen+.. tV'O Cover 5;r"1() NtKT f'I/A- r,J/A- ;v/,4- /- 6L -..!/,- )/AI-V6 Al/A- j2,ep/tA~{ /\)0 f<>Ver S1'-'ID rJ1,q {!J2.'ftrJt -Awyta /11# cl,7/1 tJ/!t /-61-!i-//,41-JA$  ;,/11f ~/t>;tf~t tvD

7. Description of Work_--1,'X...a.£"'i'f~/17i""c""'e..'--___;;;;&~n.1.:Q..1,:e.._f.::......_....,/3::;;;..;;/J.,_/...:.t~:.;..;,1j~----------------

8. Tests Conductad: Hvdro1t1tic F'neum11tic O Nominal Qparsting Pre11ure 0 Other O Pressure _ _ _ _ _ psi Test Temp, *F NOTE: Suppl1ment1I lhee11 in form of lim, sketches, or drawings mav be used, provided 111 siu is 8% in. x 11 In., (21 lnforma*

tion in items 1 through 6 on this ,econ is included on each sheet, and (31 each shift is nu;,,bered and the number of 1hNt1 it recorded It thl top of this form . (12/821 This Form IE000301 mev be obt1in1d from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

CERTIFICATE OF COMPLIANCE We cenitv that the statements mace in the report are correct 11na this ~ ~ & ~ f o r m s to the rules of the ASME Code, Section XI. repair or reo1acement Tvp1 Coda Symbol Stamp _ _ _N_/_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Cenificr,uthoriizt,oNo. __H_/_A____________ ExPiration Date ____N_/_A___________ Signedwt:._ d:::~ Owner or 0 ~ OHlllnN, Title

                                                         .,JJ;;£ bLi(p6{.b                                         ~c___, 19 Cate___.h~~~d.._......                       9~

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holdin;, valid comm1111on ,uued by the National BOll'd of Boiler end Pressure lleuel lns;pacton and the State or Province of Virginia *nd employed by BSBI: & I Co* of Hartford, CT have 1nsoec1%! the components described in this Owner's Rf!QOn durin; the period r 6 -rq~ 1 Sia (D , IY- r . and nata that to th* bell of my knowledge and belief, the Ownar h111 perlormed examinations end t11k1n corrective meesures described in this Ownar*s Repon in eccordanc9 w11h the 111Qu1rement1 of th1 ASME Code, Section XI. By si;nin; this cenificant neither the Inspector nor his employer mek* any warranty, exprf!llld or implied, conc:arm1111 the examination, and corrective mea1&.1rf!I dncnbed in thi* Owner'1 Repart. Funherrnore, neither the Inspector nor hi1 employer shall be li1bl1 in any manner for any penon11 injury or property damage or

• 1011 of any kind ari1in; from or connacted with this in1PC11on.~!. ~

___......~.._....;.........a-----..,,.,-~...a-=--=-=- .......----COmmi11ion1 ___v_A__s_4_3_______________ lnac,ector"s Signature Natlonel Soans. State, Province, and EndorMmantl Date _ _ _ _ _ _ _.,.d--_ Cl ..... r- e::;

                                .........(...a..._ _19----r-  L/

Attachment II Page 14 of 93 serial No.: 94-194 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.

                                         ",1m*

5000 Dominion Blvd., Glen Allen, VA 23060 AddrH1

2. Plant Surry Power Station N*m*

P.O. Box 315, Surry, VA 23883 lv/o 7as/z.  : roez8,5"'2.5- 2Q ( R, R# rt-D3~j Addr9U Rapelr Org*nlutlon P.O. No., Job No., etc. J, Work Performed by Virginia Power Type Codi Symbol Stamp __N_/_A _ _ _ _ _ _ __ Nam* Authorization No. NIA P.O. Box 315, Surry, VA 23883 Expiration Date ........,Hu:1..r.A..___ _ _ _ _ _ _ _ _ __ Addran

                                          ?. .                                    S""+,P-'t'-"'G\~j-+----------------------

4. Identification of System -::--_ _ _ l<_,,e.......,c..,*>_'1.,,r...,c""__."--_...

5. (11) Applicabl1Connruct1onCode 831.l 19~Edition,_N_/_A.,....._ _ _ Addenda,H-1, ll-7 Code Cue (bl Applicabl1 Edition of Section XI Utilized for Aep1m1 or Aeplacamanu 19_8~9_ _

6. ldantiflcation of Compon1nu Aep11r*d or Replaced and Replacement Componenu

• Name of Component Name of Manufacturer M1nufectur1r Serial No.

National Board No, Other Identification v.., Built Repaired, Replaced, ASME Code Stami,ed IYn or Replacement o_r Nol

                                 ,ii!/~                          JJ/(J                  ;tJ/;J         /-1<.S -f-Jlf                   !U/;9   x.e   /4~       11lo
                                                                                            ;J/1)      J-c-f$,-f-1A                    N/IJ                         !Vb
                                                                                            ,-J/fi                                                               /\JU tv/lt JV/ft.      /-p.s-f-JA                       /vlft                       /'UlJ

8. Tesu Conducted: Hydrostatic Pneumatic O Nominal Operating Pre11ur11 0 OtherQ Pressure _ _ _ _ _ psi Ten Temp, "F NOTE: Supplemental shatl'tt in form of lim, akiltchn, or dniwings may be uaad, provided 11 I size is 8% in. x 11 I~ .* 121 lnforma*

tion in item, 1 through 6 on this repon ia included on aac:h 1heet, and 131 each shNt is numbered and thll number of 1hN11 i1 recorded at the top of thi1 form . (12/821 Thi1 Form IE00030l may be obtain1d from the Order Dept., ASME, 345 E. 47th St,, New York, N.Y, 10017 REPRINT 12/91

FORM NIS-2 (Backl

9. Remer1c1 _ ~i~~~)~:Mt-=ur;,"-£L-------------

__._Pt_..~...__~____,._,C/.l~C___.'11c~J1....wc.f2:....i.

                            ~

CERTIFICATE OF COMPLIANCE /J., We ce"ify that the statements maoe in the repon are correct ena this ~ o n f o r m s to the rules of the ASME Code, Section XI. rei,elr or replecement Type Code Symbol Stamp _ _ _N_/_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Ce"ificete of Authorization No. __N_/_A____________ Expiration Data ____H_/_A___________ Signed C).,. (.. jJ ,L/' £sf Date _ _.....~--8'...--...b...1".

                                                                                                                                 ..._____ , 19 'b{
           ~ n h r ~ " "

• Title CERTIFICATE OF INSERVICE INSPECTION I, tha undersigned, holding a valid comm,ss,on issued by the National Board of Boiler and Pressure Vessel Inspectors and the Stat*

or Province of Virginia end amployed by HSBI & I Co* of Hartford* CT have insp~tl!d the componenu described in thi1 Owner*, Repo" during the period / b ~, t.(' er J,o ID 9" . end ltllta that to the best of my knowledge and belief, the Owner has performed examination, and teken correct11111 measures describac:I In this Owner's Repo" in eccorc:lance with the requiremenu of the ASME Code, Section XI. By 1i9ning this ce"ificate neither the Inspector nor hi1 employer makn any warranty, expmllld or implied, concaming the examinations and correctiwt mea1Urea described in this Owner*, Report. Funhermore, neither the Inspector nor hi1 employer shall be liable in any manner for any personal injury or prope"V damage or

• 1011 of any kind arising from or connectld with this Commiuions ___V_A__s_4_J _______________

National Boara, Stete, Province, and Endoruments Date _ _ _ __,i~,_,,/_,l=---_19  ? tj:

Attachment II Page 15 of 93 serial No.: 94*194 Docket No.: 50*280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ,sME Code Section XI

 ,. Owner        Virginia Electric and Power Co.                                                                                 Date     _...,_Fc=-=c~b=---:....:/{,'-1-J--~{9-'--9+~---
                                                 ',om*

5000 Dominion Blvd., Glen Allen, VA 23060 Sheet_--'-/~_ of __/_.__________

       ------------:A--,d~d'-r*-11------'-----

2. Plent Surry Power Station Unit 0 N*m*

P.O. Box 315, Surry, VA 23883 w/o T~: 0027f35"25- 22 (R, (<jt r+-085 j AddrHI Repair Organization P.O. No., .Job Na., ate. J. work Performed t,y Virginia Power Type Code Symbol Stamp __N..;/_A _ _ _ _ _ _ __ Name Authorization No. _ _ _ _ _N..,._I_A.________ P.O. Box 315, Surry, VA 23883 Expira11on Date __.,H.,.{....A..____________ AddrH1

4. Identification of System ---*~.......,.e=c=-'-:_._c-'~=---'S=-*F-i) /

                                                                                     ...V"C!--'7-l;j-il- - - - - - - - - - - - - - - - - - - - - - - -

5. (11) Applicabla Construction Code B31. l ~9~ ::dition,_N..;/_A.....,,.._ _ _ Addenda, H-1, ll-7 Cod* Cue (b) Applicabla Edition of Section XI Utilized for Repairs or A eolacemenu 198-"--C/.,___

6. Identification of Components Rep11red or Replaced and Replacement Componenu

• Nim* of Component Name of Manufacturer Menuf acturer Serial No.

National Board No. Other ldantification YHr Built Repaired, Replaced, or Replacement or Nol ASME Code Stampaa IYes b/g ;~II Hea v'j !f!J-H~ /VIA,, JJ/fr ,,

                                                                                                             !V/1/-                J-As-f-16                                      tJ/!}-                 J?-ep{ o. ce~                  ;Vo sft/'--il      ;Je.-.vy      /Vo v~~i)ue,7S
                                          *N tW-iJNc: i/-rlJ "/l.51a7'1 l1ex Nu,          floe. PbR /t11CYJ 5TK:=# o:Zo J1'i3t                                       ;t)/,1--                   I -f,S-f --/~                              rJj!}-             Ret lo.            (.,e,w)°l?}1 i /VO
  .!>&'1-11 ;-lex Hee,,;/                                                                                                                                                                                                               ;h C.o.p:s crevJ              ~/Ir                        ;v/A-                                  ;J/ft                         / -(<.r;-p-1 B                             ;i//19-             7..-ep/o, l-Pd 5/&-11 lfo< 1-/eu.c/    tJDWt     H /JCf-1/Jtle      t/1/1 51651330
                                    'ffl-O"{)l,1£.,73                                                    Nffe
           <!a.ose.vevJ         (Joli Onti,J'.J.1DN      '(;Tf..#    o6J.3IA-5D
                                                                                                                                         / -f.S-f-1B                               ;Vj/f            R-ep/o.ctmen{ /V'J

7. Description of Work _ _J2-+>-e-=""-"'("1)j..,/e..__-r;_.....c'_.b:;;.-t.;..'_r...

()..&,=->>ij+C ...-'----'/'---'---J..;_-n;.:.,""-Y-f..:;,.:a:;..:.:.II__JJ..:..0.:.:Ci..:..111:.i;f::_=--~£-li..:a.""4':..;J;;.i..,...e_ _ _ __ B. Tuu Conducted: Hydro1titic Pneumatic O Nominal Ooereting Pressure 0 Other O Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sh111n1 in form of lists, sketchet. or dniwings mav be used, provided 11) size ia 8% in. x 11 In., (21 lnforma-tion in itema 1 through 6 on this reoon is included on each aheet, and (JI eech shNt ia nu;r,bered and the number of 1hnt1 i1 recorded at thll top of thia form . (12/821 Thia Form IE00030) may be obtainad from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

FORM NIS-2 (Backl

9. Remarks _f'CJ-'=--~---=~:......7';...__:_'/..!...1,~rS;!:....!./.....!:o/:.._(j.i.....:2..::;.£,2.-:~"....L.llr-JU'4..L.,,rJ'~----------

CERTIFICATE OF COMPLIANCE Wa certify that the statements maae in the report an, correct ana thi1Afr!r._,.,g.ghl,conforms to tha rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _N_/_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ H/A H/A Certificate of Authorization No. - - - - - - - - - - - - - - - E x P i r a t i o n D a t e - - - - - - - - - - - - - - - -

           / , d:?~                                                     ,--,.         C Sign~~

Owneror6.... D11lgnff, Title

                                                 ¥                  ..Lf'.:T' .e:..:.-v4,,ptf?6L.:

L Cata _ _./ul"""""~'-/.._p_____, 19 '£ If CERTIFICATE OF INSERVICE INSPECTION I, tha undersigned, holding* valid comm1111on iuued by the National Board of Boiler and Pre11ur11 Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co* of Hartford* CT have inspected thll component1 described in thi1 Owner*, Report during the period / cg ... ('4*7'0 //J,f~ ... q4, , and 1tata that to th* belt of my knowledge end belief, tha Owner hes performed exanunations and taken correctiw measures describad in thi1 Owner's Report in IICCordanc. with the requir11ment1 of the ASME Code, Section XI. By 1igning thi1 certificate neither the Inspector nor his employer mak11 any warranty, expmlld or implied, conc:aming the exami1111tions and correctiw measures described in this Owner*, Report. Furthermore, neither the Inspector nor hi1 employer shall be liable in any manner for any personal injury or property damage or

• 1011 of any kind arising from or connected with 1h11

   ;*-~~{~                                                                                    Commiuions ___V_A_ _S_4_3       _______________
                               ~ l g nature                                                                    National Boara, State, Province, and Endonamantl Data
         * *',*~****~~,'S,;;"! ... '(_, __ ,.,,;:;:,...,.---"-..t,i"'t,.t.~c:*,

Attachment II Page 16 of 93 Serial No.: 94*194 Docket No.: 50*280

• FORM N1S*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 Ho..rc-fv /7, /qqf

                                                                '<1me 5000 Dominion Blvd.,                                        Glen Allen, VA                            23060                                                  ~

AddrH1 Sheet / of

2. Plant __ s_u_r_ry~_P_o_w~e_r_s_t_a_t_i_o;...n_ _ _ _ _ _ _ __ Unit .......;:Q:;...N_..:..;;/2:;...__ _ _ _ _ _ _ _ _ _ __

Name P.O. Box 315, Surry, VA 23883 W,iJ,# Oo283tf3 1?.. :R~# 94~/oB AddrHI Repair Organ1utlan P.O. Na., Jab Na*.,.etc,

3. work Perfonned bv Virginia Power Type Code Symbol Stamp __N...;./_A_.;.__ _ _ _ __

Name Authorization No. NIA P.O. Box 315, Surry, VA 23883 Expiration Data ~U~(..:A....__ _ _ _ _ _ _ _ __ AddrH1

4. Identification of Synem,i<:/t.=.:.,.,,..(""'l-:;..)?"""'-::...cf<:t.A..u...l,J:....:.._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code B3 l. l 19 §.2..._ Edition,_N_/_A _ _ _ _ Addende, R-1, ll-1 Code Cue (bl Applic1bl1 Edition of Section XI Utilized *for Repairs or Aeplec11menu 19.::8c..J9~-

6. ldantification of Compon11nu Rep11red or Aepl1clld ana Replacement Co.mponanu l

• Nim* of Component Nemeaf Manufacturer Menufecturer_

Serial No. National Board No. Other Identification Y11r Built Repaired, Replaced, or Replacement or Nol ASME Code Stamped IYH S/g 11-//~/1Vf fl5X WT rJ /A- rJ/A .Al/,tJ- 61-~-TV-fuM- Nlfr '.{2-:f:f }u.c.e</ /Vo 5/g -11 JIG/It' y fl~ Nol/A t1//Clfl/J: IIT:/1 y;s=,.071 NUT I 77B oi;>t,1c1s 6~P tv//t o J- TX1-Tlf-fuflft ;J/11- ~-epl tlCe/fl&i-1:... Alo

  ¥i -1;   l/et4v'/ f/e;x
                !1)1,v'"t'                  ,J/fr                                           ,J/A                  rJ/1t   o/-'t>0 -Ttl-MII                         /\I/fr   'i?.~p/t\c..eJ         !Vo V,,-ts  ;./eMy f/e X       NO r//J N ftGf/1,/B 111# "PBM zz.

r.lv.-r ?Pol>l-\Cl'S lo ~p IV/fr o/-'l>q- Tl/- foSft N/lr 'i<*ep JLA(_~M-Dt,t ND

7. Description of Work ~{ac:e, $bL 7//1/c.7 o~ El Cl,.y\J' $ ,' pock,1,,.J 6 G7/.,M C> .S. l'TI\J j)

8. Tesu Conducted: Hydrostatic Pneumatic O Nominal Qp11rining Preuure 0 Other O Pressure _ _ _ _ _ psi Test Temp, *F NOTE: Supplemantal 1hee,u in form of lists, 1ketchet, or dniwings mnv be used, provided (1 J size is 8% in. x 11 In., (21 lnforma-tion in items 1 through 6 on this reoon is included on each sheet. and (31 eech shNt is nu~berlld and the number of 1hHt1 i1 recorded at the tOQ of this form .

(12/821 This Form IE000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

9. Rem11r1cs -~-() __ P-_~~'-'----,,-....,,-..........._.,__._..e..;..-=c...-.-+---------=-------~--~--.. . . . __.--...,,

J>o4 CERTIFICATE OF COMPLIANCE We cenify that the statements mace in the repor1 are correct 11na this - ~ o n f o r m s to the rules of the ASME Coda, Section XI. repair or replacament Type Coda Symbol Stamp _ _ _N_/_A _______~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

~:a*a:;tA__ Ownar or O w n e ~ l t l e N .-/---A-~-J.--

__/_A -~--({,-/_,{/._;;i:~~:n_0_11/% te_.........~ -

                                                                                                            ....              ...Ar............../_.>....__, 19
                                                                                                                           ../N                                 9-,(

CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid comm,ss,on issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Pr011ince of Virginia and employed by HSB:I & I Co* of Hartford* CT in this Owner*, Report during the period lb-/~' q- to have inspected the compon11n11 described l f>- fL\ -Cf .6 to the best of my knowledge and belief, the Ownar has performed examination, e~d. taken correcti1111 measu_res described In thl1

                                                                                                                                                          , and 1t'ata tlm
   *Owner's Aepon*in accordance with the requirements of the ASME Code, Section XI.

By 1i9ning thi1 cenificaht nei~her the lns,Pector nor his employer maka any warranty, exprauad or implied, concaming the examinations *and correc:ti1111 me111ur111 described in thi1 Own11r'1 Report. Funhermore, neither the Inspector nor hit employer shell be liable in any manner for any personal injury or propeny damage or a loss of any kind ari1ing from or connected with thl1 inrpei:tior\.

     ----~.J-J<."J=,,.,~.=...;;;...._-""'j'-"----'~;;....;.....;;;._

____ commiuion1 _ _V_A__S_4_3_ _ _ _ _ _ _ _ _ _ __ I napactor'1 Signature Nattonal Boara, State, Province, encl Endonamen11 Date 3-1 <g. 19-1#--

Attachment II Page 17 of 93 Serial No.: 94*194 Docket No.: 50*280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Proyi1ion1 of the ASME Code Section XI

1. Owner Virginia Electric and Power Co.

                                                         'lame

_S_O_O_O_D_o_m_i_n_i_o_n__ B_l_v...,.d_*....:*_G_l_e_n__ A_l_l_e_n....:,_V_A_ _2_3060 She1t _ _ _ z__ cf_,1,,.goiiiL._ _ _ _ _ _ _ _ __ AddreM

2. Plant Surry Power Station Unit __ 0;...N__.;S=:--------------

Name P.O. Box 315, Surry, VA 23883 Lu .o. # oo2SBt4S-D'2. V<..,f?,#g4-(D

J/i.._..'fi.A_""""'J,.J;..,,.._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (11 Applicabl1Conmuc11onCoda B31.l ;9§2._Edi1ion,_N...,;/_A _ _ _ _ Addenda,N-l, U-7 (bl Applic1bla Edition of Secuon XI Utilized tor Repair, or Reolacam,nn 19.::;8_.C:,_ _

6. lden11flc11tion of Compon1n11 Repaired or Reolacld ana Reolacament Component1

• N1maof Componant Nameof Manufacturer Manufacturer S1ri1I No.

National Board No. Other Identification Y11r Built Rap1ired, Replaced, AIME Code StamPed IYn or R IPIIC9ffllfl1 or Not 'M6'~,.,. /-eQ~y lk,x ,Jb Nt.A7 JJ,!R tJ/,4 AfA o/-})&i-711-/flr3,4 ~/}J- JZep/CICec/ 71/-11 HCAvy f.Je,x It t c., l:IV"1/AJ~'t,.. r,,~'ii d;z./, 1/h ,.Jv,7 J1, :t.Nl. tJ /ft "r'PlrTv-/oM .N'/tt ~Ja.ce~ ,J6 0/-f 4 7"(1/lCJ1/)(;,:/) ,<DJ) l"'/A ~/ft- rJ;1r cJl- lX1 -Tv-to'r31r .,Jl!r R-ed'(IICeol ~b ~'!..ii rlfAEri1*!> I\Jo tlli Jl/1t/JIIV6 /Vffe '\<oi, I~l>IA',c, CoPI', !fr# t;a {;s92:, ~ Iv1-1>r:,---rv-)fott f ~'f(i' o..cel"lext ,,Jo 3/;.g.

8. Tun Conducted: Hydrostatic. ?n1umatic O Nominal Oc,aratlng Pre11ure 0 Othar O Pressure _ _ _ _ _ psi Tut Tamp, *F NOTE: Suppj1m1ntal 1hnu in form of lim. 1k11tch111. or dl'llwings mav bl und, providad C1 I 1iZ1 is B% in. x 11 In., 121 lnfomw*

tion in items I throu9'1 6 on this reoon is included on 11ctl 1hNt, and 131 aacn lt'llft ii nu.:nber9d and Iha number of 1hNti la recorded at th* top of thl1 form . (12/82) Thia Form IE00030l may be obtainact from tlll Ordar Dec,t., ASME, 345 E. 47th St., New York, N.Y., 10017 REPRINT 12/91 FORM NIS-2 (Backl

3. Remar1<1 ----~ii,=..:~=------------------------------------------

AoPllcabla Manufacturar*1 Data Aeport1 to be anached ,\ CERTIFICATE OF COMPLIANCE We cemtv that the statemenu mace ,n the ~DDl'l are correct ana this Af)~z:: ;onfom,1 to the rutea of thl ASME Coda, Section XI. repair or replacament N/A Type Code Svmbot S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - N/A H/A Can1fic1t1 of Authorization No. - - - - - - - - - - - - - - - - E x p i r a t i o n D11t1 - - - - - - - - - - - - - - - - Signed~ ~+/-1,~O,J~ T l t.1. 1_7s;z:- or CERTIFICATE OF INSERVICE INSPECTION I, th* unde'.1i;nld, holdin; a 111hd comm,u1on 1uuld by the National Boera of Boiler and Pressure 1/11*1 lnsoectors and the State or Province of Virginia end 1mp1ovld by HSBI ' I Co. of ..cEl;..a__.r...t_f...o_r_d_,___C_T_____________________..,,...,..___ have insoectep the compon1n11 dltCflbad in thi1 Owner*, Repon durinCJ the period /O .. (LI ~f 1 to (b- ( Y -1.k ,. and HIia that to thl 1>111 of my know1.oge and belief, the Owner na p1rlorm1d 1xam1nat1on1 and t1k1n correcuw m1nur11 described In tht1 Owner*, Repon in accoraance wnh the l'IQU1remen11 of the ASME Codi, SectiOn XI. Bv 1ivn1119 thil can1fica11 n11ther th* tnsp1e1or nor hi1 employer maka any w,rrantv, IXDrtllld or imc,lild, conCllfflifll the exem1na11on1 end correctiW m111aur* dnenbld in th11 Owner*, R100,1. Funhermore, neither tt,1 lnSQeCtOr nor hi* amptoye, shall bl liable in any manner for anv personal injury or propany dlffl'CJI or a 1011 of any kind ari1i119 from or connactld wltft fflll in1D1C1~n~ f)* ~ ---..J~-..;._----~-l:-----~=-' .....""""-~---CDmmiuion1 _ _ _v_A__s_4_3_______________ I nac,ec:1or1 Slonatur* Natlonel Boara. 51111, Pro111nc1, ana Endor.....-. Attachment II Page 18 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions of the ASME Code Section XI

, . Owner Virginia Electric and Power Co. ~*m* Oat11 _ .+-/9,..L.1i....1:'------- _,_J1J.la=yc...:C..:....J...=-..:../..:....7~, 5000 Dominion Blvd., Glen Allen, VA' 23060 Sheat_.....a:..3:;:;...._ct_~---------- Addreu

2. Plant Surry Power Station Unit_..._O~N;..:e~-----------

Nam* P.O. Box 315, Surry, VA 23883 w.o.ffooZ33ff3-oZ R.R.# 94-/ort, Ades, . . Repair Orgeniretlon P.O. No., Job No., eto. J. work Performed by Virginia Power Type Code Symbol Stamp __N....:/_A _ _ _ _ _ _ __ Nam* Authorization No. NIA P.O. Box 315, Surry, VA 23883 Expiration D*t* ~Hul...cA:i.___ _ _ _ _ _ _ _ _ __ Addren J?""l-<M.;...;.al.:.;N...__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

4. ld11ntific1t1on of Synem ,.,~aaa'IJ/'.a.<-1,........

s. (1) Applic11>11Conmuc11onCod1 B31.l :9~Edilion,_N....:/_A _ _ _ _ _ Addenda,H-l, ll-1 (bl Applicable Edition of Section XI Utilized tor Repair, or Reolec1menu 19.::8.......:...'I_ _

6. ldent1flcetion of Componenu Repaired or Replaced ano Replecement Componenu

• Name of Component N..,.af Menufecturer Menufectur.,

Serial No. National Board No. Otfltr lden1ilic1tion Yea, Built Repeirad, Replaced, AIME Codi* s........ IV" or Reptacemlftl or Nol (a, 11 > f/e(),Vy "1/,4 -( i-1.e..'J( rJi,.; "-'A rJ/lt o/-lX1- 1ll-/tJ8ft tJ/IJ- 7<,Jc.ce&/ AJo 1/~vy fl) oIIIt ti/1/!,IJ fAJt 4?z -/) He.x Nu,  ?~buo,; fl.o/l.P t11.:Jt 'f::ldU, zz. /V/!r of-JX:;,-Tv-l"BAj 1!r 'l<.-f'fIv.(fr,tt?,\-t. No ~ ,1_,J 7lfflcff)'IE-P 'i2o1' ,Jjfr rJIf+ tvlli c)j-'JxrTv-lo9>1t rJ/A- 'kf}c,..cec/ /Vb $/J'~,, -rll/2eAWi> tJoiJ't l'IACHIN8 ;f.,l/ffo417 ;Jo ?t> --Pll.tihu-rt:. (b~ I) l'J//1- of- 'J>c.,-Tv-ldM 111A- l<.'fp/oce1t1e,,,.1

7. o,scriDtion of Work J2.-cp/0<,-t... t';,o}t~3

8. Te111 Conducted: Hydron1tic Pneumatic O Nominal 0Dtrlting Pre11ure 0 Other O Pre nu re _ _ _ _ _ p1i Ten T1mD. 'F NOTE: SuDplem1nt1I lhNU in form of li1u. 1k11chn, or dl'llwin91 mev bl u1ed, provided 11 l size i1 8% in. x 11 In., l:ZI lnfONN*

tion in item, 1 through 6 on this reoon i1 included on each 1hN1, and 131 each lhNI ii nu.:nt>ered and the number of lhNII It recorded at the lOQ of mil form . (12/821 Thi1 Form tE000301 may be obtained from the Order DIDI., ASME, 345 E. 47th St., New York, N.Y, 10017 REPRINT 12/91 FORM NIS-2 (Backl

3. Remarks _ __.~~u:.::::....__________:__________________________________

AcPllcaDI* Manufacturar*1 Data Reportl to De attached CERTIFICATE OF COMPLIANCE We cemtv that the statements mace ,n the reoori are correct ena this S - ) ~ r : .:onformr 10 the rulea of tht ASME Code, Section XI. repair or replacement N/A Typ1 Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - H/A N/A Cenifica11 of Authorizet,on No. - - - - - - - - - - - - - - - - E x o i r t t i o n 01111 - - - - - - - - - - - - - - - - Sign£:)_ L~ Ownar o r ~ n N , ~ ;J;;sz-Tltte Oat, _ __._~ ~ .................,..q-.__./_7_.____ , 19 fffe{ CERTIFICATE OF INSERVICE INSPECTION 1, the unaeraigntd, holding a 1111td comm,uaon ,uutd by th1 National Boara of Boiler and Preuu,. IIH*I lnsoec:ton and tht Stitt orProv,~of Virginia *ndtmp1oytdby BSB:I ' I Co. of _B_a.c,..r....t __f_o_r_d_.___c_T____________________...,....,,....,..---h- 1nt0ee~Ltht compon1nt1 dncribld in 1hi1 Owner*, R~n during the parroa / 0- / t-f--Cf 'J; to f O -{ 1 ~ T *

• 1nd 1tata thtt 10 the best of my knowtecsg. and belief. the Owner ha performed 11xem1ntt1on1 ~  ; I
• ana tlktn corrtctiw menurt1
• decribld In thll Owner's Rei,on in accoraance with the 1'9Qu,,.mtnta ol the ASME Codi, Section XI.

By 1i9ni119 thi1 ctn1fic1n neither the lnsPtetor nor his employer mtk* any warrantV. txPfftlld or implitd. conCMftint tht exam1nat1on1 and correctiw* metsur111,dl!'SCnbld in th11 Owner*, Rtpon. Funhermora, neithtr tt,1 lnsc,ecu,r nor hi1 tfflPtOVtr shall bt tiabl1 in any manner for any personal injury or prootrtV d.tmllQI or. t 1011 of iny kind arising from or conntcttd with this inapeciH>n ~ 0 __. .,. . ----..1~~"'"-...,.,=..._,_.__J. D'

• It)* (\

*-~"'------------Commiuion1 ___v_A__s_4_J_________________ ln1Pac:tor'1 Signature Natlontl Boera. State, Prov,nca, ,na Endor....- Datt 3- (s 19 1f Attachment II Page 19 of 93 Serial No.: 94-194 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_...;..CA,_r_c"-_...:../...:..7..._,~f~~'f.:....J£J'L------

';1me 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet ___,../__ ot _____ / __________________ AddrHI

2. Plent Surry Power Station Unit Of\Je Neme P.O. Box 315, Surry, VA 23883 LJ,O, #coz.&444:-0/ '/?..?..# f/4-ol?..

AddrHI Aepalr Organization P.O. No., Job NO,, etc, J. Work Performed by Virginia Power Tvpe Coda Svmbol Stamp __N_/_A _______________ Nem* Authorization No. NIA P.O. Box 315, Surry, VA 23883 Expiration Date __..ij""/..&.A..______________________ AddrHI

4. Identification of Svstem __U._M_c_N_7__A

_.......a./_/lJ_:S'-'-7/l ___IR...___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (111 Applicable Construction Code B31. l 19~Edition,_N_/_A~------Addenda, N-1, ll-1 CodaC11a (bl Applicable Edition of Section XI Utilized for Repe1rs or Replacements 19""'8_'"1...__

6. Identification of Components Rep11red or Replaced ena Replacement Components .

• Name of Component Nam1of Menufacturer Menufacturer Sarial No.

I National Board No. Other ld1ntilic1tion Year Built Repaired, Replaced, ASME Code Stamped IYn or Replacement or Nol fig -11 f/ex MAT CS A91"N A/9.tf ,J/A /IJ/lt o/-:I.tJ-Tl/-fc)o f,) /,4 'K-ef)ac.ec/ A}o 116;< IVIAT ~-II //ex ,v~-t H.4C/~i,/; JJJ,. o/- II/ - TtJ-/oo ;Jrl<J,/J,{'oM,G{) llfifcJ" fJZHf::tJ ,J/1} W:fb(eJtfent No ~.-(I -f/lJ<(:;/l/)5-P 7-01? ,.J/;;- -0A- /11/!f 6/-JIJ - 7(/-/oo 1\/'j,4 'i<e, la cec/ ,Jc, -% ' -1/ 7'1/l<BJPGD 11)011/J-1 n~i~ro~ /'1/JCl.f/AI& lfrlt t;'2.,f77 .;J/4 o/-.IA- Ttl-1°0 t<ep/r;.cem-eA -f ;Jo ~!> {}-,-J,,,A) STK,.i ."!7'18%~, /Vlh-B. Tests Conducted: Hvdro1t1tic Pneumatic O Nominal Qpereting Pressure 0 Other O Pressure ______ psi Test Temp. *F NOTE: Supplemental sheets in form of lists, sketches, or drawings mav be u111d, provided 11 I size is B% in. x 11 In., 121 lnforma* tion in items 1 through 6 on this report is included on each sheet, end (JI each sheet is nu~bered end the number of ahfftl is recorded et the top of this form . (12/821 This Form IEOOOJOI mav be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 CERTIFICATE OF COMPLIANCE We cenify that the statements mace in the report are cor.rect 11.na ~his ~-~At:ccintonns to the rules of the ASME Code, Section XI. rapalr or replacement N/A Tvp* Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Cenificate of Authorization No. N/A Expiration Date ____N_/_A___________ Signed r:-) ~~.Title i:. p / ..fS:Z- ~ ? £ ( ~ /~?'----, 19 D11t*--'~"---4"""""..:Z.""'c'-'6(~... 9¥ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a 11elid commission iuuad by the National Board of Boiler and Pressure Vessel Inspectors and the State or Provinc:a of Virginia and employed by HSB:I & :r Co* of Hartford, CT have . inspecJl(I the compon1n11 dHCribld in thi1 Owner*, Repci" during the period /!)-/U-C/3 to /D-14-'t~ .. and ltate that to the best of my knowlltdge ind belief, the.Owner has perform~d examination, and t11k11n correcti111 m11sures described In thl1 Owner*, Repo" in accordance with the miuiremen11 of the ASME Code, Section XI. By 1ignir19 thi1 ce"ificate neither the Inspector nor hi1 1mployar makes any w111T11nty, 11xpreslld or impliad, concemt"11 the examination* and corractiw measur111 described in thi1 Owner's Report. Furthermore, neither the Inspector nor hi~ employer shall be liable in any manner for any personal injury or propeny damage or i 1011 of any kind 1ri1inv from or connec:ied with this in~ectionj~ ~ .......- ...£._....,...,.-1,~- ---~l'--"""}d.__..,.,,~.....;;.. ......=:a""""'----Commiuions ___V_A__S,;;_;4;,,;3_______.......,,,.............,---- 1nepector1 s111n*ture National Soans, State, Provine*. and Endor.-nenu Date*-------""'U...__._ . v.) ... /f _ _ _ _1 9 ~ . c:fti Attachment II Page 20 of 93 Serial No.: 94-194 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 /1arrch, /11* lj'J1

'lame I 5000 Dominion Blvd., Glen Allen, VA AddrHI 23060 Sheet L of

2. Plant Surry Power Station Unit {)fl)&

Name P.O. Box 315, Surry, VA 23883 /,,J.D, #ooZ7b738-o/ 'g.~# 7'4-Jo( Addrea Repair Organlntlon P.O. No., Job No., ate.

3. Work Performed bv Virginia Power Type Codi Symbol Stamp __N_/_A _ _ _ _ _ _ __

N1me Authorization No. NIA P.O. Box 315, Surry, VA 23883 Addra11 A'"------------ Expiration Date-H,..I.... PC

4. Identification of System _.,.YJ=_,_-__ ___'."'__T O......,..g.____~_VD_l-fl__._N_""t I

5. (al Applicabl1Con1trucuonCode B31.l 19~Editio'1.,_N_/_A=-_ _ _ Addanda,N-l, ll-7 0

Code Cua 1 (bl Applicable Edition of Secti~n XI Utili~ed tor Rep1ur 1 or Repl~ements 19..c.8_2.___

6.

• Identification of Componanu Repaired or *Replaced and Replacement Components
• N1maof Component Namaof Manufacturer Manufacturer Serial No. '

National Board No. Other Identification Y11r Built Rapeirad, Replaced, ASME Code Stlffll)ld (VII or R1plac1m1nt or Nol /-1<e-/c,tl-!fss/?J ;Jj/r 7..-e;;bee/

*~

4 ,~IM tt~Mt3l-Y N//r N/A rv/1} (!ofGS- ~!JIii, ttrt/ f6 Z/Sf f"-fl</11 /155"EHIJL1  ::INl. 1fr1f_ (. +113 rlt1' Bt. 51 l:li "'iA- 1-;<c- rcv-tf.f5'3 tJIA 'i:e11k c.em&i1 ttlo *.*:1,

8. Tests Conducted: Hydrostatic Pneumatic O Nomi~al Operating Pressure 0 Other O Pressure _ _ _ _ _ psi Test Temp, 'F NOTE: Supplemental sheets in form of lim, 1ke'tch111. or dnswings may be uaed, provided 11 I size ia 8% in. x 11 1'n., (21 lnfo~ma- .

tion in items 1 through 6 on this recon is included on .each sheet, and 131 each lhllft ia nu~berec:I and the number of ahim ii recorded at th* top of this form . (12/821 Thia Form IE000301 may* be obteinad from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 CERTIFICATEO.F COMPLIANCE We certify that the statements maae in the report are co~~ect aria thisil!)~..(d,.....- confomu to th11 rules of th11 ASME Code, Section XI. repair or replacement Type Coda Symbol Stamp _ _ _ N_/_A_"--------------------------------- Certificat11 of Authorization No. __H_/_A____________ ExPiration 011t11 ____H_/_A___________ --d= ~ Signed ner- li,r ("/~~ .pt,,/ or Own90..ii,,.., Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid comm1ss,on iuued by the National Board of B0il11r and Pressure Vessel lns;,ectors and the State or Province of Virginia and employed by HSBI & I Co* of -'-B;;..;aca.r.....;;t;.;;f_o_r_d_,___C_T____________________,....._____ h11119 in~ted th11, comp!)nents,,described in this Owner's Report during the* period _ _ _ _ _ __._/.,.D'-.. . .,.. u...,_q.,..,..'.3.....,_to I O' /I.\ ... q b , . and stet* tlm to th* belt of my knowledge and 1>4!1ief, the Owner hes performed examinations and taken correctiw meaiures described In this Owner's Report in accordance with the n,quiremen11 of the ASME Code, Section XI. By 1iQning this certificate neither the Inspector nor his employer makes any warranty, eJtPrnled or implied, concaming the examinations and correctiw measur* 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 1011 of any kind arising from or connected with this inspeae:\~ o_ ~ ---IB....:;... .~:.....------J I . . . _....,.,'~=-<""-"'=-------Commiuions _ _ _v_A__s_4_3_______________ nepec:1or'1 Signature Netlonal Board, State, Province, and Endor.-nenH . Date_~_-3.-...-_* /..:..CZ_19!1!/- Attachment II Page 21 of 93 Serial No.: 94-194 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 Hcircf\._ 171 {j'tf

'lame 5000 Dominion Blvd., Gleri Allen, VA Addreu 23060 Sheet /.. of I

2. Plant Surry Power Station Unit QtvE Nam*

P.O. Box 315, Surry, VA 23883 t,.),o,lt oo f2b76f3-o/ ~ R#" 94-0/, Z Addreu A"'elr Organlutlon P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Codi Symbol Stamp __N_/_A _ _ _ _ _ _ __

Name, Authorization No. _ _ _ ___.N'~/A...._______ P.O. Box 315, Surry, VA 23883 Expirauon Oate _H_,./_A,____________ AddrHe

4. Identification of System _ _~ ........""--"--C:z-'-o"'""/2...,_*_ _ _() __N1"_..________________________

...ti_D_L._A

5. (al ApplicableConstruct1onCod1 B31.l 19~Edition,_N_/_A=-_ _ _ Addende,N-l, ll-7 CodtCut (bl Applicable Edition of Section XI Utilized tor Repair, or Repiace~enu 19..::;.B_C/ ____

6. Identification of Compon,nu Repaired or Replaced and Replacement Componenu l;.,

I:,, ASME Codi Nation11 Rep1irtd, Stamped Nam, of Name ot Manufec:turer Board Other Y11r Replaced, IVft Component Manufacturer Sarial No. No. ld1ntific1tion Built or Replacement or Nol 1. 11 ,PJM ftSSG/11~'-Y Al)~ ;J/;1- ;vj,  ;./le..- fe1h+5.,e.,, ~ K-<;fooeJ Alo d,fGs-,/ui.eAJI / /It"# 68~9f 27PJM A55ef1f3LI rJ/t 11,{f'zt i,+tJ,t ;J/!t 1-/<t.ittl-ffjft ,.;jJ '1.-ep/a~n-l: No NOTE: Supplemental 1heet1 in form of lim. sketches, or drawings may be used, provided 11_) size i18% in. x 11 In., 121 lnformt* tion in item, 1 through 6 on this reoon i1 included on each 1heet, 11nd 131 each lhllft is numbered and the number of 1h1111 i1 recorded *t the top of thi1 form . (12/821 Thi1 Form IE000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 1. FORM NIS-2 (Back) *

9. Rem11r1t1 --1-8~ff'--#---'{!_=S....,**,f-i_-....;:2.;._;f';.._)_o_?~1_____________________

7 APPl.lcabl*e Manufacturar'1 Data Reportl to be attached CERTIFICATE OF COMPLIANCE , We cenify that the statements maae in the reoort ara correct 11no this AiP~c~&r- conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _N_/_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

.~:*,.zr~tJ __Owner or O w n e ~ l e H_/_A ____________ Expi::::n__D_a...~'"'e ~ ......./__,Z..__ _ ,

...H.../..A ...........~---~ is$ty'. CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission iuued by the National Board of Boiler end Pressure Vessel Inspectors end the State or Province of Virginia and employed by HSB:I Ii I Co* of Hartford* CT have inspect tl\e

• compon1nt1 described in 1tii1 Owner's Repon during the period to lb-'/4

.... ...q , and 1tat1 that to the best of my knowled99 1nd belief, the Owner has performed*.examinationi and taken corrective me1sur11s*deicribld In this Owner's Aepon in accordance with the' requirement~ of the ASME Co~'. s.;;tion XI. By signing this cenific1te neither the Inspector nor his employer mak* any warranty, exprlllld or implied, concarning the examinations ind corrective measures described in thi1 Owner*, Aeoort. Funhermore, neither the Inspector nor hi1 lfflPloyer shall be liable in any manner for any personal injury or propany damage or a 1011 of any kind arising from or connactld with this i_"_IPect __VC,..1,jio~n..1,."'Jd--' ....._ _ _ f,____,-,-6i._ .....~ .......________ Commiuion1 ___V_A_ _5_4_3_______________ Inspector-a Signature Natlonel Boel'CII, Stata, Province, and Endonementa Date.,...*._ ___,.._.'?..........._"_.*(:"""'g""'__ Attachment II Page 22 of 93 serial No.: 94-194 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 Ho,rck (7, ,~1t

',am* 5000 Dominion Blvd., Glen Allen, VA .. 23060 Sheet L of I Addre11

2. Plant Surry Power Station Unit Orve Name P.O. Box 315, Surry, VA 23883 {),<). -:/tDOZBl7SB-o/ 7,.R.#" </1-062-Addr"' A*P*lr Organization P.O. No., Job No., ato.

3. Work Performed bv _v_i_r_g_i_*_n_i_a_P_o_w_e_r _ _ _ _ _ _ _ __ Type Coda Symbol Stamp __N_/_A _ _ _ _ _ _ __

Name Authorization No. NfJ\ P.O. Box 315, Surry, VA 23883 Expiration Data.....,H.,.I.A~----------- Addra11

4. Identification of System -~_..C=t/i-'-' tz""'l<."""(;z....,,IN"-'-""'fu_____________________________

5. (al Applicable Construction Code B31. l ' 19§..?___Editio~._N_/_A_ _ _ _ Addenda, N-1, ll-7 Codec...

(bl Applicable Edition of Section XI Utilized* to*, Repair.* or Reol1e~menu 19..c.8_9.....__

6. Identification of Components Repaired or Replaced a~d Repl~ment Componenu

• Nemaof Component Name of M1nuf1eturar Manufacturer Sarial No.

National Board No. Other ldantification v .., Built R1Paired, AIPlaced, ASME Code Stamped (Vea or Raplacemant -or Nol ~ "-to 1ilflc-lJPc-f2. ti/~ ~11r i?-1/A- J Z76-t/lfl..Vb µfa ~p/~e/ Alo 12-0 I.) ~"-to T"fl/l.J:/t-PISP.. ~o~ pt""° NACll!llla ~ Ct(lf. 1/r:ff ISftJ6 .  ;)/It f tlf-Z76-t!Alf/6 /1/fo Pef/o.cef"l-enf NJ .>11<.iJ. c/'177~') B. Tesu Conducted: Hydro111tic Pneumatic O Nominal Operating Pressure 0 Othlr O Pr!ssure _ _ _ _ _ p1i Test Temp. "F NOTE: Supplemental sheets in form of lim, 1ketchn. or drawings may be uaed, provided (1 I size is B% in. x 11 In., 121 lnforma-tion in item* 1 through 6 on this repon is included on eecli sheet, and (31 each 1heat i1 nu~bered and the number of ahNtS ia recorded 1t the tOI) of this form . (12/821 This Form IE000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 '(Back.I

9. Remarks ___ ;g__~_,c=-*>"--r-Y-t-f-+-<-ltf:.__.'

r I i__,_~=--.r-'c---'(~)_ _ _ _ _ _ _ __ Appllcabla Manufacturer*, Data Reports to be anached CERTIFICATE OF COMPLIANCE We certify that the statements mace in the repon are correct ana this *,e4~.!WCconforms to the rules of the ASME Code, Section x I. repair or replacement Typo Code Symbol Stamp_;.._ _N_/_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. H/A Exciration Dete ____H_/_A ___________ Signed(}_~ ¥w.ie, ~ ~,/ or O~DfflgnH, Title .£s£ h/4,~ Cate ~4;d / 2 ,19 zY CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid comm1mon iuulld by the N11tion11I Board of Boiler and Pressura Ves111I Inspectors and the Stata or Province of Virginia and employed by HSBI & I Co* of Hartford, CT have inspected the components described in* thi1 Owner*, Repon during the period to D" ~Cf.(,. ., , and nata . that to the best of my knowledge and belief, the Owner hes performed ~xanunations and taken corrective measures described In this Owner*, Report in accordance witl'i the reQuiraman11 of th11 ASME ~~' Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, 11xpmlld or implied, concaming the examinations and corrective m1111ures described in this Owner's Report. Funh11rmor11, neither the Inspector nor his employer shall be li11bl11 in any manner for any personal injury or propeny damave or a 1011 of any kind arising from or connected with this in"'ectnnj _ D. /J (\ --~~~-"---="-""'----~-...,,.,.-~----....aa.--------COmmission1 _ _ _ v_A__s_4_3 _______________ Inspector-, Slgnatura National Soaro, State, Province, and Endor.-nenta c;>ate * ,:,

• T~

-* . - ~ . ~ ** M\ 0 Attachment II Page 23 of 93 Serial No.: 94*194 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. ~*m* Dat*~r.~1,~~~b~f~----- 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet _____ 01 / AddrHe Surry

2. Pl ant _____ Power Station

.....__________ .,._.........................................~ Unit ....,O...._....y..c__________________ Name P.O. Bez 315, Surry, VA 23883 AdGr- Repair Or11an1ratlon P.O. No., JOit No., ato. J, Work Performed bV Virginia Power Type Codi Symbol Stamo __N_/_A _ _ _ _ _ _ __ Name Authorizetion No. -------'Na..ft..&a..._______ P.O. Boz 315, Surry, VA 23883 Expiration 0111 _.N._/._.A..._________________ AddreH

4. ld11nt1fic111on of Synem ,Wd'Tf µac. [20 ,v S. (1) Applicable Connrucuon Code B31.1 :9~Ed.ition, __N __

/_A_ _ _ _ Addlnde, N-1, ll-1 (bl Applicable Edition of Section XI Utilized tor Aep11r1 or Reolac1man11 198 9

6. ldanuflcetion of Comoonanu A11>1ired or A11>l1ced ano Raplec:ement Compon1n11

• Nem1 of Component Nlffll of M1nufec1urer M1nufecturer siri,1 No.

Netion11 Board No. Odler ld1t1t1fic11ion v,., Built Reoaif'ld, Replaced, AIME Coda*' StafflPld IYII* or Replaceffllft1 or Nol VA'Li/6- ..f.*JJ=q1l) A/ J;_ tt/ '4_ . ,.., kl_ I-S.I*e/ t 1J ~Ji ,R._t'l:)A,£ ,Al() i

8. Ten, Conducted: Hydrostatic Pneumatic O Nominll Oo,rettno Pre11ure 0 Other O Pressure------- p1i Test Temp, *F NOTE: Suppi1m1nt1I lh11t1 in form of lim, iketchn. or drewin91 ffllY bl u1ad, provided C1 I sin i1 8~ In. x 11 In., C2) lnfom,a*..

tion in it1m1 1 thrau9h 6 on this rtoan ii includ*d on. IICII 111111, end 131 Hell lhNt ii numbered end 1111 number Of fflNll*il

• recorded It thl 100 of this form .

* (12/821 Thi1 Form IE000301 may bl obtained from 1111 Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Acpllcabla Manufacturar*a Ona Recorta to b* attached . CERTIFICATE OF COMPLIANCE t We cenitv that the statements mace ,n the ~can are correct 11na thia h-J.4..,,t ;onforms to tne rulea of the ASME c*~dll, Section XI. repa,To:replacement N/A Tvo* Code Svmbal St a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - N/A H/A ~nifica11 of Authorization No. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Expiration 0 1 1 t * - - - - - - - - - - - - - - - - Signed <il,<:a~*lanN~~ CERTIFICATE OF INSEAVICE INSPECTION I, tn1 unaeraigned, holding* v111d comm1n1on ,uued by the National Board of Boiler and Preuura Vtswl lnsoec:tors and the State or Prov,nc:9 of Virginia end 1mo1avec:1 by HSBI ' I Co. of _H_a_r_t_f_o_r_d__._C_T_____________________...,,...,,,..__..,..have ,n~t,ct the compon1nt1 deterlbed in 1ni1 Ownar*a Repon during th11 period / D- / 4 - 'l :3 10 /D - IL/ - '1 b , and at** that to tn* bin of mv knowledge and belief, the Owner na performed 11xam1na11on1 and taken correctiw mH1UrH dHcribed In thl1 Owner*, Aai,on in accordance with tha ,-qu1rament1 of the ASME Code, Section XI. By 1i9n1119 thi1 cenificatw n**ther the Inspector nor hi1 employer mak* any warrantv, expmad or imPlild, conCllfflint the exam1na11on1 and corrllC'tiw me1111r111 dncribld in th11 Owner*, Repart. Funhermore, n11ith1r the lnspec10r nor hil efflltloY*r inn~_/).~ shall bl liable in 1ny manner for anv personal injury or propenv damage or

• 1011 of anv kind ari1ing from or connected with tfll1 d_

-...i~i-:;.i.i~...._--_.._... *--~~---=--'---------Commiuion1 ___v_A,;.__.;,S_4,;..3 lnepectora Slon*tur1 Natlonll Boara, State, Prov,nca, ana EndorNfftaflfl Oate-_ _ _ ___.5..._-_/? __19 'f f Attachment II Page 24 of 93 Serial No.: 94-194 Docket No.: 50-280 Memorandum ......... ~ IIIOlffHCIRUUIIIA~---- '\

• (--

..7~ . To . W.D. Grady Supv.-NDE From M.A. Ringler Mmerials Engineering February 19, 1994 ENGINEERING EVALUATION YALYB 1-Sl-410 SURRYUNUI Engineering was asked to evalUllle t~ indications on NDE Report No. 94-0()7 for valve l-SI-410. All the indications are 1/2 inch from the toe of the weld on the valve side in the region where the prepped surface interfaces with the as-cast surface condition. The valve material is CF-8 (304), an austenitic stainless stul casting. The surface ofthe valve conrains numerous su,face discontinuing such as inclusions, porosity, and cold shuls formed during the manufacturing process. The mtllerial specification (A351) requires the su,face of the casting to be visually inspected and free of adMring sand, scale, cracks, and hot tears. The original * ( construction specification NUS-20 (which dealt with material selection, fabrication, and erection), required the valve installation to be radiographed and liquid penetrant examined. The worst indicanon (approx. 1

• long) QI the 225" position ~ repaired l,y grindi'fl&. The excavanon measured approx. 3132
• deep x . 7 wide x . 6 long. 'ihe area was NDE PT examined and found code acceptable. No welding was required just blend grinding as the repair is localed in one of the thickness sections of the valve.

In conclusion the surface condition oft~ valve 1/2 inch from the toe ofthe weld is not suitable for a meaningful NDE interpreiation. The indications are not service induced but non-rejectable surface discontinuities resulting from the manujactUring process. Engineering finds weld W-1-AMF, dwg. 11448-WMKS-0127G2, line 10*-sJ-6-153 acceptable/or service. M.A. Ringler pc: T.R. Huber ANI/ANII W.F. McCloskey R.L. CODER NB7009 File , 6,9M ~ . ~ Attachment II Page 25 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM N1S*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. ~*m* Date _f1..,,....th.&.,.;:.l<~cffL--.;;'Z;...:::3~)-1-I-L.'fil-/.t:..--- 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet _ _,..[_ _ ct _ _ _ _ _ _ _ _ _ _ __ Addren

2. Plant Surry Power Station*** Unit _O_N_c______________

Name P.O. Boz 315, Surry, VA 23883 W,o,# oo 2(p9ot;,o-ol :J?.~4 y4-03'f Addreu Repelr Oroen1u1lon P.O. No., Joll NO., 110. J. Work Performed t,y Virginia Power Type Cede Symbol Stamp __ N_/_A_ _ _ _ _ _ __ Name Authorization No. _ _ _ ___..Nut...A..___ _ _ _ __ P.O. Boz 3!5, \ Surry, VA 23883 Expiration 01tt _..H~/..._A.....__ _ _ _ _ _ _ _ __ AddflH

4. lden11ficat1on of System --""8...A ........ff; ...J--'-NJ-~E...c_l]...,...1=6_,J_______________________

...__T

5. (1) ApplicableCon1truct1onCod1 B31.l :9~Edition,_N_/_A-=-_ _ _ Addendt,l:l-l, 21-7 CodeCaa lb) Applictble Edition of Section XI Utilized for Rep11r, or Reolacem,nu 19_8_.9_ _

6. ld11n11flc11tion of Componenu Reoa,recs or Replaced ana Replacement Compon1n11 I

ASME Codi N1tion11 Rep1im, StlfflCMd Nam, of Nemtof M1nuftc1Ur1r Board Otlter Y11r AIPIIICld, IVtt Component Mtnuftcturer Serial No. No. ldentiflcttion Built or R1placlffllflt or Nol ~1:> i> li,:XTJ;tJ!, ION /J/A- N/lr  ;) /If f&I-$5- 2flf N//t ?P-p/oce~ Ah, /;WNl7/i ici) ~op lNE: 1'11"- G]~JNN&iL. N//J #/IJ fSI-f/S~-21-IJ I Nfi ~/e:,,,ceP1ettt. No stvu88e~ \ I - c::,t..'i 2- /0/A- A,i/lr ~/Ir f s:i-//&5- 21-A .,J/A- K.-e.p4a C£ e{ No / +"s;Ju tJ,/jG-~ J-r-r- C7t1AJ1Vi;LI- ,JJ/r N/IJ- I- SJ:~flsS:-2f!f Al/11- V'f)ttCf'IMnf A.Jo 1/- D ~ '2.0 / 2-K ~fllb 'BP.~ /+1.1.e. .J,v(!_. I-If# 801 i'&.s - ,J/,4 1-sz-//ss- 21-,4 JV/,4 7<-e,ke:e111&1-I:. Nu

7. Description of Work _ __.ffe~p....(.G.-""lf....._fa?........_

.. G...x....fe....n-<;-;c,__n___ty......,i_f...,b...___*__G~x...1.+-e~n~d-e..::;J_]<....i.,.;.;J.~-G....7'""'e__ ....J..____ ,. _

8. Tesu Conducted: Hydronatic F'n1um11ic O Nomintl Ootrtting Preuure 0 Other O F're11ure _ _ _ _ _ p1i Ten Temp, *F NOTE: Supplementtl lh1t1ts in form of lim, 1ketch111. or drewinga mtY bl uatd, provided 111 size ia B'li in. x 11 In., 121 lnfa,11111.

tion in item, 1 througn 6 on 11111 reoon is included on 11eh ahNt, end 131 etch shift ii numblrtd and the number of 1h1111 i1 recorded et tht top of 1h11 form .

• (12/821 Thi1 Form tE000301 m1v bl obttaned from tlle Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

FORM NIS-2 (Backl CERTIFICATE OF COMPLIANCE We cemtv that the natemenn mace ,n the ~con are* correct ana this 4,ef!)eAet{iy(fe ~onforms 10 tl19 rules of th* ASME Coda, Section XI. repatr' ar raplacaman, N/A Tvpe Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - N/A H/A Cartificat* of Authorint1on No. - - - - - - - - - - - - - - - - E x i : , i r e r i o n D a t e - - - - - - - - - - - - - - - - Signed ~czt~~ wner or o:...ro..i;,;..:11111 4J.? CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a veltd comm1111on ,uuec:I by the Netionel Board of Boiler and Pressun Ves*I lnsoec:ton and th* State orProv,nceof Virginia 1ndemp1ovec:lbv BSB:I' I Co. of ..=H:..;a;;;.r;;;...;;t:..;f;..;o;;.;;;r.;;d;..;*a..--C_T_____________________,,...,,...,,-----have '"j.>?tld thlt comi:,onents dltCl'ibed in 1hi1 Owner's Repon during the period /0-/t.{_-q) to / Q-11.{ -'-( , 1nd 11a* ltlat 10 th* best of mv know1aoge and belief, the Owner nn performed exam1nat1on1 and taken correc:uvw mHturH dHcribad *1n thll Owner*, R~on in accordance w1tl'I the requ1nmen11 of the ASME Code, Sectl0n XI. Bv 1i9ni119 tl'lil cen1fican netther th* Inspector nor hi1 emi:,loyar mak* any warranr,, expnllld or implied, cionciarnmt the exam1nat1on1 and correc:tiW meaaur111 d91Cnbld in 1h11 Owner'1 Report. Funhermora. neither the lnspec10r nor hi1 ~ . , shall be liable in any manner for any personal injury or prop1ny damage or a 1011 of any kind ari1ing from or connected wltll 1h11 inss,ection. -----~-t---:----~~-J----~......_ n 0 - 0 n (\ ______ commi11ion1 _ _ _v_A__s_4_ 3_______________ lna0Kt0r'ISl11natur11 Natlonet Boera, Stlta, Prav,nca, ana Endo,__. Date-_ __...3a..---~. .)--19 .. qy Attachment II Page 26 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions of the ASME Code Section XI Virginia Electric and Power Co.

1. Owner

""*m* 5000 Dominion Blvd., Glen Allen, VA 23060 Shea, _ _ _/ __ ct _ __,_ _ _ _ _ _ _ _ _ __ AdC1ra11

2. Plant Surry Power Station Unit __ O_N_E:______________

Name P.O. Box 315, Surry, VA 23883 l,J.o. # oo Zb9D(oB-oJ \K,R,#; ff-04;0 Addr. . Repair Organization P.O. No., Job No., ata. J. work Parfonnld t,y Virginia Power Tvp1 Codi Symbol Stamp __N..a./_A_ _ _ _ _ _ __ Nama Authorization No. _ _ _ _.......,N"'/"""A------- P.O. Box 315, Surry, VA 23883 Expir111on 0111 _..H..,_/.,..A..__ _ _ _ _ _ _ _ __ Addre11

4. ldent1ficat1on of sv1111m S/Jir=&Ty I rJ,,I a7 Jc,,J

5. (11 Applicabl1ConurucuonCoda B31.l ;9~Sdi1ion,_N_/_A _ _ _ _ Addlnd1,N-l, ll-1 Codec. .

!bl Applicable Edition of Sec11on XI Utdized tor Ae_oa\*.* o'r Reo_11eamanu 19.c=cB~'f--

6. ld11nufle111ion of Componanu Aeoa1red or Replaced ana Replacement Components

• N1ma of Component Nameof M1nufac1urer M1nufacturer Serial No.

National Board No. Ottlar lden1ific1tion Y11r Built Replil'9d, Replaced, or Raplll:lffllM ASME Code StafflP9d CYII or Not ~ .. \:> G;x"(GN!> 11.1"' r,J/I+ rJ/A- I N/lt /-SJ:-/fSS- 2f /3 ;J;4 R-eplo.ce-/ AJo t;,l.41J<-7A-r1o:D ~P I"11- (q/q/11,JEt,L. 5y& II//It /V !It- I- SI-IISS- '2f ~ I'll/II-  ?.offface{f14!!1-t' ~() SN11S8tr~ /V/ft Njlt ,Lo52& Njl} /- SI--1/Sr '2,f 6 N/IJ- 'i<-ep/o.cec/ Alo ,f "J( ; ' ' 5tv"{/j/)&j( 1i7- fi/f.Jl>/tvEL-L. V-o3tq ;v /A- Al/A- /- sr-HS:r2/f8 ,,J/lr 'Aep/o. lffl1llr{ /Vi) 2-~" '°jq),.uil> ).)vi(> Itvl. '"E>A(l... rfrl 8 bf466s ;J/A, 1-sx-Jfss- 2-,13 ,v//f- 'k;)ae£h1*e,tt: IU6

7. Oescriotion of Work ~/o.c.e. <ud exfe11S,or.., Lllft.

8. Tesu Conducted: Hydrostatic Pniumatic O Nomin11 OPtrating Pressure 0 Other O Prenur* _ _ _ _ _ p1i Test Tamp, "F NOTE: Supolamanttl lhHtl in form of lim, skinchet. or drawingi mav be u11d, provided 11 I 1iu ia B% in. x 11 In** 121 lnfOffllll.

1ion in itema 1 through 6 on t1111 reoon i1 included on Heh 1hNt, end 131 each 1hNT is nu.:ribered end the number of 1hN11 ii recorded " th* top of lhil form. .

• 112/821 Thia Form IEOOOJOI may be ob1a1nad from ,r,e Order OePt., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

FORM NIS-2 (Back) I CERTIFIC4TE OF COMPLIANCE We cenitv that the statements maae in the ~oori ara correct ana this ~ ~ W ~ n f o r m s to the rules of the ASME Code. Section XI. repair or **0 1acamant N/A Type Code Svmbol StamP---------------------------------------- N/A N/A Signed a~ d~~ Canificate of Authorization No. - - - - - - - - - - - - - - - - E x p i r a t i o n D a t e - - - - - - - - - - - - - - - - Owner or o.:.~ulgnH, Title .£S,.L CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holdin9 a valid comm1111on ,uued by the National Boera of Boiler and Pres111re Venal lnsoectol'I and the State orProv,nc:eof Virginia *ndamp1oveabv HSB:I' I Co. of .=B:..:a=r..;:t:..:f:..o=r..;:d;:..:.*_..;C:..T;;;_________________..,..,,....._~.....----have 1nso~t11G the components dacrlbad in 1hi1 Owner*, Repon durin9 the oeriod _ _ _ _ _ _ __./._0.. ___/l\;_.-_'__t :3_,o / O-t'-t -1 and 11** thet ta the belt of my knowledge and belief, the Owner h81 oerlormea exam1nat1on1 ana taken correc11va menur11 dHcribed In thl1 Ow111r*1 Rei,on in accoraance with the requ1remen11 of the ASME Code, Section XI. By 1i9ni119 thi1 cenificau n11thar the ln1oector nor hi1 employer malca any warr11ntv, 1xl)rellld or imptied,.conCllfflffll the exam1nat1on1 and corrective measur* described in th11 Owner*, Report. Funhermore, neither the lnspectc,r nor hit emptoyer shall be liable in any manner tor any personal injury or propany damage or a 1011 of any kind ari1in; from or COMIICted with 11111 inaoection, ---~~..,.__.. ........~ - - ~ .....--__~-=----------Commiuion1 ___V_A__s_4_J_______________ ln11P1Cto,., Slgnetura Natlonel Board, Stile, Prov1nca, enG Endo,_,,. Date _ _ _ _ 1___. . _~__J__19 C/ ~ Attachment II Page 27 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS A1 Required bv .the Provisions ot the ASME Codi Section XI

1. Owner Virginia Electric and Power Co

• Oat* _..,.,&--'~'""-4t/~L--"~=r..LI-Lf..L..f-L'[_ _ _ __

5000 Dominion Blvd., .,,me ...;.... Glen Allen, Aooreu ..;._ VA 23060 Shee, _ __./,.___ot _ __:./____________

2. Plant Surry Power Station Unit Oo)G-Name P.O. Boz 315, Surry, VA 23883 lJ,<). # WZb9/o5'-o/ 1, .{<. # 94:-/IS'"

ACla,- A-<<1elr Or9en1ret1on P.O. No., JOO NO., eta, J, Work Pirlormed bv Virginia Power Type Code Symbol Stamo __N_/.;..A...:.._ _ _ _ _ __

• Neme Authorization No. -----.lllN.i;{..1:&.._______

P.O. Boz 315, Surry, VA 23883 Expiration Date ~H1.,11{~A:i....----------- ACIClrHI

4. ldent1fica11on of Syn1m _ _..;.t/i_...,_~ ...f."-0'--'.5~:r."-6A......,~V':f..._ ___________________________

5. (1) App11c1011 Construcuon Coo, B3 l. l ' . 9 ~ :;dition,_N_;_/_A;...._ _ _ Addenda, l:l-1. ll-7 (bl APPlic1011 Edition of Section XI Ut1lina tor Aeoeirs or Aeo1ac1menu 19;:8_9,.__

6. ld1nt1flc11t1on of Comoon1nu Aao11r1a or Aaolacld 1na R1placem1n, Component1

• Name of Component Nemeof Manufacturer Manufacturer Serial No.

National Board No. Omer ldffl1tfica1ion v,., Built Reoairad, ReolKN, or RIPIICefflNt ASME Cade Stamoea CYII or Not 5*,.;14~DG~ V-051/ /I/Ir tv/lJ- /ol//} /-11 s-//ss-33~ rl/#- 1<~/o.c.ec/ ND _5,vt.4e~(;~69(.. IiT-C-f(l.1/llt,J&,Ll.. N/11- IV/A J- l1S* J/55-,3!(!, I N/IJ. G<oefkMflft A-b

8. Test1 Conducted: Hvdro1t1t1c Pn1umat1c O Nominal Operating Preuure 0 Oth*rO Prenure _ _ _ _ _ p1i T11nT1mo. "F NOTE: Suppj1ment1I "'"" 1n form of li1u, tketclln, or drtwinge mav be u1ed, provided 11 I 1in i1 8~ in. x 11 In., 121 lnfOfme.

tion in it11n1 I throuQfl 6 on t1111 reoon i1 included on Hell thNt, and 131 Hell 1111ft II nu.:nbel'9d and 1111 number of IIINII ii recorded 111111 ToO of thi1 form .

• (12/821 Thii Form CEOOOJOI mav be obt11nea from,,,. Order Dept,, ASME, 345 E. '7th St., N1w Yorll:, N.Y. 10017 REPRINT 12/91

*"*,*,,I,._, ,*,, FORM JS-2 (Backi ~- Aem11rk1 _*...,.*h. .n~#=_.,..,(/vc...c.... .. ....<...r__,*f',<...:2::...;.i11"'--0=-=-g';~J___:(::.:...I~-*---=S.;..;..'N.....;;.c/_......_'lf,...._~=~~(2_=---------- Aopllcatila Manufacturar*1 Cata Ra1>ort1 to tia anaci,aa CERTIFICATE OF COMPLIANCE We cenrtv that the n11temen11 mace ,n tne reoon an, correct 11~a *u,i1 M)&1f:Mt',£,/ ITonform110 the rulN of the repair or rap1acamant ASME Code. Section XI.

• Typa Coda Symbol Stamo _ _ _ N_. _I_A----------------------------------

N/A H/A Can1ficat1 of Authorization No. - - - - - - - - - - - - - - - - E x o i r a t i o n Data _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Signed (2 ~~ /J ~ JY Ownar or O~Oa111nN, Tllla ..:Z:Sf CERTIFICATE OF INSERVICE INSPECTION I, tha unaaraignad, holding a valid comm1111on ,uuad by thl National Boera of Boiler ana Prnaura 1111*1 lnsoec:tol"I and the State or Province of Virginia encumo1ovec:1 by HSBX ' I Co. of Hartford. CT have ,n!D/Ctaa th* compon1nt1 *decrlblld in 1h11 Owntirt Aepon auring,.tfte oa,;Od /,6-./4~q~ 10 /D . . flj~'.71.,

• 1nd 11a*mn ta thl t>an of mv 1tnow1aaqa 1ne1 belief. the Owner ,, .. oartormad ax~1n111on1 ana t~li~n corr~11w manur~il a~~med In thl1 Owner*, AeQon 1n accoraance with tti1 ,wq~1rarnan11 of thl ASME Code, Section XI.

By 1i9n1nt this c:en1fican n11th1r the ln1oac:1or nor his amDIOyer mall* any warnintV, uPrlllld or ,molied, co,,.,._. the exam1nat1on1 1nd correctiw meaaur* dncnbld in th11 OWMr'1 RaDQr1. Funhermore. neither ma 1nsc,ec10r nor hil ll'IIPIO,er shall ba liable in anv manner for anv personal injury or oroo*rtV dameve or a 1011 of any kind arising from or coMac:tld wilft 11111 intDKtion. ~ f.. /,) (\ 0 - - - - ~ . - -....~--------~~--~---------Commi11ion1 _,;;;;V:;:A:;:;-;: :;3=-c.::;:--;;;::;::;:-:;:::::;.~i;;;;;;;;;;;;:-- 1napector1 Sl1natura 54 Na11one1 Boera, Stata, f>ro111nca. ano E n d o r -

• Data _ _ _ _ , 3~..:..-~~3c-19~

Attachment II Page 28 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions ot the ASME Code Section XI

, . O....ner Virginia Electric and Power Co. 'lame Dat1 M/Jj.cfl '2 .3, 1191 5000 Dominion Blvd., Glen* Allen,, VA-' 23060 Sheet I of I Aaar1u '

2. Plant Surry Power Station Unit

()/\){:. N1me P.O. 8oz 315, Surry, VA 23883 Gt) '.D, # Oo 2~8CU3-o I R.f.. # i4-Jlb Aeoalr Orven1ut1on P.O. No., Joo No., ato, J. Work Performed bv Virginia Power Tvpe Code Svmbol s,emo __N __I_A N1me Author1z1tion No. _....__ _ _ol.llN"f..i:l\.._______ P.O. 8oz 315, Surry, VA 23883 Exoirerion 0111 ....JJN1,1{;..il\:a,.__ _ _ _ _ _ _ _ _ __ Aaare11

4. 1den11fic1t1on of sv111m _ _._t/...,.,f,....ti..,,J_.5__,,lj'"'G,..fb,_t1.a.-----------------------------

s. !al Apphc101eConmucuonC001 BJl.1 *;9~;dition .....N...;../_A_ _ _ _ Addanaa,N-l, U-7 (bl Applicable Edition of ~;d,,on J('I Ut1li;*e'a

' '. ' . *: i 1 ior Re~~;;~*~rAeo1~.,,,:~nt1 ~ ', ,' '. 1 . i -:: ;': .' . . . ; 19:::8_.1~- . ~

6. ldllntrflcetion of Ccmoon1nu' A1p1ir,cfor A~i,i~i:eci -~-~ R~i,*,~-m~nt"Com~on,nu AIME

... Code Nttional Reoeirea, StafflCMd Nema of N-of *, Menufacturer.. , B~rd OUltr Yea, Reol_., (VII Component Menufecturer*' *S1ri1I No. No. ld1t1t1fic11ion Built or R IPllll:9ffllftt or Nol _$Nl,f/J~6-/( 1/-oSI Z  ;/fir I . /1/ /It I ~IA-: /-/'1_$-fJ;,S-3flt ,J!It 'J.e,kCP1 ;JD StvcA80c...P,. \I -oi.q7 ~7T-&tf!./N~'- I dl!r r!lr 1-MS-llt.~-:J.'fll I AlfA- ~rla~ /\/;) *.' i_i:i;.

8. Testl CondUClld: Hvdro11atrc Pneum1t1c O Nominel Ooe.ra1in9 Pre11ura 0 Othar O Pre11ure....;,,._ _ _ _ j:11i Ten T1mo. "F NOTE: Suol)lem1nt1I " ' " " rn form of lin1. aknchn, or drawin91 mav bl udd, provided C1 I aiu is 8~ in. x 11 In., (21 lnforme, tion in itlmt 1 througn 6 en 1h11 reoon ia includad on Hen 1hNt, end 131 Heh shift it nu~blrecl and the numlHf' of lhNa ii recorded et the too of thl1 form .

(12/821 Thii Form tE000301 m1v bl ot1ta1ned from 1r,1 Order 0101., ASME, 345 E. '7th St ** New York, N.Y. 10017 REPRINT 12/91  ;\**, I ~ 1 *', ' I *,I' 1*

1,r l ~.I I *

. \*:, ' . . . .FpRM NIS-2 (Backl ..Ly..:;;2,_f"l....;:rJ;_;;r'-"J'~t.:...l,,"-l-,-....i$=//0=Yi=d~,d.='.,t:..~~;_-------------

3. Rem11r~1 *-1t'-'o"--*-#----'c=*IV=.*-<-r_*

AopllcaDle 1111anufacturer*1 Oat* Report* to De anacneo CERTIFICATE OF COMPLIANCE' We cen1tv tnat tne statemenu maae ,n 1ne recon are correct ana *1ni1 ~dc<Eiif:5:r/l"';onformt 10 tne rulH of the ASME Code. Section XI. repair or r*P*acement TvP* Codi Svmt>ol S t a m P N/A C.n1ficat1 of Authorintron No. __N_/_A_____________ Exoirauon Cate ____N_I_A___________ Signed Q~ ~ j - Owner or O w n ~ ~ CERTIFICATE OF INSERVICE INSPECTION I, thl unaen1gned, holding a v11od comm1111on ,uued by the Netional Boercs of Boiler and Preuure 1111*1 lnsoec:ton and the Stet* or Prov,nc:. of Virginia 1ncUmoloVed by HSBJ: ' I Co. of Hartford. CT have ,n~fld the comoonent1 dfllCfibad in ,tn,, Owner*, Reoon durin1,1 'tne'oer1od /0~ i':[~'13 to (0 fCf ~ ~q (c:,

• _ind na* thn to the belt of mv knowledge Ind l>fllief, the Owner nes performed exam1net1on1 e~a t"aken cor'rectiw menure~ 011cribad In fflil Owrwr*,1 Repon 1n 1CCOrGance'w1th ti,i ~uirernent1 of the ASME Code, Section XI. '

Bv 1ign1ng this cen1ficete neither the lnsDKtor nor his employer m*** env wernn1V, uo,eued or 1molied. conClfNIII the exem1nat1on1 and correctiw mHsura d111enbed in th11 Owner*, Reoort. Funhermo,., neither me lnspec:10r nor hil .,.,a.,., shell be liable in any manner for anv pert0na1 injury or orooenv dameve or a 1011 of any kind ar11ino,a from or coMected wiltl 1h11 i_n_lP9Ct __ '° =--------.. .... ~ ~ n £~-~---BIL ln111ec:,or1 Signature commi11ion1 ___v_A__s_4_3_______________ National aoara, Stata. Prov,nce, *"" Enlllor---. Attachment II Page 29 of 93 Serial No.: 94*194 Docket No.: 50*280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions at the ASME Code Section XI

1. ~ner Virginia Electric and Power Co. Date -tl-/Ji,.._/<..._C.._Jf_._rz-=.)-......,i....;...,99t..r.f_ _ __

'lame 5000 Dominion Blvd., Gien Allen; VA 23060 Sheet _ _/_ _ of _ __..._ _ _ _ _ _ _ _ __ AOClreM

2. Plant Surry Power Station Unit ()/VC:

Name P.O. Boz 315, Surry, VA 23883 f.J,o. # 00269og;- oJ ~, Ii. tJ 9,q-J/7 ACICIHU Aeoalr Orvenintlon P .0. No., .Joo No., eta.

3. Work Performed t,y Virgin.1.a Power Type Codi Svmbol Stamp __N_/_A _________

Nem* Authorization No. _ _ _ _ _..,N._l....a,...________ P.O. Boz 315, Surry, VA ACIClrHI 23883 ExDir1t1on 011, _u..t.. A-------------

4. ldent1fic1t1on of Svnem ___/'t._',4..a.,.;/,J __ _..S~L.::cfr ..........M ......-----------------------------

5. (al Appllc1011ConmucuonCod1 B31.l ,  :.9,~:dition,-,-N_/_A_ _ _ _ Addanda,H-1, ll-7 (bl Applicaola Edition of s,it,:on !~I u1.'iiie~"t~r ~~~~.;.' ~r' ~e~.*.;;~*,,.;.,;,',

, l* 'i',' i:*I '; 1, *qJ !" .- ',. !'i, f*;t .'1; , .' 1 j~B;::;;c..;t-1--

6. ld~'~11flc1mon of Compo'n1.n11' ~11>1ir~~'o,* ~:~o;ii;~*i~~ '*~~-~t~;~-n~i:bmpo~1nt1

. ,,,,'I AIME,  ;.-}:\' ,- , ** *t '*'.'

• Coda N1tion11 Reoeired;: ,. s~

~emeof . Neme of Manufacturer Board .. . Ottler v,., Repl. . .,' Ii IYN . Component. ':M*nu**.:turer:,\ . . ::** ' ; s~iiai No.,, ,I*',*, °'\"*"No'. lden11fic*1lon .. Built or ReplacetneM or Not I. . .,. ...' \* :i:_.i:, ' .:, .* ,,' 'a,, t ~ ** ';'.: .,** , ** , *, *.,,, *,., , *** StJ~ IJ/)G-/<. _-v/,1- . .* v-o ,;;- JI tJ NI.A f) /;61',.  : V - 069 !), ll!At* ... ',"'t *.*",i,"'I,) *i' *,'**, *:,*,,'f

\ *,,!; *..'(,_;

* .. **,i**,,.,. 1 7, Oescrrotion of Worll_._,1,_..~..,* ,-.l...~~9Q,f!..._-:'._. ,. . . _$.::;.cWkf~ .. ~*...,tJ....:~...:**~:;;., :*...,*' .....

',__ :::_.j_.*~--:-.--~-'f_**~4'=-i:/..1:Zf~"lf"---~=~'U:a:::~:..:::;.r..;:;_..:;,)_-_o_*6 ...9

.'.s_*_ _ 'i

8. Tam Conducted: Hydrostatic rn1um1t1C O :~on,i~'!I ,(!P,1r1t'in9 Pre11ur1 0 Other O Pr~uuri ' psi *, Ten, +.~mo. , *F

*I I NOTE: SuoD11m1mat "'"" ;~ iorm bt!'i°im. ,iinchn. or d111win~ mev be u1~. provided C1 I 1iu i1 Bli in. x 11 I~ .. 121, Inform.. tion in itllTII I thrauV,, 6 on thr~ rebo" i1 included 'on each lhNt, 1nd 131 Heh lhNt it numbered and thl nuri,ber OfllhNtl it recorded lffhlfoP of .thil form. ,, ' *'* . ..:,: '

• (12/821 Thii Form .tE,000301 mii\.:'be obtiunea *,~om' t,,,**order Daot,, ASME, 345 E. '7th St., N- York, N.V, 10017

,\. REPRINT 12/91 FORM NIS-2 (Backl

3. Remer~, ___._P___t)___:;tf=_. . .0v""""---"* ......~~~--;e_ _ _ _ _ _ _ _ __

. . r_***........~-"'-z..--'-?1......;;o.........s-:_'-"J...........,__;(---=>,,_)---~;.:;..:N'"""'tLd-Aoollcaola Manufacturar:1 Cata Aaoort1 to oa anacnaa CERTIFICATE OF COMPLIANCE We cemtv tnet !Ml! mnemenu maoe ,n IM l'l!OOM an, corre~t 11na 1ni1 &?~~Conform, 10 !MIi rutH of the ASME Code. Section XI. rei,a1r or reo1acamant N/A T vo* Coda Svmbot S t a m D - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Cemfic11a of Authorirat1on No. H/ A Expiration Date ____H_I_A ____________ SigneaQ ~ _j}_ Owner o, O w ~ l t l a 'HL/. Js-:z:- b&urVf'b Cate l%4c¢ 2-.? , 19? j( CERTIFICATE OF INSEAVICE INSPECTION I, the unaarsi;nec:t, holding* valid comm1111on ,uuad by the National Board of Boiler and Pre11ura llas*t tnsoacton and the Slate o, Province of Virginia end emotovad by HSB:I ' I Co* of Hartford* C'l' have ,~tld the ,ccimi:,onant1 dlllCl'lbed in* th11 Owner I Aepon au'rin; tiui oe,;oa / 0 ~ L't ~ Cf3 ,o /D-..(L{ ' A . . ,. 1nd 1111* thn to the belt of mv know1eoge 1nd belief. the Owner nn oartormed e~am1ne11on1 an'd ,*a'ken ~~r~act1vw mitnurH aacribed In thl1 Ownan Rapon 1~ ICCOn:I~ w11n th11*;..qu,rament1 of the ASME Code, Section XI. By 119n1119 thil centfican neither the lnsoector nor hi1 employer mall* any warranrv, ul)rftlld or 1mc,tied, can..,.... the 11111m1nanon1 and corr~iw m1111Ura dlllCnbecs in thll Owner*, Res,ort. Funhermore, n11ther the ln"'9CU)r nor hi1 .....,., shill be llabte in 1ny manner for anv oenonat injury or On>Denv damave or* 1011 of any kind ar11in; from or connected with 1h11 inroecuon.o ~ i. ~ ----11~""~"'---.....,---_1 . . . .___...~...___. naoec:1or1 Slonatura ______ commiuion1 _1 Nattonaa  ;,V;;A;:::;-;5-;:4::3=-;;::;:--;;;:;;;:;:::-:;;::;-;~;;;;;;;:;;;;-- &oara. siata. Prov,nca. ana Enaor...-. Data

eear: amra1..-:::.a.

Attachment II Page 30 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requ1r1d bv the Provisions of the ASME Codi Section XI

1. Owner Virginia Electric**, and Power Co~ ,

~*m* Oat* _/i..-..A:~f.. ctf:...__Z--"3=-+--, ... f. . ~"' it __ 5000 Dominion Blvd-, Glen Allen*,* VA 23060 Shee, _ _/_*__ ot _ __._ _ _ _ _ _ _ _ _ _~ AaarH1

2. Plant Surry Power Station Unit ()IJ~

Name P.O. Boz 315, Surry, VA 23883 Uio.f 002/J, o/S-o/ f .{l.:/t f/9-J(g Adelr- R~alr Orgen1ra11on P.O. No., Joo No., ato. J, Work Performed bv Virginia Power Tvs:,1 Codt Svmbol SttmD __N_/_A _ _ _ _ _ _ __ Name, Authorization No. --------N-(,..1',.._______ P.O. Boz 315, Surry, VA 23883 Expiration Oita ~H._./_.A,..____________ Adara11

4. ldent1ficat1on of Svnem _ _ .........M____________________________

1'1._tt_t_rJ_____.5Tc-.....s4

5. (11 ApplicaottConnrucuonCoda B31.l '.9~~dition;_N_/_A,,,__ _ _ Addtnd1,N-l, ll-7 cocac..

(bl APolic1bl1 Edition of Section XI Utilizea tor Aeo11r1 or Aeoltctmenu 19""'8_Y ____

6. ldenuflcation of ComDonenu A1011r1a or A1011eea 1na RtPlacement Compontntl

• N1maof Component N-of Manufacturer Mtnuf11C1Urar Stri11 No.

N1tion11 Board No. Other ld11111fic1tion Y111 Built Rtc,aiNd, Rtc,IICM, AIME Codi StamPed cv.. or R eplaceffllftt

• or Nol f)NIA,(Jl!,e'/<.

,t -os1.r tJJA. r!l1r l"IIJ- l-1'15-HSS-3J't3 rJ/11- ~ep(c,.ce/ ~b I

, N ,.,.. r;r;e/l.

v-oMf Ir11- u,R,~~lr/A- ~/Ir ' tv'J}. 1-11s-11%-:J7/!, I /V/IJ- 'lef) }ao6/fvJ/tf ..Jo

8. Tesu Conduct.a: Hydro1t1t1c: ?n1um1t1C O No~inol Oc,er1ting flre11ur11 0 Othtr O Preuurt _ _ _ _ _ psi Ten Time,. *F NOTE: Suc,D11mtm1I "'"" ,n form of lists, 1ketchn. or drawin91 mav bl us.a, providtd C1 I 1iu is 8~ in. x 11 In., 121 Inform..

tion in ittmt 1 throulJII 6 on t1u1 reoon is includtd on tech 11\Nt, 1nd 131 ttch 11\ffl it nuinblrea tnd tl\1 number of lhNtl it recorded It tha loc, of thi1 form .

• (12/821 Thii Form CE000301 mav bl obt11nta from tn1 Order D*Dt,, ASME, 345 E. '7th St., Ntw York, N,V, 10017 REPRINT 12/91 t ,, **,* ....

I f I FORM NIS-2 (Backl

l. Remarkl ....,_;o=-#---aCd=-*

..... *__,1<-.:'2:C..:rr.'-oe..:.YL.,=(1~(,~);__'_-__ r.__** "* w.ica.t.~ILLrf~"=='EL"""'-,-_ _ ____,.. _ _ _ _ _ _ __ i  ;: ' '. * ', Acp11cao1a Manufacturer*, Data A*.e>orta to oe enacnea CERTIFICATE OF COMPLIANCE We cenitv tn11t tne na,emenu mace ,n 1ne 11!oan are correct ~~a *,ni*, A.~~bT;;,ntorms 10 tne rutH of thl ASME Code, Section XI. rai,elr or rec,lecement Type Codi Symbol St11mo _ _ _N_/_A__________________________________ ~n1ficat1 of Authorrut1on No. __N_/_A_____________ Exoiration Oet1 ____N_/_A___________ s;,_ Q.~~"""~ , 19 /'¥ CERTIFICATE OF INSERVICE INSPECTION I, 1ne unaer1i;nld, holdin; 1 v111a comm1111on ,uuea by th1 National Baarcs of Boiler ana Pressura V11*1 lnsoectol"I and the Slltl or Prov,nc:e of Virginia end 1mo1av1e1 by HSB:I ' I Co* of Hartford. CT hm ,n~tlel 1n1 comoon1nt1 dncrlbld in .1n11 Own1n l;IIIQOn aurin; 1n11* ~,f,oa to ( Q-i. '3 -q b . . ,. ~nd 11.a* 1h11 to 1n1 bin of mv knowtedl)a 1na belief, 1h11 Owner na 01rtarmad ,*xaminatton1 and tak1n corracuvw m1111.1r1i d1ic:ribld In thl1 Ownan Report 1n'accaru-. w,tri ,11*, r1Qu1raman11 of thl ASME Cade, Section XI, By 1i;n1ng thi1 centficata n11ther th,* ln1aactor nor hi1 1mp1oyar mall* any warnnr,, uonaea or 1mD1ild, conCllflmlt the exam1net1on1 and carrac:uw m111aur* aesc:nbad in "' Owner*, Rac,o,1. Funhermare, neitllar ma ln1P9C1Gr nor hi1 amptoye, shall be li1bl1 in 1ny manner for 1nv oarmnll injury or prac,anv dam991 or a 1011 of any kind ar11in; from or connac:tld witft tfll1 Commiu10n1 -,wV;i;A;;;;;;-;5;;:4;;3;-s.";;:;;--;;;;;;,;;;;-;;;;;j"i;;;;;i';;;;;;;;;;;;;-- Nattona1 Boera. St11e. l'rov1nca. and encsor- Attachment II Page 31 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions of the ASME Code Section XI 1 . Owner Virginia Electric and Power *co. Date _ _ __,/1.'-£~Y~f?c.;;:..:...r...tf,__..::'Z::....,::3.._,_ /r-t.T.J.9_4.L..----

1 ..... ~ *m* 5000 Dominion Blvd., Glen Allen, VA. 23060 Sheet _ __./_ _ ot _ _ _.-/:.__ _ _ _ _ _ __ ACIClrau

2. Plant Surry Power Station Unit ONE Name P.O. Boz 315, Surry, VA 23883 lJ,Q. # C)?28/727-o/ '?,.(l...ft 9f-!ZO Aeetelr Organ1utlan P.O. No., Job Na., e1c.

J. work Performed bv Virginia Power Tvp1 Codi Symbol Stamp __N...;/....;A~------- . Name Authorization No. -----N~/,gA..._______ P.O. Boz 315, Surry, VA 23883 Expir1t1on D1t1 ~Hi.ct~A1--___________ AC1Clra11

4. Identification of System -,-----<fb...;_..;..'fl:.,,.1/l)~..;;;S;...';1.;...e1:l;;;...;.:.,_M....:..;'_*- - - - - - - - - - - - - - - - - - - - - - - - -

5. (al Applic1ol1Conatruct1onCoc:11 B31.l  ::9~Edition,_N...;..,/_A;......_ _ _ Addlnd1,N-l, ll-1 (bl Applic1bl1 Edition of Section XI Utilized tor Aep11r1 or Aeol1e~m1nu 19.:B-'9_ _

6. lden11flc11tion of Compon1n11 Ae1111red or Aeplactc:1 *ana Re1>lec1ment Componenu

• N1mi.of Compon1nt Nem1of M1nuf1e1ur1r Manuf1etur1F S1ri1t No.

Nation11 Botrd No. Otll1t ld1ntific1tion Y11r Built RIPlired, RIPlaced, or R1placem1M AIME Codi StamPecS (Yn or Not 7-,cp GrfG N/fr AJ/tt ;J/11-. J-11s-11ss - (g 13 N/,4- 72-ep/acee{ A/o Z Vz.. J;Lo!Jt,A'1E:.O 17'1- C7t./NNEU. 11 'lb:> b cS-V G S1l<.:li +605, ~ Ill IA- 1-11s-f/S5-bfJ N/lt '7.-ep/ace,,,enl ~D

7. D*scrii,tion of Work _ __.. ./A/__.. .9.... rz...11....t.._L_ __.;E,;;.;L() ' --~__.C;z_M

.... ___B_D_ _J2o e..~-~------------ __l)_§;'-+.... B. Tesu Conductld: Hydrostatic Pn*um11ic O Nominal 01>1teting Pre11ur1 0 Other O Pressurt - - - - - psi Tut Tims,. *F NOTE: Supl)l1m1nt1I 1J11111 in form of lim, sketches. or drawings mav bl used, providld 11 I size i18'.i in. x 11 In., 121 lnforme. tion in iteml 1 thr0U9" 6 on thil reoon ii includld on *ach thfft, and 131 aach lhllt it numblr9d and thl numblr Of fflNtl it reccirdld at 1h1 top of tt,i1 form .

• 112/821 Thi1 Form IE000301 may bl obt1in1d from,,,, Ordar Oei,t., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

I ' 'I ' I ,I, i ,: \', ' .'. FORM NIS-2 (Backl ,l 1:*

3. Remer~* _ _ r_e;_#_ _,,S"-+V--'0""-'Qi.<....L.9.IL.jj--1,!6:_.:?_ _ _*_ _ _ _ _ _ _ _ _ _ _ _ __

/ Acpllca&::1\* Manufacturer*s Oat* Aeport1. to &:la anachacl CERTIFICATE OF COMPLIANCE We cemtv thet the mnemenu maoe ,n the n!DOrt are correct ana tnis &Qe.e&#h""'Eonforms to tllf! rules of the ASME Coda, Section XI. rapa1r or reciacament N/A Typ1 Code Symbol StamD----------------------------------------- N/A H/A Canific1t1 of Authorization No. - - - - - - - - - - - - - - - - E x o i r 1 t i o n O a t , - - - - - - - - - - - - - - - - Signed ([}. ~ ,J} O w n e r ~ Tltla V' JS f oate _ _h:4.......,.....,.A...""""' ~,A=-/.___ _ , 19 ...f!H f 1: CERTIFICATE OF INSEAVICE INSPECTION I, thl undersigned, holding I v111d comm1111on 1uued by th1 National Soares of Boiler ind Prf!lsure v,..1 lnsoecton and the Stet* or Province of Virginia Ind employed by BSB:I

• I Co. of Hartford* CT have insoectlCI the component1 dHCtibad in thi1 Owner*, R~n during tne period / 0- f <-J- 'l 3 to IO' 14' 'I ,b . and st** that to th1 best of my knowtldge ind beli1f, the Ownar ha p1rformecs exammeuons 1nd tak1n corr1e11w menures a11etibad In thl1 Ow"9r'I Repon in accoraance with th1 requ1r1rnen11 of the ASME Code, Section XI.

By si,Jnino this c:antficate nenher the Inspector nor his employer makes any warnncv, uprnaa or imolied. collCllfflint the examinations and correctiw measur* described in th11 Owner*, Repart. Funhermora, neither me lnq>1Cu,r nor hit 91ftPIO¥er shall be ti1bla in 1ny manner for any personal injury or propar,y damage or* 1011 of any kind arising from or coMacted with tl'll1 inll)K10~ .D_ n {'\ ---~..i...4,1~--------cl.__-__~......:::--------Commi11ion1 ___V_A__S_4_3______________ lnapactor, Slonatura Natlanal Boan,, Stata, Provine*. and EndO,-ellft Oat* Attachment II Page 32 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPO.RT FOR REPAIRS OR REPLACEMENTS Aa Required bv the Provisions ot the ASME Code Section XI

, . Own*r Virginia Electric and Power Co~ tl..._"2=-3~,1-£1...s:..72~1--- 5000 Dominion Blvd-, Glen .Allen, VA 23060 ------------,.A""'a""'ar--.-.- "'*~* . ---------- Dall _.,__.H-Jl-.r..;;.t...;;..Lc I Shaet _ _ _ _ ct _ _ _ _ _ _ _ _ _ _ _ __

2. Plant __s..;u;..;r;..;ry~...;;.P_o_v_e_r_S__;.ta__;.t;..;i;..o_n.;....._ _ _ _ _ _ _ __ Unit ....-:0:;..IJ..;;.;:;;'/E_ _ _ _ _ _ _ _ _ _ _ __

Nam* P.O. 8oz 315, Surry, VA Addr-23883 . 02 ,D,:# ooz 8/726-q/ Reoalr Organ1ut1on P.O. No., ~* Joo R.# 94-n;:l No., eta. J. Work Performed t,y Virginia Power Typa Coda Symbol StamD __N_I_A..;;__ _ _ _ _ _ __ Nam* Authorization No. _ _ _ _ __.N;a.l'-!,Q..._ _ _ _ _ __ p_o. Boz 315. Surry, VA 23883 ExDiration Oat* .......1.H..,li:....At1....------------ Aaa,a11

4. ldent1fic1uon of Svu,m _ _ _ ,,,_./.1._...IJ......_IN:...:...__...S~"ba.:~:a.tl:.J.<.M~.....,.----------------------

5. (11 Appl1c1011 Connrucuon Cod* B31. l  : . 9 ~ ;,diti9n,_N_/;_.,A_ _ _ _ Addllnda, l:l-l, ll-1 Codec. .

r ii 1 ~ JI , .: 1 , ; ' ':( ~*. 11 r \ ~ i '~ ',t* i1 'j, ./ ; :, ,  :, ' : \° : f j ,', , "L ; ,r * (bl Applicabll Edition of Se'ct1on X,I _U11liz11ci tor Ae!)*"~:~r A~C?l~1ni1~t1 19.::8_9~--

:' l:**i ,, ,(. t ,. ':1\*ir!: *r . . '

. . . . . : :*,,.,:: . I,::. r :.: :::,1* .,,' .. 1*:, ..>.\.r. ..,:./t:<:,,;;*:::r~.:*,.*.. *~.::*.,,: ,,*..~:._:::Ii: i{ I

6. ldint,1flcat1on,of Ccm,Don11nu A101ir1d or Aaotacld 1nC1 R101ec:em1nt Comoo.n*ntli

• Name of Componant ;
• NMMof.

Mlinufacturai' M1nufacturer S'1ri1I No:* . .' j '" '**~*i ~~.,.,1c N11iona1 Board ""*No.* Ot1111 ld1n11fication v,., Built Raouiceca, 'I *AIME Raolim,:

• StamPICI Coda, CV"*

or AICIIICfflllftt or,Not JNLIM!,E:({ /J.-ofj;J ~IA- tw/,+ ~lk 1-11s -f/ss-/2. ,.)Pt 'tephc.-e~ ';,.I, 0 . ' .~,(ff."** N/A- \:.,, ,,, /-11$-1:/.51:r / '2.  ;..l!lJ- .~kcf;,~ ,1Jo "r ,* I,,,,, . ; ii, ~: . / ' ,,. *(~ ' I* ' .. <\*:

7. Ol1CrlDt10n of Work --1:Sf~-1'-JQ\_C..:;,a: 1

.5:;;;;..;;,J....;y~/3,;;:;;tJ_p(Z~*_.,~*1/_-_o:.6i~(-~"'~~t..:A..~....;*.==..S::;::~.:..:;.ll:::.:/J.~B~l;;(~:.;.*....;*;..ll_-...;o....,_i3_0_. e:::a..*:,..,..;..;; z._

8. Tesu Conducted: Hvdrostaric Pr,au~a,ic' 0 . ., *~of!'i~.*I Opl!r*ting Pt1111ur1 0 1 Otha, D Pr~nu,,'. . psi fen TamD. ' *F .

' ',' ' ' 1,' o I NOTE: Suol)lam1n111 Ulffll 1n to,m of lists. 1k11chn. or drewin91 mav bl Uled, provided 11 I 1i11 ii 8'1i in. X 11 In ** 121 *lnforme. tion in itlmt I throuvn 6 on tPIII reoon ii includad on Hctl '""'* and 131 ,acn '""' it numbared and '"* number of lhNII ii recorded at thl IOD of thi1 form. . .. . . . .. .. '* . * ( 12/821 0 Thii Fo rm IE000301 may bl obt11;,eci from,,,, Otdlr DIDI\. ASME, 345 E. 47th St., Naw York, N.V. 10017 '

• J ' \
• REPRINT l 2/9 l

FORM NIS-2 (Backl ~- Remar1<1 __,_f~O_#-.._;;;S--S_*,+-V_,.J......_9;...;:...J._S-:.;..__;;;_:J_J~(:-?)::......'-----~J,a./'-1:11:t.(...... d~dE.=,;~~--------- Aopllcatlla Manufacturar*a Oat* Raoana tao* anacr,ea CERTIFICATE OF COMPLIANCE We cen1tv tr,at tfte n1nemenn mace ,n 11,e reoon* a~ *correct 11no ~ h i ~ ~ , . - .onforms 10 the rulH of the ASME Code. Section XI. ,apair or raoiac:amant N/A Tvo* Coo* Svmt>ol S 1 1 1 m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - H/A N/A ~nificat* of Authoriur,on No. - - - - - - - - - - - - - - - - E x a i r a t i o n D a t * - - - - - - - - - - - - - - - - Signed ~ ~-;;,_ &<-::::'.'.' Ow~;OHl9nN. Title

rsf CERTIFICATE OF INSEAVICE INSPECTION I, the unoenigned, holding* vehd comm,n,on ,uued by the National Boera of Boiler 1na Pr1t1111111 lfes111 1nso1etol'l 111d the State or Prov,nce of Virginia end 1rna1ovee1 by HSB:I ' I Co* of S:artford. CT

• have ,i,.n~tld. th1 comaone,111 **c:1ncrlbed in 1h11 Owner*, Repo" durino th11 *01rioa / t>- It.{- qg 10 /fl .. I 1.(:-'1 . *.. and n** lllat 10 the bllt of my knowledge Ind belief, the Owner r,91 01rtorrn1G 1xanuna11on1 and tik1n* correct111e menur11 Olieribed In 1h11

. Owner:, R~on ,n accoraance w11n in,' ~u1nmen11 of 1n1 ASME Code, Section XI. By 1,gn1ng thil ce"tfic1m n111her the ln101Ctor nor hi1 employer mak* any w1rranry, uoraaaa or 1m01iec:I, c:oncaflWII the exam1na11on1 and corrK'tiw me11ur* c:1111enbec:t in 1h11 Owner*, R1c,or1. Fu"h*nnore. n11i1h1r th1 lnsc,ecu,r nor hil ~ - shall be liable in eny manner for 1nv person11 injury or proc,1ny damage or* 1011 of any kind 1ri1i119 from or connected witll ttlll ina,eci,on. ----~'------'"".f~---&-""~'""'--""""""--Comm1ut0n1_-;~V;A;;;;,;5~4::3:;-;;;;;-;;;;;;;;;;:;;--;:;;;Tn;i,;';;;;;;;-- 1naaec,or1 Sl9nature National &oara. Stat*. f'ro111nc*. encl Enelor-n Attachment II Page 33 of 93 Serial No.: 94-194 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 ElectriG and Power Co.
• Date <1hht1 l Nam*

5000 Dominion Blvd., Glen Allen, VA 23060 Sheet of ( AddrHI

2. Plant Surry Power Statio.n Unit I Name P.O. Box 315, Surry, VA 23883 tfr'.,(), :;/ rJ()t'3 '-15<? to/ 72-K- :It q f- Io 7 Addr ... Rapalr Organization P.O. No., Job No., ate.

3. Work Performed bv Virginia Power Type Code Symbol Stamp __N.;.:/_A...;;....._ _ _ _ _ __

Name Authorization No. NIA P.O. Box 315, Surry, VA 23883 Expiration Date __.R..,lc.aA::a....------------ AddrHI

4. Identification of System _ _'2..._1:::_~....,......

C..a.,V_l'2. _____ CO--=O'-L"-14-,tv_( _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code B3 l. l 19 §2_ Edition, _H_:_/_A_ _ _ _ Addanda, H-1, ll-1 Code Casa (bl Applicable Edition of Section'XI Utilized for Repairs or Replacements 198 q

6. Identification of Components Repaired or Replaced and Replacement Components

• Name of Component Name of Manufacturer Manufacturer Serial No.

National Board No. Other Identification Veer Built Repaired, Replaced, ASME or Replacement or Nol Codi Stamped IY11 li?r'<CICEt N/J.. /\14 ,._; A,. (-R.e.-Pt-1-MIZ'fAI~ IV~ 7Ze-p4'ic~ -0 r-Jr~e.1<e( &~INN~ t I IV~ fv'A -fl.(1-fll-,t( I l'/14./, 3 l<f'f 3 :Pi.:/JAi centeNi - .,._,.J

7. Description of Work _ _~L,;µ'->:£-f'f'-'/."-'1""'(!:a.-'e=----&:;;;..;.r_'1...::C..,t::-._e_f-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

8. Tesu Conducted: Hydrostatic Pneumatic O Nominal Qparating Press~re 0 Other D Pressure _ _ _ _ _ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches. or drawings may be used, provided 11 l size i1 8% in. x 11 In., (21 lnforma*

tion in item, 1 through 6 on this report is included on each 1heet, and 131 each sheet i1 nu.inbered and the number of 1heet1 i1 recorded at the top of this form .

• 112/821 This Form (E00030) mey be obtained from the O;der Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT '12/91

FORM NIS-2 (Backl 11 9'. Remarks -'-N.......... r_4_4_ 5_i_q_'5_-_1_(_~ ....ff.__::;;."Ef:_,.;..;;:qc;:c;.;.(G...:e:..:-f-_"Z--==-c)...,..)'--_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Applicable Manufacturar's Dlitl!I Aeport1.to be nn11chad CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct end this~,.A?5v&..1[' confqrms to the rules of the ASME Code, Section XI. rapelr or replecament N/A Type Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. __H_/_A____________ Expiration Date ____H_/_A ___________ Signed . /111 * ':/f ._ _ . k ~ r--/' _,., S 2 cdJrdk'4: ~ _ _ _ _ , 19 Date__..4"-'o-'~=,.6:a:..'_.,.y'".__ 7 ::( wne~own..-,;;J.ofllgnff, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel lnspecton and the State or Province of Virginia and employed by HSBI & I Co* of Hartford, CT have inspected the components described in this Owner's Report during the period / 0 .,.., _ er .3 to It) -( L.(

• 9 b . and state that to the best of my knowledge .and belief,.the Qwner hes 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 mekes 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 1011 of any kind arising from or connected with this _ __,.f~,--'~=-.::;...--------Commission1 ___V_A__S_,.4_3_______________ i_n_Sf:)_ect_~l..,.;:io;!,n,:;;.;...::__.;;.._ lnap1etor'1 Signature Netlonel Board, State, Province, and Endonement1 Date_ _ _ _ _ _/A ____ -_(_/_19 Cff .,* Attachment II Page 34 of 93 Serial No.*: 94-194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPORT.FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions ot the ASME Cod* Section XI

, . ~nu Vi rqinia Electric and Power Co. '11me Date -----=5:f-'/7'-f-j,~9'1~----- ( I 5000 Dominion Blvd-, Glen Allen, VA 23060 Sh1e, _ _.../ __ of_..___ _ _ _ _ _ _ _ _ _~ - - - - - - - - - - - A . 0 , - . .-.- - - - - - - - - -

2. Plant Surry Power Station Neme Unit --.L----------------

P.O. Box 315, Surry, VA 23883 l,,J. DIF Z ~4 4 70- 0/ ~72. ii= 94 -110 A.CIOlea Rectelr Or91n111tlon P.O. No., Joo No., eta. J. Work Pirformed t,y Virginia Power Tvpe Code Svmbol Stemc, __N_/;..A..;.__ _ _ _ _ __ N1me Autllorizetion No. -----Na.t.t~a.._______ P.O. Box 315, Surry, VA 23883 Expire11on Date .....uHy:l..cA..____________ A.OOrHI

4. __C_o_O_L_A..._~-,-'-------------------------

ld1nt1ficet1on ol sv111m __K..._fi....~~I\_C._TDa.-..;;.n.

5. (al App11c1111e Conmuc11on Code 8 31. l ~,9 ~ ~dition .._N_.;../_A;....._ _ _ Addenda, l:l-1, ll-7 Codec. .

t~~ Aep~,~~*b~ 1 lbl Applic11>1e Edition of S~c,;on x1 LJ1ilii~~ A1~1~.n:~~~. is:::a_,,q_ _ ' , I ~ , ; *,

• i ' '1 )' ( ' ... *".'] ': ', '1 ' '
• I , *:./

6. ld1n11flc1111on of Componenu A1p11r1a or A1placea ena Replacement Components

• Nam* of Component* Manufec:turtr .

Menufacturer .. "., ... ..Board ' Serial No: National No. Otller lden11fic1tion v,., Built or R111lacament or Not tv4 ,.; 11' I, ,' 1, 1

8. Tuu Conducted: Hvdronat1c Pneumatic: 0 Nominal 0peratin9 Pre11ure 0 Other D Pre11ure _ _ _ _ _ p1i Ten T1mo. 'F NOTE: Supplemental lhH11 1n form of 'li111. 1knclln. or d111win91 mav be uled, provided 111 1iu i1 8.,.. in. x 11 In., 121 lnfor11111° tion in itlmt I throuvn 6 on tr111 reoort i1 included on Hc:tl 1hNt, end 131 each 1IIH1 ii nui'.nbered end tlle number of lhNII ii recorded II tlle toe, Of 1h11 form .

• lt2/821 Thii Form tE000301 mav be Obtained from tl'II Order OIPt .* ASME, 345 E. <67tll St., New York, N.V. 10017 REPRINT 12/91 J

FORM NIS-2 (Backl 3; Rem11r11:1 _....,Nc....:.....,[.___4_,S:;..~--'7_3.:..:C..~-t./.L-f{tc....i::;::...Jl~"'u-r~JF~~i;~.::_.:..~....;;i.'f~ll-l(;...:;.3_r._.;') ' - - - - - - - - - - - - - - - - - I, (\/ T ¥'15 ~ 93- / . co;;*~,M;;::;]m'I Oat* Aeoorta to Da,anacfteel CERTIFICATE OF COMPLIANCE ,* ,, . 1 We cemtv v,11t tr,e st11temenu mace ,n u,e ~oon. are correct-1ina tni1 ; e l i j ~~ontorm1 10 tne rul111 of the ASME Code, Section XI. rei,air or **oiacaman, Tvo* N/A Cod* Symbol S t e m D - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Cen1fic1t1 of Authorization No. __N_/_A_____________ Exoiretion Oete ____N_/_A___________ Sign ~~~ U~ ,I ~ . ; , , ; , ; ~ . ; . OHlgnN. Tltla _;;£tf 6/64~ Oate _ _4>..._,._\<;!t_c__ z_____,19 2¢' CERTIFICATE OF INSEAVICE INSPECTION I. th* unaar1ignea.holding11111td comm1111on ,uuea bV ,n, National Boera of Boiler ana PrNsuR 1111*1 lnsoac:tol'I and the State orProv,nnof Virginia enaamo1oveabV HSB:I' I Co. of Bartford. CT ,,...,.. ,nsoectc th1 comc,on1n11 GIICribed in, 1_n11 Owner I Reoon d~rin9 tne par,oa _ _ ___,/'-'~"'-'~.._..f..:tf_.._-_q..._'.3:....--to (O-!L./-9 . * * ,1nd11a*111n 10 tn, belt pf mv knowleGIJfl_ ana. belief. tt,e, Ownar nn parlormed axan11na11on1 and taken corrac:tn,e menur11 a11c;.it.d In thlt

• Owrwr*, Al$>Ort ,,; aci:ora~ ~;t*~ tha-~u,,.men11 ol tha ASME Code, Section XI.

By 1ign1ng thie can1fican na,thel' *the lnsoac:tor nor hie employer mall* any warrancv, exll'ftlld or imDlied, col"IClffllftl the ilxam1na11on1 and cor;ectiwme~w-raa *a~nbea in 1h11 Owner'e Repart. Funhermore, neither the lnsc,ect0r nor hie ._10,w shall be liable in 1ny manner for 1nv personal injury or progeny damage or a 1011 of any kind ar11ing from or coMac:ted witll ttllt i-nllMC'l---11()1--"'~-------:------f-::'.~~----Commiui0n1_~VA;;;;;;-;5;::4::;-3-;;;;;;:-;;;;;;:;;;:;;-:~:;;;;;;;;;;;;:-- \Jtd~o,., S ~ Natlonet Soara. Stlta, l'rov,nc*. ana Enelor--. Data _ _ _ _ _ _ t)..__-....7__19 fy Attachment II Page 35 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM N1S*2 OWNER'S REPOR'T FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions of the ASME Code Section XI 4/7/qc/

1. Owner Vir9:inia Electric and Power Co.

5000 Dominion Blvd., Glen Allen, VA ~*~* 23060 Sheet Datt I of r

• l-ACIClrHt

2. Plant Surry Power Station Unit--------------------

Name P-0. Box 315, Surry, VA 23883 k{,o,"1" Z'i//~,l-o/ -Z72 -:l:I. 9$1-0'=>3 A.CIOI. . Reoalr Oroan111tlan P.O. Na., Joo No., ato. J. Work Parformtd bv Virginia Power Type Codt Symbol Sttmo __N_/_A _ _ _ _ _ _ __ Name Autllorintion No. _ _ _ _ _N...._(..,a..__ _ _ _ __ P.O. Box 315, Surry, YA 23883 Expiretron Datt __..H._.t...A ~ - - - - - - - - - - - A.CIClrHt

4. ld11nt1ficatron of Sy111m ____S__ A_F_fE__.[Y_,__,_,-.i_..1..t::.._C...t......(O:o.aN-._______________________

5. (al Applicab11Con11rucuonCod1 B3l.l  :.9~.Sditi4;)1'.1,_N_/_A_ _ _ _ Addenda.N-l, ll-7 coac..

(bl APPliClbll Edition ol S~c~1on )(I u,,'n~~c,\l~r , , I I ; ' , '.,  ; /', > A~o;,;~ ~/Ae~i~;~~~i. 19°.;;;;B...'i __  ; ( t'/ / '  ;, ') '>" 't

• t ', ', < *1 J t :, :" "~' .::, ,0
• Ntme of Component.
• Name ol
• Manuficiure~'

'i: .i,., , Manufacturer "' Serial No.'. :* *',.1*,- N1tion11 B~rd No. ******.****-*-1,'*"", ,** ,I* Otlltr ldent1fic1tion v,., Built ASME

• Codi RIOlirad,' ... $tamped R9"1aad, (VII or ReplcetNftl .' or Nol S"fuj)} Jq I II

'. NA. ., I*. I 1- .s 1- 2.40

• J..11 NUiS  : I_

' . l'f"Pl*:,, .,*', I-S1-24o 'q ',W'P S I{ Nu+- ,, ~. \,/;:**.:, H~ I -s I ., z.~ c:. I 'i ~, °f?e-p{ ~ Cp,t~T ,._,-a l\.lu+ ~ *I r-:,JA *.! ' ' . ' / : ' } ' . I ~1'....zt,to, 1'111 '4-pkJ.W!lf!JJ° ,..,,0 I " r , , ' \\' ,  ! ! .'1 ~:\ '*  !(, ! ', / ',',* \ i'/ ~ ' *; *, /

7. 011eru:nion of Work '°K1crl4.c.E' 1,', '&~1>::, ,*AN'D* t.J\JTS,*

B. Ten, Conducted: Hydro11111c Pntum.11,c O *, ~omin11,0,ctr11tiri9 Pre11ure 0 1 Otlltr D Pre11ure*. . psi : T*,n, ,Temp. 1 F 1 t

• I ' I I I "\ ' .'  :; ' * ' ' \- \ ** ' * ' ' '~
• 0 NOTE: SuDpjtmtnttl IIIN11 1n form . ol li111; *1lc1rtctl~. or drawin91 ffllV be used; provided f1 I 1in ii 8~ in. x 11 In., 12111'.'fOftN.

tion in it1m1 1 tllrou!Jtl 6 on 11111 r~oon ii included *On HCtl 111Nt, tnd 131 Itch 1111ft ii numbered tnd 1111 number Of IIINII ii recorded It tllt lOD of ml1 form. : , ' . -. , ,

• 112/B21 Thii Form IE000301 I

mav,i>> ot111in1d from ,i,, Order Oaot., ASME, 345 E. 47th SI., Ntw York, 'N.V'. 10017 REPRINT .12/91 **-Ii,, i'*. r-. I/.,._\._.' FORM NIS-2 (Backl AopllcaDla Manufacturar*1 Data Aec:iorta to 1:ia anacnecs CERTIFICATE OF COMPLIANCE . We cenitv that the statemenn maae ,n tne reoort are correct ana tni1d~i<4b~bC;ontorm1 ta tne rulH of the ASME Code, Section XI. repair or rep1ac:eman1 Tvpa Cod* Symbol Stamo _ _ _N_/_A__________________________________ __N_/_A ____________ Exoiration Oat, _ _ _ _ N_/_A__________ CERTIFICATE OF INSERVICE INSPECTION I, th* unaer11gnld, holdinQ I valid comm1111on ,uuld by the National Boera of Boiler ana Pre11ure 1111*1 lnsoec:ton and th* State or Pr0111nc:e of Virginia end amotovld by HSBI ' I Co. of _H_a__ r __t_f__o_r_d__* _C_T__________________________ have 1nsoect1C1 th* comoon1nt1 dncrlbld in 1n11 Owner I Re'i>on aurinQ

• tne oiriod * /r,' /y-*'j J 10 I lJ ~ ("(- ~ L . 1nd eta* that to tne bell of mv knowledge 1na belief. tne Owner ,na oerlorm1d exarn1net1on1 ana taken correc:uw menurn aHcr1tiecnn thla 0

Owner*, Ripon 1n ~ , a . , _ ~.~ri thl l'IQU;remen11 o; the ASME ~ . Section XI. By *iQn1ng thil cen1fic1n n11th1r th* ln1oacior nor hi1 employer mak* any w11T11ntV, uPf'IIIICi or 1mD1ied. concafflllll the u1m1na11on1 *,~ ~-~rec:t"'9 me1sura aescnbed in th11 o-,** Rec,o,1. Funhermore, neither tt11 lnsc,eaor nor Ilia ~ . , shill be liabl* in 1ny manner for 1nv person11 injury or oroo*nv aamave or* 101.1 of anv ki_nd atlliftQ from or connected wlttl 11111 f.._._*. .~---"------'-*-Commi11i0n1 _,~Vii;A;;;wii5~';;4:;;3;-;:a;;;--;;;;;;;;;;;;:--;,:;-~;;;;;;;;;;;- ~ i.;.n_llPK'l __'°...;*_nn.i.i-* -4..._... _..*,.___n...'_*. .*..._ Slgnatura National Boera. State. l'ro111nce, and Enelor-Oat1 _ _ _ _ _ _ vf. . -_1.___193i-- .\.:- Attachment II . 'I Page 36 of 93 Serial *No.: 94*194 Docket No.: 50*280

• 1. Ownu FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requ1r1d bv the Provisioni ct the ASME Coda Section XI Virginia Electric and Power Co. Datt _--:,4a__:/7~/..:....i'Cfi_ _ _ _ __

"lame 5000 Dominion Blvd., Glen Alil.en. VA 23060 Shett _ _ _ z.. __ ct -z_ Ad Cira.. -------------

2. Plant Surry Power Station Unit--------------------

Name P.O. Box 315. Surry. VA 23883 ACIClt. . Repair Orgen1ut1an P.O. Na., Joo No., tta, J. Work Performed bv Virginia Power Tvs,1 Codt Symbol Stamo __N_/_A________ Name. Authorization No. NIA P.O. Box 315

• Surry, VA . 23883 Exoir111on 0111 .....,H..,./._.A<L-------------

ACICltHI

4. ldent1fic1t1on of SVsttm ----'S-"--4.._F':.....;;E'T;;..;._,V___...:(_(\J_J_E'i~Ca..'__ T I_O..;.,.J

5. (al Applic11>11 Construcuon Cod1 __ B_3_l_._l____ :9~::dition,_N_/_A_ _ _ _ Addlnda, l:l-l r ll-1

!bl Applicabla Edition of Section XI Utilized tor Aeo11r~ or Aeo11e1m1nu 19.aB_ __

6. ldent1flc11tion of Compon1nu Atoiir,a or Atolaced ana A1olacam1nt Compon1nt1

• Ntml of Component Nlffll of Manufacturu Mtnufecturer Serial No.

National SOlrd No. Otl'ltr ld1ntific11ion v,., Built Rec,a.red, RaolKN, ASME Code StamPN IV11 or RaollCflNffl or Not ~luf (kt,, C,. rz.1;>,1,1A-{ fv'A I ' f-/ 4 (- 5( --z '?C (C,?f 72f!'p~C(f'lu (?'Al 'i- 11./0 I .I I 7, DtlCrtPtion of Work __ ~-"'a.i;~~o.ulA<~G:i.ef"-......s:8~:TV:..;..JaD.::;5;;::_~A.~N~"D~'.;..;~::.:ll::.T.1..;S~-----------------=-~ I

8. Tuu Conducted: Hydrostatic Pneumatic O Nominal Qp1ratin9 Pr111ure 0 Oth=rO Pre11ure _ _ _ _ _ p1i Ten T1mo. "F NOTE: Suppltmtntll lhlftl 1n form of lisu. 1k1tchn. or drawin91 mav ba u11d, provided Cl I sin is 8~ in. x 11 In., (21 lnforme.

tion in it1m1 1 throu!Jft 6 on 11111 reoon is included on 11c:f'I 1hN1, end 131 each 1h11t ii nu.:nblrld and tha number of. 1h1111 ii recordld It thl lOD of tt,11 form .

• (12/821 Thii Form .1eoo~301 m1v bl ob111n1d from,,,, Order Deot., ASME, 345 E. 47th St., New York, N.V. 10017 REPRINT 12/91

-------------.**. ----r--.-~-. ~ - .. - I I FORM NIS-2 (Backl

3. R~m11r~1 --5"--\.,_/_~_*-~-4_5_*'s_'-J_*--. _(\--"SuUJ-=.P...._._f._J-..:::,Y:c..~-,1,~)'----**- - - - - - - - - *- - - , - - - - - - - - - -

.._f 1 ' I I. ' AcpllcaDla Manufacturar*1 Data A~Port* to Da anacnecs i412fot-Z.. (t...Jvr I J,-../') . . ... 5y sy CERTIFICATE OF COMPLIANCE We cemtv tnat tne natemenn maae ,n 1ne ~oori ara ~~rr~ct ena tni1 ,2,,i:-J~ ~ n f o r m r 10 11111 rut111 of th* ASME Code. Section XI. '9'1 111 rar rapiacamant Tvo* Codi Symbol Stamo _ _ _N_._ I _ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - H/A H/A Camfica11 of Authorization No. - - - - - - - - - - - - - - - - E x o i r a t 1 o n C a t e - - - - - - - - - - - - - - - - Signed c;;:) Ownar _ or Own I DHltnN, TIIIII -:5'f .Eu4*be Cat*---~~,&;;a;\4.cr~~2----* 19 ~ :z( CERT1g.,1,r::ATE OF INSERVICE INSPECTION 1, 1111 und1r1igned. holdin; 1 v111d ct1mm1111on ,uuaa by the National Board of Boiler end Pr"a,,. llas** lnsoec:ton and the Slete or Province of Virginia end emoloved by BSB:I ' I Co. of Hartford. CT hrn . ,nqftea 1111 comoonant1 ducrlbed in 1n11 Owna,*1 Reoo" durinQ the oer10d IIO -/4-'f 3 10 / D- / i../ - 'f , Ind 11** that 10 tll1 belt of mv know1110C19 and lleliaf, 1h11 Ownar na oarformad exam1net1on1 and taken correc:uw maaur11 a111eribed In 1h11 Ownen R~on 1n ICCOrdlll'ICe with tha raqu1,.men11 of the ASME Coda, Section XI. By 1iQn1r19 1hi1 c:e"1ficate n11thar th* lnroeaor nor his emotoyer m*k* any warrancv, uDrnlld or 1molied, conCllfMII the 11xam1nat1on1 and corrac:uw measur* descnbed in th11 0 - r ' I Repart. Funhermore, neither the tnsoecn,r nor hi1 llfflPf0¥er shall ba liable in 1ny manner tor 1nv panon11 injury or prope,ty darneQe or e 1011 of 1nv kind lrilil'IIJ from or cannac:tad willl this in101Ct7> ~  ?. /,) n ---""~i...;;...;;,....,;::;...=...;..--L..___~..;a.-------COmmiuion1 ___v_A__s_4_3______________ I naoec:,ar, S19n1tur* National Boara. Stata, Prav1nc11. ana enaor-Date, ________ L(,_-_7..____ 19 9 Y Ht:O , .. , - --,,.-- *::zg , .. , *- *P?R" Attachment II Page 37 of 93 Serial No.: 94-194 Docket No.: 50-280 , I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions ot th1 ASME Codi Section XI 'I' , . Owner Virginia Electric and Power Co. 'lam* Oat* thlrv r.*

• 5000 Dominion Blvd'., .t;:;len Allen, VA 23060 Sh eat I of I

Ac:1c:1raaa

2. Plant Surry Power Station Unit I Nam*

P.O. Box 315, Surry, VA. 23883 flv.o# 0() 2'iZS"~7-o/ ]!12_ 11 ?Y-lo.5 Adc:11"8 Repair Organ11at1on P.O. No., Jotl No., ata. J. Wortc P*rformed bv Virginia Power Typ1 Cod* Svmbol Stamp __N...;/...;A;,,;;.__ _ _ _ _ __ !llama Authorization No. -----N~f.cl\.________ P.O. Box 315, Surry, VA 23883 Expiration Oat*__..H.,./.,.A.___ _ _ _ _ _ _ _ _ __ Ac:1c:1ra11

4. lden11fica11on of svn*m --=S"-A..F,""(£'('~(._..:.fN._..J._e__..c.r......_*,=a.1;.;;;;.._ _" - - - - - - - - - - - - - - - - - - - - - - - -

5. (1) Applic101* Conmucuon Cod* B3 l. l ;9_§2..__:;djtion,_N /_A_ _ _ _ Addlnda, N'-1, ll-7

___ COdeC... 1 (bl Appliclbla Edition of Section J(I Ut1li~11a:t~r Reo~,;~'*o~ ~eolac~,,; * .,,~ 19::::8_'["'-_ ' I l,; , , ' '. ! :  !, '.' . ~ ): ' / , i ' I~; : ::l r ; 'I ' ~: I '; !,, <* ',:  ; *, ' ' ,:. : .  :. *' ..-,/,.,.;, ::.:'.,:,:*,::--:* '.:-;*,: ' ~'.,.,*'\*.:: . ......

6. ldent1flc11tion of Comoon*n11 Reoair*CI or Rii;1taced an,q R1placem*nt Component1

. ***: * ,.i \**,*':* I AIME Codi National Rat,ail'9d, 's....... Name of v,., Rat,leced, IVII Nam* of Compon*nt M1nufecturar 's,,1,, No: *

• Manufacturer Board No.

Otllar ldantificaiion Built or Rat,la:etlllftl 1*,or Not '**:' ' ' ~ ' 5 r, STtfl>S 'P N" ~~ .*.NA (-51-,q, }-,Pt 1ley/4c,:-J> ,._,u 5 ,,  ; ', Nu1; ~ f.JA (/.IA fJA /--51-/'(Z. I /.IA P.~p/4 Q;""i) k) f)D STU'D5  %,,.., MovA tv/,A NA /- 51-1 t/'l /'??c/ rt'9>hc ~"NT Nvrs .%-ie;' A) Qi.I,<\ ,* A/Ir- !1 I ,',,.'*.N~ .! . l- 5/-ft/2 /'lf3 ~/~C~El\;1 f/D ,,, I

7. 011criotion of Work _-...,172.~=c;f'.f)"lo/,;.;:4i.::4;::(;~.:::;~.:.11/,.;..::D:;.'s~'~A,.:.tv:,;_,i2>~..;.* lf~11:;.f5.i._..,______________________

a. Test, Conducted: Hydro,tatu: Pn~u~a,,c,Q

• Nominal PDl~llting Pr~11ura D Otllar O Pre11~ra' psi Test T,,;:.o, *F NOTE: SupD1*m11ntal "'"" 1n form of lin,. 1katchn. or drawin91 mav be u1ed, provided 11 I 1i11 i1 8~ in. x 11 In.. 121 lnfonne.

tion in ittffll 1 througfl 6 on 11111 reoon i1 includ*d on Hctl 1hNt, and 131 ,acn 1hNT ii nui'.noa'9d and th* number of lhNa ii recorded It th* tOD of thll form .

• ( 12/821 Thli Form CE000301 m1v OI obta1n*a from,,,. Ord*r 01ot ** ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

____._.-------*-*--*- =-==~- **,:* 1' ,;, 11 i' \ FOAM NIS-2 (Backl ~- Remer11:1 ~C~t,...~l.1..f-~_,_-_S_,'3e...~::..'2::-=*:..c~!.-..--5;.__i(i,.....;::s:..11L>=..:!.]):...5'---~-li1~):....__...,...___________________

• I Aopllcaole Manufa,1urer*1 Data Reports to oe anacftaa Ct.JT 44 ~514- Z... ( 1'f vt5 ~ '.J CERTIFICATE OF COMPLIANCE .

We cen,tv that tl'le natemenn mace ,n tne ~cart are co~rect ana 1~i1 @<.&~ ;onforms 10 11111 rulH of U1* ASME Code, Section )(I. rape1r or rapiacamant N/A T vo* Cod , SvmbOI S t a m o - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - N/A N/A Cen1fic11a of Authorization No. - - - - - - - - - - - - - - - - E x o i r a t i o n Oeta - - - - - - - - - - - - - - - - .S i g n . a w ~ ~ / Ownero~...OUlgnN. Tltle £5£~,&+f.6& Cat*--~'ff-~Af~t-*--,,~2---* 19 ~,:( CERTIFICATE OF INSERVICE INSPECTION I, th* undaraignad, holdinQ a valid comm111lon ,uuad bv tha National Board of Boiler and Pre11ura llas*t tnsoacton and th* Stat* or Prov,nc:9 of Virginia encs amotovea bv HSBI ' I Co* of .:EJ:..:a=r:.;t:..:f=..::o;.:r:.;d=*-C;;;.T.;:..____________......_____________ hm ,- ,nmectlJI tha comoon1n11 dHCribld in ,,;,, Owner*, Reocm during 1n11 period {() - IL{ -'13 to / 0 - / 4- 1-' . and 11** ttln to 1na oau of mv knowtedl)a and -belief. 11111 Own*r l'ln oarlorm*d *xam1nat1on1 and t1kan corractn,a maa,urH a*a1ermild In 1h11 Owrwr*1 R~an 1n ~raance w:~,,' t~I ,.q~1raman11 of th* ASME Coda, Section XI. By 1ign1ng thil can1fican na,thar th* lnsoactor nor hit amptovar mak* any warranrv*. uDfWllld or 1mD1iad, c:cinCllffllfll lhl 11xaril1nat1on1 'and correctaw mu~r* descnbad in 1h11 O-r'1 R*c,an. Funhermora, neither m* lnSQKtOr nor hit en11110,er shall ba liab*II in 1ny manner for 1nv oar10n11 inju,v or oroc,1nv damage or

• 1011 of any kind ar11i119 from or connac:ted willl 1h11 i_n_*.IIMCI_*_*_w-"*_*...--~.l=*""u-"',n~ac,-* ......,-~-lg_n_a..,(i)A_re""""-"------CommilllOnl-~Ni;1;j:;j;:;n;a1;'iaii:5o;;~;:!;;;-,,5;tt:;a;;,e;'".'jjp;;,a;;:v;,,:;;n";ca;.~a;;na:;;"ie";;n:;;c:li;;o;,_,;;;,..;...;flft;n-

_ec:.._,a_f Date _ _ _ _ _ _l{'-'--------7_ _ 193!/-- Attachment II Page 38 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions ot the ASME Code Section XI Owner Virginia Electric and Power Co. Oate _ _4~/-'-1/.....:....qf;.....__ _ _ __ "<am* 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet _ _ _l__ ____ ( _ _ _ _ _ _ _ _ _ __ 01 AOClr*II!

2. Plant Surry Power Station Unit------------:'----------

Nam* P.O. Bez 315, Surry, VA 23883 l..v, u. 1F ooZ.j> z:z1r of.7Z.12.-- ...s.. 't</-093 AOCSHU Aeoalr Or11en11at1on P.O. No., Jotl No., ato. J. Work Pirformld bv Virginia Power Type Codi Symbol s,amo __N_/_A________ Name Authorization No. ------N.u.l..ci'o~------- P.O. Boz 315, Surry, VA 23883 Expirauon 0111 _.H._/._A.,.______________ AOClrHI

4. Identification of Sy111m _ _.. C-=o"-N"'-'-r:""A"'tN.,...M.:..uG.-u.N>>-&.L-:-.-'.:""S:;.:,P~,:..;:12;.:A=)(-------------------------

5. (al Apphcao11Connruct1onCod1 B31.l, '.9~Sdition, __N.;./_A _____ Addanaa,N-l, ll-7 (bl Applicable Edition of Section XI Utilized for A~o~/ra o~ Ae~1ac1m1nt1 198ca'-Cf..,___

-~~ Al Dl~~*~~i Compon1n11 0

6. ldent1flc11t1on of Comc:ion,nu Aaoan1CI o'r R1olacld

• N1m1 of Component N-of Manufec:iu~r.:; ,

M1nufactu~r Siri1I No. '*;;:1 N1tiona1 . .Board No: Otller ldlftllficatiori . v,., Built Repaired, ReolK9d, or Replai:etNM or Nol. l 1

• AIME' coca s........

CVN ,il ;r._ ,, '5,TI.,1) s ¥ N*~ .-NA** /.;.., CS-52

• MA s"

-r;;- LI, 1C, I,,.{,,,. S71Ji'I<:; 'S ~ " Nov4 ',,.,,.fv'6.*,;,"**, . ,., . ,* .. fJ.A, **, ' .. , :.I~ Cc; - ;, l_ s ,, NuT'=> 7 , MActcso µ 7, o,scriotion of Work ...-.....:'1Z=e:;J;(?~{i.:;A~Cf-.-s=m.t::J:P:..*:.S;_,""-~'.:..'*'.:.'r-.l.;::":.:YI:S" '-,.;'*~!/"_-*.._... _.... _,.,_._ ..._.,_, ..,_... _.. , .;;;-'*'-....;:...:._.;_;_ _ _ _ _ _ _ _ __;._ _ _ _ _..;._ _

8. Tests Conducrtd: Hydrostauc Pn1uma11c O Nomin11 Ooeratin; Pr111ur* 0 Other O Pressur11 ______ p1i Te11,Ji1.mo. "F

,:11 j' * ,, \*;.: 't* ', ,',, ",I I *  : ;,I NOTE: SuoD11memat lhlfll '1n *form of liits. akatchil. or arawinge mav bl ulld;,providld 111 aiu i1 S'ti in. x I I In ** 121 lnforn,e. tion. in it1m1 I throu9"1 6 on 11111 reoon. , is inc1ua1d . . on Heh . .' 1hNt. .,na 131 Heh 1hlft is nui'.nt:11rea ind th1 number of lhNIII is recorded It thl too of 1h11 ~orm. ., :' :,,,' . i' , 1 1 ,'l, .;:.,,, , , 1 1 , . . ;:-:,  :.*, .. , ' : * *: *. , . , 1 I ' . ,  : 1 (12/821 Thii Form tEOQ0301mey c,e:obraui1a't'rc:im tP11 Order 010,:, ASME, *345 E. 47rh St .* N1w York, N,Y.- 10017 I . , \ '. ',I .* I *11 * ~ * * \', . ** ,.,1 *.i*, REPRINT: ,:1,1

,t,2/91 I / i', ',',' * " ' ," ~-q I,'*,>, 'I,,,,, t '>I ' 'I i*J'

,;: .;**', J ' ,, ______: ***:_.*_.,_***A~ ..*'__ ~___ *.~--,..--*-.', FORM NIS-2 (Backl ~- Remarks (".s:" ) ..........:N...;....;.T_4_3_2_ 7_4_*_4_-_4_..,.L_--"'-Y__,_/./.~e;i;f....wN,:..;;u..:.f..,:...._______________________ , (, ioncaPla Man)ui°~cturar'I Cata Raborn 10 Pa anacr,aa, x *srun CERTIFICATE OF COMPLIANCE We cenitv tnin tne mnemenu maae '" the n!~~n- ~;,, correct' ana tni~ A~~JfdlT ;onform, 10 tne ruin of th* ASME Code. Section ,I( I. rapair or **otacamant N/A T vpa CQda SvmbOI Stamo _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ N/A N/A Cen1fic1ta of Autllorizat,on No. - - - - - - - - - - - - - - - - E x o i r a t i o n Oete - - - - - - - - - - - - - - - - / / ,~ ;J -.. - Sign.J4/... r;_A~ Owner 0 ~ 1 1 1 1 n N . TIiie; c' .:I >,.L c;;;::1£kvllR! Cate --4"'+'. . 2-------** Vl,.__.,~-... 19 9'. f CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding

• valid comm1111on ,uuad by the National Boera of Boiler 1na Pre11ura \111*1 lnsoec:ton and the Stat*

orProv,nc:.ot Virginia ena1mo1ovadbv HSB:I ' I Co. of .:;H;.;a=r.;;t;.;;f;.;o=r.;;d;.;*:;.._.C_T__________________,..,..____=-___ have ,n~tea the comoonan11 *dlltCl'lbad in 1n,, Owner'I Reoan during th* oarioa /()~IL\_ q2 to ID- 14 -'le., , ana et** tlln to the t>an of mv know,ac,qa and belief, the Owner na oertormad axarn1na11on1 ana taken corractiw mHsurH dHctibad In 11111 Ownen RtQari ,n accoraanc:. wnll tlla raqu1raman11 at tlla ASME Code, Section XI. By 119n1ng this can1fican nanhar th* lnsoeaor nor his amployar mall* any wananr,, uornaa or imoliad, conCllffllftl Ille 11xam1N11on~ *,na ~rrect"'9 measurail dnc:nbad in 11111 Owner*, Reoort. Funllermore, neither ma tnsc,ect0r nor lli1 .....,., shall be lieble in 1nv menMr for 1nv parsonel injury or ciroo*nv damage or

• 1011 of any kind ar11ing from or connectad willl ltlll i_n_.-,_._'°~~-=*'*~*--*-~--~1 ...*~---~----------Commiui0n1-~-V"".'"'"A__S;._;4_3______________

tn-.,ector'1 Slonatura National Boera, State, l'rov1nca. ana E n d o , _ . Date <<- 7 19 C/ t.f 7 ***\! ,*  : {, 'i:,' Attach~nt II .I i* ' i. Page 39 of 93 Serial No.: 94-194 Docket' No.:* 50-280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provision~ of the ASME Codi Section XI 1 . ~ner Virginia Electri'c::: and Power Co.

'lame Date ,. y/&>/9</ 5000 Dominion Blvd., Glen Allen, ;o/A: 23060 Sheet ( ct 2. AaareM

2. Plant Surry Power Station Unit I P.O. Boz 315, Surry, ~A 23883 AOO, . .

• Raoelr Organ,utlon P.O. No., Joo No., eta.

J. Work Performed bv Virginia Power .TvP* Code. s.vmbol s't1mo __N_/_A _ _ _ _ _ _ __ Name Autllor1ntion No. _ _ _ _ _,1;1N~/.z.AL..------ p_o. Bez 315, Surry, VA 23883 Exoir1t1on 01t1 ......,Hul-'A:a...__ _ _ _ _ _ _ _ _ __ Aaa,e11

4. ldent1ficat1on of Sv1t1m __"fZ......_._e_A_'-_T_o_rz.__CO_o_1.._A ___AJ_J_.- - - - - - - - - - - - - - - - - - - - - - - - -

5. (al Appl1caOle Construction Coda B31. l :9~:;dition,_N...;../_~_ _ _ _ Addlnda, N'-1, ll-1 (bl ApplicaOle Edition of Section XI Ut,lizea tor Aeoair, or Ae~lac:1m1nu 19;::;8_'{..__

6. ld11nt1flc11t1on of Comoon1nu Repaired or Aeol1Cld ana A1placemen, Compon1nu

• N1m1af Component Nameof M1nufacturtr *'

M1nu'f1eturer S1ri1I Na. N1tian11 Board No. Otller ld1,111fic1tion v,., Buill R1t,atred, R1t,lacecl, or R 1t,IIC9ffllffl ASME Codi s......- CY11 or Not ,!, 1/ lfey Nvt ~ £"_ ,, *, ' VA NA I NA. /-/Z.<!:,, IG:.o p.-1,<J. 'le:pf4c~ Nt> "j 1l-'t> "g /VA- I N4 '. fJA. (-llC- l(pO I N;J fr()l4c~ ('/t> VAt.riE 3 *1 N4 NA tv1\ l-fl.c-1&:o fv~ ~cp/4c~ f,/() 5- ,, /-lu lllvf ~ Mt+C(C5f1N t,;4 i tvA, I-Ile -tfoi> trr~ 12.!:i /4.(eM@.i ,_ ~() i::'if 4 {'4n...1)1 A.I,+( f\/14 I - fl.(-/<d> I 'i"I.J &f)i4 CFM~MT fJO $1Vl) N'~

7. D11er1o,ion of Work _ _7Z..1.f_E'~p~/tJ,~,~~=---l'/M.a.!:L.111/.s;;-.1.A:lltv~b~......

fa~o_l-1'G..:.'L.l:N'-l(.c.c:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ B. Ten, Conducted: Hydrau1t1c , /Pneumatic 0 Nominal Op1i/1t.in9 Pr11~ure 0 Other O Prmure I..ZQ~"iH pai T111t T1mo. ,1,,.,4,,r.,...,

• F NOTE: Suol)l1m1nt1I stints 1n form of lin1. 1k1tchn; or dl"lwinge may be ulld, provided 11 I 1in i1 8~ in. x 11 In., 121 lnfonna*

tion in itlffll 1 tllrOUIJh 6 On tllll repon ii included on IIICl'I 1IINt, Ind (31 lldl IIIHt ii nu.:noerect Ind thl number Of fflNII ii recorded ,, ,11. tOQ of Thia form .

• 112/821 Thii Form IE000301 m1v tie obtli1n1d from,,,, Order Oaot .. ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

1 :*111: ', I ,,,\ .,*,.*,' I .1.. '! ( I., '1' ,FORM N1s:2 (Backi

• I

'3,. Remaro:1 -,---'-N---'T__~_..;;..g_7;.......:1_.3...J._,*....(,...:H"""""'~..,.e_/1.J_...;;(.);...;rc....-.-~--S:.:;.w_'-,1,):......_~.-.-,-,----:--.-----,---"-------- I, 'L

• 1 \ 1 :; . l ,1  : I ** *Ao 't,cabl* ~*nu'.fac urer*1 081:8,*A*oarta to c* **nachecl

), * ** r 4 3 8"fe o5 - 4 5TZ.J ~ ~ "

• PT/:: 5£= 119 001. A. o l CG. ti= SG"t 1'1001, J. o /

CERTIFICATE OF COMPLIANCE We cemtv tr111t u,e netemenu mace ,n the ~oon a~ correct 11na tni1 ~)~&:cYC::onfom,1 10 tne rulH of the ASME Coda. Section)( I. '~ 1 " or replacement Type Codi Symbol S111mp _ _ _ N_. _I_A---------------------------------- Cen1fic111 of Authoriut1on No. - - N/A - - - - - - - - - - - - - - E x o i r e t i o n Oete _ _ _ _ H/A_ _ _ _ _ _ _ _ _ _ __ Signld /1 ~ / ~-+/-~. 44 / OHlgnN, Title _:Ij L 01te _ ....,.-?__..'7.._______* 19 2 f' _..4....,....'4 CERTIFICATE OF INSERVICE INSPECTION I, 1h1 una1n19ned, hotdin; 1 vet id comm,11,on ,uued by thl National Boera of Boiler end Prnaure 111. .1 lnsoec:torw end the State or Province of Virginia end emoloved t,y BSBl: ' I Co* of .cH-a=r...t_f""oa..r~d...;..:;*-C T___________________..,..,,_____ have ,n~ted the comoon1nt1 detcribed in 1n11'0wner*1 Reoon durin; tne period ,1. L.1- 3 I~ /0 -/q-<j .

• Ind 1te* thet 10 1h1 bin of mv knowledl)e ind belief, the Owner nes performed exenunet1on1 end taken corractiw manure, aecr'ioed In 1h11 Owner'I A~on ,n eccoraance With the reQU1remen11 of the ASME Code, Sec1ion XI.

By 1ign1119 chia ce"lfican ne11her the ln1oec1or nor hia employer mlik* eny we"11nry*, uorllllCI or implied. 'conclfMII the t1xem1ne_tio'n1 end correc:tiw meaiur* descnbld in tlu1 Owner'1 Report. Fu"hermore, neither tn1 lnSO.KtOr nor hi1 emp..... ., shell be liable in any manner for anv oerwonet iniurv, or progeny aameoe or e 1011 of 1nv kind ar11i119 from or c:0Mect11iwlth ltlll

• in1P1Ction:

--'---'.;..._.i~.__..._~--~:":'/_.*_~---=----Commiui0n1--;;;;;Vi;;A:;;;;,5;:;:4:3;-;;;;;;-;;;;;;;:;;;;:;;-;:;;~:;;;;;;;;;;;;;;-- 1n1Dec,or1 Signature Netlone1 &oera. State, f>rav,nce. ena Encsor-Date* _ _ _ _ _ _ vf._-._;.,7__19  ? t Attachment II Page 40 of 93 Serial No.: 94-194

• ' Docket No.: 50-280
• 1.

FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS Owner Vir9:inia Electric and Power Co. As Required bv the _Provisions ot the ASME Code Section XI Date 1/rtht 'lame I I 5000 Dominion Blvd_, Glen Allen, VA .23060 Sheet z_ 2 cf AC1drH1

2. Plant Surry Power Station Unit I.

Name p_o_ Box 315, Surry, VA 23883 Addi- Reo11, Or111n111t1on P.O. No., Joo No,, 110. J. Work Perlormld t,y Virginia Power Type Cod* Svmbol Stamo __N_/_A________ Name Aut,:ioriz1tion No.,.------Na.1:/~A:i.__ _ _ _ _ __ p_o. Bo::ic 315, Surry, VA 23883 Addre11 Exoiret1on Otte __..H,../""J\"'--------------

4. ldentificauon of svn*m 7Z~4 C.7?:>'tZ.. C se, c.. A- ,Jf"

5. (11 Appl1c101e Conmuc119n,Jo~1 ~3,\,,~,; , 1

,'  ;;~A.~,~ 1 1 1\~i ti ~~,:-*-.*-N...(_A__---.-,,-Addenda, N-1, 11 ll-7 CodeC111 (bl APPiicabie Edition of Section XI Uulirea'tor Aeo11r1 oi,.A11011eem1nt1 *198.:;_'l-=---- ,. . .  : ..  :* I.  :. ,_: .:'. . . : *.**.:_;*:;,:::~/!,;'.\/;:i:**i.'.: '. :.: : .',*.,

6. ld1nt1flc1mon of Corr\c,on,nu Aao~ar,a.or A1ol1cea 1na,A1011e1m1nt Componenu

• Neme of Component

.NMMof .' ~::--

• Meriufac:tuier. 1 Menufacturer
• seri11 *;..o:* .' . ...

N11ione1 Soard N"o: .: ;,,] Ot111r ld1t111fic11ion ~\ V11r Built A~airect; Aaolll:90, ASME Codi s...... IV11 or RaollCfflllftl or Nol /kl VF 3 I/ /v14"v,.;jC./N lv.4- f-/Z.C -ffoo /fq 't ~h~e.i J-,D *.* *: ;:'. *'i1*,***, ..... *.: /

7. Oescriotion of Work-1?2....:.e.f',au./,.t1~C.ll_.11;/fi.;.;14.L..:l/.:::._..*.;.A...;.IV~7)~*--'~~-. *:;.;,:;.;;.*;..1".:.;f"".;;...i.;Cr;:;...._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

B. Tesu Conauc11d: Hvdroat1t1c ,/'Pn!um'a1ic,O . Nom,inal_Oo1r1tin9 PrH\Url 0 Oth5r O Prenure /. i.,r: t Mr,@ psi Ten r,';,,o. e1cdcr'l<<r:

• F NOTE: Suppl1memel lhN11 in form of ,;i.~~: .~~chn.* or *d~~in91 ffllV bl Ulld, provided 11 J aiu ii 8~ in. X 11 ,~** 121 lnforma.

tion in itlffll 1 throu!Jh 6 on t.1111 n1oon .ii included .on IICtl lhNI, Ind 131 IICh lhffl ii numbered Ind the number Of lhlftl ii recorded It thl 100 of thll form. , . .. ,

• I12/821 Thii Form IE000301 ma\, 'bl ob111n1d from,,,, Order D11;>t., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

FORM NIS-2 (Backl / I-I-el( - ) ~- Remar1<1 _ _ N__T_4_3_7_9_3_/_~_f\/_...,_t__~_1_:.c - - - - - - - - - - - - - - - - - - - - - - - Ac llcaa1a Manufacturar*1 Cata Recoru to a* anacnaa - 4 ~,, 1? 17!= 'S ~I/ '1 ooi. 4c:, I C(;/IE 'Sti://'700/.40/ CERTIFICATE OF COMPLIANCE We cemtv tnat tne statements maoe ,n 1ne reoon are correct 11na tni1 d.~,}e&ki::'i',"'...-;onformr 10 tne ruin of th* ASME Code. Section XI. ,ep,[., or repoecement Typa Coda Symbol Stamo _ _ _ _/_A---------------------------------- N_. ~nificu, of Authorrzat,on No. __N_/_A____________ Exc,iration Date _ _ _N_/_A ___________ Signeo {J_ '£/6;/1 <,-iLXSf 4G,v~ c 5 w n . i ~ ~ e 1 l g n N . Tltll Date-4...., ~ .........< k-------* 19 29( CERTIFICATE OF INSERVICE INSPECTION I, th* unoersignld, holding, valid commrnoon ,uued by the National Boera of Boiler ana Pre11ura 1111*1 lnsoecton and the State or Prov1nc:9 of Virginia end amplayed by BSB:I ' I Co* of .=B:.:::a::.;r=t-=f~o;;.;r::.;d;;;.:.*_C;;.T;;...___________________..,,.......___ n..... ,n~taa th* comoon1n11 dea:rlbed in* 1n11 Owner't Reoon during 1n11 oarooa /6 -/4-'t 3 to I 0-(4-'( b

• and 11** thn to 1n1 bait of mv know1aaqe and belief, the Owner na oerlormea exam,nauont ana taken corrac:tiw menurH oatcritled In thl1 Owner*, Report ,n ,ccoraance wrth thl rwQu1ramen11 al the ASME Code, Section XI.

Bv 1ign1119 thi1 cenlficate neither thl lnsoector nor his emc,1ovw mak* env werrantv, uDr9111d or ,molied, co!ICllffWll lhe exam1nat1on1 and correetaw measur* descnbld in 1h11 Owner*, Rec,or,. Funhermore. neittter the lnspectOr nor hi1 ..,...,. shall be habll in anv manner for 1nv personal injury or 1>roo1nv damave or* 1011 of anv kind ari1ing from or coMected MIii 11111 in~n~ !. u /'\ --~.:l..ll~--""'-----'L-~~~---------Commi11i0n1 ___v_A__s_4_3______________ 1nap~or1 Slgnetur* National Boera, Stat*. l'rovrnca. ana Endo,_. Date _ _ _ _ _ _ -_7____19 ?tj l{__ Attachment II Page 41 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM NIS-~ OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requ1r1d bv the Provisions ot the ASME Code Section XI 4/cPlt'I

1. Owner Virginia Electric and Power Co. Datl 5000 Dominion Blvd_, Glen Allen, VA 23060 Sheet of I

2. Plant Surry Power Station Unit Name P.O. Box 315, Surry, VA 23.883 ~.o.# ooz~o,2~-o, /2..72..::1:l:.CJ'f-tJl'j

.a.aoreuI Aeoalr Or9en111t1on P.O. No., Joo No., ato. J. Work Perfonnld by Virgini!a Power! iypi Code Symbol Stamo __N_/_A________ P.O. Box 315, Surry, VA Adar111 ~*'"* 23883 Authorization No. ------'Na.(t..&a..._______ Exoiratron 0111 __.H..,I...A...._____________

4. ldentrfic1t1on of Syuem _ _S_/9....._Pi .....'__.Q_...,.I__I __ N__ J..aE'::.Ca..Ti ........l E : i = = - , - ) - - - - - - - - - - - - - - - - - - - - - - - - - -

5_ (1) Applic1011 Conmucuon Code B31. l :9~:dition,_N....;../_A_ _ _ _ Addlnda. N-1, ll-7 (bl Applic1011 Edition of Sec11on XI Utilized tor Aeo~ir* or Aeolacamenu 19.=a_q...____

6. ldentrflcation of Comoonan11 A1p1u1a or A1ol1ced 1nci R101ecement Compon1nt1

• Nem* of Componan, N-of M1nufec:turer
• M1nufacturer S1'ri1I N'o...... .. ,

(* *1. ... )1 ' * . ,: N1tiona1 Boera .' No~ Olher ld1n11fic1tion v,., Built RIPetrN, Replai:ect, or AIPIK9fflMl1 or Not AIME Codi StamPed 1v.. 'I s-n.., I>, ~ N~  ;. I*** *., I\JA, .,., NA /--"5/-/'lf OV- /'1.<,,t/A /vA 'J21cp~ACE "J) ~ .. I .. ' . *, ,-J/-11,fOV-, / 'i,!./A.I NA ,I N1.J15 4" I /VA II ,'! ivJtl 1 ', I* ',7';*, ,.:-'**,"' NA 1/Ze-pl~c~.1> ',!. ' A...,t, h" *1. {)" ,r_p~,vkL ' ,.It/~"*"' {-SI -111<011- l'dtot/A  !<ttrc K.,:pl,qc.E?U@JT Mb <;-ru -o...; *fJ*A. *, -t I . ' '(.IA- /-.fl~ '1,fov-111ro'I A tn:? ~t>4~eJl,1 1'I I:) ~()~ .f AfZi>tM.4.t ',(

. ;,,,4- ' ' '

j .' *~ ,, .,  :/. r i * *,1 ... '. I ,i*!J,i:\' 1 " ' j I * ;,/.,*,1:,1)' ,./ , .. ' '

• 1\1

7. Dascr*Dtion of Wor11 _ __.72....,9.,12 L

... A.C=:fi.,...*_1:s;.1:, =.,;;=--'*L,_-*.+_,*,_-,..,_}-~ .. ~*~***-*_ _ _ _ _ _ _:.;,__....,._ _ _ _ _ _ _..;..._ _.._ _ _ _ __

8. Tesu Conducted: Hydro1t1t1c .~n1uma11c O Nomin*a1 Ooera11n9 Pre11ure 0 011'11r O Pre11ur,. ______ psi Ten: :r,emo. *F NOTE: Supplemental lhnn 1n form of'liiu. 11ietc:hn. or drawings mav ba used, provided 11 I 1in ia 8~ in. x 11 I~ ** (21 ll'fOffllll*

tion in illml 1 thrDUCJfl 6 On trlll,FIPOM ii includ1d:on HCII lhfft. and 131 IICh lhlft ii numtllred ind thl number of'thN11 ii recorded It tha tOO Of this *foffl'.I. *1

• I" .' .:* .. ,*....,.**!.-, '* .,"* ' ,  :

l ,

• I' . . .* I ,

1 (12/821 ihii Form iEOOCi301 may 'oii otlta1ri1cdrom*,;,i,'ord1r 01c,t** ASME, 345 E. 47th St., New York, N.Y. 10017

• r I ' 1, I REPRINT 12/91

'i" ,, S' ,* ~ I I ,!*  !' *'1/,

1,'

--:*:---:--.,.-*'--~:~.~~:-~-':"'"~~"'."---::-_~_.,...-_-*~- i *-,-~*.-'--*r--~---- *- FORM NIS-2 (Backl ~- Remer~* _ _ 5__._y_.q_*2_7~?_'1~?_-_t..... _ ___,...G...:..Ha..:e~r_/..J;..:;;,-='-'c.:..-t_h::;..s_,:_,_'2_...,._...,.,~._____ * -------- ' Aoollcatlla ManufacturaJ:* Cata Aaparta to aa anacr,aa ~ 712'10 _ i (:,,n/i> J§ "_ / CERTIFICATE OF COMPLIANCE We cen1tv tt,at 1r,e statemenn maoe ,n 1ne ~con *an, correct ana tni1 £~,>~.:!.v,..--;onforms 10 tne rulH of the ASME Code. Section XI. repair or reo111eamant Tvo* Coda Svmbol St11mp _ _ _ N_. _I_A---------------------------------- ~n1ficua of Authorization No. __H_/_A_____________ exairation Date ____H_/_A___________ Signaa C]_ rrf~ ,J/_ Owner o ~ . Tltla * / _:zs_;:- &efir~ Oate _...,4,__,,..~......,L...* __.6..._____ ,. 19 9':t CERTIFICATE OF INSERVICE INSPECTION I, 1r,a undersigned, holding* valid c:omm1111on ,uued bv the National Boera of Boiler ana Pressure I/as** lnsoacton and the State orProv1nceof Virginia 1naamo1ovaabv HSB:I ' I Co. of _e_a_r_t_f_o_r_d___

• _C_T __________________________ have 1nsoecl.aa tna comoonan11 detcrlbed in 1n11 Owner*, Reoon during t'111 parioa @-f'{-Gf"J to /D,(1-f:-'l , 1nd n** that 10 tna belt of mv know1~ and belief, ,r,e Owner n .. Perform.a axam1nat1on1 and taken corractiw manurH dHcriaed 6ft thl1 Ownen Rapon 1n ac:coram wnn the requ1ramen11 of the ASME Code, Section XI.

By 1ign1nt thi1_cen1fic~te na~thar the lnsoactor n~r hi1 employer m*k* anv warranty, ui:,rnaa or 1molied, C:OnaaftW'I the 0 e'xaminat1on1 and corrac:tiw measur* ciesc:nbed in th11 Owner'* Repart. Funhermore, ne1,ner ma lnlPIICtOr nor hi1 ernptoye, shall be liable in anv manner for 1_nv pa1"10na1 injury or property ciamege or* 1011 of any kind 1r11ing from or coMec:ted wttfl tlllt i_n_llPICI __' ° _ ................ ~.& ~-* .;; f._~:~. ~'""'-----------Commiuion, ___V_A__S_4_3 lnaoec,or, Signature Natlona1 Boara, Stata, l'ro111nca. ana endorNftl-11 Oate _ _ _ _ _ t{.._-_1___19 'Ij Attachment II Page, 42 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions at the ASME Cod, Section XI

*co

1. Owner Virginia Electric and Power Name 1

Oat, ---'-4+....::.,~'+l-'-f'f"--.----- I 5000 Dominion Blvd., .Glen 'Allen,* VA , 23060 ACIClrHI Sheet_.....__ _ of_-'------------

2. Plant Surry Power Station Unit--....:..'--------------

Name P.O. Boz 315, Surry, VA 23883 W. 0, ()olfi?023't-OI 7272.. #=- 9'f.-o5S ACIGr. . Reo11r Or111n111t1on P.O. No., .100 No., eto. J. Work Performed bv Virginia Power

• Type Code Svmbol S11mp __N_/;...A~--------

Name* *Authoriu1ion No. _ _ _ _ __.N14{~A-------- P.O. Bez 315, Surry, VA ACIClrlll 23883, Expirauon 0111 ~H /~A------------- 14

4. ldent1ficauon of Sv111m ~ I-IA.RG lt-.l Cr 'S 'f~°TcM,

5. (1) Appllc101e Con11rucuon Coda B31. l :9§2____ ::.dition, __ N_/_A_ _ _ _ Addend1, N-1, 11-7 Codec. .

(b) Applicabl* Edition of Section XI Ut,lind tor Rep11,a or R1101ac1men11 19;::S_f.____

6. ld11nt1flc11tion of Comoonenu A101ir1d or A1olacld 1na' R101ecem~nt:Componen11

• Nem1of Component M1nufacturer S1ri1I No.

National Board No. Ottltr ld1r111fic11ion Yee, Built Rec,aired, Rec,lacecl, ASME Codi St81111Md or Rec,IIC9IMM or Not CYII kJA .I t*.iA, NO {*lH -MoU-llfi7C!.I ,-;o ,\.) u f-4i.l. lt:D Nut- '5ruD + &I+ /\(/4 I) 0 NOVA! N/4

7. Descri1>11on of Work _ _T<: ___1=_.._P_L-:A.~C.:.~:-..:<=:,;a:.;ru:..,:;...i:;D__.A-;..:.;,l-'_l>;:::;_.;..N..~...T.._S_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

8. Tens Conducted: Hydro1t1uc *

• Pneumatic O Nomin11 Operating Preuur* 0 Other O Pre11ura _ _ _ _ _ p1i' Ten T1mo. 'F NOTE: Sups:,41mem11 lhntl '" form of li1u. 1k1tchn, or drawin911 may be u1ed, provided C1 I sin i1 8~ in. x 11 In., 121 lnforme.

,ion in i1em1 1 through 6 on 11111 reoon is *included on HCh 1hNt, and 131 1ech 1hN1 is numbered and the numt,er of lhNII i1 recorded It thl toe, of mi, form .

• 112/821 Thii Form tE000301 may be ob111ned from ,ne Order D*Pt .* ASME, 345 E. ,1,h St., New York, N.Y. 10017 REPRINT 12/91

.. __ ------...---**-.. -. *------~------ . - . ,'i*' 'I 1,, t\ ,I,, I r' I FORM NIS-2 (!3ackl ~. Re mar~* _ _Ai .4_4-"t_l_O_~_--"(..'---'IV'c'-'-'e'-'ic:'--'lvc.,:_::::~..J.1-*_. ~_~,_¥_.1.,,_);._......,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ __l__T____ ,, I I! ,AcpllcaOla, Man~factu~.ar 11*.0ata A~i:ion1 to 0 De anacnea sv 392t<e3 ( :Sn,p ~ )_. *

• CERTIFICATE OF COMPLIANCE .

We cemtv that the statement~ maae ,n 1ne ~oort are correct ena 1ni1L.,eJ.;;,,:./!',-.,~,l(,!r';_ontorm110 tne ruin of the ASME Code. Section XI. raoa1r or rao1acamant Type Cod* Symbol S111mo _ _ _N_._ I _ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - N/A N/A C.n1ficate of Authorization No. ----------------Exoiration Date---------------- Signed ~d ~=;.;.;;,l~algnN. d_< T'i Title Oate_",4J~1.e ....,.f..,L.......,.6"------* 19 Pf( CERTIFICATE OF INSERVICE INSPECTION

1. the undersigned, holding

• velld comm1111on ,uued by the Netional Boara of Boiler ana Pre11u,. 1/enel lnSPec:ton end the State or Prov,nc:e of Virginia 1ncumo1ovea by HSBI ' I Co. of Hartford* CT have inSOtctlG the comoonent1 dncribad in 1n,1 Ownar"I Aepon durin9 tne oeriOd I Q - IL.I - ~3 to IO - f Y- Cf b , 1nd 11** thn I

to 1ne belt of mv know1eage end belief, the Owner nn oertormad exam,netton, ena tell:en corrac:tn,w measurH dHcribad In thl1 OwnenAepon 1~ eccoraanc:e*~11~ ,the ~u1r9men11 of the ASME Code, Section XI. Bv 1ign1nv thi1 cen,ficat9 neither th~ lnsoector .nor his emo1over mek* env wananrv, UorwlllG or 1motied, c o ~ the 1x11m1nai1on1 and correctiw miiasur* descnbed in 1h11 OwMr'1 Reoon. Fu"hermore, n111her the tntQKtOr nor hi1 .....,.., shell be h1ble in eny manner for 1nv 01rsone1 injury or proc,er,y dam~ or* 1011 of any .kind ar11i1111 from or coMec:ted with lttlt . t *

• 0 i-" .....-;:;

-~-~ "-------i"'""'._"'"~-- 1napec:tor"1 Signature . . . ----'. . . ---- Commiuion1_ 1 ~V;A;;;;;;-;5;:4;;3;;-~;;;-;;;;;;;;;;;;:7r;;j~;;;;;;;;;;;-- N1tlon.. aoara. State. f'rov,nc*. ana Ene10,_ Date* _ _ _ _ _ _ tf...__-..aab_19 'f i ... -L**a** t&.~~-:;-~*--SE_,~,_.,______________..,._,__. Attachment II Page 43 of 93 Serial No.: 94-194 Docket No.: 50-280

• 1. Owner FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS

,As Required bv the Provisions ot the ASME Code Section XI Virginia Electric and Power Co. Date _ _... "ff-/s4 ,f~'1-1.Y:_ _ _ _ _ _ __ "*me 5000 Dominion Blvd., Glen Allen, VA 23060 Shae, _ _.,.;/;...__ot / .i.aarel8

2. Plant Surry Power Station Unit--------------------

Name P.O. Boz 315, Surry, VA 23883 1,v, 0, zrz 1s;-o 1 Rec,alr Organ11at1on P.O. No., JoD No., eta. J. Work Performed i,y Virginia Power Type Code Symbol Stamp __N_/_A ________ Name Au1horau1ion No. -----..1Na.{i:..l~------- P.O. Boz 315, Surry, VA 23883 Expir1t1on Data ....i.H,...luJ\ca...------------ .i.aare11

4. ld111nt1fic1t1on of System _ _ lZ-;-f;A--,.-(;-:-:"i'"V-*

_~ __lO_c_<..._A_*r,J_-_1- - - - - - - - - - - - - - - - - - - - - - - - - -

5. (11 Appllc11>11ConurucuonCod1 B3l.l  :,9~:;dition.,....,.N...;../_A_ _ _ _ Addenda.N'-1, ll-1 Code Cua (bl Applic1DII Edition of s~~tion x.1 'uioi'i~ ~fi6~ ~e*~~.~~ ~~'Reol~:,.,;~~~. ,:s;;:B;..1~*--

1 If\/.' ,i 1;{ 1~' :,'1.P' Y,*(! .',;,.i:/:\i ,9\ *;**.1*1 1 I . ' .'., . -::_ :*,i**':,;,\;,::*.1 \.~.*:.:-.: .. :;, . *.. ;*,**:*\:~~*: ,~--,:, : ,* '

6. ld~n,1flc:11tion of Compone"'u Rao11ritd'or' R1c,t1c:ld Ind Rac,tecement Coms,on1rit1 i ,*

s--. ,*/* ** 1 AIME Codi N11ion11 Nam* of ~-of Manufacturer Board Oltler v,., ':,v.. Component Manufacturer; s1ri11 No.* No:* ldlftltficeiion Built or A I O I ~ o,r, Nol j(Liwf to1&E'S- , , t\SSEM,l;?l V ' 'VvLC~N * ,,NA.- ,*1 \'I"" t,s j,\,, i -12 c.- ui:\l-1;s7c_ NA 12~(' ll\le l> ..i A. .,,.-.ei t\.( * *coPB...;. ASSe,,Ai3t. Y \J l(l\:V ,l ~"' I\ f::' A... t -t2.c-1-1cv-1ssric.l r9 9z. !Zepl"ct.M~T ('Jt\ *. i . ,*,.,, :*:*,

l'i."'

\ I i: !,:,~ f '~t 't '.,, . *,,'** I 1

7. 011er1puon of Work _ ___,i]Z;;.c:;;.-*+r.;..IJ\.;.(;;..~;;..*_*---~,.:.;t;.I;;:.*~M~*...:A..:.;;SS;.6:;.'_M..;.*.:;;B'.;t_.yt..*.,..:- - - - - - - - - - - - - - - - - - - - - . . . . : - -

B. Tests Conducted: Hydrostauc P~1um1t1c CJ :*111.o~ina!, 01:11r~tin9 Pr111ure 0 Other O ,Pre11ur1

• psi* Te~t Te.mp. "F NOTE: Suppjamemll shifts 1n form of' 1li111, 1knchn. or d1'11win91 mav be u1ad, provided 11 I 1ize ia 8'1i in. x 11 In., 121 lnforme.

tion in it1m1 1 throulfl 6 On t1111 r11:1on ii inCIUdld 'on IICh lhNI, and 131 IICl'I Shift it numl>erad and tha number Of fflNtl ii recorded It tha 100 of .tl\11 form. , . . . . . . .

• (12/821 Thii Form tE000301 ~,vioe ob11inad from 1111 Ordar D1Pt., ASME, 345 E. '7th St., New York, N.V. 10017 REPRINT l 2/91

FORM NIS-2 (Backl

l. Aemaru _ _....a:t:;..:.t.J;:;._T_s~'l-=-'l...;;:,'5_1,.....:._-_D-!....\4(C--Luf2~1~M~A.:....:.*..;...S....;;_s_~

__ R_L_\.....,,.0'-------------- AopllcaPI* Manufecturar*1 Data A*Port1 to Pe anac11eo CERTIFICATE OF COMPLIANCE We cert1tv tri 111 trie n11temenu mace ,n tne rl!ocrt are correct 11na trii1 ,4->Mt:ecfwt::: ;onforms ,a trie rules of the ASME Code, Section XI. ,~air or **Placement Type Coda SymbOI Stamo _ _ _N_/_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ H/A H/A CArt1ficat1 of Aurhoriut,on Na. - - - - - - - - - - - - - - - - E x p i r a t i o n Dare---------------- /} _/J~ )J,,t{k,( t SigneoctcA W

• XJ'.Z- 4'(tftlT/6fL Date ~ ¥ ,r/!yJ,L.{.19,.9_,S(_ _

Owner orawerio..lanN, Tltl* , ~ CERTIFICATE OF INSERVICE INSPECTION I, tha undersigned, holding a v111d comm,mon ,uued by tha National Boara of Boiler ana Preuura 1111*1 lnsiiac:rors and the State or Pro,,,nr:9 of Virginia and emoloVed by HSB:I " I Co* of Hartford* CT have ,nsoectlG 1111 component1 dltCl'ibad in 1nis Ownar*, Aeoon during trie pariOd IO-(tJ- i'.~ to /0-( 4' qb , and 11** that ta tri, bin of mv know1eage and belief, the Owner ri11 parformaa exanunat1on1 1ne1 tak1n corractlVI m1nura1 ctHcribad In thl1 Owrwn RtQon 1n accora-. Wllh Thi l"IQUll"lfflllnH of the ASME Code, Section XI, Bv 119n1ng thil cen1ficate n111her the lnse>ector nor his employer mek* any warrant¥, IXDr9119G or 1mD1ied, concanw11 the exam1na11on1 and corractiw meaaur* Clftenbea in th11 Owner*, Repart. Funhermore, n1111har me lnsoect0r nor hi1 amptoyer shell be 111ble in any manner for 1nv person11 injury or oroo*nv damaoe or

• 1011 of any kind ar11ing from or connected wllll ltll1 inn:~!.

-~-'-~'-""~'"----- /1 11 - ~--"""'.""~~---------Commiuion,_"""'.""_V_A__S;;...;4.;;3;.______________ I napector1 Slonature National Boara. State, 1'rov1nce, anG Endo,.....,... Date 4 . 19J./- Attachment 11 Page 44 of 93 Serial No.: 94-194 Docket No.: 50-280

• , . Owner FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS A1 Required bv the Provisions of th!! ASME Codi Section XI Virginia Electric and Power Co. Oa11 _ _.L.-ftJ--.~l-/ct...:_f _ _ _ _ __

'lame 5000 Dominion Blvd., .Gl'en Allen, VA Ae1e1reu 23060 Shoet _ _ _ _ ct_.......;~----------

2. Plant Surry Power Station Unit-:-------------------

Name 1)/dJ. 4F P.O. Boz 315. Surry, VA 23883 ooz ~0215-0~ ACI0,- Reoalr Or9an1ut1on P.O. No., Joo No., ato.

3. Work Performed bv Virginia Power Type Coda Symbol s,ama __N_.;.,/,;;.A;.__ _ _ _ _ __

Name Authorization No. -----,.,iN;a.(,aA.________ P.O. Boz 315, Surry, VA 2388,3 Expirauon Olla .......,H._.I...A - . . - - - - - - - - - - - - ACIClrHI

4. ldent1fic1uon of Sy111m _ _C;;;;';..!-1'.:'E'-M_.;.,_1(....;::'.)_.*,;;;;L;.._~ll-o_L_u_M'"-;;;.~_*_<?-_o_;u_Tf2.-_r_o..;;L;;;_____________________

5. (al Apphc101a Con1trucuon Cod, B3 l. l  : 9 ~ :edition, _N_/_A_ _ _ _ Addenda, N-1, ll-1 Codec...

(bl ApplicaOII Edition of Sec,,on XI Utilina tor Aeo11~1 or Aeo1ac:1m1nn 19""8_Cf...___

6. ldenuflc1mon of Comoon1n11 A101,r1C1 or A1olacld*1na R1Dlac:em1nt Compon,nn

• Namaof Component Nameof Manufacturer

\ Manufactu,., Sari1I No. N11ion11 Boerd No. 01111, ld1nt1fic1tion Veer Built Rep1tred, Replll:N, or RIOIICIIIWllt AIME Cade SllmCMG CY" or Nol 1 I/ fie'/ A/ut %,'" (VA. I !IA flJA /-~H-'1011-11151:: A.IA 7?,z/J /,,,c El> /v~ 511.17)  %'(/&, MA NA' f',I ft /-{!(-/-'-f/1011-11/'i (i I tv,4 'lqJ/IICcO tJO Hey Af/Jf Cf;;1,, I/ 1Vo .// ,<;t /,NJ. . NA-. / -{!JI-Mdl/-111<,~ A//(} 72Efh Ce?uovT /Jo 5r//7J t~ r/ A/ovv1 1,.1/.J-jvA /.- (! ~ - 111011-,11:, /vPI K'cp/,.q{EU!vJT . IJO

7. 011eriotion of Work ___72..;.,/.-'iii:i""p_)_"t.;.,~.;;;.(;;-.....;*5.;.,*rv,;.;..;;,p..;§;;..._*...;A_tv_,:;,_,_µ_l_lT....;l.5 1

8. Tut1 Conducted: Hydro1t1t1c ?neumauc O Nomin11 Oi:iar1tin9 Pr1111ura 0 Other O ?rmur11 _ _ _ _ _ p1i ien Timi:,. *F NOTE: Suoc,l1m1nt1I lttfftl ,n form of li1u, 1k11.chn. or drawings mav be ulld, provided 111 ain ia 8~ in. x 11 In .* (21 lnforme.

tion in it*mt 1 thraul)h 6 on 0111 reaon ii included on 1ec:h 1hfft, and 131 11Ch lhffl is numDlrld 1nd the numbll' of'""" ii recorded It thl tOQ of thia form .

• (12/821 Thii fo;m IE000301 mav t:ieobta1n1(! from '1~1 Order Deot ** ASME, 345 E. 47th St ** New York, N.Y. 10017 REPRINT 12/91

1

• FORM NIS-2 (Backl

3. Remar1:1 _ _s_v_,___s..,a:3;;_q z_3_0_-_;._,c-+(--'tt+,kL.Jl,""g-'1_.i.,1+..::e;.<;1;...,.;Nc..,,..1,._f:...)~--.- - - - - - - - - - - - - - - - - -

AgpllcaDla Manufacturar*1 Oat Raoorta to oa anacftaa SI :525 37<'o-  ? tr,, CERTIFICATE OF COMPLIANCE We cemtv tnat tne mnemenu maae ,n tne r!!oon are correct ena this ~YCtf#'2!t-;onformr 10 tne ruin of the ASME Coda, Se.ct1on XI. rapa r or raoiacamant N/A Typa Codi Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - H/A H/A ~n1fica11 of Author1zat1on No. - - - - - - - - - - - - - - - - E x o i r a t i o n 0 1 1 t * - - - - - - - - - - - - - - - - SignOc:1 I,}-~ ~.k:o~o ..1;nN. Tltla d ~4-- -73'f cate _ _.4,A._..,~:tt...,..,_,_____, 19 9 f CERTIFICATE OF INSERVICE INSPECTION I, thl unaar11gnea, holding I valid comm1111on ,uued by tha National Boera of Boiler ana Pre11ura 1111w1 tnSPacto" and the State or Province of Virginia end emo1ovec:1 by HSB:I ' I Co* of ..:;B;.;a=r...;t;.;f:..o=r_d.;..;..*_Ca..T.;;....________________...,..._~--:::~---have ,n~tea tha comPOn1nt1 dncrlbed in '"" Owner* Reoon during the pariOCI f 6- /t.j- 9 .:3 to f 6 * /':! - 7 '- , 1nd et** thn to ,,,, oen of mv knowledge and belief, the Owner nn performed exenune11on1 ena taken corracuw manurH oaecrloed In thl1 Owner*, Repon 1n accoraenc. with th* requ1raman11 of the ASME Code, Section XI, Bv 1ign1119 thi1 cent1icne n11thar the ln1oector nor hie amotoyar m*** env we1T11ntV, uoreued or 1mD11ec:t, co!ICl9ffllftl the exam1Nt1on1 end correc:tn,w meesur* descnbld in th11 Owner*, Report. Funhermore. neithar the tnlC)K10r nor hi1 .,..,a.er shall be habta in anv manner for anv p1f10na1 injury or oroo*nv damave or

• 1011 of 1nv kind ar11ing from or connecied with lflll in11MC110n, t.* ~

----+~-----~ ... -----::-:----~--------Commi11i0n1_1 ;;;V;;A;;;;;;'ii5";4:;3;;-~;;;-,;;;;;;;;;;;;;--;;;;'i~i;;;;;;;;;;;-- 1tHPecTI1r1 Signature Natlona1 Boara. stall. Prov1nc1. *nG e n d o r - Oate _ _ _ _ _ H_-_..&;,...___19 q~ Attachment II Page 45 of 93 Serial No.: 94-194 Docket No.: 50-280

• 1, Owner FORM N1s-2iowNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Vir9:inia Electric and Power Co. Date ____;:'"3-1-A;..;:..,'/S~-,.._./9!:......l."f:_ _ _ __

~*m* 5000 Dominion Blvd-, Glen Allen, VA* 23060 Sheet_......:/..__of _ _~ . _ _ - - - - - - - - - AddrHI

2. Plant Surry Power Station Name C~-----------

Unit .........,()N"""'-'.... # oo2B/7,S-o3 1<.f.. #94-ozr I P.O. Box 315, Surry, VA 23883, i\),O, Addreu Repair Org1nl11tlon P.O. No., Job No., ate.

3. Work Performed by Virginia Power **Type Coda Symbol Stamp __N_/_A _________

Name Authorization No. _ _ _ _ _.1:1Nul~A:s._______ P.O. BOlC 315, Surry, VA 23883 Expiration Date ......&JUuL""A:2.------------- AddrlH

a. . . . . . ,~IIV..:.;::;6,J.-____________________________

4. ldentificetion of System _ ___.' ~~~-t<. . .

5. (al Applicable Conmuct1on Code B3 l. l 19 ~ Edition, _H_;,_/_A_ _ _ _ Addenda, 1(-1, ll-7 Codec...

(bl Applic1bl1 Edition of Section XI Ctilized for Repairs or Aec11e11ment1 198 'j

6. Identification of Components Aep1ir1d or Replaced ano Replacement Component1

• N1m1of Component Name of Manufacturer Manufacturer Sarial No.

National Board No. Other Identification Yt1r Built Repaired, RepllC9d, ASME Code Stamped IVn or Raplac1ment or Nol t1c11fo11Je,JT 6i.4p~ /J/Pr ,1.1;,4- "'/It H,(WC1~1< #CJ N/A i-e,,c.*, y-ed NO I

J

7. Description of Work Cui r,ofcb, (n Jo.Ive.

8. Tesu Conducted: Hydrostatic Pneumatic O Nominal Ocerating Pre11ur11 0 Other O Pressure _ _ _ _ _ psi Test Temo. *F NOTE: Suppl1ment11I sheets in, form of lim, 1ketchn, or drawings may be used, provided 11 I 1ize is 8% in. x 11 In., (21 lnforrna*

tion in i11m1 1 through 6 on thi1 repon is included on each 1hfft, and 131 each shift 11 nu~bered and the number of 1hfftl ii recorded at thll top of thi1 form . (12/821 This Form fE000301 mey be obtained from the Order Oept,, ASME, 345 E. 47th St:, New York, N.Y. 10017 REPRINT 12/91

• I I'

l FORM NIS-2 (Backl

9. Remer1ts -----~-*-"-"'_..,,.___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Aopllcable.Manufacturar*1 Data ~eporu to be. enachecl CERTIFICATE OF COMPLIANCE We cenitv that the statements mace in the repon ara correct ana *this ~b~;pr confonns to the rules of the ASME Coda, Section XI. repair or rapleceman, N/A Type Coda Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Cenificate of Authorization No. __H_/_A____________ Expiration Date ____H_/_A ___________ Signed Q ~ _iJ // Dwner or ~ g n H , Tltle fS' _:z:-- Dat, _ ___._~ __ef .........../-:Z""---. 19__.f ...................c..¢' __ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holdin; a valid comm,mon iaued by the National Board of Boiler and Pre11u111 Vessel Inspectors and thl State or Province of Virginia *nd 1mptoyed by HSBI & I Co* of Hartford* CT have .inspected the. i:cimpon1nt1 discribed in thi1 Owner', Repon durin;' the period / b - ,..(-'f ') to {O ,/ 1..,{ -'i (. , and 1tata that to th* best of my knowledge and belief, the Owner hes performed examinations and taken corrective measures described In thi1 Owner's Repon in accordance with the 111Qui111ment1 of the ASME Code, Section XI. By ,~ning thi1 cenificate neither the Inspector nor his employer makes any waR11ntv, exp111111d or implied, conceming th1 examinations and correctiw measures described in this Ownar'1 Report. Furthermore, neither the Inspector nor hi1 employer shall be liable in any manner for any pal'10nal injury or property damage or a 1011 of any kind ari1in; from or connected with thl1 inspect~{. ~ -- .....---'----=-:-----:""":::-:----'~=-~-=-----Commiuion1 -~ ___V_A__s_4_J_______________ ln1?ecto,.s Signature National Board, State, Provinca, and Endorsemant1 Date _ _ _ _ __..3___-_./_r__19' £1 Attachment II Page 46 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS

1. Ownar *; i rginia Electric and Paver Ca.

As ReQu1r1a bv the Prov11ion1 of the ASME Code Section XI '.Ja11 _ _ -4tJ~z_z+-/.:....tj'f.J--_ _ _ __ ',.am* 5000 Dominion Blvd., Glen Allen, VA 23060 Shett _ _ _ / _ ~1 --l-/___________ Aaaran

2. Plan, Surry Power Station Unit---'-----------------

*-ieme P.O. Boz 315, Surry, VA 23883 £...). 0 , .if OD Z&7 Ca I II ~o 'f 7Z 12. 1r q '-I -o 7e,, Aaa, ... Aao11r Organ1Ht1an P.O. Na., JaD NO., lta. J. Work Perlonned i,y Virginia Power Tvp1 Codi Svmbol St1mo __N_/_A_ _ _ _ _ _ __ "*m* ~u1hor1u11on No. N{A P.O. Boz 315, Surry, '/A 23883 Exoir111on 0111.....1,,H1,;lr...Aa....._ _ _ _ _ _ _ _ _ _ __ Aaar*.. "* ld1nt1fic111on of Svn1m ...;.*__.H....._A_._IN.;;;*__s_.(F..._4~1:1.,_______________________________

5. l1l AopllclDII Con11ruct1on Coa, B3 l. l

• 9§.Z,_ ;dition._N...;../_A_ _ _ _ Addlnde. H-1, ll-1 ibl Ac,p11c1Dl1 Edition ot Sec~1on .<I Ut,iaz~ tor Repair, or Reo11e1m1nu 19.=a:...-1.___

6. ldan11flc111on of Comoonanu R1111ir1a or R1plac1G ana R101acem1nt Compon1nu I I i I I '*

I I *1 i AIME Code, I Mtnufecturer I R..,.fWd, s....- Nemeof I Nlffll at I N1tion11 Boera Otfler V11r Reot..O. IYN Component I M1nufectur1r ' Stritl No. I No. ld11111fic1tion Built orRaotll:9f'MM o,Not I I I "DI'S(_ I ((; *'"*,,1,., !I 1'-JA. I-I . l'uti. I-MS- 17 (o  ! "','. TZ1=.c, IA CC{') WD i ~/:\P ~! sc.re,. 1 'o : "-1~ 1\1.4 1 I I ' 1 -L . J A~cLiorz-/DMl1'1j /JA- I /qq3 R1:l'llo.c.i::::.ud l)tsc (' ,\ I) .V~Et.1 .3 I =g tJt Ace 1c.s D/V I rJA I *,1, ,!/ Jo/q'f 1 ,I/ I* I '

7. DIICFIPtion of Worll _ _..{?_.e.,~..1-~...f....5;;__,p_.1_.$..,(_...A;wN=b-<...'>-tP--S...c£.e...w B. T1111 Conducted: Hvdrost111c "~eumat1c 0 Nom1n1t Ooer111n11 Pre1sure 0 Otlllr O ?r!11ur1 - - - - - p1i THI T1m1:1. - - - - - -

• F NOTE: S1.1PQ1lffltn1al sl'llftt 1n form of lin1. 1kftchn. or drawin91 rrwv tie uled, providld 11 I siH ii 8~ in. x 11 In., (21 lftfontw.

tion in illffll 1 through 6 On !1111 rtpon 11 1nclud1d On IICII lftNt, Ind 131 IICl'I llftlft ii numtllrwd and thl numDet Of ....... II racordld at thl too of tl'll1 form .

• 112/821 Thi1 Form !E000301 mav 1:11 ot1111nea from 1n1 Order 010, .. ASME, 345 E. 47th St., New York, N.V. 10017 REPRINT' 12/91

FORM NIS-2 (Backl ?. Remar1<1 _...,_\\.,,.)...I.___g_.*_3"-'l_G:::_Y.~L,.._.*_.(l:--'-D"'1... ,-1J'-'--------------------------------- s.... ~oa11ca1>1~ 1111anutacturar*1 Data Aaoona to De enacnea f\,-r 4sGS"4G (s<-re,di (,>\f) .:ERTIFICATE OF COMPLIANCE We c.n1tv tllat 111e natements maae ,n tne l'ff)On al'9 correct and tlli1/26M,-M&C;cnform1 ta ,11e rul*ot Ille** ASME Cade. Section XI. Tvpa Coda Svmt>ol S11mo _ _ _ !i_._I_A----------------------------------- N/A N/A ---------------Exoira11on O a t * - - - - - - - - - - - - - - - - Can1ficata oi Au1horr1111on No. Signecl (l ~Li_ .~ . 1_J.,C c.,._..,,,..4_42-<_,.;___L.=2- _ _ _ _ _ , 111 9<( Owner or 6w~. TIU* CERTIFICATE OF INSEAVICE INSPECTION I. tlle under11onec1. lloldino

• vat,d comm,111on ,au.a t,y tlle Netional Board of Boller and Pl'fllUra lies** lnmecton and Ille .....

or Province of Virginia 1ncumo1ovaa t,y BSBI ' I Co* of ________________,...,..___~.,...---"ave ,ntD!CJ90 ,11e comooMffla ..:;B:.;a=r.:t;..:;f;.,;o_r;;;..;;;d"",_c_T ._1,1*- in 1ni1 Ownan Raoon aurine u,a aarlOCI / D-.14 , 't .3 ,o I D ~ I ':f ~ b 9' and --- a-** to ,11e belt of mv knowtae199 ana belief, 1ha o-, "* oarformed exa,,una11oft1 ancs taken correctiw me...,.,*= 1111 * . . . . .,. Reoon '" ~ Wltfl tfle '""........." of tile ASMI Code, &anion XI. By 1i9n1"' tflil c:antflale na,tflar ttla lfllOeCIIW nor tlil amc,toyar mall* MV wamimv, * . _ . . or imolied, canca,-. Ille** exam,na110111 *net corractiw meaa,ra delCflbed 1n tt111 o-r*, Reoon. Fu"tlemlore* nannar me lnl08C10r nor t1i1 *:*11. **

• shell ba liable ,n any mennar for any oenona, in1urv or oroo*"V damage or* 1011 of any kind *1111111 from or coMacmd . . . 11111*

inllMCt~ ----~11,-1----~---'L-~-~-----~----CommillioM-1naaac11H"1 Slenan,re ~ VA 1 Natlllnat 543  ;.;;;;;;ii;;;;:siia;:",;;;;;i;;;;:-;;;;..i;;;;;;;;;;;~ aoa,a, s,... ,.rov1nca, encl ando.-***, Date Attachment II Page 47 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS Owner '/ i rginia Electric and Power Co_

As Reau1r1a bv the Prov11ian1 of the ASME Code Section XI Ja11 _ ___,_,'(;/.__2_2-+-/~q f-'-------- 5000 Dominion Blvd_, Glen Allen, VA 23060 ShHt _ _....;,../_ ;it _ __,_(_ _ _ _ _ _ _ _ _ __ ------------,.,..-a-a;...,,-..- - - - - - ~ - - - -

2. Pl,nt Surry Power Station

'lam* Unit ---1----------------- P.0- Box 315, Surry, VA 23883 l.u .O. :ff 061.,h 7~ I lP -o<f 7Zl2. 1r f'-1-077 AGGIIU Reoear Or9an111tton P.O. No., JoD NO,, ate. J. Work Performed tlY Virginia Power Type Code Symbol Stamo __N_/_A _________ .... ,,... Au1horizat1on No. NIA P.O. Box 315, Surry, '/A 23883 Exoir1t1on Date --"Nulc.1A.~------------ Aaar,11 *. ldentJficauon at Sv111m _ _.M.......,A~1"-la::'c..*_-...s..l];-~: .,A:;i.i.t:\.:,_______________________________

5. 111 Aoo1icao11 Consvucuan Coa, B31- l *-9~:;du,on._N...;.../_A_ _ _ _ Addende. N-1. ll-7 lbl Aoo11cao1a Edition of Section .i<1 u1,1irea for Aeo,,rs or Aeo1ec,m1nu 198"'--1...__

6. ldent1flcat1on of Comoon1n11 A1011rea or A1ot1cea 1na Aeotac:em,nt Components

' I I "*, AIMI I 1* I Coda* Nem* of I I 111-ot I, Menufectu,.r l 1 NHionet Boerd II 0,11., Yee, Reoairw, ReollC9CI, S1affll*I fY* Component I Menufecturar ' Serial No. I No. ld1nt1fica1ion Built o r R e o l - o,Not I I I "DIS(_ i *IA t I t,Jf\ I I 1\16 (-"-{S- /g-2. I f'JA TZ1::.!:llAccr, I.JC, 3, 11: i i ~AP z; ! s<..re,., 1s , N~ NA I I I ' 1 1--~-- ' IAtvc.11.ort/ D le, r . °D4.(UffVt:,.., .I NA I /993 Ren[4.c.i;::.ud C' tl D .VR.E1..1 ~cl 'n *IV) l\l,i::.c;o f'J I tJA . I '1, ,, N?L/ 1 ,11 I

7. Oescriotion of wo,111_..,.f2;.ie~p..l..;:~1.11l;liiie;......P-...1...sl.,}<-*-4N=b:....i<.:1~pf-*_....S11oc/'-li.fH~d-------~---.;...-...,..___________

8. T1111 Conductld: Hydrostatic 1t"1UmM1c O Nom1nat Ooarn1nt ,,.,au,. 0 Otller n Prenur; - - - - - p1i T11t Ttmo. °F NOTE: SuoDlementat sn_, 1n fOl'm of lists. *,knc:tlft, or drawin91 mev be uMd, provided 11 I size ii 8~ in. a 11 In., t21 *lftforffle..

tion in ittffll 1 tllrou911 6 qn 1n,1 r1oon 11 ,nctuded on Hett 1tlN1. and 131 eactl lftffl it nu~tle'ld and the number of.._.la recorded It the ICID of 1h11 form . (12/821 Thl1 Farin IE000301 mav tie ot1ta1n1a from ,ne Order Oeot., ASME, 345 E. '7tll,St., N*w Vora, N,'I', 10017 'I FORM NIS-2 (Back) Remarks -~\\ ...)...I~_'.9_=3~7_0_Y.~G~*....(r"'D~i*-,c....,..)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ I\,' *-. .>.oolicaDI". Manutac1urar*1 Data Flecon* 10 De anacnea 9 'SG 5 i./ G ( su-p,o* c,. f) C:ERTIFICATE OF COMPllANCE

• We eenitv tllet tlle n11tement1 meae ,n tne r-econ an, correct and tlli1~d.c1Z:: .:ontorms to tlle ""of me ASME Code. Section XI. ' 90 "or '

901 - 1 Type Cod* Svmoo1 Stamo _ _ _~_I_A___________________________________ H/A N/A Can,ticat* ot Aut11oriut1on No. - - - - - - - - - - - - - - - E x o i r a u o n O a t * - - - - - - - - - - - - - - - - Sign /l~ ~ M r 0 ~ 1 9 n N , Tltle j - 1 ;rs.£ CERTIFICATE OF INSERVICE INSPECTION '* tlle under11gnad, lloldinQ a 11a1,d comm1111on ,au.a t,y tlle Netional Soard of So,ler end Prftau-. lles*t lnmec:10" and die ltne orProv,nceot V'irqinia *ncumotoyeat,v BSBI' I Co. f...f'__

• 111 .......

of _El'-a_r.;;..;;t.....f_o_r_d__,_c_T _______________,----,---=-=----.h- ,nmecna 1 th* comoonema 111111,111111 in 11111 Ownen Reoon aurinQ tll* i,ar!Od //)- /4,,- 'f 3 ,o / t:> - { L\ - '1 S- and .... - to ,1111 ben of mv llnowtec199 ena belief, 111e Ownff Ila oertormed **am1nn10ne ana taaen cornctn,e mewuw, aawilllll Ill tllle

• owner*, Aeoon ,n ecc:ardance w,111 the reQu...,.,...11 of u,e ASMli Code, Senion XI.

Sy 1i9n1119 thil cenrflcne ne,ther the lnsoecntr no, llil amo*ov* mall* any wwnnw, * ...,... or imOlild, eat...,..* ._ exam,ne1ion1 Incl c:arrect"'9 meaa,ra descnbad 1n tllll a-,*, Res,on. Funhennore, netttMr me lnsoec:mr nor llie as***.** !hail ba liable ,n 1nv menner tor 1nv penona, in1urv or propeny damage or I lou of any kind *111"1 from or coMecmd . . . dllt in-,ection. --~~~,;;;...a-- . . . . ._ . .f. . . .--~-=--....;;;;____ 1"1011C10r, s11n*1ure comm1uiona-~i.iiv;A;i5;4;;;3;:-;si.~i=;;;;.;;;;;:-;,;ji';;;;;;.- Nettonai aoara. Stata. f'rovlnce. 1na 1ne101u IJI* oate, _ _ _ _.... Jff---~-S-_19 9~ --=-.. - Attachment II Page 48 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS Ownar "/irginia Electric and Power Co.

As Reou1r1t1 bv the Prov11ion1 of the ASME Codi Section XI Ja11 _ _ __,_,Y;/ .....2_2.-+/_;c;__,j"-------- °"lam* 5000 Dominion Blvd., Glen Allen, VA 23060 Shea, _ _ _/_ _ 01 _ __._/_ _ _ _ _ _ _ _ _ __ .. aan ..

2. Plant Surry Paver Station Unit-------------------

"lama P.O. Box 315, Surry, '/A 23883 1...J .o. :if=- 062,0 7 e:, r J-o I 1Z 12. lr C?</ -078 Aaoalr Or91n111t1an P.O. Na., JaD No., 111. J. Work Parformed bY Virginia Power Typa Codi Svmbol S11mo __N_/'--A'--------- "lam* Au1hor1z1t1on No. HIA P.O. Box 315, Surry, '/A 23883 E xoir111on 0111 ........~ - - - - - - - - - - - - -  ;.aar*H

4. ld1nt1fic1t1on of Sv1t1m*__ ... H

...........A..,1....1\..l.....' _......S...fE,.__,4_..t:\________________________________

5. (al Apghc1101eCon1truct1onCodo B31.l '.9~:ad1tion._N_;../_A_ _ _ _ Addlnd1.N-l, ll-1 lbl Aoi:,11c1011 Edition of Sec11on Al Util,na tor Aeo1ir1 or Aeo11e,m1nt1 19.=8...... 1.___

6. ldent1flc111on of Comoon,nu Aep11rao or A1011c1<1 1na A101acem1nt Comoonanu I

I AIMI! C:O.* Staui,1d Nam* of I N-of Manufacwrer 1 N1tion11 Board Otller v,., AIO&irN, Aeol..O, IVn Comoonant I Manufactur,r ' Serial No. I No. ld1nt1flc1tion Built orAeollC9ffllftl or Not I I I Dl'S(. I '* ,kl A

• i' 1-JA I I

I\J fl f-MS- "/1 'g 1 f,-1,.1, fZ1=..c. IA Ccl'> '-'D 311: ' i ~A.P %1 sc..re,. 1 if : f\J-'\ I [VA I I ' JI 1--- I Arv Ll.-.0t2- / Ptsr ' PAfZ-L lfvG- I NA I 1qq3 ~;.c[o.c.i;:;:-.ue: 1" I (' h D V~E1.1 '</ tv'/,i.e~sul--l N/!r ,1, {I (C/9 'I- .t 111 I

7. o,scricnion of wo,11 _ _.\?;:ie~p;i,Jl,;::~i,lit.i.g:~pc..1i..;$;i..i&-,.l::l,4N=l:>:.......J<.::1~p~-S~s.:..ffi..':k'-.------------------------

8. T11t1 Conductld: Hydrostatic ?neum111c O Nom,nat Oc1ret1n9 Pre11uN 0 01r1erQ ?re11ur1 _ _ _ _ _ p11 Ten T1mo. "F NOTE: Suoc,lemtnt* .,,_, ,n form of lius. 1knchn. or d111win91 mav bl used, c,rovided C1 I 1i11 it 8~ in.* 11 In., 121 lftfomw.

tion in itlffll 1 lhrou9"1 6 On trlll r1oon 11 1nclud1d On lacft thNt, Ind 131 lld'I ltlNt it numblred Ind thl number Of lhNa ii raco,ded II u,1 too of tfti1 form . 112/821 Thia Form IEOOOJOI mav bl obt11n111 from ,n, OrdlP 0101., ASME, 345 E. 47th St., New York, N,Y, 10017 REPRINT 12/91 FORM NIS-2 (Backl '

l. Aemaro _ .......I~_-S_._3~1'-0_4-.....,<,.,=*--(1:--'-b""i...:a ....<...,)----------------------------------

__.N . ~oollcai:,1~ Manutac1ura,_** 0, ata Aeoon110 oe an_'acnea (\, l q 5 (., S" 4 G CSU-P,,,; . (_ ,'\ f) .:ERTIFICATE OF COMPl.lANCE We c:en1tv tllat tile n1t11ment1 maae ,n tn11 reoon are correct and 1rii1 12.,!-)e.Ae,ld,l..n:::.onform, to tile rul11of die ASME Coae. Section XI. *eoair or *eo*acam-, Type Codi Svmt>ol St1mo _ _ _~_/_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Can1fic1t1 ot Au1llorrn11on No. __H_/_A____________ Exoir1t1on Oete ____N_I_A ___________ Signed /7 / a fi ~ V£ kwePA ~ M ~ 1 1 1 n N , Title CERTIFICATE OF INSERVICE INSPECTION Oat*  ;{",0;_ ~ I, the unaen,gnecl, holdin9 e v,1,d comm,11,on ,au.a by tile N1ti0ne1 Board of Boiler end Preuure IIH*I lnroectort and tM ltate or Province ol \l'irqinia *na emo1ovea by BSBI ' I Co.

• 19 9,,(

of Ba rtf o rd, CT have _,,,mecuo tile comoonet111 dllsallll d in tll11 Owner*, Reoon durint the oerlOd I l!).. /1:f-q' ,3 to / (j' f '-{' Cf le, and - - - to the best of my knOWMICl99 ena belief. the o-, 1111 oertOffl'led **1m1net10n1 1na turen correc,ive me-..n, csaw 11111* Ill . . . - OllWIWt'I Aepon 1n eccoroance w,111 ,ne IWQUll9ffl9flll of'"* ASME Code, Section XI. By 1i9n1ft1J tllit canrflcaw ne,tner ttle IMOeCIDr nor tlit emotov* mall* any waminlY, *XOIWIIICI or imohed, OQC.-c**llle ulffllnatiom ana corr1e1rw me..,,. dnc:noed in ,n11 awn.r*, Rec,on. Funtlerfflore. ne1tller me lnl09C1ar nor n11 *u***.w - shell be liable ,n any manner for any oel'IOnel in1ury or orooenv damage or 1 1011 of any kind *illftlJ from or connecad . - 11111 in11MC110n. 4 - - - ~ ~ ~ ~ ~ -_____ l n f~~-.-s~~~n*.~~~u:,.~------CommllSiON-iN~.:11.;A~-~.i~;;.!~.ssa,.;....P~~r~~.~~-~-~-~M~E~M;.;,*****-* *- Attachment II Page 49 of 93 Serial No.: 94-194 Docket No.: 50-280

• 1. Owner FORM N1S*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 _ _ __,<fi+-0_,f-h~Y--------

Name 1 5000 Dominion Blvd., Glen Allen, VA _ _..;..;_ _ _ _ _ _ _ _A_d_d.:...re-,-,----'----'------ 23060 Sheet _ __.__of_,___ _ _ _ _ _ _ _ _ _ ~

2. Plant Surry Power Station Unit _ _I________________

Name P.O. Box 315, Surry, VA 23883 /,v,<J,1:t- Ooz.;,zct'3l/.D-o/ 7272. Cf'f/--0¢7 Addr ... Repair Organization P.O. No., Job No., etc.

3. Work Perlormed by Virginia Power Type Code Symbol Stamp __N..;/..;A..;..;_ _ _ _ _ _ __

Name Authorization No. _ _ _ _ _...,Nu{uA ________ P.O. Box 315, Surry, VA 23883 Expiration Date ~tt""'/'-'A~------------ Addra11 ...;/1.--1._..;=----------------------------

4. Identification of System _:....?J._'4"-1_1U_-=5'-1i_E.:;.-~:...,-

5. (al ApplicsbleConstruct1onCode B31.l 19§.Z__Edition,_N-'-/_A_ _ _ _ Addllnda,N-l, ll-7 Cod* Cua (bl Applicable Edition of Secti~n XI Utilize~:!or A~p111.~* or Re~;~~m~~~. 198' 1

6. Identification of Compon11nu Repairad or Replaced and Aeplac:ement.Componenu ASME Code National Repaired, StemPlld Name of Nlfflll of Manufacturer. Board Other Veer Replaced, IYIII Component Mtnufacturtr " Serial No. No. Identification Built or Rtr,lecement or Nol ltLv~ q

/( ~A NA fVA /-,'vf 5-1-s 'i( ,VA 7kp/,ieel> µ,:) \ )IJ;ll/ [ Y fvkru t.1¥:-11.J IvA- ,->/t  !-MS -15~ /7"ic/ '7!r;;/)/,,l{,bWeiJ° "-'O *I

7. Description of Work _ _ ..../_6""p'""t~A,.,_~_E_-:.;~.:.L:;;~~-----"'"'."""---------------------

72

8. Tesu Conducted: Hydrostatic /'Pneumatic O Nominal Ootreting Prenitr* ~

Other O Pressure l,L,Cf~P*i Ten Temg, dl'Yd,rtfclf'". °F llllr' Alor NOTE: Supplemental she~* in form of lim, 1ket~h111. or dniwings mev be u111d, provided 111 size is 8% in. x 11 In.; (21 lnforrne* tion in items 1 through 6 on this repo" is included on eech sheet, end 131 each 1h1111t is nu~btrtd and the number of 1hHt1 i1 recorded at the toe, of this form .

• (12/821 This Form IE000301 may be obtained from the Order Dept., ASME, 345 e. 47th St., New York, N.Y.

REPRINT 12/91 10017 FORM NIS-2 (Back)

9. Remarks _ _ s_,.l. ___o:....:..g-=2=0:.,.1...a.._-\,(. . .v~-1-='-..1.V.>='--,)~------------------------

. Appllcabla Manufacturar'1 Aaporta to Cata be ettecnecs C,e CERTIFICATE OF COMPLIANCE We cen,tv that the statements maae in the repon are comtct and this ~4~d-<Cconforms to the rutu of the ASME Code, Section XI. repair or replacement Type Coda Symbol Stamp _ _ _N_/_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Cenificate of Authorization No. __N_/_A_____________ Exoiration Date ______H_/_A___________ Signed /7 £._ ,4 - . ,/ ~er or O ~ H , Title f~f Date _ CERTIFICATE OF INSERVICE INSPECTION _.~~'.:JAtr::1<:s:::._.(t,""'r=--b=..&./_ _ _ , 19 I, the undersigned, holding I valid commission issued by the National Board of Boiler and Pressure Vessel lnspectol"I and the State 9y' orProvinceof Virginia - endamployedby HSBI & I Co. of Hartford. CT have inspect? C,.he components daa:rlbed f D ,J Y - , and nata mat to the best of my knowledge end belief, the Owner hes performed examinations and taken corrective measures described In thl1 Owner's Repon in accordance with the n,quiremenu of the ASME Code, Section XI. By signing this cenificate neither the Inspector nor his employer makes any w111T11ntV, exprnlld or implied, conCllfflint the uemiNtions and correctiw meesurill described in this Owner's Report. Funhermore, neither the Inspector nor his employer shell be liable in any manner tor any pal'10nel injury or propeny damage or a 1011 of any kind arising from or connected with thl1 inspacti~f ---~-4-----,-----~""'u_  !? .. ~ JJ-c,LA.r-..__ _________ commiuions ___v_A__s_4_3 _______________ lnapector'1 Slgnatura National Boans, State, Province, and Endonernanu Date*--.a.+<<--......... ~...._.7_ _19 rt &L)U Attachment II Page 50 of 93 Serial No.: 94*194 Docket No.: 50*280

• 1. Owner FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Req~ired by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Oate _ _.:..,r),__15,.J...;.~';.;;..I_ _ _ _ __

Nem* 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet _ _!__ of 2 AddrHI

2. Plant Surry Power Station Unit /

Neme P.O. Box 315, Surry, VA 23883 IAf.O. if ooz1ao3Z<?-ol 72."ll- # 9'1--dt? Addrftl Rtpelr Organlutlon P.O. No., Job No., eta.

3. Work Performed by Virginia Power Type Code Symbol Stamp __N....:/_A;.;;.._ _ _ _ _ __

Name Authorization No. N/A P.O. Box 315, Surry, VA 23883 Expiration Date _.,H...,l.s.A..____________ Addre11

4. Identification of Syste~ _____ fll._A..._..IN..._$.,.JE:"!-:-/>..,...M......__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

\\,

5. (1) Applicabl1ConnrucuonCod1 B31.l :s§.!__Edition,_N.....:.../_A_ _ _ _ Addenda,N-1, ll-1 Coda Cua (bl Applic1bl1 Edition of Section XI Utilized for Rep111rs or Replecemenu 19..=8_j...__

6. Identification of Componenu Repaired or Replaced 11na Replacement Components I '

• ' ASME Codi National Repaired, StlmC*I Name of Name of Manufacturer Board Other Y11r Replaced, (Yh Component Manufacturer Serial No. No. Identification Built or Replacamant or Nol ANcl-iotz.

VA.we lo (I V.<1tu1N6- "',. NA /-A.fS-lll, ,V(J. f(l1Jl,,ct;D NO 'E.lbOv..J ~4 ( ( ( ( I PIPE (/ A.vlhoa ~fir J I \ \ \ .i \/AL\/ (o l7>11~t1/\JC- l'r'? ~ feof~t,vr *' I I t=,/k-w //vb ,v~ V j If?! & \J 1

7. Description of Wor1c _ _ '1Z.=f:F=p&=c....g,__JL(~.:;;.'A:..:l:.:ll~E"=-- - - - - - - - - - - - - - - - - - - - - - - - - - -

8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Ooerating Preu~re ~

Other O Pressure PD ? psi Ten :rems;;* &a Z::: *F NOTE: Suppl1ment1I sheei1 'in form of lim, akin~'~es. or dl'llwingi may be used, .provided (1 J size ia 8~ in. x 11 r'ri., (2) 'lnfor~~. tion in items 1 through 6 on this report is included on each 1heet, and 131 each sheet i1 nu~bered and the number of 1hH11 i1

• recorded at the tOQ of thi1 form .
• (12/82) Thia Form (E00030J ~11y be obtained fro,,.; t,;e Orde~ Dept,, ASME, 345 E. 47th St., New York, N,Y. 10017 REPRINT 12/91

FORM NIS-2 (Backl

9. Remarks $ SE"E 'B'A.CK. OF f'4.GE -Z I , APPllcabla Manufacturar's Data R11port1 tP be anachlld.

CERTIFICATE OF COMPLIANCE We camtv that the statements mace ,n the report are correct and this lhftl, dc:~Z:-conforms to the ruin of tht ASME Coda, Section XI. rapalr or raplacement Type Code Symbol Stamp _ _ _N_/_A _________________________________ Certificate of Authorization No. __H_/_A____________ Expiration Date ____ H_/_A___________ Signed {1 L £1 O w n d o ~ ~ . Title 'AA/ f l ,C Oat*---~-F'---t-~-;....,5"~----, 19 CERTIFICATE OF INSERVICE INSPECTION 9¢ I, the undersigned, holding a valid commission ,uued by the National Board of Boiler and Pressure Vassel Inspectors and tht Stitt or Province of Virginia and 1mp1ovlld by HSBI & I Co* of Hartford, C'r have inspif1d the components described in thi1 Owner', Report during the period ( () ~ I t.f - J. , and ttata mtt to tht belt of my knowledge and belief, the Owner has performed examination, 1nd taken corrective m111sur111 described In fflll Owner', Aepon in accordance with the raquir1men11 of th1 ASME Coda, Section XI. By 1igni119 thi1 certificate neither the Inspector nor hi1 1mploy1r mak111 any warrantY; exprtllld or implied, conCllffltftl tha 11xami1111tion1 1nd correctiw measures described in thi1 Owner', Report. Furthermore, neither the Inspector nor hi1 1111PIO¥tr shall be liable in any manner for any personal injury or property damage or a 1011 of 1ny kind 1ri1ing from or conntcttd with thll _ _.12_+....__ _ _ _ commi11ion1 _ _ _V_A_ _ i-n-1Pect--~-11oni--~--------f._._..,Q_~ S_4_3______________ lnlpec:tor-1 SlgnaMe Natlon11 Boan:I, St1t1, Province, and Endorsemenft* JJ._,. 5 Oate _ _ _ _ ___.1.f..--.,,J..----19 oc1 LT Attachment II

• Page 51 of 93
• Serial No.: 94-194 Docket No.: 50-280
• 1. Owner FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS.

As Required 'by ttie Provisions of the ASME Code Section XI Virginia Electric and Power *co. Date _ _....;4=,-:/1..:::S:1-h.:...r.fL*-*- - - - - - - - Name _S_O_O_O_D_o_m_i_n_i_o_n__B_l_v...,d...,.----G_l_e_n_A_l_l_e_n--'-,_V_A_ _2_3060 Sheet _......;z.......;_ of_2_ _ _ _ _ _ _ _ _ _ __ AddrHI

2. Plant Surry Power Station Unit---=------------------

Nam* P.O. Box 315, Surry, VA 23883 w.D. '1f 002.eoosi~- 0 1- 7l..1L"=/t (N-orn Addr- Repair Organization P.O. No., Jot, No., etc.

3. Work Performed t,y Virginia Power Type Codi Symbol Stamp __N-'/_A _ _ _ _ _ _ _ __

Name Authorization No. H/A P.O. Box 315, Surry, VA 23883 Expiration Date __.H..,luA.._____________ Addren

4. Identification of Systam _ _ _.M__A___11u_ _.S.,.1E~A.._M..a..a.._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (el ApplicableCon1truct1onCod1 B31.l 19§.Z__Edition,_N_;_./_A_ _ _ _ Addand1,H-l, ll-7 (bl Applicable Edition of Section XI Utilized, for Repairs or Repl1e1ment1 198 1

6. Identification of Comoon1nu Repaired or Replaced and Aepl1e1ment Componenu ASME Code National Repaired, $umped Nam, of Board Replaced, IY11 Nam, of Component M1nuf1etur1r Manufacturer Serial No. I No.

Other ldantification Y11r Built or R1pl1e1men1 or Not P.() e (1Z1S tWICDtefV Nf+. NA t-M5-ll"' tcti 7 fl.er/A eAJ/5"1vl 1,(-o I

7. Description of Work _ _ _'tZ.._/ ,11._c...,e_\""/A=L'{,._.e".___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

.....1:_p__./...

8. Tesu Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure ~

Other O Pressure A/(/ P psi Test Temo. ,/f;IA t °F NOTE: Suppl1m11n11I shefts in form of 11111, sketches, or dr11win91 may be used, provided 11) size ia 8% in. x 11 In., (21 lnforma-tion in item* 1 through 6 on this repon is included on each ahNt, and 131 each 1hH1 is nuinberld and the number of lhNU*l1 recorded It th1 top of this form .

• (12/821 Thia Form IE00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

I,' I 'I FORM NIS-2 (Backl

9. Remarks _ N.........T__3_'t...._9_2._,5'-5~-..L. ....U~(p-'_1f/.._,4.;...t....c.l/..:..G~)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

cpllcable Manufacturar's Data Aeporta to be anached ~ I ~S" '6 7'?-1( t;lloow CERTIFICATE OF COMPLIANCE We cen1fy that the statements mace 1n the repon are correct 11nd this #$<<:'.'.2@ltitCconforms to the rules af the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _N_/_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Canificete of Authorization No. __N_/_A ____________ Exoiration Date ____H_/_A_ _ _ _ _ _ _ _ _ __ Signed (/J_ tt..- p :oA+::::: Own.;o,~;:. DHlgnH, Title fs,k CERTIFICATE OF INSERVICE INSPECTION Dat*--..4-)a=M,....___,_/_..,L...__ _ , 19 I, the undersigned, holding* valid commission ,aued by the National Board of Boiler and Presllll'9 Vessel Inspectors and th* State 9 if or Province of Virginia end employed by HSB:I & I Co* of Hartford. CT have in~t,CS the components clftcribed in_ this Owner*, Repan during the period / () - l'-1 -1s 10 / C, .. / 4 - '1 L

• and .... tttn to th* best of mv knowledge end belief, the Owner has performed examinations end taken corrective measures described In thlt Owner's Repon in eccordance with the requi ... ments of the ASME Code, Section XI.

av signing this cenificate neither the Inspector nor his emc,loyar_maka any wamintV, expreued or implied, cancemintth* examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shell be liable in any manner for any personal injury or property damage or a 1011 of any kind arising from or connected wldl this in~O~f. --~:t,...-:;.:::a.....=--- tu I\ .-~ 4 . _ _ _ commiuion,_,;;i.;V;A;;;;i"'ii.S;.:;3;;-;~;;-;;;:;:i;;:;;--:;;;.;:;;;;;;;;;;;:;;;;-- 1napeetor's Signature National Boera, State, Province, anc:I Enc:lor--19 Data, _ _ _........ 'f,__-_Q.._5"" _ _19 Cf~ wz. ( Attachment II Page 52 of 93 Serial No.: 94-194 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 _ _-'-li.//....:..1...:...f"-'/c,-'-_ y _ _ _ _ _ __ ~*m* . 5000 Dominion Blvd., Gien Allen, 'VA 23060 Shee, _ _ _ _ of _2. _ _ _ _ _ _ _ _ _ _ __ AddrHI

2. Plant Surry Power Station Unit--------------------

Nam* P.O. Box 315, Surry, VA 23883 IAIO, -#-QD1..7Q((?5--0t 7U2- -tJ. <N-rcc, Repair Org11n1ntlon P.O. Na., Job No., ato. J. Work Performed bv Virginia Power Typ1 Codi Symbol Stamp __N_/_A________ Name Author1za11on No. _ _ _ _ _..,N.,.{:.,A.,.__ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expirimon Date ___..H.,.l..,A...__ _ _ _ _ _ _ _ _ _ __ Addre11

4. ldentific1t1on of svuem _ _"-M..__A...,,AJ=-""""'S""'.. &

-...,4._.M......._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applic11Dl1 Conmuct1on Code B3 l *.1 . , .. , '. 9_,fJ} ... Edition,,_.,_N_/,...A.,....._ _-,-Addln~*r l:l-1, U-7 Code C...

(bl Applicable Edition of -~ec:";io'/, XI ~;~i1\'~,~*v-~~-~  ;~.~-P~.:~~ f .~r: 1 .!fli;~~:e*J~1 19'.;:;8...* _.1.__ * ' , ,* i, ,,'\.'* t ',i:) *.,:.. , ,*r,  :/"'.-.,'.*:":r:. . :;,:,_:,,,,.,*._:-*~.:~*,; .. \_'..:~;*:::_.::*::;:*,**~ _;,, ;I *,

6. ldent1fic11tion-of Coini:>on,nu Aep11r11for Aepl1cee1 ind Aes:,laceme,nt Componenti *

• N1m1 of, Compon1nt*.

Nam1of Miinutactimr . ,, , .'-'~n~f!IC~U~tr ..., .*.. S1ri11I No. 1 I .. *~**.,

• r*

N1tion11 ..B~rd No. Ottlar. ld1ntific1tion ASME Code Stlffle*1 (VII /JA /-rv{~- SV - /()/A ,* )., I /* - I- . ~ 1/ /_) e.x IV J T k/ 1993 ALl..lt:D Ni.JI' .' '.'! *,  ! I! LIN/) ~oi,.1-; .*.,, . ') *, /

7. Description of Work _ __.{Z_ ....+'()._A,..1...,(t.::.,*_.,_Fi_.L;;,;;:'.\o...,...*....,..~ --...*~,...

) A .......~... ~& a_**... ......, ...r1:..._...... */...:;~ ...,1;7".,..i6:..:;v::;;.:_6.;;.'4-"-"-[------------~-- ...:S

8. Tesu Conducted: Hvdro1t1tic ~neum1tic O *.' N~mi~l'II Qp,;a,ing Pres~ure ~

Othar O Pressure P~1) psi Test Temp. Alt;>r'" "F NOTE: Suppl1ment11* shnn 1n form o*f lisu, aketclln, or dr11win91 mav be used, provided 11 l size i1 8~ In. 11 11 In., (21 lnforma. tion in item1 1 through 6 on trii1 reoon i1 included. on eacll 1hNt,,.and 131 each shllft i1 nu~blrld and the number of 1hN11 ii recorded It the top of thi1 form . (12/821 Thia Form IE000301 mav be obtained from trie Order Dept., ASME, 345 E. 47th St., New York, N.Y, 10017 REPRINT 12/91 FORM NIS-2 (Backl

9. Remm, --Y: St:E {34(1C. c,f R'AG-c 2..

Aopllcabla Manufacturar*, Data Aaoorta to ba anacnad CERTIFICATE OF COMPLIANCEhA~ We cenity that tM statements maoe ,n tne recon ara correct ana this d' ~w4..{c;'nforms to the rules of the ASME Code. Section XI. r~alr ~r **1> 1acam*nt Type Code Symbol Stamp _ _ _N_/_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Cenificate of Authorization No. __N_/_A_____________ Exciration Date ____H_/_A___________ Signed ,2 t: ~ Owna, or o ~ l o . ; ,+SEC ?dfvfir~ ... Tltla ......./..,.~---/~9-----* 19 Cate_._4.....,..~ 9(': CERTIFICATE OF INSERVICE INSPECTION I, the und0ni9ned, holdin9 a valid e1>mm1111on 1aued by the National Board of Boiler and Pressura \lesml lnspecton and the State "'or Provinc:9 of Virginia encUmployea by fISBI & I Co* of Hartford, CT .,cs the components dell:fltled in thi* Owner*, Repon durin9 the period D -( - 3 to .b

• and etale met to the best of mv knowledge and belief, the Owner hes performed exarmnations and taken correct1w measures described In dll1 Owner's Report in accordance with the requ1rament1 of the ASME Code, Seciion XI.

By 1ignint this cenificatt neither the Inspector nor his employer male* any warrant¥, uprnted or implied, canoemiftt the examinations and correc:tiw measures described in thi1 Owner's Repart. Funhermore. neither the Inspector nor hie employer shall be liable in 1ny manner for anv pel'10nal injury or property demaQe or a 1011 of anv kind ari1i119 from or connected with dll1 i_n_CMCt ...__0 __*_*o_n~~I--- . . . . . . . . __ ~1~1Slgnatur* *1..._.__... ~""""------=- . . . . . --COmmiuion1 ___v_A__s_4_3_______________ National Board. State, Provine*. and Endo,_..... Date Attachment II Page 53 of 93 serial No.: 94-194 Docket No.: 50-280

• 1. O.,.,ner FORM N1S*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 _ _'-}...,,_,/f-10.;.J./.,;....01f-_ _ _ _ _ __

,'llam* I 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet _ _ _Z- __ ot __ z____________ -------------,:-------------- Addr111

2. Plant Surry Power Station Unit-'-------------------

Name P.O. Box 315, Surry, VA 23883 1,J,0, "=# i>O'Z. 7o"I 75- oI Addrltll Aap11r Or;antntlon P.O. No., Job No., ate.

3. Work Performed bv Virginia Power Tvpe Code Sv'mbol Stamp __N_/;_A;......_ _ _ _ _ __

Name 1 Authorization No. _ _ _ _ _ _.>>..,lt..A~------- P.O. Boz: 315, Surry, VA 23883 Expirat1on 0111 ___...N..,{_.l\,.__ _ _ _ _ _ _ _ _ _ __ Addr111

5. (al Applicabl1Construct1onCod1 B31.l :s~Edition,_N...;../_A_ _ _ _ Addlnd1,H-l, ll-1 Code Cue (bl Applicable Edition of Section XI Utilized tor Rep11r1 or Reol1e1ment1 19-=.8_1.....__

6. Identification of Compon1n11 Repaired or Replaced and Rapl~ment Components

• Nam* of Compon1nt N1m1of Manufacturar :'

Manufec:Nrer .Stri*I. No. *. f I "* National .Boa~ No. Other ld1ntific11ion Y11r Built Repaired, AIPIICN, ASME Codi StlfflPld or Rll)IIClffllflt or Nol (YH SouTrnBrk.J *.* fJ., .f. .f-ptz. f,,v F,4Sft:I\JE:i!.S AND '5 U P'f'L 'I' ' . 1 t-Jti '" .1 *' tvA hus-sv -,01A ,VA T<'E"p {,q (£JJ, QIt- NJ ;t;.,.,£-r ,ld!AMll: >),~~~:;;/,?, I A;_-?)l7 .,'4 -u~-<',/-,n,A .<.I /;{I J7 b>.4. .*L} ,L,J .,..,,.. .1 . i ,, ','  ; .f' ,..

7. 01scription of Work _ __.lZ.:_i.fi-1'(>~01,1.1.l*,rL.:::..-l..F~<...:1~hi.i.H..;01..1..,.,..,.,1;,~=~a.<l~~::a*,;.,f:..:c~.6.::.,_.,/~Zd(=..e.76:a.c./~,if,a:::¢.:...~C--------------~-

B. Tesu Conducted: Hvdronatic ?n1um1tic 0 Nominal Oc1r1ting Pres.sure ~ Othlir D Prenure µo e psi Test TtmD. MC C °F NOTE: Suppl1m1nt1I 1he1,n 1n form of lilts, 1k111chn. or drawings ffll!V be u11d, provided (1 I sin is 8~ in. x 11 In., l:ZI Informa-tion in items 1 through 6 on tni1 repon i1 included on eecn shN.t, .and 131 each 1h11t is numbll'ld and th1 number of 1h11t1 ia recOfdld at th* top of this form. ** "'**, I 1 :Z/821 This Form IE000301 mev bl ot;,tain1d from the Order Deot., ASME, 345 E. 47th St., New York, N.Y. 10017 i

• REPRINT 12/91

FORM NIS-2 (Backl I 3 ,A

9. Remar1e1 _.......,.N._T.....__<4"--"<.j_9"-'-/.c. 0.....4-_..,L.../:11.>E):;a.,...*...:..;:N:...ii.,_J.1..f_.:;.;.1,::?....:)~---------------------------

Aopllcabla M*:ufacturar'1 Data Reporu to ca attachad SS' Y Y.o zy 09 (tieK N" i- /-q. 'l CERTIFICATE OF COMPLIANCE ~r.4;,e/ We ean1fy that the statements mace in me repon are correct and this ,;£,~d;d,,;.;,ft',f'.P'J'confomns to the rulu of the ASME Code, Section XI. ,-.,air or replacamant Type Coda Symbol Stamp _ _ _N_/_A__________________________________ Canificate of Authorization No. __N_/_A ____________ exoiration Oat* ____H_/_A___________ Signed (1.//! Ownar o~~""* . -/ _ZSf?-r&t1/-rL Tltla -,.,.1,.......,./"'"""<if-----* 19 $?!I Cate--,,,'ll'r{qH"~""d?- CERTIFICATE OF INSEAVICE INSPECTION I, the undanigned, holding a v111d comm1111on issued by the National Board of Boiler end Pressure Vessel lnsoecton and the Stet* or Province of Virginia and employed by HSBI & I Co* af Hartford. CT have inj~t~ the componenta described in thia Owner*, R~n duririQ tha perioa _ _ _ _ _.....,,_/..,().._~,_/_/J__-_.1..,'.3....__,o /() -!LJ - 'b . and atlta thlt to the best of my knowlfJG99 and belief, the Owner hn oertormed examination, and taken corrective measures described In thl1 Owner's R~on in ICCOrdlnCI wnn th11 raqu1rernent1 of the ASME Code, Section XI. By 1igning this eenifie111 neither the lnspec:tOr nor hi1 employer m1k* any warranty, exprnlld or implied, eonelfflinf thl exam1nation1 and eorrectiw me1aur111 described in this Owner's Reoo,t. Funhermore, neither the Inspector nor hi1 employar shall be liable in 1ny manner tor anv personal injury or propeny dam999 or a 1011 of any kind 1ri1inv from or connected with thll insoectiO~ J)_ ;{) /'I ---~-------a,.----~--------Commiuion, ___V_A _ _s_4_J_______________ I napec:tor'1 Slgnetur* National Board, Stata, Provinca, anc:t Endo,-U Date Attachment II Page 54 of 93 Serial No.: 94-194 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 .Pm,}er Neme *

,Cb-~ Date ---,;-4+/,_2..L.(q~'f:.____ _ _ __ I . I _S_O_O_O_D_o_m_i_*n_i_o_n_B_l_v__,.d...,.*.,:.'-G_l_e_n __A_l_l_e_n~,_V_A__2..;..3~060 ., She~t _ _ _ _ of _ _ _ _ _ _ _ _ _ _ __ Addre11

2. Plant Surry Power Station Unit--'----------------

Nem* P.O. Box 315, Surry, VA 23883 AddreA Repair Or;anlntlon P.O. No., Job No., etc,

3. Work Performed by Virginia Power Type Code Symbol Stamp __N,;,.:/_A..;;.__ _ _ _ _ __

Name 0 Authoriz ation No. NIA P.O. Box 315, Surry, VA 23883 Expiration Date ~tt""/""'A____________ Addre11

4. Identification of System _ _.B.._l;.;;o;;..;.c.J.....,..p=o""'u..>---'-rJ-------------------------------

5. (al Applicable Construction Code B 3 l.l 19§I__Edition,_N_;../_A_ _ _ _ Addend11, H-1, ll-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19~8__,9_ _

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Menu factu rer Board Other Year Replaced, (Yea Component Manufacturer Serial No. No. Identification Built or Replacement or Nol 2.J..,1 VALVE., f'../oli/ (\JA NA NA I-BL>-14 !VA ]?epJA ('.el> "'i::>

v,.Al VP (-r/,.J,,,, I If CON\/1\ L N~ I- ~D-1~ 2'i . I h ... 64L-/oir l'fl7 fZ~/~cEJ4ENT ~~ I

7. Description of Work l<ep/Ac E i VALV e B. Tesu Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure [3' Other O Pressure M01' psi Test Temp. Nol °F NOTE: Supplemental sheets in form of lists, sketches, or drawings mav be uaed, provided (1) size is 8% in. x 11 In., (21 lnforma*

tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is nu-~bered and the number of 1heet1 i1 recorded at the top of thi1 form .

• (12/82) This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

FORM NIS-2 (Back)

9. Remarks _....,s=-y&....-_.-'-/3=--7_,,9_/_'2._~__,_/+G-~. . 1

..;_A;;..:.l-....,V....::~'---=2::;.._,,~..._~ Appllcabl11 M11nufacturar'1 J"------------------- Data Reportl to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this,4><<:?G-tt4Wf'.'.' conforms to the rules of the ASME Code, Section XI. . repair or replacemant N/A Type Coda Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - N/A "H/A Certificate of Authorization No. - - - - - - - - - - - - - - - E x p i r a t i o n D a t e - - - - - - - - - - - - - - - Signed Q._~ ,/) Owner 'AL/ or~Dulgnn, Tltle _23:r M,u--~# Date ./-. t rr~< tl ,19 9.J CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Boerd of Boiler and Pressure Vessel Inspectors and the Stet* or Province of Virginia and employed by HSB:I & I Co* *. , of Hartford* CT have inspected the components described in this Owner's Report during the period /O--(l.f-'t3 to /D-14-c:r b , and state that to the best of my -~~pwledge and, ~lief, ,the, Owner has performed examinations end taken' corrective meiisures described in this Owner's A*eport in lic:cordance 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 menner for any personal injury or propeny damage or a 1011 of any kind arising from or connected with this in~rs~f. --~~::....!::::==~_,___ ~ ,.._,:--::~~-~ .....=;..:...----Commissions ___V_A _ _s_4_ 3______________ lnll)ector'1 Signature National Boera, St111ta, Province, and EndorMmant1 Date _ _ _ _ _lf....._-.....(_1-=--__19 q f Attachment II Page 55 of 93 Serial No.: 94*194 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 4/i"5/c,~

Nam* ' 5000 Dominion Blvd., Glen Allen, VA 23060 Sh~et of I AddrHI Surry Power Station ('

2. Plant Unit Name P.O. Box 315, Surry, VA 23883 Addrftl Repair Organization P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp __N...;/_A _ _ _ _ _ _ __

Neme Authorization No. NIA P.O. Box 315, Surry, VA 23883 Expiration Date_..H.,l""A.__ _ _ _ _ _ _ _ _ __ AddrHI

4. Identification of System _ __.1..,S:""14._F'i.::l=';;..;.T-tY'----:..;/NJ--=-E'"-C.:..,.f7_0_A.I

5. (a) Applicable Construction Code_B_3_1_* ..,..l....,._ _ 1,9~Edition,_N...;.../_A_ _ _ _ Addend11, H-1, ll-7 Cod* Caw (b) Applicable Edition of Section XI Utilized tor Rep~irs or Replac~ments 19..::;8_9....__

' ' ' 1,

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped' Name of Nem1 of Manufectur~r . Board Other Year Replaced, IYta Componant Manufacturer Serial No. No. Identification Built or Replacemint or Nol Co V1Z Srvb

µA /\I(/{ !VA I,; ,4 f(JA r-st-47 7ZGl)~Cf:P lvO tVvf I P~,A Ct l> *, ' 1' .. , (I VA- Vil tJA l->l-4 7 /UA- ,I,,! 0. ' / {!,ove,e ~l>vN I ... (} ,iAue -AlrsitC'o J\;A NA I~ 5/- '/-7 l't9Z e/)Ac@1()1.i[ ~o ALLl~D li/c,d ( t11(/r<>1- 60/f I fl/ 1.flr: I {VJ4 I~, /-t./7. I '19 i. IPFp/.qcf"M{A;'.( ~ I

7. Description of Work _ _ _ _JZ-"/'--~ErP'"".4,..(!""'E:::......,.,d..::O,.:v.:..ie..o:lf"---"'5o:..;o:..;*l:..;7:..:l.;,;N:;.J&.z:.,._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _;_

B. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Press~re 0 Other O Pressure _ _ _ _ _ psi Test Temp, °F 1 NOTE: Supplemental sheets in form ~f lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 I~ .* (21 lnforma*. tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is nu~bered and the number of 1heet1 i1 1 recorded at the top of this form. (12/821 ~ This Form (EOOOJOI may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back)

9. Re.marks _ __,S~Y--'3=.....;C:>a..._5_5_~_~_~__,,?__,0.....::e~o....:.,..:...f---=G..:..o..:..IJe.:...;.._r_sru

__i>_lv_v_T.,<;,)________________ Appllcable M8nuf*:turer'1 Data Reportl to be 11nached S5 l/ 5'64 lb?l - z ~ur  !~'2

• CERTIFICATE OF COMPLIANCE,*

We certify that the statements made in the report are correct and this J!-L,),A:t:,~lconforms to the rules of the ASME Code, Section XI. repelr or replacement N/A Tvpe Code Svmbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. __H_/_A____________ Expiration Date ____H_/_A___________ Signed /J~ ~ /j ~t14/' ~~nar o r ~ ; , 0111lgnn, Tltla .:£5_r::- Oate __A.......,,'"'2"'-d=,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 & I Co* *

• of Hartford, CT
• have' inspected the components described in this' Owner'* Report during the period Jo~ 14- q '.) to IO -I H- 9 (, . ' . and state that to the best of my knowledge and belief, .the,Owner has performed examinations and taken corrective measures described in this

'* I ' Owner's Report in accordance with the requirements of the ASME Code, Section ~I. By signi_ng this car:ti~icate neither the Inspector nor his employer ~ekes any war~ntv, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, ~either the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a 1011 of any kind arising from or 'connec:tea with thla inspect!) ~~ ~~ ---'~1--><--"'----- ......-_p'\:P- .......-~..;;...---------'l'"'---COmmissions ___v_A__s_4_3______________

• Inspec:~Slgnatura National Boara, State, Province, and Endonementl Date_ _ _ _,_t{:_-...../-=,3_ _19 L:j

Attachment II Page 56 of 93 Serial No.: 94-194 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

t. O.Vner Virginia Electric and Power Co. 011t11 _ _ ....J...(/..f.!h::.::D~(!...Lf~-------

Nam* 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet _ _.___ 01 _ _...,__ _ _ _ _ _ _ _ __ AddrHI

2. Plant Surry Power Station Unit _ _.__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Name P.O. Box 315, Surry, VA 23883 Addreu Repelr Or;anlutlon P.O. No., Job No., etc.

3. Work Perlonned bv Virginia Power Type Code Symbol Stamp __N...;/_A _ _ _ _ _ _ _ __

Name Authorization No. NIA P.O. Box 315, Surry, VA 23883 E xpirimon Date _.,H._./:..,.A1-____________ Addreu

4. Identification of svuem _ _ __.S...A""F'"i'""'r;:;:::....:..T...,,Y_.c:.ltJ;;..;-.1""'-E"'""'c..,,--'1:..;;DA)=---------------------------

5. (al ApplicableConmuc1,onCod11 B31.l 1s§l__Edition. __ N.;../_A_ _ _ _ Addenda.N'-l, ll-7 Cod1Cua (bl Applicable Edition of Section XI Utilized for Aepa1r1 or Reolacemenu 198 J

6. Identification of Componenu Repaired or Replaced and Replacement Componenu

• ASME Code National Repaired, StamPld
• Name of Nameol Manufacturer Board Other v..r Replaced, 1v..

Component Manufacturer Serial No. No. ldentificetion Buill or Replacement or Nol I I I I/ ~e~ l\LJ 11 NF< /Jf'. I . fJA I-SI - 14~ NI\ ~(A.c:eD f--)6 3 ,, <.-rv l) I %t. Nf!I ( ( / lvA L I. l~tt ~\uf I~ ). I/ (!A;z.DtNAl \ \ 199] lfeofc.cEMt:=d \ NVT 1 ALLIGb Jf\)\') I~ of- f]olf lJ I i n 19,3 \ Jr 7, Description of Work _ _.._\Z_.64"'\>"'"l!\'"'""<!£...__.'Sj..,iilJ...;;..:;C>:;...;;;.S_.../W=-t::>'-._,_"1..,\......* _$...___________________....,._ __ B. Tesu Conducted: Hydrostatic Pneumatic O

• Nominal Operating Pre11ure 0 Other O Pressure p1i Ten Temp. *F

' ~ 1 * ! ,  ; , ,  : ' ~ '* ' I ! \ ;~ NOTE: Supplemental sheets in form of 1i1u, 1kirtch111. or drawings mev be used, provided 11_) 1ize 'i18% in. x 11 In.; 121 lnfor~-, tion in items 1 througn 6 on tnis repon, ii included on each 1hNt, and 131 each ahNt is numbered end the number of 1hHt1 i1 recOl'ded at the top of this form .

• (12/821 Thia Form IEOOOJOI. may be obtein~d fro,,; tne Ord~r Dept,, ASME, 345 E. 47th St .. New York, N.Y. 10017 REPRINT 12/91

FORM NIS-2 (Backl

9. Rem11rk1 G / 3"',A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

_...,.S._'/-1---_,3....._,4._.,2-,=._19..,_9.....__,...,tls.iau~_J"~'.la!u:t..L.-...!..:r..:z*:t:,.,l:.__ / APPll~b)I\ Manufacturu'1 011t11 Raporu to ba ~ttached , Sy q zst 3'2 - 1 l,...2rub I'! ..I CERTIFICATE OF COMPLIANCE We c11rt1fv thet the statements maae ,n the report are correct and this ~C9¥Alz":°'confonns to the rules of the ASME Code, Section XI. rapalr or raplacamant Type Code Symbol Stamp _ _ _N_/_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. __H_/_A _ _ _ _ _ _ _ _ _ _ _ _ Exairetion Date ____H_/_A___________ Signeda 9f< ,d ~ / Owner or ~ l g n N , Title f5£ b4(/<,1E.6'.&; CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding* valid comm111ion ,uuad by the Netionel Board of Boiler and Pressure Vessel Inspectors and the State Du*t* 4a~;_ / _=-"-----* ..,_,.._-=._...z.. (') 1s 9 if or Province of Virginia and employed by HSBI & I Co* of _H_a_r_t_f_o_r_d ___,_C_T ____________________.....,..____ have inspected the components described in thi1 Own11r'1 Repo" durin9 the period /6,fl.{ ,9f 10 /0,(tJ,7'=. , 11nd 1t1ta t1lat to th* belt of my knowledge end belief, the Owner has performed axaminetion1 ind taken corrective meaaur11 described*ln dlfl Owner', Report in accardanc:e with the requirements of the ASME Code, Section XI. By 1igning thi1 certificate neither the Inspector nor hi1 employer mak* any w1mintV, axpresled or implied, canCllfflinf*dl* 11x1miN1tion1 and carrec:tiw meaaur11 described in thi1 Owner'1 Repart. Furthermore, neither the Inspector nor hi1 amployer shell be liable in any manner for any personal injury or proae"V damage or* 1011 of any kind ariainv from or connected wldl dll1 Commiuion1 ___V_A__s_ 4_J______________ National Board, State, Province, and Endo,.._n Date q- :;..r 19 9f Attachment II Page 57 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by thfi Provisions of the ASME Code Section XI I. Owner Virginia Electric ,and Power Co. Date ----'+tf-1.1A'--r_'I- - - - -

Nam* 5000 Dominion Blvd., Glen Allen, VA 23060, Sheet _ _-_!__' -f AddrHI O --...L.-----------

2. Plant Surry Power Station Unit_....;/_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Name P.O. Box 315, Surry, VA 23883 t.v. o. # 00'2 ~ 7~?. I - ot 7Z,.72. #- 'f '{ (J ~6 Addreu Aepelr Organization P.O. No., Job No., etc:.

3. Work Performed by Virginia Power Type Code Symbol Stamp __N....;/_A _ _ _ _ _ _ __

Nam* Authorization No. N/A P.O. Box 315, Surry, VA 23883 Expiration Dete ........,H..,_I...A..___ _ _ _ _ _ _ _ _ __ Addr111

4. Identification of System _ __.Li.__.E...,.f="..eO<-<IIVl:.!..::4uC1...:G'°:;..cfc,:$.___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5, (a) ApplicableConstructionCode B31.-l .19§2._Edition, __ N.;../_A_ _ _ _ Addenda,N-l, ll-7 Code Caso (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 198 2

6. Identification of Components Repaired or Repla~ed and Replacement Components ASME Codi National Repaired, Stamped Name of Nam, of Manufacturer Board Other Y1111r Replaced, IY11 Component Manufacturer Serial No. No. Identification Built or Replacem,nt or Nol 81VDS j

1'..IA tv A tJA I- Fw- 72 NA itt:I) /,4,e-D I\.;() NuTS 1 PvA r...JA t..,A /, r:w-12. tvA '2e:o/4 ce'l> N7) S-n>DS I tA1ZDIN4L r.J ~ NA. I-Fw,1z. 1991 rrzefJ IA. c£;/,f(lJ NO NUT~ I 1/ t An.l> /NA.( l/A, NA r -PN-12 l'ffo t'Et:pl.qccMc"1f /JV I ,qqz Nu,s I/ ~II 10>/(I/ AL NA N~ f- p 1111- -72. µP/4.ccP-'lf:AJi ,..; 0 J.,

7. Description of Work _ _ _~,_1;;_-p_/,_A._e£=---""s;_'1V,_b'--S_....;.4....;.,r;_l:>_j __/.)_t/TJ_3'_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

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 dn1wings may be used, provided (1 l size is 8\i in. x 11 In., (21 informa-tion in items 1 through 6 on this repon is included on each sheet, and 131 each sheet is nu~bered and the number of 1heet1 i1 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) 9, Remarks _s~y_4..;,;;oa..;=,a..,2_'1_7_..,,,(.l.,/'_,'1-1..:..:e...,IC'--'-'Ni..::u....:.+,<...)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ,, Applicable Manufacturer*, Data Report, to be attached cs Y 5 3 33 74-/ (_t sru:i:>) CERTIFICATE OF COMPLIANCE,: -- -. We certify that the statements made in the report ara correct ~n~ ~his .l~M""~;":?:'.'.'conforms to the rules of the ASME Code, Section XI. repair or replacament N/A Type Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. __H_/_A ____________ Expiration Date _ _ _H_/_A___________ Signed'2 sf~~ ML Ownar oTO-;Z\a~. DHlllnH, Title .,:e-s Z:::: Oate_.,.~=7"';;,d_""'""f,t""'L""'<'--'/...,,,.?....__ _ _ , 19 7$( CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding II valid commission issued by the National Board of Boiler end Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co* of Hartford* C'l' have inspected Jhe ~ompon~nts described in this 'Owner's Report during the period IO-IJ./-1:S to //J-/4 -'.7 '=, - , and state that to the best of my knowledge and belief, th~ Owner has performed examinations and taken corrective mee~res described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By 1igning this certificate neither the Inspector nor his employer makes any warranty,' expressed or im~lied, ~nmrning the examinati~ns an*d corra:ctive ;;,e~sur111 described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury pr property damage or II loss ofeny kind arising from or connected with thl1 i-nsp-*ect_.-4-G -*-~~~=--- ..... ~iF---.-.. . ~-= lnspactor'1 Slgnatura .....*""-----COmmissions --:; __ vA__ s_43_ _ _ _ _ _ _ __ . National Board, Stata, Province, and EndorMmentl Date Attachment II Page 58 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM N1S*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 ---=-<f,t.-,h:....:::i...t....h.:.-1c./t....__ _ _ __ Name 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet _ _ _,_ _ of ) AddrHI Surry Power Station

2. Plant Name Unit --f-----------------

P.O. Box 315, Surry, VA 23883 W,0, 1f OOckJ?Oi.//o -0/ Addrftl Repair Organluttan P.O. Na., Jae, No., etc:. J. Work Performed by Virginia Power Type Code Symbol Stamp_...;N,;.;/...;A;.;;..._ _ _ _ _ _ __ Name Authorization No. NIA P.O. Box 315, Surry, VA 23883 Expiration Date ___..H,..1-'A'"'------------- Addren

4. Identification of svnem _ _.,_A-'6_,l..;-...  ;;; Pa..W~'4""""W=-12,..______________________________

5. (11) Applic11bl11Conmuct1onCoda B31.l 19~Edition,_N......;.../_A_ _ _ _ Addlnde,H-l, ll-7 Cod*C...

(b) Applicable Edition of Se~tio~ XI Util)~~~ tor *Ae~~1rs . . or. Reol~emen;~ 19°.=BC-.J1....__

6. Identification of Comoonenu Repaired or Repiaced and Repl~ment co'mponenu ASME Cade Netional Repaired, Stamped Name of Nemeof Manufacturer Board Other Y111r Replaced, IVN Component Manufacture~ Serial No. No. Identification Built or R1placement *or Nol*

 ?/,rP '{ J.J, , f- J II /q. lvA fvA lvA 1-r-w-~-101e__ lvA '/ZEp/;;JccD tub S-rVD J;;;q '1 II ti {VA ( 1 1 r . I 1-1 {J y flfr, f ~ JV] MKsofJ I 1qq3 KEd-4aMALJ SiV!) p ,, hj . /\/ f)lli.- ,, II ,, I '111 it 1 /1q3 s , ....C1-..____________________

7. Description of Work _ _--:.72..=E~p:::..!.:;/A,:1.1aa<.!t::~--~9{l~/.:::'D:.....S~*.....;;i'.:li;..;N;...t::,:a;:;.._,N~U~T B. Tests Conductld: Hydrostatic

• Pneumatic O Nominal Operating Pre11ur1 0 Other O Pressure _ _ _ _ _ psi Test Temp, *F NOTE: Supplemental 1hnt1 in forrn of lim, sketches, or drawings mav be used, provided (1 I size is 8% in. x 11 In., 121 lnforma~

tion in item, 1 through 6 on tnis repon is included on each 1heet, and 131 each 1heet is nu~bered end the number of lhffll i1 recorded at the top of this form .

• (12/821 Thi1 Form IE00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

FORM NIS-2 (Back)

9. Remanc:1 _..,_/y .......5._4-.L.;...J4.....:S'~--:...........G....:.>-I.L..,,ae,,.l(__,_/\/"-"'v..J..f--'h;..:'i".~'2~-----------------------

........r_....,4'-3 Appllcabla Ma~~facturar'1 Data Aaport1 to be attachlld !VT 4'5/'SC/fe -I {swl) h 0 J CERTIFICATE OF COMPLIANCE We certify that the statements maae 1n the repon ara correct and this 42&-t'ztCc-0.f&c'onforms to tha ruin of the ASME Coda, Section XI. rei,elr or raplacament N/A Type Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificata of Authorization No. __H_/_A____________ Expiration Dete ____H_/_A ___________ Dete _ _ CERTIFICATE OF INSERVICE INSPECTION 4._. .&...... c__../....,,r::::..___ _ _,

• I, the undersigned, holding* valid commission issued by tha National Boerd of Boiler and Presaira Vessel Inspectors end the State

 ? ... 19 '3"j/

• or Province of Virginia *nd employed by HSB:I & I Co* of Hartford, CT have inspec& the component1 described in thi1 Owner*, Report during the period /D- {Lf _q 3 10 lb, I Lf - Cf
• and ate* mat to the best of my knowledge end belief, the Owner hes perlormed exeminetion1 and teken corrective m11sur11 described-In this Owner's Report in eccordanc:e with the requiramenu of the ASME Code, Section XI.

By 1i9ning thi1 certificate neither the Inspector nor hil employer mek* any w1m1ntV, exprnlld or implied, conc:amtnt die examination, end correc:tiw meaaires described in thi1 Owner*, Repart. Furthermore, neither the Inspector nor hi* lfflPloyer shell be liable in eny manner for eny per,onel injury or property damage or a 1011 of env kind eri1ing from or connected with dll1 Commi11ion1 ___v_A __s_4_J______________ I n9')ecto,., Signature National Board, State, Province, end Endol'temenft Date ,c;.:;a..;zailllfj'.f Attachment II Page 59 of 93 Serial No.: 94-194 Docket No.: 50-280

• • FORM N1S*2 OWNER'S REPORT F'OR REPAIRS OR REPLACEMENTS As Required bv the Provisions of the ASME Code Section XI

1. Owner '/ i rginia. Electric* and Power Co. Date _ _-L-:~f--':./z::.!..,/,f-!.h-!...c/_ _ ___;_ _ _

"'.Jam* 5000 Dominion Blvd., Glen Allen, VA 23060 She1t _ _..___ot _ _./ _ _ _ _ _ _ _ _ _ _ __ AOClrHI

2. Ptent Surry Power Station Unit-..!------------------

Name P.O. Boz 315, Surry, VA 23883 l,U. ()1 ::it DoZ75'iZ7-o/ 1(..7l# <t<./,-t2S-ACIClr . . . Re11111r Or;11n111tlan P.O. Na., Jab No., eta. J. Work Performed bv Virginia Power Type Cade Symbol S1amp __N...;/c..A...;c.._ _ _ _ _ _ __ .'*,reme Authorization No. NIA P.O. Boz 315, Surry, VA 23883 Expirarron Datt ......,.H..,/_.A"'------------- ACIC1re11

4. ldentific1tron of Svsrem, ___."---.;:f;~1c.

, &"':,~c_ _ S-"-1f'=D=-"'1"'""'<a~C:---------------------------

5. (1) Applrc10111ConsrructronCod1 B31.l :9§.l__Edition._N /_A_ _ _ _ Addlnda.N-l,

___ ll-1 (b) Applic1Dl1 Edition of Section XI Ut,lina tor Aeparrs or Aet1lec1menu 198 1

6. ldenriflcatron of Componenu Rep11r1a 'or Aaplaclld 1na Aeolacement Components

• Nam* of Component Nameof Manufec:turer Manufacturer Sarial No.

'"* ~ i; ...._ National Board No. Other ld1ntific1tion v .., Built Aepaif9d, AIPlacN, or Aeolacenwm AIME Code* StanlC*t (Yn or Not (V,4 . . AJA-  : -1 (-R.5-P/.{-l'l.fll3NI; /v() J

7. 011criP,tion of Work

8. Tests Canducted: Hydrostatic Fl~eumauc O Nominel Oo1r1t1n9 Pre11ur1 0 Other O Pre11ure _ _ _ _ _ p1i Test Tamo. °F NOTE: Supplemental ltr11t1 rn form of lists. 1knchn. or drawin91 mav bl und, provided 111 size i1 8~ in. x 11 In., 12t lnfonne.

tion in itama 1 through 6 on this report i1 included on eacn 1hfft, and 131 each 1hNt is nu~blrld and the number of th.a ii recorded at the toP of 1h11 form . * (12/821 This Form IE000301 may bl obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/9 l' FORM NIS-2 (Back)

!. Rem11r1<1 _ ___:.N.J:.T...___'-l-...:....4-.:......:.'l_t..::.o..;.i./-~{-'1'-'-f..,,e"-"-t.S.......:.N~0..!...f-.....:...h~z-,:,L2_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Aoc,1ica1:11e Manutacturar'1 Data Aeoort1 to t>e enacr,ecs CERTIFICATE OF COMPLIANCE We c11n1tv tn11t tne statements mace ,n tne *~can an, correct and thi1£t:.>..,.,e,k:,p,c(AIC;onform1 ro tne n.iln of the ASME Code, Section XI. rei,e'ir or recuecemen, Type Coda Symbol Stamc _ _ _N_/_A__________________________________ N/A H/A Certificate of Authorization No. - - - - - - - - - - - - - - - - E x p i r a t i o n D a t e - - - - - - - - - - - - - - - - Signed /1_ ~ ,/_ .&t< ~r or O~OulgnN, Title f$f CERTIFICATE OF INSERVICE INSPECTION I, the und11rs1gned, holdin9 a 11a11d comm1111on ,aued by the National Board of Boiler and Pressure Cat*--~-4-.,...:...__,_L ____, 19_..,p.._../'-- IJ*-* lnscec:,on and the State or Provinc:a of Virginia end emotoved by HSBI ' I Co* of . ;;H;;..a. ;. ;;.r.....t_f__o_r_d...._c_T ____________________~----have 1nsotet!CJ the comconenn dell:l'ibed in thi1 Owner*, RIIQOrt durin9 the oertOd / (!) 'f L4 "' j..1 ,a / 0"' -I - '/Co , and IUta dlfl to the bast of mv knowtlld9e 1ne1 belief, the Owner ha oertormed exanunauon, and teken c:orrec,,w meesurH decribed In ttlll Ow1111r*, ReQon ,n m:orctance with the requ1rwnente of the ASME Code, Section XI, By 1i9nint thi1 certificate ne11her th* lnsoeaor,nor hi1 emptoyei*maka'a~~ waminiv, ........ or implied,*cor.mrnil* ttle examination,. and correctiw mHsur* ..dnc.nb-.a in thi1 a-,*, R**t. :F*urthermo,.:* ne,tfter: tt,e l n ~ r no; hi1 ..... ,., .n~i* be ii~ble in 1nv' ,;,.~na;*,o; an~ o*n:onai injury or propenv d*amave or a ton of any kind *iting from or connecild wlttl ttll1 *..i* in-,ec,ion. /,) (\ _ _*._*_*"-~ll-* -*olii\r ; . """""1.,._._'_* ... o..~ _-t"'-.--~--*------Commiuion1_ ~Vi;A;;;;iiS;;;4;;3~sua.";;;;i;i.;;;~;;;ienc;;i.i.iin-1n1PKtOr'1 Slenature 1 National 8oafG, Stace, f'rovance, end Ende..- Date Attachment II Page 60 of 93 Serial No.: 94-194 Docket No.: 50-280

• 1. Ownar FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS Virginia Electric and Power Co.

As Required by th* Provisions of the ASME Code Section XI !llama 0,11 --~.:...!'-'2"'-, 61,...!r...1.t_ _ _ _ _ _ __ 5000 Dominion Blvd., Glen Allen, VA Ac:1c:1r1H 23060 She1t _ _.:../_ _ o1 _ _ z=-----------

2. Plim Surry Power Station Unit_......__ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Name P.O. Boz 315, Surry, VA 23883 ""' Q, -:;r o D ZVl&:f.f 9 - 01 tGl. ;n:: q 'I -c -~ D Ac:lc:IP- Reoalr Orgenlrettan P.O. Na., Jae. No., eta. 3, Work P,rfarmld i,y Virginia Power Typ1 Codi Symbol Stamp __N...;/_A..;...._ _ _ _ _ __ Nam* Authorization No, -----Ha1.f.1:IL...------ P.O. Boz 315, Surry, VA 23883 Expir1t1on 0111.......,Hw:l..c:Aa.,__ _ _ _ _ _ _ _ _ __ Ac:lc:lr111

4. ld1ntific1t1on of Sy111m --......1?2......:<==:"1..::.'-.1.TZ?tw::1.<'?:=.-.i.(.:.9~9..i(..:cl;;u.;t'.Y:;J-....__ _ _ _ _ _- , - - - - - - - - - - - - - - - - -

5. (11 Applic1bl1 Conmucuon Cod, 831.1 19~Edition,_H...;/;..A _ _ _ _ Addlnd1, H-1, ll-7 (bl Applicable Edition of Section XI UtiliHd for Repa1n or Reo1~1man11 19.;:;8_1.L.._

6. lden11fic11ion of Comoonanu R1p1ir1C1 or R1placea 1no R1olacem1nt Componen11 ASME Code N1tion11 Repeir9d, StMIPed N1m1 of N-of Manufacturer Board Other v,., R111l..:t, (VII Component Manuf1etur1r Serial No. No. ld1ntific11ion Built or Replecemlflt or Nol Nuf- I fr J._ /I NA I NA I tvA-I i-TU!-l-tty'-/5; td' I

,V-4 / 1Z1;:pi~~t:D ( ~o I .~ / srvP I '6 IIJA  ! i Tti/M Lj S';,E W1 t~L 'f 'I ('o~>-Vvlu,v A qc l- ,JI I I ,I.> Nv, I fs Etve:,,,-,ee.r, .v<y 1',IA. trE7 Iiel') l1CtFt11rEM t.JL <-1"0 1.1 vr 5TU1) I . ,J.. 'if ,f AND 'Boc.:r NA. lj . I qq7. £ ~"

7. o,scription of Work, __ ¢.........S:..zz..("",'>.:.~%,...:;:'-~'Y.:..B"-*¥'..r7J!..:r=r'N~})........;-r..,~~l:;:M;i.;,_f?::i..,.S:.zf.:.~.t.i4:t.a.eF:.=l~V:...._ _ _ _ _ _ _ _ _ _ _ __

?2_;;1:..,./)"/.;.*i.. - r  ? / '

8. T11t1 Conducted: Hydroatltic Pn1um11ic O Nominal Ooereting Preuure 0 Other O Pre11ur1 _ _ _ _ _ psi Test* T1mp. *F NOTE: Supplem1n11I lhnts 1n form of list,, 1katchn. or drawin111 ffllY bl u11d, provided (1 I 1iZ1 is 8~ in. x 11 In,, 121 lnfonna.

tion in items 1 through 6 on tlli1 rac,o"* i1 inciud1d on ,ec:n lhNt, and 131 11Ch lhffl it nu~bered end the number of lhNtl ii recorded It th* top of this form .

• (12/B2l Thia Form IE000301 m1y be obt1in10 from 1111 Order Deot., ASME, 345 E. 47th St., New Yort, N.Y, 10017 REPRINT 12/91

FORM NIS-2 (Backl

9. Remaru --~---S-ff-~AA~_c._f-__o_F___t:>___1>.....<:r'"'t:=---2.--------------------------------

Acpllc:abla Manufac:turar'1 Data Raporu to oe anac:r,ec:1 CERTIFICATE OF COMPLIANCE We c:en,tv thet the statements maoe ,n tlle n!Pon are correct and this ~,caec:1'!!rt'..clT'conforms to the ruin of the ASME Code. Section XI. r81)air or ,apuic:ement Type Code Symbol Stamp _ _ _N_I_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ __H_/_A ____________ Exoiration Date ____ H_I_A_ _ _ _ _ _ _ _ __ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid comm,11,on ,aued by the National Board of Boiler and Pressure va..1 lnsoacton and the State or Province of Virqinia end employed by BSBI " I Cn

• of Hartford, CT have 1n1')eeted the comoonents decrlbad 9-J..

in thi1 Owner*, Repon durin9 the per10d _ _ _ _ _ _ _/.._..0.._-.../_l/..._-.. ,o /1) .. /4 ~q' , and eta* mat to the best of my knowteoge and belief, the Owner ha oertormed exanunet1on1 and taken corract1w measures delCl'ibad In thlt Owner's Report 1n accordance with the rwQu1rarnent1 of the ASME Code, Section XI. By 1igni119 this cenificate neither the lnsoeaor nor his employer maka any warrantV, uprauac:t or implied, c:ancarntng the exam1na11on1 and c:arrec,iw measurm describad in this Owner's Report. Furthermore, neither th* Inspector nor hi1 .._toy., shall be liable in any manner for any oersonel injury or propenv demege ore 1011 of any kind ari1i1111 from or coMecud with dll1 inapec11on. ---~.\l,-~~--=---------l.~.--~-- i,,;;;;or'.si;nat~ ... ------Commi11ion1 ___V_A__s_4 _J______________ Netlonel Boara, StHa, Provinc:a, and Endor...-ai Date _ _ _ _ _ L{._-__.._a;""':5:__19 Cf¥ *' '-- .. '.- -:--.; ... ~- -*- -'":"" .......................... -. ~-..------*~- Attachment I I Page 61 of 93 Serial No.: 94-194 Docket No.: 50-280

• O,,.nar FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As ReQu1r1d bv the Prov11ion1 of th* ASME Cod, S1ct1on XI

*Jirqinia Electric and Power ...... '". Co * '.)at1 _ _ _.t/-'..J./.::;'41//~'1.:.....z'."----------- 5000 Dominion Blvd., Glen Allen, VA 23060 ShHt _ _ _ z_ ot __z.____________ -----------cA-a-a-,.-.. -----------

2. Pl,nt Surry Power Station Unit-------------------

"'*m* P.O. Box 315, Surry, VA 23883 Aacsreu Fleo11r Orgen1ut1an P.O. Na., .lob No., - J. Work Perlormld i,.., Virginia Power Tvi:,1 Codi Svmbol S1amo __N_/_A________ Name Autl\orizat,on No. _ _ _ _ _..i;Na..ft...&D....------- P.O. Box 315, Surry, VA 23883 LuAia.....------------ Exr:,irimon 01!1t1 ......,N.... Aaar*11 A,..c..,w ... ld1ntific1uon of Sv111m _.....,:k:i__,... .....g,=-~c...ooQ,,,;.;L/=l...4._1-..., - - - - - - - - - - - - - - - - - - - - - - - - - - -

5. (1) APDIICIGII Construct,on Codi B3 l. l '. 9 ~ Edition, __ N.;../_A;;....~_ _ Addlndl!. N-1, ll-1 (bl Aco11cao1e Edition of Section XI Ut1li110 tor Aeo1ir1 or Aeolec1ment1 19=8~11.-_

6. ld11nt1f\c111on of Comoon1n11 Aeca,reo or A1011ceo 1na Aeo1acem1nt Comoon1nu

*. AIMI -*~* Codi National AIDeil'N, II Name of N-of I Boarct- Otller Veer AIDIIICN, CY* I I Mlnufacrurer Component Menufectunr I Seri1I No. No. I lden11ficeuon Built orReollCeffllftl or Not I I I I l'ores. - 1-("R,M t\:,.<c"'IA A, Y I \It) le t..tJ- I tvA I I µ~ [-12(-1,Kl/-l~I ( 992.. I 12,e,.p/..._ce:N e,J- NC) I  ! I I I I I  : ' I I I I I I .- B. T11t1 Conducted: Hvdrost111c Pnaumet,c O Nom,nel OD1rat1n9 P,.11ur1 0 Other O Pr11uur11 - - - - - psi Ten T1ma. *F NOTE: Suo011mentll ltlNH ,n form of li1t1, 1k11cnn. or drawin91 ITIIY be uMd, provided 111 size i1 8~ in.* I I In., 121 lftfonna,. tion in itlffll I throuifl 6 on 11111 report II included on eac:ft 11\Nt, and 131 eect, 11\Nt ii numtllred end the numDlr Of ..... 61 recorded at the top of mi1 form .

• 112/821 Thia Form CE000301 may 1:11 obtained from t111 Order Oeot., ASME, 3C5 E. '7th St., New York, N.Y. 10017 REPRINT 12/91

11 FORM NIS-2 (Backl

3. Rem111r1e1 _ ... {!.,.s~y.__2_3_.:/c..;.1..:.IJ...:f'--'(...;..Ii....._.;.:H~e.:..~..:../I.J:..::u;;,.i.:.11/:.....-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

/ .o.0011cao1e Manufacturer*, Cata Raooru to cie enacnea S:NT 3c.% 3Gz7 (:.Jf!.*w A-.51:,wBt.'f) CERTIFICATE OF COMPLIANCE We ce"1tv tllat tile natemenn maoe ,n tne ~o" arw correct ana tlli1 ~stf'<c6rcck6ntorm1 to tile rulN of 1M ASME Coda. Section XI. rep tr or *eotecem_, TvP* Cod* SvmDOI Stamo _ _ _N_I_A___________________________________ Ce"1ficat* of Autllortut,on No. __9_I_A____________ Exoira1,on Oata ____H_I_A ___________ Sivnaa /.1 &'-. /_ A d ~ ~ , . , OHllnN, Tltle or Prov,nc:9 ot Virginia .:£1::3:C be;,~ CERTIFICATE OF INSERVICE INSPECTION I, tile unden,gned, lloldin9 e 11a11d comm1111on ,auaa by tile NatiOnal Boera of Boiler and Pres111ra ***motovea by HSBI , I Co. D*t*--'+~W...;c:z.,,;<,..__-N-..._____ 19 f',e' V*-* 1nmec1on and tlle ltate of .cB~a=r...t ...f_o_r_d_.__c_-r___________________~~----h""' ,nlll!'Claa tile comoonana 111 1 11111 d in 11111 Ownen Reoon dt.mnv '"' oerlOd / 0

• I c.( -:[ 3 ,o I ¢
• f ':i - 1 (. Ind . - . . .

to tile bell ot my llnowteOIJe ano belief, tile o - r ll* oerfonnea exannn,11on1 and takan corncttw m...,,., csew:.ibl.a* llltl Owner'I Report ,n accoraence Wtltl the '9QU1'9ffl9ftll of thl ASME Code, Section XI. By 1ign1ng this c:11nlficaa ne,dlet' the IMCMICIOr nor his emo1oyer mall* any -rrantv, ellOnllld or irnDliad, c:ow:*11 N exam1na11on1 Ind correciiw mua,r* dllCflbed in 1t1i1 Owner'* . Racaon. Fu"hermore. ne,mer ltle lnq,ec:tar nor hie acola.,., shall be Ii1ble ,n eny manner tor any penone1 in1urv or propeny damage or

• lou of any II ind *is*a,v from or coMected _.. 11111 i-nllMCl_'°_"*..ij.~-W-""--"..._..__-P.__.....;;;;~;...:...._-=.;;..;..__Commilliona--;;.';iv;.A;.;5;;;43:;:-;i;;;;;;;;,;;,-;;;.,;;;;;;;;;;;-

i,;;.;;,; sf;,;.,u,e National Soara, State, ~,ov,nc,, ano anc,01w1 u* Date Ll-3,.S- 1s_'l_f_ __......C-l&IIPl'IZQUt--tO"WWW-111!1_ _ _ _. ._ _t""< .--,,,,...... . ,llkilllillfiiii Attachment II Page 62 of93 Serial No.: 94-194 Docket No.: 50-280

• 1. O,..ner FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requir1d bv the Prov11ion1 of th* ASME Code Section XI

'Ji rginia Electric and Power Co. _S_O_O_O_D_o_m_i_n_i_o_n_s_l_v_d_._,_G_l_e_n_A_l_l_e_n_,_V_A _ _2_3_060 ShHt _ _ _ l_  ;;t_2. ____________ .. aareu

2. Plint Surry Paver Station Unit ......J......- - - - - - - - - - - - - - - - -

Ner"e P.O. Box 315, Surry, VA 23883 l,,V.i). OOUZ5'17-oZ 72.72 .:L (N-BS Aeoe1r Or11n1ut1on P. .O. No., JOD No., 111. J. Work Performed t,y Virginia Power Tvpe Codi Svmbol Stamo __N_;_/;;,.;A;,.__ _ _ _ _ __ Nem* Authorizauon No. ------'Ha..{r...A11..._ _ _ _ _ __ P.O. Box 315, Surry, VA 23883 Exoir111on 01t1 __.ij._l,..Aca...------------ AaareH

4. ld1nt1fic111on of Sv111m "iZe-AC.rnlZ. Ceo LJ\A.I*

5. (11 Aoo11c1011Con1truc11onCod1 831.l '.9~:;dilion. __ N.;./_A______ Add=ndc.N-1. ll-7 lbl Aoo11c1bl1 Edition of Secuon J(I Utoliua tor Reo11ra or Reo11e1m1nn 19:e...-..11......_

6. lden11fic111on of Compon1nu R1011r1a or R1pl1cld 1na R101acem1nt Compon1nt1 AIME Codi RIDeirN, SllfflPld Neme of NMMof Manufacturer I National Board* Omer v,., RIDlar:N, ,v..

Component Menufecturer S1ri1I No. No. lden11fic111on Built or RIOIIC9IIWM or Not 1 3 V.u v~ I ~A I "I /1 I NA , _ r;, C. -, ,n. gePl~cED t.Jo I 3 P,P I

( Ii /'

I I I ( '"'A I I / J ( .s: ,, \ I IMy 111*.1'1- re; I I $n,.,l) 5:

• Pi" I I *.

RA"1&E w~o /Je,k. ! J 'I" ,J. J ~IJ J ./

7. D1acriouon of wo,11 __1<.._..e-+'pu.lA-C.1;.._...V.[..,jA=:!:,::a;Y1.1e:

B. T,111 Conduc11d: Hvdrott111c ~n1um111c O Nominal Ooer111n9 Pre11ur1 0 01t11,o Pr,11ure t1x}t!s,i11p1i Ten T1mo. d<'(d,;t:,vCF NOTE: SuoDlememll ui . .11 ,n form of tins. 111nct1n. or dl'lwin91 mev be u..a, provided C1 I sin i1 B~ in. x 11 In .. 121 lnforme* tion in it1m1 1 1hrou9"1 6 on tr111 raoon ii included on 11cft 1t1Nt, end 131 1ecn shift ii nu~berec:I end 1t11 number of lftNll 11 reca,dld 1, 1t111o0 of mia form .

• (12/821 Thia Form IE000301 m1v be obt11nea from,,,, Order 010,., ASME, 345 E. 47th s, .. N1w York, N.Y. 10017 REPRINT 12/91

FORM NIS-2 (Backl

l. Rem11r1t1  ::'( Se"7 B4l;IC Q/: fMCrlf 2.

.i.ccllcaole Menu1acturer*1 Dua Aecoru to oa *necneo .:ERTIFICATE OF COMPLIANCE 'Ne c.rt1fv tnat tne n11temenu mace ,n tne ~oort are correct 11na tn11 .4q)~.d'"::'?:';ontorm1 10 1n1 ruin of 11'11 ASME Code, Section XI repair or **oiecement Tvo* Coda Svmt>ol S1amo ____~_I_A____________________________________ H/A H/A Cert1ticat1 ot Authorint1on No. - - - - - - - - - - - - - - - - E x o i r 1 1 1 o n O a t * - - - - - - - - - - - - - - - - Signed I, 11,, Qt: ~- ~* Owner or O~H1gnN, Title arProv,nceof Virginia fS_f CERTIFICATE OF INSERVICE INSPECTION Oat* d}:.4u-- (C unaer11gned, holdin; a va11d comm1111on ,au.a by 1n1 National Board of Ballar ana Prncura v,1111 lnsoec:torw end the St11e ,ncumoioyoc,t,y HSBI , I Co. .19 ,Zif of Hartford, CT h.,,. 1n~ea u,, comoonen11 dellCl'illad in 1h11 Owner*, AIPOn; durin; 1r,, oerlOd _ _ _ _ _ _ _./_b__-..,/_4..__-_'f..._J__ ,o /0-/tl *-:JJ2 , and naa mai to the 1>111 of my knoWf909t 1na belief, the Owner n* oertormotd 1xam1ne11on1 ana taken correctrw m1nur11 cs,crmd Ill dllt Owner'I Aeoon 1n accaraance w11ri tfle 1'8QU1ramen11 of the ASME Code, Section XI. By 1i9n1n; thi1 cen1fican neither the IIII08CIOr nor hi1 employer mak* any -rrancv, * ~ or 1mD1iotd. conwM* Ille exam1nat1on1 1ncs correctrw m1111ur* Cll!ICno<<I 1n 1h11 Owfter'1 RePQft. Funhennore. n11ttter tt,1 ln1P1Ctor nor his . _ ... shall bl 1o1bl1 1n eny m,nner tor any 011"10n111 ,n,ury or oropeny C1ame91 or a 1011 of any kind ***!"9 from or connec:ted wldl dll1 i_*31w_-\-.a:;..::.  ;......,o~_ _ _.f_._._~ .. _ _ _ _ _ comm1uion1_"""";::;;;'iV;:A:=iiS':4 -::.....:::o.'91'-..:;.;.. 1n-,ecTor-1 Sl9nature

3~~;:-;;;::=::-::=:-;;:;;;;:;:;;;;:;:--

NH10na1 lloal"II. S1a11. Province, ano Enoo, ......... Datt, _ _ _ _ _ '::f...-_~,.__-__19 qq

• ~--

• BM

Attachment II Page 63 of 93 Serial No.: 94-194 Docket No.: 50-280

• 1. Owner FORM N1S*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 _ _ _~'f-(r.<..;~~j:.....!....rL-y_ _ _ _ _ _ _ _ __

Name _s_o_o_o_o_o_m_i_n_i_o_n__B_l_v_d_._,;._G_l_e_n_-_A_l_l_e_n_,_v_A_ _2_3060 Shaet _ __;Z::;.__ of __ z...___________ Addre11

2. Plant Surry Power Station Unit __!_________________

Name P.O. Box 315, Surry, VA 23883 Addrftl Repair Organlutton P.O. No .. Job No,, eta.

3. Work Performed bv Virginia Power Type Code Symbol Stamp __N...;/_A _ _ _ _ _ _ __

N1m1 Authorization No. NIA P.O. Box 315, Surry, VA 23883 Expiration Date__..,H""l..c.A..__ _ _ _ _ _ _ _ _ __ Addren

4. Identification of System _ _72'--e:_...,Ao.:c;.:.n;;n=.;:;...._..:.C...;~=41=/.J~L--------------------------

5. (al Applicable Construction Code B31. l 19§.I__Edition,_N.....;../_A_ _ _ _ Addend1, H-1, ll-1 CodlCIU (bl Applicable Edition of Section XI Utilized for Rep~1rs or' Re1;11ac:1ment1 19"'-B_j...__

6. Identification of Comoonenu Rep1ir1d or Repl1ced end Replacement Componenu I

ASME Codi N1tion11 Repaired, StafflPld Nam* of Nem1 of Manufacturer Board Other Y11r Replaced, (Yn Compon,rit Manufacturer Serial No. No. Identification Built or R1plecement or Nol 3 fl I/At.I/~ Mc:J VNf(t ~ /1114 I- {2.e - tt)O lf1er </ /4sp(4ce>t11:;..,r I.JO I\JA / 3 /( p,p~ fl., 5 c H{:.o/2.AJ I /'tfJ I H{/( 11.lu+- 'f s:_ 'I (VI ~c,~-5orJ I 'ftr 3  !;' II 611/ !) -r ('4n,f)/A/AL l99'J FlAN(sE MlrJ /1/ruK. 7)v~o.ic 'j J J 1911, I t'

7. Deaeription of Work _ _ _ lL_e.f-f-/4..;...;;:C::--.1..&..;;:4.::t..:&.Yfi::~--'--------------------------

8. Testl Conducted: Hydro1t1tic. ~eumetic O Nominal Operating Pre11ur1 0 Other O Pressurel {YJ/'<tatil psi Test Temp. l'!ttfda!-e,rc

• F NOTE: Supplemental 1heeu in form of lim, aketchn, or d1111win91 may be u111d, provided (11 aize i18% in. x 11 In., (21 lnforme*-

tion in item, 1 through 6 on this report i1 included on each 1hNt, and 131 each shift is nu~berld and the number of lhfftl i, recorded It the top of thi1 form .

• (12/821 Thi1 Form IE000301 mey be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

FORM NIS-2 (Back) le Manufacturar'a Data Raportl to ba attached CERTIFICATE OF COMPLIANCE We cen,tv thet the statements maae in the repon are correct and thi1';.7)¢'4ctee;;,,eefonforms to the ruin of the ASME Code, Section XI. r8')a r or raptacamant Type Code Symbol Stamp _ _ _N_/_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Canificate of Authorization No. __H_/_A____________ Expiration Date ____ H_/_A___________ CERTIFICATE OF INSERVICE INSPECTION ,19 I, the undersigned, holding a velid commission ,aued by the National Board of Boiler and Pressura Vessel Inspectors and the Stet* qej or Province of Virginia and employed by HSB:I & I Co* of Hartford, CT have inspec~ the components detcnbed in this Owner's Repon during tha period / D Y3 10 / D"' /t.,{ - b , and st** met to the best of my knowledge and belief, the Owner h111 performed exeminetions and taken correeuw meesurudescribed In this Owner's Repon in accordance with th11 requiramen11 of the ASME Coda, Section XI. By signing this eenificate neither the lnspec:t0r nor his employer mak* any warranty," expraued or implied, conClfflffll*the exam_inations and corr11etiw meesur111 described in this Owner', Repc,rt. Fu"hermore, neither the Inspector nor hi1 employar shell be liable in any manner for any personal injury or propeny damage or a 1011 of any kind arising from or connectld with this inspection. J). ~ --~-aa.oo ______J___........~~ lnll)eetOr'I Signature --------Commillion1 ___v_A __S_4_J______________ National Board, State, Province, and Endarternena Date Id-~ -s- f-r-'/:_ 19....... I Attachment II Page 64 of 93 Serial No.: 94-194 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 _ _</.:..+(.:.::15<.+!..:..'1.L.'f_ _ _ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen,. VA -----------,...,..,'--------'----2-3060- Sheet _ _..;./__ of_2.. _ _ _ _ _ _ _ _ _ __ Addre11 Surry Power Station Unit__;/_ _ _ _ _ _ _ _ _ _ _ _ _ _ __

2. Plant Name P.O. Box 315, Surry, VA 23883 w. O, ,r oo 1.. 7'11.f o 7-0I Addr"' Repair Org1nlutlon P.O. No., Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp __N...;/_A _ _ _ _ _ _ __

N1m1 Authorization No. N/A P.O. Box 315, Surry, VA 23883 Expiration Oate__..H..../.,.A....__ _ _ _ _ _ _ _ _ __ Addr111

4. Identification of System 72 i;.A C..TD rz.. ( ec,L~ tJ["

5. (11) ApplicableConstructionCode B31.l 19~Edition,_H...;/c..A _ _ _ _ Addenda,N-l, 11-7 Codi Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 198 '7

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped N1meof N1m1of Manufacturer Board Other Vear Replaced, (Ves Component Manufacturer Serial No. No, Identification Built or Replecement or Nol

~ I/ ~ix Mvt l~ NA fl)A t.J A. l-!Z.C-5\/-1'551~ tJA (2Ep/4(E'I) No $1VD I~1s" I/ ' ' . NA '( / ( ( No I VALl(f? &>" C,iLoSB'{ \ \ \ j 1 'IE.'::, I II lte~ StvD f\L,t I~ 7. r~ 1/ C..Art:o,~A( N(9V4 ~ '" 1qq2 iqti-, l:?e=o/t\CEMG"1.J1 t NO rv6

7. Description of Work _ _](!....._.,1:,.,pl"-"'IA,..C_.E

___ s. . . ~::,,...F.:Ei":.;.*-iy_*_v_,<\;:.;;L_V'-1:~--------------------- B. Tests Conducted: Hydrostatic f:'neumatic 0 Nominal Operating Pressure G:r' Other O Pressu.re 2235 psi Test Temp, -':: 500 °F NOTE: Supplemental sheets 'in form of lists, ,*ketches, or drawings may be u1ed, provided (1 I size is 8% in. x 11 In.,: 121* Informa-tion in items 1 through 6 on this report* is included on eech sheet, and (3) each 1heet is nu.~bered and the number of sheets is recorded at the top of this form .

• (12/821 This Form (E00030l may be ob~ained f~o;,:, ihe Order Dept., ASME, 345 E. 47th St., New York, N.V. 10017 REPRINT 12/91

FORM NIS-2 (Back)

9. Remarks ---*=-.....,:;SEE:=::...,.gccAi,,,C.."'lc:.,,__,,9...,F'--....;.~..:::.o..!:s:(;,,::.;E::......='2.;:...__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Applicable Manufacturer'* Data Reports to be attached CERTIFICATE OF.COMPLIANCE* *

• We certify that the statements maoe in the report are correct end this J>9)un?9'hl/conforms to the rules of the ASME Coda, Section x I. repair or replacement N/A Type Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Certificate of Authorization No. __N_/_A ____________ Expiration Date ____N_/_A ___________ Signed /) ~ #.. J}_ <' _7s_f Dete-.::..4A~~""'*"'"c,,,._.,-'/;....,:,_r- _ _ _ _ , 19 f' '/ ~ r o ~ ~ n H , Tltla CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler end Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co* of _H_a_r_t_f_o_r_d ____._C_T ___, - - - ~ - - - , - - - - - - - - - - - - - - ~ ~ - - - h a v e inspecteq the components described in this Owner's Report during the period /b-lU -Cf3 to IQ-l'.f-1I. ,, . and statothat to the best of my knowledge and belief, the Owner has performed examinations and take~ corrective measures de~ribed in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this ~rtificete neither the Inspector nor his employer makes any warranty, ~xpreued .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 1011 of any kind arising from or connected with this i_n_sp_ect_*_io_n_:_*_g!Wl.,.M-l:-a-ap-ac--:t-o-.r'-,f'::S':"l~-n'-~""tu"'r""'e~------Commissions __N_a:-10_A_na_l_B_So_:-~-c:1-.-S-ta-t-a.-P-r-o-v1-*n-c-a.-.-n-d_E_n_do_r_Am __e_n_t1_ Date _ _ _ _ l:f. . .-~/S-=--_19 C/'f Attachment II Page 65 of 93 Serial No.: 94-194 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.

Nam* Date _ _ _c./.;.+/;.,o, Su...{<1!,...LV_ _ _ _ _ __ 5000 Dominion Blvd., Glen Allen, VA 23060' --------------,,A"""'d"""'d:...ra-11------'------

2. Plant Surry Power Station Unit _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Name P.O. Box 315, Surry, VA Addrau 23883 I\.J,O. #- 0() Z7'No ]- o I 121L

• tj~ - o "27..

Rapalr Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp __N...;.../_A_ _ _ _ _ _ __

Nam* Authorization No. NIA P.O. Box 315, Surry, VA 23883 Expiration Date __...H.,./'--'A'"'------------- AddrHI

4. Identification of System _ __,7Zi.=\8\

...-.=..c...:cr;,......,r2.,.._--'(...,,.0,.....<-=t::.==="=::.Jr:.___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (a) Applicable Construction Code B31.l 19§2..__Edition,_N-:.../_A_ _ _ _ Addenda, H-1, ll-1 Codt Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 198 '

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Reptirtd, Stamped Name of Namtof M1nufectur1r Board Other VHr Replaced, IVta Component Manufacturer Serial No. No. Identification Built or Replec:ement or Nol N 'H't "5 q-oo (o ti VA1\I,::' (P (ZoS/31/ - ooc,( N4. (-RC -S.1/- IS'51 A /Cf 'r '3 [4;-d4(~M~f /VD

,* I

7. Description of Work 12,epfoc!f 5,y-~ \h1..vg

8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating P~essure ~

Other O Pressure ,-~J ? psi Test Temp, 2. 61;)@ *F NOTE: Supplemental sheets in form of lists, &ketches, o.r drawings may be uaed, provided 11) size is 8% in. x 11 In., 121 lnforma* tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is nu~bered and the number of sheets i1 recorded at the top of this form .

• (12/82) This Form tE00030) may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.V. 10017 REPRINT 12/91

FORM NIS-2 (Back) I :3 II \ __3-..:'B..:3:...,...;......ct'f..,,__,,1,__,_I_=...:g'--!/'-"-le:::.!:ic=--..1N~u~:l;,1-J_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

9. Remarks _ _S=-1-Y.,....

Appllc11bl11 Manufactur11r's .Data R11port1 to ba 11nachlld sy 4224tr3 (_ _I ~,, snrt>)  ? CERTIFICATE OF COMPLIANCE We certify that the statements made in the report ara correct and this ~....~,4qL,,.16onforms to the rules of the ASME Code, Section XI. r11palr or replac11mant N/A Type Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. __H_/_A ____________ Expiration Date ____H_/_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 & I Co* of Hartford* CT in this Owner's Repon during the period lb-1':i-1~ to to the best of my knowledge 11nd belief, the Owner hes performed examinations and taken corrective measures described in this

,o . N . . 'fl. have inspected the components described . and stata that Owner's Repon in accordance with the requirements of the ASME Code, Section XI. By signing this cenificate 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 hil employer shall be liable in any manner for any personal injury or propeny damage or 111011 of any kind arising from or connected with thl1 inspection~/. ~ _ _ _-4LL....u~"'~'--...;:;...,-.a..... ____ -.--~""""-------COmmissions ___v_A__ s_4_3___________,_____ ln11>ec:tor1 Slgnatur* National Board, Stata, Provine*, and Endor1amant1 Data*-----'lf'-'----'/-'-~--19.2.!f_ Attachment II Page 66 of*93 Ser;al No.: 94-194 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 --=t/i.,-;~;..:S-1-h..:..9,_'f_ _ _ _ _ _ _ __

N1m1 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet _ _ _ l __ of 2. Addr111

2. Plant Surry Power Station Unit __I _________________

Name P.O. Box 315, Surry, VA 23883 J\I.O. 1f: ooz1ct'/09-J 7212 # 1~-CJZ~ 7X:.P q,24/ Addr1t1 Repair Org1nlutlon P.O. No., Job No., ate.

3. Work Perfonned by Virginia Power Type Code Symbol Stamp __N_:/_A _ _ _ _ _ _ __

N1m1 Authorization No. NIA P.O. Box 315, Surry, VA 23883 Expiration Date ......,H'-"/_,_A.___ _ _ _ _ _ _ _ _ __ Addr111

4. Identification of System _ _ 13.:...:..c=.c.A...,;C:~W....:.~'-=-C"'eau..:L:::Alfe:>:.:...___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (a) Applicable Construction Code B31.l 19~Edition,_N-'/'--A _ _ _ _ Addenda, H-1, ll-7 Cod* Casa (b) Applicable Edition of Section XI Utilized 'for Aep~irs o~* Repl11eement1 198

'j ** ,, * *

• 9

6. Identification of Compone~u Repeir~d or Replaced a~d Aepl~cem~~t co",npon~ntl ASME Code National Aep1ired, Stamped Name of Name of Manufacturer Board Other Year Replaced, 1i'11 Component M11nufitctur11r Serial No. No. Identification Built or Aaplacemant or Nol

'3 I/ ~/ei Nu-t (~ NA NA 1'.J'A. l'-~:..SV-15516 (\/A. l<eoLACED * ~D Stub I~ ~ II rv A t,JA, NA ( ( ( *No \ l VAL\/{: (o I/ II CrtosBY NPr tJA J \/ES Hel( t\lui 1\ f.A.fl.D1rvAL Nt.. rv~ ) l'MZ Rt;;:p/4.c.e-ME"~it ,_ No 1  ?.. ,, I/' STu.D I '&' A.iZJ>1N AL NAc Nf"r I qq l NO

7. Description of Work _ ___ ~, .:.;§"l'p 11..,c...,F':"",*___$....,.;A;:.aH_,fY:..1-i'--"""v

....... A_L..::,ll=f:'-------------,------------

8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure ~

Other O Pressure 22 35 psi Test Temp. '2.Sop "F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be uaed, 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 (31 each sheet is nu-~bered and the number of 1heet1 ia recorded at the top of thi1 form .

• (12/82) This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

FORM NIS-2 (Back)

9. Remarks ---*.u.......::;s_E_E=-.-:.B_A,,;,C.,;;,,1<:::::_.:::::o~t="-~P.:.A.::<:r:..=G:__2.=._ _ _~ - - - - - - - - - - - - - - - - - - - - -

Appllcabla Manufacturar's Data Aaporu to be 11n11chad CERTIFICATE OF COMPLIA~CE We cenify that the statements made in the repon a~ correct and this /!!?<49f~11,fvr' conforms to the rules of the ASME Code, Section XI. **P*lr or replac*m*nt N/A Type Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Cenificate of Authorization No. __H_/_A _ _ _ _ _ _ _ _ _ _ _ _ Expiration Date ____ H_/_A___________ Date-..::~~...,,,Q=//__./'--",L----, 19 21 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding II valid commission issued by the National Board of Boiler and Pressure Vassel Inspectors and the State or Province of Virginia and employed by HSBI & I Co* of _H_a_rt __f_o_r_d_....,_C_T _____________________,=-----have inspect~ the components described in thi1 Owrier'1 Repon during the 'period f I)- IY-7 3 to / o- / 'f - 7' lo. , and statll that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this 1 Owner's Repon in accordance with the requiremen11 of the ASME Code, Section XI. By 1igning this cenificate neither the Inspector nor hi* employer makaa any warranty, expraued or implied, conc:eming the examinations and corrective measures described in thi1 Owner'* Report. Funhermore, neither the Inspector nor hit employer shall be liable in eny manner for any personal injury or propeny damage or a 1011 of any kind arising from or connected with thi1 inspection.* * * / . ) (') - - - ' - - - - i ~ l - - "... *-~~:-:----f._. ~gnatura _~~------Commission1 ___V_A__s_4_3_______________ National Board, Stata, Province, and Endon*m*nt1 Data _ _ _ _~J_()_-_(=-~--19#- . Attachment 11 Page 67 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM N1S*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 Name Date _ _ _4-'-f-/::..;:IS-1-/_q'-'y_ _S_O_O_O_D_o_m_1._*_n_i_o_n_B_l_v...,.d...,.*..,:.*-G_l_e_n __A_l_l_e_n~,_V_A__2_3_060 Sheet ___.t- ..., 2. _ _ of _ _ _ _ _ _ _ _ _ _ _ __ Addre11

2. Plant Surry Power Station Unit-..:...'----------------

Name P.O. Box 315, Surry, VA 23883 w.*o . .4t ooi.7qc..fZff-t 721l. tt t('3-o7..3 r>c..-P q2-tJ'-I Addreu Repair Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Tvpe Code Svmbol Stamp __N...;/_A _ _ _ _ _ _ __

Neme Authorization No. N/A P.O. Box 315, Surry, VA 23883 Expiration Date......,H.,luA~------------ Addra11

4. Identification of System __]:-=:::E":.::A~C:.:=TD.:.=..:."lZ-;;:...__.,C.,,:90::i,..;'-::;AI-Ir=::..,_--------------------------

5. (a) Applicable Construction Coda __B_3_1_._l____ ,s§.l__Edition,_N.-:..../_A_ _ _ _ Addenda, N-1, ll-1 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19.:=Sc...-...,'=t:..-_

6. Identification of Components Repaired or Replaced and Replacement Components ASME Codi National Repaired, Stamped Name of Name of Menuf11eturar Board Other Year Replaced, IY11 Component Manufacturer Serial No. No, Identification Built or Replacement or Nol I\J <fil't Sq-:- oo VAi.."-~ &/ tr...os6y - 0002.. µA H2c.-sJ-1$15 \'l 1.3 12ep/4C.el\.t g,,,f- YF;:..s

7. Description of Work ____ A.__.-.,?~.1;./4""'(..,E=.._...

s;,::Aa.i;E ....Ee=.*..:..:r:y.,...**_V,.,.*.,_A-,_'L;;;._Vt:_t:_*_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.......;._....;.,._ _ B. Tests Conducted: Hvdrostatic Pneumatic 0 Nominal Operating Pressure (3" Other O Pressure t.J. 35 psi Test*lem*p. ~ 50Q °F NOTE: Supplemental sheets 'in form of lists, ~kMch'es, or drawin~ may be UIBd, provided (1 I size is 8% in. x 11 I~ .* (21 lnforrrilis. tion in items 1 through 6 on this repon is included on each sheet, and 131 each sheet is nu.a'.nbered and the number of sheets is recorded at the top of this form . * (12/821 This Form IE000301 ma~ be ot:it~i~ed from the Orde(Oept., ASME, 345 E. 47th St., New York, N.Y .. 10017 REPRINT i2/91 FORM NIS-2 (Backl

9. Remarks _ _.'$,y,__....3..,%~3.,_77.L....!.--1Cz:..._....l.G...i;/.!L.:Se:!!x......Jr,J~u+/-.1.__..:../-'-ig~)--------------------

Applicable Manufacturer*, Ca.ta Reportl to be anachect NT L!'2.I I 4 2.. (- V4t..V E. (o ) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are ~o;r~i:t and this ~C<W.ft~Jfconforms to the rules of tha ASME Code, Section XI.

• repair or r11placamant N/A Typa Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

H/A H/A Certificate of Authorizeti_on N o . - - - - - - - - - - - - - - - Expiration D a t e - - - - - - - - - - - - - - - Signed Q~~ Y O w n e ~ a ; i g n H , Title Z£f ,s-- , 19 £1: CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and tha Stat* or Province of Virginia and employed by HSBI & -:r *Co-. of Hartford, CT hava* inspecJed the components described in thi1 O~n~r*1 Repon during tha period I 0-/'::f , '7 }> to /0 ~ (':( - 'f I. , and state that to tha best of mv knowledge and belief, the Owner has performed examination, end taken corrective measures described In this Owner', Repon in accordance with the requirementl of tha ASME Code, Section XI. By signing this cenificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning tha examinations and corrective measures described in this Owner's Report. Furthermore, neither tha Inspector nor hi1 employer shell be liable in any manner for any personal injury or propany damage or 11 1011 of any kind arising from or connected with this inspection. -----~+--=-..,..----".--:-,-1_. ln1Pector*1 Slgnatur* __~------*--Commissions_"""'."'.'_V-:-A---::S-4_3 _ _ _ _ _ _ _--::~:------ National Soard, Stata, Provinca, and EndorMmentl Date _ _ _ _ _ _ _ _ td-tS- q,j ,__._.=.._ _ _19--1....f- Attachment II ., Page 68 of 93 Serial No.: 94-194 Docket No.: 50-280

• 1. O....ner 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 _ ___,'-/4-(i..._.(s_;l+-f..1...'f{.,___ _ _ _ _ _ __

Name 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet _ _.,_/__ of Z. AddraH

2. Plant Surry Power Station Unit---'--------------....,,.--

Name "[:)e,t> 92-'l-'f P.O. Box 315, Surry, VA 23883 t.v V. # 002 7/f</fO- b( -erz -*F 9 3-o,'f Addreu R11'1alr Organization P.O. No., Job No., ate.

3. Work Performed t,y Virginia Power Type Codi Symbol Stamp __N-'/_A _ _ _ _ _ _ __

Name Authorization No. _ _ _ _ _>>U,J./...c:J\1-._ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expiration Date _.N..,{...,l\::o......_ _ _ _ _ _ _ _ _ __ AddreH

4. identification of System _ _,'12c=e:-.::;;A,...e,_.7'Z?'-""'/Z.=-_.(...,o,..o.uL..,5::zaU"<i]:'--_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (1) ApplieabtaCon1truetionCod1 B31.l 19~Edition,_N_;../_A_ _ _ _ Addende,H-l, ll-1 Codec...

(bl Applie1bl1 Edition of Section XI Utilized tor Repairs or Reolae1m1nu 19..=8__,_9__

6. Identification of Components Rep1ir1d or Replaced and Replac:ement Components

• Nam* of Component Namaof M1nufaeturer Menufac:turer S1ri1I No.

N1tione1 Board No. Other ldantifieation YHr Built Repeired, Replaced, or R1pt1e1man1 or Nol AIME Code Stamped (Yn t,.l/\ I-R<>~v-1551~ J ,, Jt I~ llA () J. II /rir fJA 0 ,. V.Aliff Ito 1qq3 yr:s V lt I CArtDINAcl l'M'2.. 7, Description of Work K.eelA.cf SAE1ffY 1/r,.l'{f B. Tests Conduetad: Hydro1t1tie Pneumatic 0 Nominal Opereting Preuura @' Other O Pressure z..2,35 psi Ten Temp, .i! 5 Do *F NOTE: Suppj1ment1t 1heeu in form of lists, sketehn, or drawings mav be used, provided 11 l size ia 8% in. x 11 In,, (21 lnforma* tion in items 1 through 6 on this repon ia included on 111ell sheet, and 131 each sheet ia numbered and the number of thfftl it recorded 1t the t~ of thi1 form . * (12/821 Thia Form IE000301 mev be obtained from tlle Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Backl

9. Aemanc, _...;..*__s_E_E:_B_A._c....,.)c:.__ol=""

_ _Pir>.._G-_E::::.....,.=2.._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Appllcabl* Manufacturar'1 Data ,Rapo_rts to b* .*nached CERTIFICATE OF COMPLIANCE We certify that the statements made in the repon are correct and this ~c4A4,:/ef(i-confomu to the rules of the ASME Coda' Section XI. rapalr or rap1acamant H/A Type Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. __H_/_A_____________ Expiration Oete ____H_/_A ___________ Signed CJ_L j/ - ~L,./" Ownero~Onlgnff, Tltle fr,-z: Dat*--4"""'¥'-~...-...U...--t.......C____ . 19 sr: CERTIFICATE OF INSEAVICE INSPECTION I, the undersigned, holding a valid commission iuued by the National Boerd of Boiler and Pre11ura Vessel lnsPectors and th* Stata or Province of Virginia and employed by HSBI & I Co* of Hartford, CT in this Owner's Repo" during the period .~, /t.f - q. to have inspecteg the components dascrlbad /()-. { lf -9 b to the best of mv knowledge and belief, the Owner has performed examinetions end taken corrective measures described In thl1 , and atata that Owner's Repon in accordance with the requiramenll of the ASME Code, Section XI. Bv signing this cenificate neither the Inspector nor his employer makn anv warranty, expraslld or implied, concerning the examinations and correctivw measures described in this Owner*, Report. Furthermore, neither the Inspector nor hit employer inspection. n /) shall be liable in anv manner for anv personal injury or prope"V damage or a 1011 of env kind ari1i119 from or connected with this -l)_ -----~~"""';.....;=-----""--*-...,~,,..:,: lnt;lec:tor'IS l g n e t u ~ . . . .:a....----Commiuions _ _ _V_A__S_4_3______________ National Board, Steta, Provine*, and Endorument1 Date Attachment II l Page 69 of 93 Serial No.: 94-194 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. Oate _ _4"""'/'"'-1S..........,/t;...,'f'------------

N1n:,1 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet_....;;;.2..;..__ot __ z___________ Addr111

2. Plant Surry Power Station Unit_..;.._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Name P.O. Box 315, Surry, VA 23883 w.o. :If Do1.,ql.//0-0( 1<12 t:I: q~-02'-I- "])t..P ",2-'l'J* Addr111 R1p1lr Organization P.O. No., Job No., ate.

3. Work Performed by Virginia Power Type Coda Symbol Stamp __N..;/...;A...;.._ _ _ _ _ _ __

Nam* Authorization No. N{A P.O. Box 315, Surry, VA 23883 Expiration Oate.....,R.,.l...,A..__ _ _ _ _ _ _ _ _ _ __ Addren

4. Identification of System _ _'R;..(,.;;e::c.4...aC.,;:;,!O="-'rz.=--._(_..cr,u.::'-:,:::A:.;;AJ=..1

5. (al Applicable Construction Code B31. l 19§1___Edition,_N-'-/_A_ _ _ _ Addenda, H-1, ll-7 Code Car.a (bl Applicable Edition of Section XI Utilized for Repairs or Replecements 19.=8'"--..,C/'---

6. Identification of Components Repaired or Replaced and Replacement Components

• Name of Component Namaof Manufacturer Manufactur~r.

Serial No. Nation11 Board No. Other Identification Year Built Repaired, Replaced, or Replac1m1nt or Nol ASME Code Stamped IV11 y 5WD 1% l'Jw A. NA. "14 I- fc(-SV-155/C l"r'1'3 '/Z.ei>(A.C.cl-laJ° luO 7, Description of Work ____"12...;..;;..:e:1:a:ip~/A.,_,c.=E"=---~=:.:.&r,t-==--'"'Tf'--\).v..;;;:A.:L:..aV...;fi:'...;.._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

8. *Tests Conducted: Hydrostatic Pneumatic 0 Nominal Qpereting Pressure D Other O Pressure Z z.3 5 psi Test Temp,-:! SOD °F NOTE: Supplemental sheets in form of lists, sketches, or drawings mey be u1ed, provided 11) size is 8% in. x 11 In., (21 lnforme-tion in item* 1 through 6 on this repon is included on eech sheet, and 13) each sheet is nu~bered and the number of 1haet1 i1 recorded et the top of thi1 form .

* (12/82) 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) .. I . Jk."\

9. Remarks _ _s=--"~-=~~i.:::3:..;7:_7~9.£..4~--1.H!t:e.!.K~N!LJ,~JtJ___:_.!!_

6 ....:,)~--------------------- / Appllc11bl11 Menufa~turu'1 Data Report, to ba attached l\11 421142.. L<p Felaef"' V~ c..u~2 1 II sV 42.2.ito 3 ( I ~ 5nJv CERTIFICATE 0~ COMPLIANCE . We certify that the statemenu made in the report are correct and this ~,A.-:feM@vrconforms to the rules of the ASME Code, Section XI. repair or replacement N/A Type Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. __H_/_A____________ fxpiration Data ____H_/_A ___________ ~~6.Ad/ Signed / , ; ~ .,;/ - .... Tltla Date _ _.4i . . . .,._. ,.'-":~,..J~------* . 19 9,< CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding II valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co* of Hartford* CT have inspec;ted the components described in thi1 Own11r'1 Report during the period / D-ttJ-'f) to {tJ-fL{ ~ 1 (.. , and state thet to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described In this Owner'* Report in accordance with the requirements of the ASME Code, Section XI. By 1igning this certificate neither the Inspector nor his employer makes any wamintv, 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 1011 of any kind 11ri1ing from or connected with this inspection. ~ -P, /.) /) _ _ _ _..,_~_,.;-~----rl..!."::':---'~=-"'--'----"'----Commissions...._~-V.,.A _ _S_4 _J_________,,--,------ lnapactor'1 Signature National Soard, State, Province, and Endor1amant1 Data_ _ __._JJ+----L-/...,.S- _ _ _19 C/ i Attachment II Page 70 of 93 Serial No.: 94-194 Docket No.: 50-280

• , . Owner '/ i FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As ReQu1r1d bv the Provisions of the ASME Code Section XI rginia Electric and Power Co
• Oa111 ______~,',-,l?~2~~6.. .:.9.J. ._

f _ _ _ _ _ _ __ ..,.,me 5000 Dominion Blvd., Glen Allen, VA 23060 Sheat _ __.c___ of _ _.__ _ _ _ _ _ _ _ _ __ -----------A-dd...:r-.- . .- - - - - - . : . . __ _ __

2. Plant Surry Power Station Unit_..__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Name P.O. Bez 315, Surry, VA 23883 Addi ... Aei,alr Or;an1utlon P.O. No., Job No., ata. J. Work Performed bv Virginia Power Typa Code Symbol S11mp __N_/_A_ _ _ _ _ _ __ Neme Authorizauon No. _ _ _ _ _..i;Na..tt..Aa....._ _ _ _ _ __ P.O. Bez 315, Surry, VA 23883 Expiration Dall _._H...,lc.aA~------------ AddFHI

4. Identification of Sv111m J?./11,CTlJR.. Coou9,.v1

5. (al Appl1cao11 Con1truc11on Code B31. l '.9~::dilion,_N...;.../_A_ _ _ _ Addenda, l:l-1, ll-1 (bl Applicao11 Ed~tion of Section XI Ut,lizecJ for Repairs or Aeolac1m1n11 198 1

6. ld11nt1flcat1on of Comoon1nu Aeo1ar1d or Aeol1clld ana Aeol1e9ment Comoonen11

• Nam, of CQ1119on1nt Nameof Manufacturer I I

Manufacturer Serial No. I I National Board No. Other ld1n11fication Y11r Built Aegeirea, AeglecN, or A1plec1m1n1 or Not AIME Code Stameied ,v.. fJvf 1 &Mv{ f 5TVD /JA. . , 1- fJ,4 . .I JJA 1-iz.C-MlHl-1590 {VA- ]Zepf"'cec:1. J.J () r{ vl-1 6DrvJ.Je, STV!) I 1 AN<,t-101~/ VA /2-l.tAJVj_ fl i I f.-4 I /1/4- J  ! ('?'t? Ile If) 4c.EM f:i]t.11 t I I I  :

7. Description of Work __ _.E=-...1?'I-f'Q,../....-1......p.,,£~_3,....,o;....v.*,v._M_...('?;,..T__s'-rv---"1:>__N_u_+/-..__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

8. Te111 Conducted: Hvdrostaric  ?~eumat1c O Nominal Ooer1t1ng Preuure 0 Othar O Prenure _*_ _ _ _ _ psi Ten Tamo. *F NOTEi Supplem1nt1t 1h"u 1n form of li1t1. 1k1rtchn. or drawingi mev bl ulld, provided 11 l 1iu is 8~ in. 11 In., 12J *lnforrne* x tion in i11m1 1 tllrou;n 6 on 1r,i1 reoon i1 included on ,acn shNt, and 131 aacn lt'INt ii nu~blm and the number of lhNII ii recorded It the toe, of thi1 form .

• I 12/821 This Form !EOOOJOI mav bl ob111n1d from,,,, Order Dept,, ASME, 345 E. *7th St., New York, N.Y. 10017 REPRINT 12/91

FORM NIS-2 (Backl

3. Remaru _ _S_'~Y~_l_5_L/-~2.-D~'i5----1-~-1%?~N~1'J'""'f......_t_S.,_fl/>..::.JJ?.c-..:.~=LJ:;..,zj AoPllcat>le Manutacturar'1 Cata Reporu to t>* anacr,ea CERTIFICATE OF COMPLIANCE We canitv that tile statements maae ,n tne reoon an, correct 11na this L'~><t1ta#,',4Ccenfonn1 10 1n11 n,I" of m*

ASME Cede. Section XI. ret)elr or ,..,,ecement Typa Code Symbol Stamp _ _ _ N_._I_A---------------------------------- Cenificata of Authorizeuon No. __N_/_A_____________ ExPiration Oate ____N_/_A___________ Signaa/1 ~ ~ - - - - ~ ~ ; ; . ; ; ; ~ " "

• Tltla

a£ CERTIFICATE OF INSERVICE INSPECTION I, tha undersigned, holding* va1,d comm1111on ,auad by 1na Nationel Boerd of Boiler and Pr1t1111ra Oat*--/fJ,.Q_..we=,.(Laa...-A-.1-----* 19 v,-1 9 -;I lnsoacto" and the State er Province of Virginia *nd amolovad by HSBI: ~ I Co* of Hartford, CT have , ~ rha compan1na dt.,.._.

in thi1 Ownar*, Repan during rna parlOd IQ ... I ';( .q.'.) ,o { D-. I '-\ ' ~ , *nd nata diet to tha best of my lcnowl1G91 ana belief, the Owner ha D11rformld exam1na11on1 end taken COff9CIIW measures d11CribaO In 11111 Owner*, Rapon 1n eccaraence w,tn tha rwquuwn11n11 of the ASME Code, Senion XI. By 1i9ning thi1 cenifican neither tha lftlOICtOr nor hi1 employer m*k* any werrantY, expr'Blld or implied, co!IClllfflille*tlle axem1na11on1 1na c:arrac:trw mHsur* dllSCflblld in thi1 Ownar'1 Rapon. Funhermore, neittlllr th* lnq,ector nor hi1 .,.IOl,ar-shell be liable in any menner for any parsonel injury or propeny damage or* 1011 of any kind eri1ing from or connectld wtUI tlllt i n 1 P K 1 i o n . ~ J)' ~ -----t-----:-----,,~~--~-.._ in;ectori Slonature _____ commiuion1_---;;;;V;;A;;;;iii: NatlOnlll 5;;;4;;3~ii;::;;--;;;;:;;::-:;::;;.r.;:::;;=;::;-- Boera, State, Province, ana Endo1wo** Oata_ _ _ _ _ _Iv___ 1._Q\'6 t_<:::1- _ _ _1 9 ~ qu Attachment II Page 71 of 93 Serial No.: 94-194 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. Oa111 _ _ _ 4-+(_84--b!...!?f_ _ _ _ _ _ __

* .'llame . I 5000 Dominion Blvd., Glen Allen, VA 23060 Sheat_--1._ _ of _ _"'"/_ _ _ _ _ _ _ _ _ __ ------------,A""'d'"°'d-,e-,-,-----------

2. Plant _Surry Power Station Unit _ _/_ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Name P.O. Box 315, Surry, VA 23883 W.o.-lv QQ'2.(q33'-{-ot -e.rz.4F 'f'f-05/ Addr ... ~*P*lr O~ganlutlon P.O. No., Job No., etc. J. Work Performed bv Virginia Power Type Code Symbol Stamp_:.;.N:.;./:...;:.:A;___ _ _ _ _ __ Nam* Authorization No. N(A P.O. Box 315, Surry, VA 23,883 Expiration Date __.H.,.('-'A"'------------- Addren

4. Identification of System _ _:.;.C!:.:.:f..l""'A"'~..,Cr,..l.:.;t.J:..C:r::a...._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5, (al Applicable Construct,on Coda B.31. l 19 ~ Edition, _N....;.../_A_ _ _ _ Addende, N-1, ll-1 Codec... (bl Applicabla Edition of Section XI Utilized for Repairs or Reolac11m11nu 19.=8'--'j.___

6. Identification of Componenu Repaired or Replaced and F:leplacement Components ASME Code National Rapaired, Stamc,ed Neme of Nlffll of Men*ufac:turer Board Other Veer RapllC9d, IYII Componant Manufacturar Seriel No. No. Identification Built or Aeplecement or Not 3 ,, l,JO VALVFE NII. NA*,* IJA l-c.~-201 NA Repl,o,,c.e-P

~ / 13rc..c1<~T 1,/1/,, 1\/A- f.JA ( £ VALV~ ,?" V~L.p;;.J d-::C,d tJA ) REp/4c~A41::A1T 8rQ.e1,ET  ; /.,t.;:A "' J,4~ r'#:- tJf'c). - o{J,J-,:,1,;, I µt. l ~ 'V l ..

7. Description of Work 1<e:pl AC.'c VALVE"

8. Tests Conducted: Hydrostatic Pnaum11tic 0 Nominal Ooerating Pren~re ff Other D Pressure /II (2 e psi Test Tamp, Altt:

• F NOTE: Supplemental sh1111ts in form of lisu, &ketches, or drawings mav be u111d, provided (11 size ia 8% in. x 11 In., (21 lnforma*

tion in item* 1 through 6 on this repon ia included on eech 1hnt, and (JI each 1h111t i1 nu;,,bered and the number of 1hNt1 it recorded at the top of thi1 form .

• (12/821 Thi1 Form {EOOOJOI may be obtained from the Order Oeot., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

FORM NIS-2 (Backl le Manufacturer'* Date Reports to be anachea s =T CERTIFICATE OF COMPLIANCE We cen1fy that the stete.~ents maae 1n the repon are correct end this A?E°J<4<~AE: conforms to the rulH of the ASME *code,, Section XI. ,es,.'ir or replacement Type Code Symbol Stamp _ _ _N_/_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ H/A H/A Cenificete of Authorization No. - - - - - - - - - - - - - - - E x p i r a t i o n Dett - - - - - - - - - - - - - - - Signed (1 c#/J./ 'A// f t ? Owne;4f,£~..iunN, Tltle &,e'µ(J,.d;(~ Datt ~,; dC . ,s s::t CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by *the National Board of Boiler and Pressure Vessel lnSQecton and the State or Province of Virginia end employed by BSBI & I Co* of Hartford, CT have insc,ec1ecs the compon,nte described in thi* Owner's Report during* the pa~iod /() - JLI -:( ..3 10 I()* I Y * 'f b , 11nd m* met to th* belt of my knowledge and belief, the Owner has performed examinations and taken correctiw measures dell:l'ibed*ln ml1 Owner's Aapon in accordanc:t1 with the raquiramtntl of the ASME Code, Section XI. By signing this cenificate neither the Inspector no~ his employer maka any wal'l'llntV, exprnlld or implied, conoerninl*m* examination, and correctiw measur11 described in thi1 Owner*, Report. Funherrnore. neither me ln1peetor nor hi1 lfflPloyer shall be liable in eny manner for eny personal injury or propeny damage or a 1011 of any kind eri1ing from or connected wlm ml1 i-n-1P1Ct--~+io..an_,.,._ _____ f.~----~-*-* in;.c:tor=; Slgnetur* _________ commi11ion1_""".'"'_V""'."'"A_~S-4_3_~------------- National Board, Stet*. Province, and Endortamemt Date _ _ _ _ __.'j_-_'l--"")_19 l:ft/: / .QQ.RCi9NO' ,a,;.na!. AK**:ta& Attecllaent II Page 72 of 93 Serial No.: 94*194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS

1. Owner Virginia Electric and Power Co.

As Requirid by the Provisions of the ASME Code Section XI Oate _ _4..;,,/i,-,..;;..2_,/......,_._'/:_ _ _ _ _ _ _ __ N1m1 5000 Dominion Blvd., Glen -----------Ad"'"d..:..r_H_I _ _ _Allen, _ __..:._._VA _ _23060

2. Plant Surry Power Station Unit_..:/_ _ _ _ _ _ _ _ _ _ _ _ _ __

*N1m1 P.O. Box 315, Surry, VA 23883 lrl[,D, l=I ool'fi/758'-oz 7Z1Z "¢ q</-070 Addrea Repair Organlutlon P.O. No., Job No .. ate.

3. Work Performed by Virginia Power Type Coda Symbol Stamp __N...;/_A _ _ _ _ _ _ __

Neme Authorization No. HIA P.O. Box 315, Surry, VA 23883 Expiration Date __.N,....l:...1A1...._ _ _ _ _ _ _ _ _ __ Addr111 .4, Identification of System _.....:C!.a..."1.:.;A..=12."'G-'-'!""tJ""(;,:...__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (a) Applicable Construction Code B31.1

• 19§2.__Edition,_N_/'--A_ _ _ _ Addendl, H-1, ll-7 Codi Ca11 (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19.::;.8....'?....__

6. Identification of Components Repaired or Replaced and Replacement Components ASME Codi National A81)1ired, Stamped N1meof Nem,of Manufacturer Board Other Year A91)1aced, (Yea Component Manufacturer Serial No. No. Identification Built or Replacement or Nol

(( 5 QUa!lt.'. VALV~ l\.lk. 1'1.IA "'/-\ I-(~ - 2l(Q NA l:;>Ep/ AC.El> NO 3c\tel1'- VALV'- \Je~'~*N Np. Ni&, l-c '-' ~ 21ro 1q~l Rep/4(~M !:NT No

7. Description of Work 'Ke:plA CE CHEU'.. VI\ WE-

8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure ~

Other O Pressure ti(') psi Test Temp, A/a;C

• F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 In., (21 lnforma-tion in items 1 through 6 on this repon is included on each sheet, and (31 each sheet is nu-~bered and the number of sheeu is recorded et the top of this form .
• (12/821 This Form (E000301 may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

FORM NIS-2 (Backl

9. Remarks _'5...:;.....L'(__l 3_o_c_'i_l_-_,.....,(.....;'3,,._'_,.'C..:..h,.._,ec."'-EK,..__.\l:.:;.)4.=l"=E)~-------------

Appllcable Manufacturar'1 Data Reporta to ba 11neched ,(/- 4/J UT,L-t i!-E) CERTIFICATE OF COMPLIANCE ,, We certify that the statements made in the report are correct and this ;.tf/ldt:c.H.f!4!r'-- conforms to the rules of the ASME Code, Section XI. repair or replacament N/A Type Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. __N_/_A____________ Expiration Date ____N_/_A ___________ Signed (1 q_ _,/) Ownar or 0~111lgnH, Tltla AU .:£"Sf Oate__,A....,.)4'---,__,,,.._,_,t....._____, 19 21'. 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 & I Co. of Hartford, CT have. in~~ted the -components described in this Owner~ Repon during th~ period ID-f';f - 'f.3 to I ll-(Lf-11. , and state that to the best of my knowledge and beli~f, the ,Owner.hes performed examinations and taken ~orrective measures descriti:.d in thi1 Owner's Aep~rt' in ~ordance wi~h- the requirement, of the ASME Code, Section XI. By 1igning this cenificate neither the Inspector nor hi1 employer makes any warranty, expressed or implied, concerning the examination* and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor hi1 employer shall be liable in any manner for any personal injury or property damage or a 1011 of any kind arising from or connected with thl1 inspectioh ~ /,) n ---~.l....~-....,..-----_.f._..,. I nll)ac:tor'1 .,__~--------Commission1 ___v_A Signature __s~.4....,;.3______________ National Board, St11ta, Province, and Endoraamantl Date_ _ _ _ _J+-e.--__.(~"""-- ----~-- Attachment II Page 73 of 93 Ser1al No.: 94-194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requ1r1d bv the Provisions ot the ASME Code Section XI rginia Electric and Power Co. _-,f,_2_zt-/-=-C/'f.___ _ _ _ _ _ __

1. Owner '/ i Dat11 5000 Dominion Blvd.,.:...._ Glen Allen, AddrHI

'.1m* VA 23060 Sheet _ _ _ _ of _ _ '2 _ _ _ _ _ _ _ _ _ __

2. Plant Surry Power Station Unit_..;._-----------------

Nam* P.O. Box 315, Surry, VA 23883 Addreu. Aeo1tr Or91n111tlon P.O. No., Joi, No., no. J. Work Perlonnea t,y Virginia Power Type Codi Svmbot Stamp __N_/c.._A_ _ _ _ _ _ __  !',lama Authorm1tion No. _ _ _ _ __.H~l,..A...._______ P.O. Box 315, Surry, VA 23883 Excirat1on 01t1 _.H..,lwAci....____________ Addreu C... 1-j=(;,-""--------------------------------

4. ld1ntific1t1on of Svst1m ................ H.....,.A..._R'"'G.-....._J

5. (1) Ac,phc1011Construct1onCod1 B31.l :s~Edition,_N...;.../_A_____ Addlnda.H-1, ll-1 (bl Apclic1011 Edition of Section XI Utilizet, for Aec11r1 or A11011e1m1nt1 19:::8'--'j.___

6. ldent1flcat1on of Comoon,nu A11011rad or Aeotaclld ,no A11011e1ment Comoonenu

• Nam* of Component Name of Manufacturer

.I 1 Manufac:turu 5,.;., No. I I National Board No. Other ld1ntific1tion Y11r Built Reoaired, Reolacect, or A1placemet1t or Not ASME Code StanllNCI IYft I 1-!DPe.l. .,,,,,. ~ \/ALV~ fn-r:>,I i.TB-~--rJ>- I ... NII H~IHtY- 120"3 ~II\  !<.;PJA(i::::D ~o i !\ID 'r.f,ll::, vAL\fE I I\/ Ill i I N4 I I I hl<..C i

• icr:o:r NA I i I 1, ,V JN,Z3'te-oo

\f p.L1/,:; C.12.oss,1 -0003 t-./A Re-p[A (! fl.\E'tJf ~O':c."'tl...Q. .\{~L\lt. CILOSl3V )../ 4. I, I l°r'n IZt=p/11 C~A,( E-,,r

8. Tuu Conducted: Hydro1t1tic Pneum.it,c 0 Nominal Ocerating Pr1111ur1 ~

Other D Prmutl Hoi> psi Ten T1mo. ,1{/JC *F NOTE: Supc,l1m1ntal shnn 1n form of lin1, 1kcnchn, or drawings mav bl ulld, provided 111 1iu ia 8~ in. x 11 In., 121 lnfomw* tion in it1m1 1 throu;n 6 on tni1 reoon i1 included on 11cll thNt, 1nd 131 Heh thlft 11 nu~blrac:I and th1 number of lh9lftl ii recorded It thl top of thi1 form .

• (12/821 Thl1 Form IE000301 may bl obt11n1CS from tn1 Order Dect., ASME, 345 E. *7th St .* N1w York, N.V. 10017 REPRINT 12/9 l

FORM NIS-2 (Back)

3. Rem11r1<1 ~ $EE BACK Qi;: PA&E 2..

Aopllcat>la Manutacturar'1 Data Raoort1 to D* enac:riecs CERTIFICATE OF COMPLIANCE We cen,tv that tne mnemenu maae ,n tne ~con an, correct and this @c;t't!d-kCconforms to tne rul" of the ASME Code, Section XI. repair or reoiecamant Type Code Symbol Stamc _ _ _N_/_A__________________________________ Canificata of Autl'toriz11t1on No. __N_/_A_____________ ExDiration Date ____H_/_A___________ Signed (2 ~ d erfd,, O w n * * ~

• DHlt1nN, Tltla I, tne undersigned, holding* v111d comm1111on

z3'£ CERTIFICATE OF INSERVICE INSPECTION

,au.a by oata___,*~~1 _____ 19 ,P'-/' ~?At-=""-=*.........?==.C tne Netional Board of Boiler and Preuun, Vtual lnsotctors and 1h11 State or Province ~f Virginia *nd ernc,lovlld by BSBI " I Co. of Hartford. CT

• have 1 n T the comgon1na decribld in tl'li1 Owner's Repon during the* period { 0-..11.{ 'q3 to f 0- (4 - L.
• and .ma din to the *best of my knowltd911 and belief, the Owner ha performed uam1ne11on1 end taken cornc:tn,w meesurH delCfibed Ill 11111 ow..,*, Report 1n ICCOrdance w1t1'1 tl'te l'WQU1r9fflllft11 of th* ASME Code, Section XI.

By 1i9ning tl'ti1 canificata n11tl'ter the lnsoecior nor l'til employer maka any -rraniv, * ..,,...._ or implied, collCllfflint*tlle uem1na110.n1 and correctiW m1aaur* desc:nb_. in tl'li1 Owner'* Report. Funl'termore, neittter the lnspectOr nor hi1 IIIIPID\19f

• shall be liable in 1ny manner tor any ger10na1 injury or oropeny demeve or a Ion of 1ny kind *i1ing from or connected wllll 11111 inlPIIC1o~~

---~~~~=. .  !: n. A ~'--'-""-...,r;L.~---'~:;......;;..~....;.;;.__ _ _ commiuion1_,:Wv;A;:;:;-;:5;;4::3~~:;;--;;;;=.;;;;;:-;;;;i~j;;;;;;;;-- 1napac:1Dr"1 Slgna1ura Na11Dn111 &Dani. Stat.a. ftrovinca, ano Endo,.,._. -~- Attachment II Page 74 of 93 Serial No.: 94-194 Docket No.: 50-280 - FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As ReQu1r1d by the Provisions of the ASME Code Section XI

1. Owner 'l i rginia Electric and Power Co. Da11 ---'#1r:z¢"7--'-'-?t1L----,------

5000_;,.. Dominion Blvd., '\lame

..._ Glen AO Or Ha' I

Allen, VA 23060 Sheet _ _ z. __ ot _ _z___________

2. Plant Surry Power Station Unit-'-------------------

Nam* P.O. Box 315, Surry, VA 23883 Adoreu Repair Or11an1utlon P.O. No., .Job No** t10. J. Work Performed t,y Virginia Power Type Code Symbol S11mp __N...;.../_A_ _ _ _ _ _ __ Neme Authorization No. _ _ _ _ __.H.,./1,.A...__ _ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expira11on Datt ~N...tuA~------------ AddrH1

4. ld1ntific111on of Svu,m ..a.*-*-....aC_l;I.._A:-".rz...,.&...l.._N;;,a(..,,:..__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5, (1) Apphc1011 Con1truc11on Codi 831.1 '.9~Edition,_N..;../_A_ _ _ _ Addlnd1, H-1, ll-1 (bl Applic10l1 Edition ol Section XI Utilize~ for Rep11r1 or R1olec1m1nt1 19=8'--'1.__

6. ld1nt1llc1111on of Comoon1nu Repaired or A1pl1cld and A1pl1e1m1nt Compon1nt1 I

,.' *- " .. AIME- *~ -* Code N1tion11 AIOairN, S1al11P1C1 Ntml of Nemeol Manufecturer. I Board Other v.., RIOlaced, cv.. Comi,on,nt M1nuf1eturer I Serial No. I No. ld1n1ific11ion Buill or R aptai:amem or Not I I D1se INS!;;l'l:f I I C.rzo~ 13 \A, NA.*. ;I. ' NA l-~H-!ZV-11..03 /'t't'c/ '12e-pl,o.~~19,..,-t- NO I I I I I I

7. o,scriotion of Work _ __..yA=L".._e;:..__-f'~...e;...e

. .t..e~c~s:...b~_.W.::..,11.:..:..H;...._.R_e._B..._u<.l/l,..T.......:aD:;.:.tJ;;.,fl,.,,_~O~l'u~'""W=-P"'-l.*..:ff:.__..::0;.:0::....L.:;....,..:3::..'t.:...;;'=>;..G.;;...._ _ _ __ B. Te111 Conducted: Hvdro1t1tic  ; Pneumatic 0 Nomin11 0Dtr1t1n9 Pre11ure ~ Other o Prenurt Not psi Ten T1mo. NO t'" *F NOTE: Supl)lern1ntll lhnn 1n form of li1t1, 1ketchn. or drewin91 mav bl uMd, provided 11 I size i1 8~ in. x 11 In ** 1:ZI lnfonna. tion in i11m1 1 throuvn 6 on this repon i1 included on each 1hNt, 1nd 131 each lhlft ii nu~blm end thl number of lhNts II recorded at the toc, of thi1 form . * (12/821 Thia Form IE000301 m1v bl obt11n1d from ,n, Order Deot., ASME, 345 E. ,11h St .. New York, N.V. 10017 REPRINT 12/91 ,I I FORM NIS-2 (Backl

3. Re.marks --'.S....._y_/,_3---"Zc.cg'-'3:;...;;.5_-_J-'U.,_N_o_a...:;e_L_E".,,_)___________...,,...__________________

. A;,llcaola Manufacturar'1 Oata\,Aaporu*~o Oe anacfted t/-4socto-z (T?,sc.)

• 11 1

CERTIFICATE OF COMPLIANCE We een1tv that th!! statements maae ,n tne reoon an, correct 11nd this #u,Gtecf.+..!',yrfonform1 to thl rulN of thl ASME Code, Saction XI. repair 0 * *et:1 1acement Typa Coda Symbol Stamo _ _ _N_/_A__________________________________ Cenificata of Authorization No. __9_/_A_____________ Exoiration Data ____H_/_A___________ Signed / ) ~ *

• or

~o5.b ~ ~44<<< .. Tltla$""['f 1onN, CERTIFICATE OF INSERVICE INSPECTION I, th* und1n,gnld, holding* valid comm,mon ,auld by the Nttional Board of Boiler and Pres111ra lles*I lnsoac:tors and the State , 19 1::¥' or Province of Virginia end 1mo1ovect by HSB:I ' I Co. of ____________________....,...,..._ _ _..,...have ,n~IO the comoan1n11 ..:;H:.;a...r=....:;t..:;f;..:o...r=d'-'._C...T de.,.._. in thi* Ownar*e Repon during thl period / 6, 1':(-'13 to / 0' IL{' j C- , and .... din to tha t:1111 of my knowlld9e and bali1t, the Owner h* c,ertormed 1xam1na11on1 and t1kan c:ornc:t"'9 ma1111r11 d11Crib1dln dll1 Owrwr's Repon 1n accordance w11h tha raqu1ramen11 of th* ASME Code, Section x'i. By 1ignint this canifican na1th1r the IMOAClOr nor hi1 1mo1oyer makn any w1rnntv, ,.,,,.._ or implild, cor.carllil**dte exam1na1ion1 Ind corractiW m111ur* desc:nbad in this O-r'1 Ripon. Funhennore, n1imer ma lnsc,actor nor his.,... ,., shall be li1bl1 in any mennar for any p1non11 injury or propany d1m199 or a Ion of any kind *ising from or connlCtld wtUI 11111 in~ion.~J I ~ CommiuiOn*-"""";;;;:V;A::;,5;:4;::3;-"';i;;;:;.;;::;i:::;::-;:::;'i::;;;;;;;;:;;;- I naoanor'1 Signature N*tlone1 Board, Stell, l"rovinca, ana Enda,.,._* Data Attachment 11 Page 75 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requirad by the Provisions of the ASME Code Section XI

1. Owner Virginia Electric and Power Co. Date 4/,2.. / "t'f Nam*

5000 Dominion Blvd., Glen Allen, VA Actc:lran 23060 Sheet l of

2. Plant Surry Power Station Unit I Name P.O. Box 315, Surry, VA 23883 w.O, :#: OOZ73520-02. ]2.12 ~ '/'f-O'iCp Ac:lc:lrltl Repelr Organization P.O. No., Job No., etc,

.- 3. Work Performed by Virginia Power Typt Code Symbol Stamp __N..;/;...A _ _ _ _ _ _ __ Nam* Authorization No. N{A P.O. Box 315, Surry, VA 23883 Expiration Oate.........,H.,.I.A..__ _ _ _ _ _ _ _ _ __ Ac:lc:lrHI

4. Identification of Synem CONfAl"'CYEbJt S1j?f2.A.)'

5. (al Applicable Construction Code B31.l :9~Edition,_-_H....;../_A_ _ _ _ Addlnda, H-1, ll-7 Cod1Case (bl Applicable Edition of Section XI Utilized for Aep11r1 or Aeplacemenu 19.:::B..;'7;...__

6. Identification of Compon1nt1 A11p1irtd or Replaced ana Aapl1e9ment Componenu ASME Codi Nationtl Rei,tirtd, Stamped Ntmeof Name of MtnufacNrer Board. Other Yetr Rei,lactd, IYII Component Manufacturer Seritl No. No. Identification Built or Repltctmtnt or Nol

'~--- --

3. ,,

Sn.>DS ~ l\l I,. ,AJA. NA /-Cs-P- IB I. A ¥'.ep/ACE"J;) uo ~ II Nute; hf NA rJA NA (-CS -P- fB NA- Pii=LJA@ f,JO 'J,, S'fl.ih<::. -3' II Nov11 J..14 I NA 1-(5 -P* 18 l.;i9f IP~dACE~ JJD Jvts 3. ..q t/ M V-K<;ON IVA N l1r /-lS-P-1B ,~,3 'TZIJ /. ,. c.~MoJ f-lD

7. Description of Work 'l<epf:,:c.e ,S!J,,J'?>:) ANl? Nor>

B. Tesu Conducted: Hydronatic Pneumatic O Nominel Ooer,ning Pressure 0 Other O Pressurt _ _ _ _ _ pii Ten Temp, *F NOTE: Supplemental 1heet1 in form of li1t1, sketches, or drawings may be uaed, provided (11 size is 8% in. x 11 In., (21 lnforma* tion in items 1 through 6 on this reoo" i1 included on Heh sheet, and 131 each ahett ia nu~berld and the number of ahem ia record&d tt the top of thi1 form . * (12/821 This Form IE000301 may be obtained from tile Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back)

9. Rem11rk1 .....N ,_G~14__e...a!....;N~u-t~-'~~')~--------------------

....r....__4__,.;:3"""5__4_4_5_*___ N 1" 4 550<oO-S C Aopllcabl* Manuf)cturer'1 STUt> S ~" . CERTIFICATE OF COMPLIANCE We cenifv that the statements made in the repon ara correct and thi1 £6}4,:.,L.f1,(+::Cconfonns to the rule1 of the ASME Code, Section XI. repair or replacement H/A Type Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - u_/_A___________ Cenificate of Authorization No. __H_/_A____________ Expiration Data ____ ~~- ~ t:~1f~. "'" £Aifiad# Dat1_...,,,...4;...,..'l.(1_;_ _...._t-t----* 199;,( CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission iuuad by the National Board of Boiler and Pressure \/an,I Inspectors and the State or Province of Virginia * *nd employed by HSB.I & .I Co* of Bartf ord

• CT have insc,ected the component1 dhCribed in thi1 Owner's Repon during the period / 0 ~ 1Y- 'J 3 to / D* I 'f - ~ Co , and ateta thet to the belt of my knowledge end belief, the Owner has performed examinetions end taken corrective measurH described in this Owner's Repon in accordance with the requirements of the ASME Code, Section XI.

Bv signing this cenificate neither the Inspec:tor nor his employer makes any warrantv, expreued or implied, conCllffling the examiN1tions and correc:tiw measures described in this Owner'* Report. Funhermore, neither me Inspector nor hit employer shall be liable in any manner for any penonal injury or prop11ny damage or a 1011 of any kind arising from or connected with ttlla inspaction. ___w_;:;u,~,,.J"""'=----£::::.;;.__,,~~ ...........~;.;;:.a=----Commiuion1 ___v_A__s_4_3______________ Inapec:tor-1 Signature National Boans, State, Province, and EndorAfflenu Date _ _ _ _t.f........_-____ f 'l-.__19 9 ~ 7 Attachment II Page 76 of 93 Serial No.: 94-194 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_--!i.j...:../t..:.../-/ /J....:.....:.1'f_ _ __

Name _ 5000 Dominion _..;;...._ _____ Blvd., _ _....:__ Glen Allen, VA _ _;...__:.;;..._.:__......;.;;_....:i:.;3:;..;060 Sheet _ _.:.__ o f - - - - - - - ' - - - - - - - - AddrHI

2. Plant Surry Power Station Unit_-'/'-----------------

Neme P.O. Box 315, Surry, VA 23883 1,<1, o, .:it- rJo 'L r.,Cto <,, 7- o '2 Addreu AIIP*lr Organization P.O. No., Job No., etr:.

3. Work Performed by Virginia Power Type Code Symbol Stamp __N...;/_A _ _ _ _ _ _ __

Nam* Authorization No. _ _ _ _ _Hl>l,J..l.cA..__ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expiration Data -1.1H1.</J.A1-_ _ _ _ _ _ _ _ _ __ Addra11

4. Identification of System _ _.,.6--=e:..aE:c'i>c:..:..,'V,:.;A:..!.!.Tc-:=:.."R;:___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (al Applicable Construction Code B3 l. l 19.§L Edition, =-N_/_A_ _ _ _ Addenda, N-1, ll-7 Cod* Casa (bl Applicable Edition of Sei:tion'x1 ~tiliz~d*for R~p~i~~:o/Repl&e~m.ent~ is.:::8_.?.___

' , ' ,, ' , 'i 3 , ' ' ' ' L t" , ' i \ [ ,, , j ') ~ J r * ' , I *, '  :  ;. ' t ;; ',1 ',;"" j ! ', .' :;:/,; r , :l! '. ., '~.:,.; ,_' . *\ '., . **

6. Identification of Componeriu Repaired or R'eplaced and Replacement Components

I

• I ASME

*:1 ".' ". ~ ~- '. '\,' *.,: , Code National Rapairad, Stamped ManufllCturer Raplaced, (YH Name of Component Nam* c:,f. ;1 Manufacturer ** 'Seriel N~:* *... ..*,,*';* Board N~. Other Identification Year Built or Replacement or Nol  ; ' 'L ,,*,,,, ,,, I -FI\/-H s S-13 II.IC NA *,,, "/A t,I'~ .. *~A. 1- i:"\*H-lS.'; -*13' G4JC::'26Y A""!:> Pt.An:

• Proc.e,5 r-1~ ., t,JA l-FN -H-5S-*1

., 1,:**; *!,!  ; *, :,1.  ; ,,, 1:**

'ir, 1

\' 1)* ,'

7. Description of Work 'l<spfACE SNwBBEiz*:::?c....c.1c.~,.

8. Tests Conducted: Hydrostatic Pneumatic O **'Nominal .Qper~ting Pressure 0 Other D Preuure ' ' psi . Test Ten,p, OF

*f I I  : .

1) ! / ',,! ~-

1 * , , ..:i ,* .. :1* < * ' 'I NOTE: Supplemental sheets in form' of lisu; 1ketchet, or drawings mey be used, provided (1 I size is 8% in. x 11 In., (21 foforma1 tion in item* 1 through 6 on this report is included on e~h lhlli!t, and (31 eech 1heet is nu-~bered end the number of 1heet1 i,* recorded at the top of thi1 form .

• (12/821 1 * '. I ,.. .  :*i' i, .

This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.V; 10017 ,,1 r, .' *,.,'** ' REPRINT° 12/91 FORM NIS-2 (Back)

9. Remarks __;N..,.__T,___~>-;:S;...r_,~\..::i:...----..!2.=-~\..::11-1~0,:!JUll..t,lp.,lL;i:f:~l"c.;lwCi"&-='--'"g~cut1""C,,i...lC.1!1,.S;eC!t).,1-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Appllc11bl11 Manufacturer's Data A11port1 to be anached Nf 4s,qo2 -'3 (PLA...re) CERTIFICATE OF COMPLIANCE I We certify that the statements made in the report are correct end this ,y}dc6:%W:conforms to the rules of the ASME Code, Section XI. rapalr or replacement . N/A Type Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. __H_/_A_ _ _ _ _ _ _ _ _ _ _ _ Expiration Dete _ _ _H_/_A___________ Signed /,7 (~ .iJ ~ f ef ~ ; , H a w ~ ; , ; . . ; Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the Stat* or Province of Virginia and employed by HSB:I & :r Co* * ** of .;;;H;.;a;;;.r;;;..;;;tc;;f;..;o;;..r;;;.d---'._C_T_____~----------------,..-,,,----,-have in~ec;ted the com~onents described in this Owner's Report during the period / tJ- /y -'/J to /O-{Lf -':f.. L , and 1t11te that to* the best of my k~owledge and belief,* the Owner has performed examinations and taken corr"ective measures described in this 6wner'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, conce~i~g 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 1011 of any kind arising from or connected with this inspection, --~.Ji....:=--:::;.... _ _ _f..:,;..;.;...a::~=-"'----------COmmissions _ _ _v_A __s_4_3_____________ lnlpactor'1 Signature National Board, State, Provinca, and Endonamants Date_ _ _ _ __19 <T~ l:f. . .-_11.. Attachment II Page 77 of 93 serial No.: 94-194 Docket No.: 50-280 FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions of the ASME Code Section XI

1. O...ner 'lirginia Electric and Power Co. Datl _ __;s~t-=~4-0.!..'t.1...'f_

_~ - : - - - - - - -

'.1m* SOQQ Dominion Blvd., Glen Allen, VA 23060 Sheet _ __.,:{~- o f _ - - ' - - - ~ - - - - - - - - AadrH1

2. Plant Surry Power Station Unit_'-------------------

N1me P.O. Box 315, Surry, VA 23883 /;\,,J,(),.:{t ()027/['Uo-DI /22..:tr ?t/-Clil7 Addreu ReQ1tr Org1n1ntlan P.O. Na .* Jatl No., 1111. J. Work Performed bv Virginia Powe*r* Type Codi Symbol S1amp __N_/'"--A________ Neme Authorization No. _ _ _ _ _...i;N1;lt.A~------- P.O. Box 315, Surry, VA 23883 Expira11on 0111 ........N.,.luA.._____________ Addr111

4. ld1ntific111on of svn1m _.,,6 ....=G"e".':JP::..iW=AuJi:.Ci2:1o.__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

S. (11 Apphcat1t1 Con1truct1on Coda B31. l  : 9 ~ Edition,_N.....;../_A_ _ _ _ Addllnda. N-1, ll-7 (bl Apolicabla Edition of Section XI Utiliz~d for'Aep11;, 'o,' Aeot1e~~1nu* 198,;;;._1...__ , /.' '

6. ldant1flc11t1on of Comoon1n11 Aeo1ir1d or Alipt1ced .~a R1101ac:emen~ Componentl

• Name of Component Name of Manufactur11r.

I ,I I Manufacturer . Serial No. I I National Board Na. Other ldantification Year Built Repaind, Replai:ed, or Reolacement or Nol AIME Codi s...... fVn '3 I/' {)1(./F/(!.f: t:7 LJ.(V(..-£ NA: .. ' LJA .1. Al A. 1-r::N-Fe-/"'"" 1. IA '?,e: Pl A.fl.t:'f', /JO 11 ' 1 51\.J.1) 1 I I j ' ) ,J L l3 II Ot.1F'1e.r; .i:"L..d.All'...C: 1-fvb IVA I t9B9 12eo/4 d.c'l1.ff3<,1 (:otvStJ!./ l)~ 'le/:> I/ " .c:.n ,,...., u.. .. ,,r SuDDl ',/ 'Vt, ,. . ,. ,~ ,u I 9.9z. J. -¥

7. Description of Work 12ePC.ACG° f.VEU>eD *3'l FlAl,llT;lf;s

8. Tests Conducted: Hvdro1t1tic

• Pneumatic O Nomi~al Oo1rating Pre11ur1 ~

Other O Prmuro No j) psi Test *Temp. NO r

• F NOTE: Supplemental ltlNu 1n form of li1t1, 1k1tchft. or drawinga may bl ulld, provided C1 I size ia 8% in. x 11 In., 121 lnforma.

tion in itlffll 1 thrauCJfl 6 on tr'lil report ii included on IICh lhNt, and (31 IICh lhffl ii numbered and thl number Of lhNll 11 reco,dad at the top of thla form .

• 112/821 Thia Form IE.000301 may bl obtained from tile Order Daot., ASME, 345 E. 47th St., New York, N.V. 10017 REPRINT 12/91

I '! ,:.F,,ORM NIS-2 .(B~ckli . .C" ~

3. Remar1<1 _.:::C:...tv.;;..,:Sc._.;;;t..;.,3::.:CD""-'~=2;.:..'f1-**....i,,.::.~~.::.Oc:.IZ.:;..:.:/F~.!..iC.::.c!i'fE;;._P~t..!!:A:N:m!..!ift:i;:::c=,.)'------'"-'-------------------

11 Aoollca1>1e,,M*~l('e<<;turer'.* .O*t1! Reoo,ru to oe ..~nacr,ecs C I ' {Z.<>UND Eiw-) ' ' ' ' ' ' CERTIFICATE OF COMPLIANCE . We cen1tv that the statements maae ,n tne recon an, correct iinc:1 tliii* -&-?44::l<<.WGcnforms to tne rulN of the ASME Cede, Section XI. *~*Ir or replacement Tvc* Code Svmt>ol Stamc _ _ _N_/_A___- ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - N/A ----------------Exoiretion Oat*---------------- CERTIFICATE OF INSERVICE INSPECTION I, the under11gnad, holding

• valid comm1111on ,auad by the Netionel Boera of Boiler and Pre11ur11 Vaswl lnsoactcn end the State er Provinc:9 of Virginia end amc,loyea by HSBI , I Co. of

---------------------------,,-----.rr-::,----.,.._ Hartford. CT in 1hi1 Owner*, Aepon durinQ tna.parioa** h eve ,n~.a tne _ co_moonana, w,aaw /t) ... /'-j - C/ :!, to /CJ .. f L( ,.'( I.:,

• 1nd 11819 tftat

\ .* *.* *'.*' 1*

• 10 tn,* bait of mv lcnowtad9e 1na belief, th1 Owner na oertormed exen11netion1 ena tek1n C1m9CttW menur111 ae~lft,dllt Owner*, A~on ,n ecca~enc:e w,tn tn, raqu1rament1 of the ASME Code, Sec:lion xi: '

By *ivnint this c:enificate n11ther thl lnsoec:IOr nor hit emoiover mek* eny werrantY, elQlnlllld . or imelild, cowni119.dle . ~. a-r*, 1xem1111~10/'IS.lnd correcttW mH11.1r* d111enbea in this* Reoo,t. Funhermore, neither th*. lnSQKtor nor hi1 llfflPID\,er shill be *ii1bi1 -i~ *,ny manna, for 1nv p1110nal injury or c,ropeny dam*. ~r

• Ion of-'any kind *i1ing from or connected *,1 wtUI 11111 i_n_-,ect

__' _*..... ~_. _ ......-n.....* ___ 1napect0r'1 stonatura i__.__~ _ *_,________ CommiaiDM -,btV:;A;;;;;~5~4;3;:;-"i';;;;;:--;,;;;:=,;;:--;:;;;;~;;;;;;;;;;;;;=;"'- Natlonat Board, Stlta. Province, anCI Endo,..,...,. Da11 _ _ _ _ £_. . __f_t)__19 T'i Attachment II Page 78 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions ot the ASME Code Section XI

1. Owner Virginia Electric and Power Co. Dat* _ _ o_<e/.:..i/f-o_s_,./_q_Y_ _ _ _ _ _ _ __

'<1me 5000 Dominion Blvd., _ ------------,A-c:l_c:l.;..r1_11 Glen ___ Allen, _ _.....;._VA ___ 23060 _ Sh .., _ _/_ _ ot_.:L=----------

2. Plan, Surry Power Station Unit-----------------..;...--

!ll1me P.O. Box 315, Surry, VA 23883 Repelr Or9en11111on P.O. No., JoD No., ato. J. Work Performed t,y Virginia Power Type Code Symbol Stama __N_/_A _________ N1me Authorization No. -----~Nuf:..1IL------- P.O. Box 315, Surry, VA 23883 ACIC1r111 Expirat1on Datt _.N,.l"'Aa..-------------

4. 1dent,ticat1on 01 syn,m __M'-A."'"'-1flJ __s_n:....;;-__A.._(\;\ _______________________________

5. l*l Codec. .

lb) .. :'i*:,, . *, .;_(' ,t . *~SME

• I

... 't *. i '!'I ,., ** 11 ',hi'**.: Code ,,'[ii' National Rec,air9d;.

• Stamoe0 Name of * . ~-o.f,, ii Menu.!~~-'--, ., . ,.J~,~ 1 Other .. , . v,., Replac911, ,IY11' Component: ' - , Ma~ufeculr'._~:: ; *.' Seriel*No; * '* '
• No.' ldlftt1fic1tion Built or Ric,I~. ,or Not i;

, I,,,' . *..

• ii,*_:"**

\.(l.,i*,, *.. " - 1, 1 /I, I,*',\'. ,**,r. \*'.,. C.011E:=I=\ 'f'it--l. NA f,,A ,,., ,,  ;, *',"~* ,,t-!J:\. REP,11..L$ ,1--0 1)1sc 72!:"pi<\(£1) , ..,~ Nvt. ~A .. IJ~ . 0h'V)_5 -SV-/0/C '"'i2'P LAC ei) ,-.,D ~ .. ' * ,J ' .i t!,;>TTWL 'PIN iZepl~ce1v1evT ~D

1) tSL 1Zep IA.teM1::id µo

 ;,i 'i {:_, *, -'i,,.*,,*:,.r,.i, :',,',/ .\'r*:.i!*/;1S'':';I*:**.  :, 1'; _:I,,* 7, OtlCrlQtion of wo,11 fee l~c~ '""D15c : ,I",;, ."y';':*i,':,j*  !  :'!( ;:'*,*::,:,: ,'* *, ,,,*, "I I  ;

8. Tem Conducild: Hydro1tat1c, p'~~mauc, Q,i; N~m/nal ,Ql:l~J~t.in9 P~e11ure 0 Other O Pre~1~r,'* ,: ; . 1 ' . . ,. ; p1,i T~~t J~f!!P.  : *F' I , *. , ir*,. , :.1(,"

• NOTE: Supplemental .,..~. 1n t'orml;ot';n~~.j 1kitC~li. or dra~ingi mav bl Ulld, provided 11 I sin ii 8% in. ll 11 In ** 121 lnfonna.

tion in itemt '1 throu9" 6, On. tll11 re~ort ii includtd 'on IIICl'I 1hNt, and (31 lac:tl lhllt is numDlred Ind thl number Of lhNtl ii recorded It th* .iCIQ of ffiil fomi.. \' ' : . ' . ' . ' " "'" ~- '*.' '

• (12/821 Thii*Form tE00,0301

.IL

f

,* ii ,, *,* ~av.'DI otit11nacs from' tlle O'rdtr Oeot.* ASME, 345 E. ,7th St., New ~ork, N.V. REPRINT 12/91 10017 ,. . ,*1-** FPRM N.IS-2 (Back) . ( 1.* I ?. Renii1r1c1 _ _1'-i___l'--4--5'-o----"1_-q---:.q_-_D___I _._C_<>_'l_7_&_1l-----P'--Jt-J_*- - - - - - - - - - - - - - - - - - - - - - Aop11cao1a Manutacturar*1 Data Rapona to oa anaci,aa 1::ns c I I{ 14 HU 1\J,J( CERTIFICATE OF COMPLIANCE We c:enitv tl'lllt tl'le statements maae ,n tne reoan an, c:orrec:t 11na t l ' l i 1 ~ ~ : i n t o r m 1 ,a tl'III rulH of thl ASME Cade. Section XI. re,,a r or rapiacamant Type Coda Symbol Stamp _ _ _N_._ I _ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 I H/A H/A 1 1 Cart1fic:ua af Authonzarron No. - - - - - - - - - - - - - - - - E x o i r a t i o n O a t * - - - - - - - - - - - - - - - - Signed fJ o~n~U* fr£ CERTIFICATE OF INSERVICE INSPECTION I, th* unaarsignea, holding a 1111,d c:ommruoon ,uuea by th* National Board of Boiler and Pr1111ure \laswt lnsoacrors and the State or PrO'llrnc:9 of Virginia *ndernotovea by HSBI: ' I Co. of Hartford. CT have rnsoec11c:1 thl c:omoon1n11 deteribed in 1h11 Ownar

• Reoon during 1h11 oerrod I 12 --14-93 ,o f IJ - It/- 96 . and 11e* 1h11 to tha bait of mv know1aoqe ana belief, tl'le Ownar na 01rlorm1d 1xam1n111on1 and t11e1n c:orrec:trw ma1a1r11 d11C1'1bed In thl1 Owner*, R~an ,n eccoraanc:e with th* 1WQu1rernen11 of the ASME Coda, Section XI, By 1iQn1r19 thi1 c:en1fican na11her thl lnsoec:tor nor hi1 1mc,1ovar mek* any warranrv, uorwued or ,mc,lied, c:anaen11111 the 11xam1na11on1 and c:arrec:1rw m11111r* descnbld in th11 Owner'1 R1c,o,1. Furthermore, neither me lnsptC10r nor hi1 IIIIPNPI*

n shall bl liable in any manner for anv 01rsonat injury or c,roo1rtY damage or 1 1011 of any le ind 11'11ing from or connec:tld wittl 1'111 in-,.ct~~ ~  !. ----~w.,~.::----~--~g:..:.,;,;-;._--~-= ~ ......~-- . . . . . . . ----Commi11ioni ___V_A;.;;__S;;,,.4.;;.;;J______________ Inac,ec:tor' 1 Slgnaiura Nttlonll 8oara. 51111, l'ra111nca, ana ene10,- Oata _ _ _ _ _4.....-.....:J.."---'__ 7 19-¥ _.... .;:'..L- ** , . _ .. .._. _ _ .,_ *.._ ~ -- * -~*=..,,.,.,.,_,._..,_____..._____"""'_,__ _..._.. Attachment 11 Page 79 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS

1. Owner Virginia Electric and Power Co.

As Required bv the Provisions ot the ASME Codi Section XI Da11 _ _L._,/,-l5"-,-(~1-1f_ _ _ _ _ _ _ _ __ 5000 Dominion Blvd., Glen Allen, VA ------------,A,-CI_Cl.;.ra-.. ~*"'* ------....;..----- 23060 Sheet _ _ / I z__ ct _ _[_ _ _ _ _-,-_ _ _ __

2. Plant Surry Power Station Unit--------------------

Nam* P.O. Boz 315, Surry, VA 23883 i,,,. o, -:ff OD'Z-7 DC/ 77 ACldreu Repair Or9en11et1an P.O. Na., Joo No., 1ta. J. Work Performed t,y Virginia Power Type Coda Symbol Stamo __N_/_A _ _ _ _ _ _ _ __ Name Authorization No. ------NllLt{..cl\:i..._______ P.O. Boz 315, Surry, VA 23883 Ac:IC1re11 Expiration Oat* ~u... t.._A""--------------

4. ld11nt1fic111on of sv111m __M.~-'A.-'-t_l\J;;......S;.."1.;..;:;G_X\..;..;.,fv'_'\....;.._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (11 App11c1011 Connruc11on Coda B3 l. l ' . 9 ~ ~d.iti.on.,_N_/_A_ _ _ _ _ Addlnd1. l-l-l, ll-7 CodeC&11

_Ae~~'if~ ~'r ~~~11<:~,,;.~;. 19'=8~J~-.:.. 0 (bl APPlic1DI* Edition of Se~,1~n XI ~tilir.~a"tor 1 ', , <:\, '

6. ldant1flc111ion of Comoon11n11 Aeoiiriia:.or R*1011eea 1na R1i,1acem1nt Compon1n11

 ;;'.,\':'.ii., : \,'.'._:* :. ' \;- I  : ,,. ' ,,,,,,!1, 'ASME Codi , , Stan1Ped National Nam1af Nameof 1 Manufacturer Board .. Other v,., IV" Componertt

• M1nufec:tura~*J.'; ',I,

.

• S1ri111'No. '*No~ 1 ld1nt1fic1tI0n
• Built .or Replai:ltMftt or ""ot

*t!t' r' J ~ ... ,, 1*.*1 1 ,. !***":, '*I q" ,., />,(.LIED ~IY.T-+- IJ vT 750:H; * :. . 72qi/,.1cP11~*, I t , ,' ',' \ ,ti',*'*,*,'"* ' , ,-.;,**,1,'.1:1:'1' '.::,*,,,,, .. , ,j .'I,:,, f) , 1*,,: ':'.,, :, ):!,\ P,: ,.,  :, ~ I '{ '

7. 01scr11:nion of Worlc - ~ ...-;;;;e:...~,.p~IA..i.;;;C.;:afc;..:,~°"C?..;.l.;;,SC.;;;..,..;.**_ _.. ".:.;'i.*..;.1'*_._:...;._'..,.*'*-***-*-*- - - : - - . . ; . . , . - - - - - - - . ; . . . ; - - - - - - - - - - -

8. Tuu Conducted: Hvdro1tat1c i i:i'n~ui:natic O >;Nomin,al O~aratinQ P~e11ure 0 Other O l'renur,,' '

• p1i T11at,:')"imo. * *F NOTE: Suppj1m1ntal lhlftt 1n form of 1i11*1. 1kst~~~:* or drewinga may be u11d, provi~d 111 iin i18~ in. x 11 In., 121 lnforma.

!ion in illffll I throu91'1 6 on 11111 *reoon ii inclildld'on IKfl lhNt, and 131 IICfl lhNf ii nu,:,,Dered a~d thl numb<< Of lhNtl it 0 rtcCll'ded It the fOCJ Of fflll form. I .' ' ,' ' ' 112/B21 Thii Form iE00030(miv' l>li obt~1nea 1frcim ,n1 Order Oec:it.* ASME 345 E. 47th St .. New York, N.V. 10017 REPRINT 12/91 ,,i' .1'1, ,\ j, 'FOAIYI :N.1~-2 (Backl,'

3. Remer*; f'J, 4:Jo4'?'f'-o I, Cev:Bf p1f\J Accllcabla Manufilcturar*, Data 'Aacort1 to oa anacneo.

7.-1D3'f Lo I u1c;c.. . I --&' rr I:(),.( I N*.:./l*. ,, CERTI Fl~ATE at c:cir.11P(1lNc'E . We een,tv 1n11t ,ne statemenu mace ,n tne reoon are c~rrect ana *,ni,*

• 4:Y~/tt6'ntorms to 1n11 ruin of the ASME Coda. %t:!1on XI. reo**~ or rap1acemen1 Type C,:.." .* *:mbOI Stamp _ _ _N_._/_A__________________________________

N/A H/A C.n1i>cc.:;1 ot Au1horint1on No. - - - - - - - - - - - - - - - - E x o i r a u o n O a t * - - - - - - - - - - - - - - - - Sign:m /l c/ _// -. " / ~*r o r ~ . §Jr:- Tltla Oat*--,4~~ ...4!-.:.'-""L.__~L..=-...._? __, 19 CERTIFICATE OF INSERVICE INSPECTION I, 1ne undem;nec:t, holdin;

• v111d comm,n,on ,uuec:t by the Netional Boara of Boiler ena Prenun 1111** 1nst1ecton and the State or Prov,nce of Virginia end emo1ovea by HSBI ' I Co* of

_s:_a_r_t_f_o_r_d__._c_T __________* -------------*____ have 1nsoect112 1n1 comoonent1 deteribed in 1h11 Owner I A8'>0n durin; tna period /0-IU- 9::J to ft> - fl./ - T (. . and tHW that 10 1n1 best ot my know1.aqe 1na belief, 1na Owner non oerlormed 1xanunauon1 ena 11ken correctiw menur** ae1crimd In thl1 Owrw,*1 Rapon ,n accoraance w,th thl ,.qu1nmen11 of thl ASME Code, Section XI. By 1i9n1no tt1i1 can,tica.. neither the lnsoector nor hi1 1mployer malt* any warranr,, uDf'lllld or 1molied, c o ~ the 11xam11\lt1on1 and correctiw me11Ur* descnbld in 1h11 Owner*, Repo,1. Funhermore. n1111her me 1nspec:10r nor hi1 ....,..,., shell be liable in any manner for any oarson11 iniurv or orooerr, damaoe or

• 1011 of any kind 1r11i119 from or connlCted with ml1 ina>ee110h~

~ ~  !. ~ ----1~...;;.i........------...............---~----=---------Commi1110n1 ___ V_A__S_4_J______________ I n111ec,or1 Slgn11ura Netlonei Boera, Suta, l'rov,nc*. ana Endo,_. Date _ _ _ _ _ tf. .-.. .J:. ....7__19 9t{ Attachment II Page 80 of 93 Serial No.: 94-194 Docket No.: 50-280

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

As ReQu1r1d bv the Provisions ot the ASME Code Section XI Date -~--::.._5".f-p::::.,~~~!..../fr:__-,-------- \lame 5000 Dominion Blvd., Glen Allen, VA 23060 Shett _ __.c_.._ot_..:.I:..__ _ _ _ _ _ _ _ __ Aadreu

2. Plant Surry Power Station Unit--+-----------------

Neme P.O. Boz 315, Surry:, VA 23883 eid?<< OC>270'f9C.-o/ 7Z7Z- # 9¥-127 Addr ... Repair Or;an*utlon P.O. No., Job No,, eta, J. Work Performed bv Virginia Power Type Codi Symbol Su1mo __N..;/;...A~-------- -~*m* Authorization No. NIA P.O. Boz 315, Surry, VA 23883 Exoir1t1on D1t1 ......Hl.,jl:...A:,,..._ _ _ _ _ _ _ _ _ _ __ Addre11

4. ld1ntific1t1on of Svst1m ---"d41<.L.'A...._1...tv-*...:S=-'ng74-=""-"k1-+-----------------------------

5. (11 Apphc1011 Con1truct1on Codi B 31. 1  : 9 §.Z__ Edition. _N....;../_A_ _ _ _ Addende, N-1, ll-1 (bl APPlic1bl1 Edition of Section XI _Ut,lizeCI tor Re~~ir* o*~ R111>l1e1m1nu 19.::B;..._j.___

6. ldent1flc,mon of Compon1nt1 Aep1ir1d or Repl1clld ana Re1>lec:em11nt Componenu

.. ,, . ASME I Code Nem1 of Nameot I' Menvfecturer I N1tion11 Board Oth1r Y11r AIDaired, AIDIIICN, StamPN IVN I . I' Comi,on1n1 . M1nufec:1ur1_r No. ld1n1ific1tion Built or AIPIIClfMflt or Not .i S1ri11 No. °PISC ' Ptee-~s~. I AARi.&*2 1 ,I. ~A I- "1 S-Sil-/02.4 WA {2~/4~6)> No I t>,sc. 1) /2.f?S5R_ ,  ! ABl\.178' I J J / /.990 P,m/4 ~Eitll:Xl"" l I I I *1

7. 011eri1nion of Work_....,.7?.e.__-.;;,,p='-'/A;..:.::C!..,.e=--.:;;'J;:>...;l.;::S:;.;C.:..._ _ _ _ _ _ _ _ _ _ _ _ _..;__ _ _ _ _ _ _ _ _ _ _ __

8. Teu1 Conducted: Hydro1t11ic ?n~matrc O Nomin11 Oo1ra11n9 Pr1111ure 0 Other O Pressure----- psi Ten *T1mo. *F NOTE: Suppjem1n111 1hN11 ,n form of lin1. sketches. or drawin91 mtY bl und, providtd (1 I 1iu ia 8% in. x 11 In., 121 lnfOffllll*

tion in i11m1 I lhrouvt, 6 on tP1i1 report i1 includ1d on 11cll lhffl, end 131 Heh 1h11t it nu.:nblrad end the numb<< of lhNII ii recorded 1t th* toe, of 1h11 form. ,

• (12/821 This Form IE000301 mav bl obt11n1CI from tPII Order Oeot., ASME, 345 E. 47th St., New York, N.V. 10017 REPRINT 12/91

,\* l ,, ~. I : , Ii'. :I***,

I 1, I i'.i,.'. I.' **.:i * ' I 1'

• I.

',;. \  :,.'.(\ ','if,  : ;:, ,'\i 'i '1 {\.'/\:Ji! /I;"°\ ' ; 1 ,'. ,I 1* 'I' ' I **,!. ,, Ii f;?,1RM;N1S;2:,(ij~c~),

1 '. '.Y:>1:*::. 1,,,,.' ,:*;:r* *...'.q'. *:*.:,:i* i.:*!1)**r. ***'.'. * . . '._::i,i_ ' :i:;

t(1i: !

i.* R,eme~*ta ---'s~s""~:1<-<-*....;. 2=::.i_,9,_2=2.'-'7--'-.....,_,(1-1'1?::.i{....s~*c.._)'--,-,-~,,-.~,.-..;.*,...;*,.,..~,--.~*-*""'I_*_*---,,-,----;---------

Ao1>llcaDla :l\/lanu tacturar'1 Oat* f:leppru to Da anaclled' i:i,~r.t*:-.:.: : i:1 *,.,,:.:. : *<- i1 ~\:*: '!;*. 1 J* *:*!

• CERTIFICATE OF COMPLIANCE We cen1tv that the statements maae ,n 1ne*recon are co,;,c~,*and thi1*#,~.tv[7onfonns to the ruin of the ASME Coae, Section XI. repair .or regiacamant I*'

Type Code Symbol Stamp _ _ _N_/_A_________.._________________________ N/A '* N/A Cenificate of Authoriz1mon No. - - - - - - - - - - - - - - - - - E x p i r a t i o n *oate - - - - - - - - - - - - - - - - - Signed Cl"=- / _ * ~ N f6(£1u~ Owner or O ~ n N , Title CERTIFICATE OF INSERVICE INSPECTION I, lh* under11gnaa, holdinQ a 11111d comm,mon ,aued by the National Board of Boiler and Prflsura Ves*I lnsoecton and the Stet* , 19 l:t or Provinc:9 of Virginia end emc,loved by HSBI ' I Co* of _H_a_r_t_f_o_r_d___, ___C_T_____________________,,..,____ have ,nq?:'ea the companent1 dlac:nblld in 1hi1 Owner'I Repon durinQ_ II)*' perlOd_;_ _ _ _ _ _ _..;/:...::.d_~'-1;...;.,.'--:*,11Cf (/J ~tlf- * . and sma ttlet to :1h~ belt ot my know1ea;e and belief, the Owner has oert.ormed exanunat1on1 and taken c:onectiw menurH dHcrimd Ill ttlll Owner*, Rai,on ,n accoraanc:e with th1,r9qu1ramen11 of tha ASME Code.,~~ XI. ' ,\ ',.*.. *. By 1iQninQ thi1 canificat9 netther the l ~ r nor hi* employer mall* any warrancv, *llPf'811N or im.l)lied, concamint die exam1nat1on1 and correc:tiw measur* descnoed in. thi1 awn.,*, Repc,rt. Funhennore, neither me lnspactOr nor hi1....., shall be liable in 1nv manner for anv pal'IOnal injury or propeny dam* or a Ion of anv kind a,i1i1111 from or connected wldl 11111 in~io~!:. ~ ---~...._-=--=------'~'--~~='-===-----Commiuion1_,;;;V;;A;;;;;;ia5;;;4;;3~;;;-;;;;---;;;;;;;;;;-:;:;i~i;;;;;;;;;;;;-- 1"1Pector'i S19na1ure Natlonel aoara, Stata, Province, ena Endor..- Oate _ _ _ _ _ _S;.._-_(0 _ _19 Cf f Attachment II Page 81 of 93 . Serial No.: 94-194 Docket No.: 50-280

• FORM N1S*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+:A...;:i.:)~L~9t/'--------- N1!"e 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet_....:.../_ _ ot / Addre11

2. Plant Surry Power Station Unit_....__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Name P.O. Box 315, Surry, VA 23883 7272. :tr '1¢- ofS Addr ... Rapalr Organlutlon P.O. No., Job No., ata.

3. Work Performed by Virginia Power Type Code Symbol S111mp __N....;/....;A Name Authorization No. NIA P.O. Box 315, Surry, VA 23883 Expirauon Date _..,H.,/'-'A""-------------

Addre11

4. Identification of System _ _,.,f(t..J.:.,A.:.,l"'"N;:...-..:§&'-=,A._.M=1-------------------------------

5. (1) ApplicableConstruct1onCode B31.l 19§2._Edition,_N_/'---A_ _ _ _ Addlnda,H-l, ll-7 Codec...

(bl Applicable Edition of S~~t.ion XI Ut.ilized. for Re~ ** ~~ ~r Re~i~emenu 198' I;( 1,

6. Identification of Componanu Repairad *or Replaced end Replectment Components ASME Code National R11>1ired, StlfflPld N1m1of Name of ' Manufacturer Board Other Y11r R11>laced, IY11 Component* Manufactu rar ' Serial No. No. Identification Built or Replacemant or Nol 0/7.F ,at=

• NA- .. ,*

.VA . JJIL /-,US -Fl:-tOO N4 7lGP/4 (!,l:i"'O ,lvt:) OIZ-Plef J J t /.J90 1Ze,l4~lF/.A /; .. r* ,, ,.,

7. Description of Work _ _72_6f','f!~4....;a....;~;;_,..::Ote~P;....:./..::e..::'="~*- - - - - - - - - - , - - - - - - - - - - - - - - - - - -

8. Tests Conducted: Hydrostatic 'Pneumatic 0 Nominal Operating Pressur~ ~

Other O Pressure /VQ ~ psi Ten Temp, A/0 L °F ~ t ',' NOTE: Supplemental 1hell't1 in form of lists, ,*kincfln. or drewi~91 may be used, provided 11 I size is 8% in. x 11 I~ ** (2J lnformt* tion in item1 1 through 6 on this repon ii included on each 1heet, 11nd 131 each shNt i1 nu~blred and the number of 1hHt1 i1 recorded at th* top of this form .

• (12/821 This Form !E000301 m11v be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT* 12/91

FORM NIS-2 (Backl Acpllcable Manufacturar'1 011te Aaporu to be enached CERTIFICATE OF COMPLIANCE We cemfy that the statements maae in the report are correct and thi1 #t:i>~l'4'..fUr: conforms to the rulH of the ASME Code, Section XI. repair or raplec:ement Type Code Svmbol Stamp _ _ _N_/_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. __H_/_A_____________ Expiration Date ____H_/_A___________ Signed ()_ ~ Owner or O w n '.A...t./ ,t}_ ~ . Title E,r d'uwu~ oat, _ CERTIFICATE OF INSERVICE INSPECTION h4,t 1 I, the undersigned, holding I valid commission 1aultd by the National Board of Boiler end Presa,ra Vessel lnsPecton and thl State . 19 2 )(' or Province of Virginia *nd imploylld by HSBI & I Co* of .;;;H;..;a;;.;r;;...;;t"'f'-o_r_d...;..:.,_C;;..T _____________________,------h11111 inspected the compon1nt1 described in thi1 Owner*, Report during the period (O- tt..f -f3 to /o 'I'-(' fib , and neta mat to thl belt of my knowledga and belief, the Owner hes performed examination, end taken corr1et1w measure, described In ttlls Owner', Repon in accordance with th11*requ1ram1n11 of th1 ASME Codi, Section XI. By 1igning thi1 certificate neither the lnspecmr nor hi1 amployer makn any warranty, eXJ)llllld or implied, concamint the examination, and correc:tiw meaaurea described in this Owner's Report. Furthermore, neither the Inspector nor hi1 employer shall be liable in any manner for any personal injury or property damage or a 1011 of any kind arising from or connected with ttlls

• -~1. &£1.,. I napector' 1 Signature Commiuion, ___V_A _ _S_4_J _______________

National Board, St1t1, Province, 1na Endonemena Date _ _ _.....,;,_-_/ __D_ _ _19 r'( i&U Attachment II Page 82 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requm,d bv the

1. ONner 'Jirginia Electric and Power Co.

Prov11ion1 of the ASME Code Section XI Date _ _ ....;s_,.ft-=c:'+,A-'"'-'~'----"'-------- '.Jame 5000 Dominion Blvd., Glen Allen, VA 23060 ------------,A-o_o:...,.-..- - - - - - - " - - - - -

2. Plant Surry Power Station Unit--'-----------------

Neme P.O. Bez 315, Surry, VA 23883 AOOlltU Repair Or;en*utlan P.O. Na., Jab No., a10.

3. Work Performed bv Virginia Power Type Coda Symbol Stamp __N_/_A________

Neme Authorization No. _ _ _ _ _....H..,lt...J\1:1..._ _ _ _ __ P.O. Bez 315, Surry, VA 23883 Expiration Date .......Nu{c..iA:i..__ _ _ _ _ _ _ _ _ _ __ Adore11 A f4 f }1'"60 .

4. ldentific1t1on of Sv1t1m ~&I 1!2f, 4-2eruF e9e~f(ci Ce*

I* .

5. (1) Appllc101e Con1truct1on Coda 83 1-1 '.9~:;dition. __ N.;../_A_ _ _ _ Addanda, N-1, ll-1 (bl Applicable Edition of Section XI u*1,lizjia"forA~pa1~1 o;_ Aepl~1mant1 19.::cs_jJ.-_

6. ldent1ficet1on of Comoonanu Reo1orad or Aeol1ced ana Aeplec:ement Componenu I

• ASME

. ' Codi National Aepail'9d, SIMIPICI Name of N1rn9of Manufacturer I Board Other YHr Replaced, IYN CofflJ)onant Manufac:turar I Serial No. I No. Identification Built or Replacement or Not I I I //AA.J&e"ll. 'Sv,=,DD,e, fVlt. :I NA- .1. ,v,4 1-BD-T.J-/DOE" Iv-A T2epA1~e£>* IV'[) II .I*1 i I I

7. Oatcription of Work .(.,;\&2-r 7'!,/~ sT,{#4

• 4p,,,j{~) pu;,E; D '"l'biftf,,!Jp.1¢ Nted e1,uH:tt<<r NW ON 1-C G* 2.t/Z.

B. Tosta Conducted: Hvdronuic l'neumat,c O* Nominal Ooaraung Pret~ure 0 Other O Pressure psi Ten Tamp, *F . . - ' ' .  : . '/ ' NOTE: Supr:,lemantat 1hffl1 1ri form of lin1. 1k111chn. er drawinga mey bl ulld, grovidtd 11 I size is 8~ in. x 11 In., 121 lnfonna* tion in items 1 through 6 on tnis reoon i1 included en Heh 1hNt, and (31 11eh 1h11t is nuinblrld and the number of lhNII It recorded at the top of thi1 form .

• 112/821 Thi1 Form IE000301 may bl obt11n.ad from ,na Order Dept,, ASME, 345 E. ,1,h St., New York, N.Y. 10017 REPRINT 12/91

i1 I' , ',.,'

. FORM NIS-2 (Backl. ~-, Rem11r1<1 4---------------------------------------------- Aopllcaola M.*nutacturar*:~ ~~ta .R*~-~?* to De .1:~*<<:naa CERTIFICATE OF COMPLIANCE We cen1tv that tile mnemenu .maoe ,in tne ,ll!Oon ASME Cod~. S~~ion x I. *** *

• an, co*rrect**11nd-tri'.i1 **,C~J,.;;, :a**-*

repair or reoiacamant conforms to thl ruin of the Type Code Symbol Stamp _ _ _N_/_A__________________________________ Cenificat1 of Authoriz11t1on No. __H_/_A_____________ ExPirltion Cati ____H_I_A___________ Sign /.1_ i:.... Li ~.;;"~llenN, __,, .:Z:-Sf Title CERTIFICATE OF INSEAVICE INSPECTION Cat*---=~'-- ""~~y'-'L-=------* 19 I; the und1rsi;nld, holdin; a valid comm1111on ,auld by th* Nation11 Board of Boiler and Pr11sura I/anal lnsoecton and the State ff! or Province of Virginia and 1mo1oyea by HSB:I ' I Co* of _H__a_r __t_f_o_r_d__,_C_T__________________.,...~~---have ,n~ld th* comoon1nt1_ deaMllcl in thi1 .O.wner'1 Repon*durin;'th1 ~~r!Od-'_.-_.-----if~l.,.\_ ......fl;{.._-..q._'.3__ ,o /6,ty~9<.* , and nata 1Mt to th* belt of mv knowlldl;le end belief, th* Owner hll performed 1x1m1na11on1 anc:1 taken c:orrectn/9 menur11 d11Cribed Ill dlll Owner*, Report 1n accon:tance Wllh thl 19QUll"lffllntl of thl ASME Code, Section XI, By signing this cenificate n11ther thl lnsoec:t0r nor hil employer mak11 any wamntv, 1 ~ or implied, c:oncaminl die 1xam1nation1 and ccrrtctiw meaaur* Clescnbld in thi1 Owner's R1oort. Funherrnore. neittllr thl tnlQICtOr nor hi1 ***lo~lr shlll bl liable in 1nv manner for 11nv p11'10nal injury or proc,1nv damaoe or

• lou of any kind 1ri1ing from or conntcted wldl dlla in~~ t. ;;) I) 43

---~~;..;..__;;;...._~..a-'----'~=-=-------Commiuion1_"""'j;;;;V;A;;;;iii.S;.;;;;;:-;~;;""-;;";;;:i,;;;;-=;;"i;;;;;i;;;;;;;;;;-- 1napector'1 Sl11n1tur1 N1tlon11 Board, State, ~rovlnc1, 1na EnC101*119111S* ~ .* ' . Date _______.....,.______ b-/0 19 9i/ / Attachment II Page 83 of 93 Serial No.: 94-194 Docket No.: 50-280

• ,. Owner FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

'lirginia Electric and Power Co. Datt _ _ __,5*/_s..s.:.../_9~'/-,--_ _ _ _ __ ~*m* _S_O_O_O_D_o_m_i_n_i_o_n__B_l_v_d_._,;,_G_l_e_n_A_l_l_e_n_,_V_A ___2_3_060 Sheer _ __,____ o f _ . . . . . , . / ~ - - - - - - - - - - AddrHI

2. Plant Surry Power Station Name Unit -.L--------------.;....---

P.O. Box 315, Surry, VA 23883 Addreu Repair Organtutlon P.O. No., Job No., 110. J. Work Performed bv Virginia Power Type Code Symbol Stamp __N...;/;.._A_ _ _ _ _ _ __ Name Author11111ion No. _ _ _ _ _..,Nut~A:a....______ P.O. Box 315, Surry, VA 23883 Expiration D111 ~Nul:..1A1..____________ AddFIH

4. ld1n1ific111on of Sy111m _ _V_S;;;.;N~t-_6-A=,.:S:;:C::C,'-e,.,~.$'------------------------------

5. (1) Apphc11>leConnruc11onCod1 B31.l :9~Edition._N....:..../_A;,______ Addand1,H-l, ll-7 0

(bl Applicable Edition of Secl 10n XI Ut1lina 'tor R~o'1."r1 or Reoiac~menu19:::8:-J1.___

6. lden11flc1111on of Comoonenu Rep11reo or Replaced ano Reolacement Comoonentt J

AIME Coda National Repaired, StafflPed Nam* of Name of M1nuf~1urer I Board 0,11., Y11r AIPlacN, IVn CO!Tlj)On1nt Manuf ICIU rer ,I Seriel No . . I No. lden1ific11ion Buill or AIPIICtmeftt or Nol I PLUG- . "'" tvA .I "-IA ,-v*c,-nt-1tRA. 1'.JA IZ1:PLAC1: ~ . NO PLU& I F'ISU.:=17 I J I J t I 19i&' f t:t,/~(!..eiMl::'/\JI I .l, I ,, ,. '. I i

i 1

t _..Ya:.Ai:::11,1,Lo11*tcaf#

7. D1scric,1ion of Work __$.,,.f==.LP.a:l-::.;A..;;::C..E-,:;......:.fl,;;;l-:.;:V.c...:::..,,~k..,CJV~lf--==te-'H:.a8.i.Y...... ...... . ; . . . - - - . . ; . - - - - - - - - - - - - - - - -

B. Tutt Conducted: HydrOttlfic ?neumaric O *Nomin11 Ooerat1ng Pre11ure 0 Other O Pressure psi Ten .Temp, *F NOTE: Supc,l1m1n11I 1hN11* in form of lim, 1ketchn. or drawinge ffllY bl uMd, provided 111 siZII is 8% in. x 11 In., 121 lnforme. tion in it1m1 1 througn 6 on 1ni1 reoon i1 included on 1ac:II 1hNt, and 131 Heh 1h111 11 nu.:nblred and the number of ah-.. ii recorded at th* tao of mi1 form .

• (12/821 Thi1 Form fEOOOJOI m1v bl obt1inad from tn1 Order Oeot., ASME, 345 E. 47th St., New York, N.V. 10017 REPRINT 12/91

~* \*:: t I,'

• FORM NIS-2 (Backl

9. Remarii:1 _.,::S:_ay.__..,1_,q._,.:..::S::...,q..:s=---_._1--J,(""P:c..L::.U:;.;~

;Aopllcable Manutacturar1 Data Aaporta to be anachad CERTIFICATE OF'COMPLIANCE We cenitv that the statemenu m~oe ,n tne reoo" an, correct and thi1,;.i1~ i""dt/4""'C conform, to tne rulN of me ASME Code, Section XI. repair or rai,lac..,en, Type Code Symbol Stamp _ _ _N_/_A__________________________________ Ce"ific1t* of Authoriz~1t1on No. __N_/_A_____________ Exoir11ion Oe11 ____N_/_A___________ Signed Q tf. / - Owner or O ~ n N , Title ,,,/Jr ~ CERTIFICATE OF INSERVICE INSPECTION Oate _ _... ~....;..;.:-.4~.,,.'-'-C-------** 19 I, the undersigned, holding I valrd comm1111on ,auad by the National Board of Boiler and Preuura 11,. .1 lnsoec:ton and tile State I ~U-/ or Province of Virginia 1nd emc,loyea by HSBZ ' I Co* of .::B;;.;a;;;.r;;;...;t;.;;;f;..o'-r-'d_._C_T ____________________~:-----have ,n~eo the comoonenu decnbld in thi1 Owner's Repon,durino the period *' ' - *,*, ' ' '. I /l:J, It.( A &f ') ,o /¢,(L{-8 lo , and~ dlat to tne. ban of mv knowted99 and belief, the Owner h* performed exan11nett0ft1 end taken correc:tn,a menur11 d e ~ 1ft dlll Ownar'1_Rep_on _,n accoraance w11n the.raqu,,.,,,.n11 of th1 ASME Code, Section XI. By 1i9ni119 this cenific:an ne11llar th* lnsoecmr nor his employer maka any -ffllnlV, exc,ralld or implied, car,a,1n1nt die exam1nation1 end carrec:tn,a mHsur* desc:nbed in this Owner'1 RaDQrt. Funhennore, neimer tt,e lnqJKtOr nor hi1 .,.,.,.,. shall be liable in eny manner for 1nv pe110nat iniurv or propeny dameoe or a loa of 1ny kind *i1ing from or connected wldl tlllt 5 Commiai0n1 _----;::~V;A;:;,~4:J:;;--;,a;;;;--;;;;:;;;;-:;::;"'i:;;;;;;;;;;;;;.iij~ National Boera, Stew, Province, and Enda***-- Date_ _ _ _ _ _S_- ___ /0_ _!9 Cfij: , Attachment II Page 84 of 93 Serial No.: 94*194 Docket No.: 50*280

• 1. Owner *1 i FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS A1 Reauir1d bv the Prov111on1 of the ASME Cod, Section XI rqinia Electric and Power Co. * :ia11 _ _ _.... ~....;;~,_A.:..9.:....fl_ _ _ _ _ _ _ __

',am* _s_o_o_o_o_o_m_i_n_i_o_n__ s_1_v_d_._,_G_l_e_n_A_l_l_e_n_,_v_A__2_3_060 Sh11r*--J.----*ot _ _.__ _ _ _ _ _ _ _ _ __ Aaar*n

2. Plant Surry Power Station Unit---'/------------------

'4arri* P.O. Boz 315, Surry, VA 23883 bJ,o,# ()02h2.D2J-O) 7C.]Z..~ 91--ot~ Repair Oraan1ut1an P.O. Na., JOO No,, ate. J. Work Pirlormed i,y Virginia Power Tvc,1 Codi Svmbol S111110 __N_/_A________ "*m* Au111or1z1t1on No. -----.llNu{uli:L..------- P.O. Boz 315, Surry, '/A 23883 Exc,ir1t1on 0111.....,ij.,l..,A...__ _ _ _ _ _ _ _ _ _ __ AQClreH

4. ld1nt1fic111on of Sv111m _._-...;;a~H.;.4=fi!:.::6-~/,._;=c..,..~-------------------------------

5. (11 Ac,01iceo11ConmucuonCod1 B31.l :9~:dilion._N_/_A_ _ _ _ Addlncta,H-1, ll-1 (bl Aoo11c1DII Edition of Sec11on .(I Utilir'~ f~r Aeo,:r~*d~ Fl~;IC_,,.;,;,~~ 1g_s_1~-

' I ~

6. lden11ficar1on of Comoon1n11 Aeo*ir,o or R1011eea 1na R101acemeni Co~oon1nu I

AIMI I_ ' I Code* Nlffll of Nameof I ' Manufacturer II I N1tion11 B01nl I I Ottlar v,., R....-, Raol. . . . IV11 Comoon,nt M,nutacturer : I s1ri** No. No. ld1n11fic111on Buill orRaot..,...... o,Not I I I I s-.. ,, STVl:> 8 I ' 1\/A i' NA' I NA 1-C! H- fi'-4 NA 121!;'&> , A,. . : : , , kJO f,Jl,)j / s ~ I( t II i I I I I I . I I 1 c,_,.,  ;;;Fl I 5-rvb. jq" ~ A.1...1.1(::j) A:JIJT oJ.. 'Bo f I~ I 1..9.53 e-"' -* _ j Alvf J,j- NovA I J' ',) ,, .. ,IJ . . *)'

, ~ I J.93 -t , ti I

.;,( ,

7. Otscriorion of wo,11 _..,R __1:~p.:./:"i.'C.;;.~*.;;.s.ru

....I:>...5___4....._N_D.........t-1_0_.r:s B. T1u1 Conducted: Hvdroat111c Pntume11C O ': Nom,'n;. 0Dtr111n9 Prt11ur1 0 Ortlar O Pr111urt p1i Ten ,Te.me, *F NOTE: S11D01emtntll ll'lnr1 ,n form of li111, :11inch'n. or c:1rawin91 mav bl uMd, provided 11 I 1iu i1 8~ in.

• 11 In ** 121 lftfonne.

!ion in illffll I thrOU9'1 6 On 11111 rtOOrt II in~IUdld on HCII lhNt, Ind 131 IICh fflNI ii numblf9d Incl thl numlMr Of IIINII la raco,dld It 1111 too of ml1 form .

• (12/821 T'hl1 Form t'E000301 m1v bl otna1nec:1 from ,111 Ordtr 01r:it .. ASME, 3,5 E. 47th St., Ntw Yort&, N,Y, 10017 REPRINT 12/91.

FORM NIS-2 leackl ,.**.*11 ', .. , J,: .. ( .,'

l. Remer1e1 _,_,N_._f_--'1-'d,'-'5"'--4-'----'-'~u.\-1:(_.__J-=-f-,,'....:.'N.=.....i...>=..t.:....J'-----------------------

( -"01>1lcao1e Manufacturer*, .Data Flacorta 10 De enacneo s y 4 2.7lo.G::i s ~I \ srut>)

ERTi FiCA TE OF COMPLIANCE We eemtv tnat ,rie statements mitae ,n 1ne .-econ *an, ~orrect, ~na 1ni1 ~~.IC;onforms 10 tne rulN of tfte*

reoafr or reo1acan,a11, ASME ,Coae. Section )( I. Type Codi Svmoo1 Stamo _ _ _ _ ~/A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ H/A H/A Cen1fica11 ot Au1horrn11on N o . - - - - - - - - --------E*oiration 011* - - - - - - - - - - - - - - - - CERTIFICATE OF INSERVICE INSPECTION I, 1h1 unaar11vne0. holain9 a v*111d comm1111on ,auao bV ,n, National Boa,a of Boiler ,na Prna,ra orProv,ncaot Virginia *ndamo1ovec,t,v BSB:I' I Co. Date_....~..._...,..._V......_.k--.,_________ 11-?..,_~-- lies** lnmacton and Ille lUle of Hartford* CT have ,nllMCWCI th* comoonena r:tuarlll

• in ,nra Owner I Raoor, aur1n9 tne aerlOCI ({.2 ... I'{ - 9J 10 / a . . I ':f - 'f' k Ind ....,. .

10 ,ne belt ot mv knowteaVa ana belief, th* O~r n* gertormed Ham1nat10n1 ancs teken COff'IC'IIW me..,ra, dlu_lll1*111111ta,- Owrwr*e Reoon ,n aa:ordallce With the rlQUlratnentl of u,. ASME Code, Seellon XI. Bv 1i9n1111 tl'lil ceruftcaw neither the IMOKIOf' nor his emotoyer mall* any -rnntY, eqnuad or implied, me.a lillt Ille,* eaam1nation1 and correc:1iw meea,r* dncnbld ,n 11111 Owner*, Aep0r1. Fun~re. ne,ftler "'* lnSDKtOr nor tlie . . . . . . . , I shell be liable ,n 1ny manner for 1nv aer,ona, ,nrurv or orooenv damaee or a 1011 of any kind **111111 from or connec1911.- 11111 i-nmect __ '° ...* ----* _*....... ~ * --~f-:*~-~-------Commilliana-,uiVi;;A;;;_..;5;;4;;;lui;.;:'io";;;;;;;;;'."';;;;;ia.;im*iiii~ 1naoenor1 S11n1tur1 Natlaftll aaa,a, Stata, l"rov,nca, ,na l!lldoc I 11,*.. o,,. _____ s_-,. .0_____ 19 rr Attachment II Page 85 of 93 Serial No.: 94*194 Docket No.: 50*280

• ,. ONner FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requ1r1d by the Provisions of the ASME Code Section XI

"/irginia Electr~~m:nd Power Co. Date_..___ 441/.!:~~.7Y/L9.!.'{..!.....,-_-......:..,--,-------- SOOO Dominion Blvd., Glen Allen, VA AddrHI 23060 Sh1t1t_.....,!._ _ 01 I

2. Plant Surry Power Station Unit-'------------------

Name P.O. Box 315, Surry, VA 23883 wo-tt:-oo'2.r..o2'=>'--ot 1<l2* '1'1-Sf Addteu Reoelr Or;en,utlon P.O. No., Jotl No., eta. J. Work Periormld bv Virginia Power Typ1 CQde Svmbol Stamo __N_/_A_ _ _ _ _ _ __ N1m1 Authorization No. NIA P.O. Box 315, Surry, VA 23883 ExPir1t1on Date .....,.H..,.luAa,...._ _ _ _ _ _ _ _ _ _ __ Addr111

4. ldentific1t1on of Sv1t1m ,-,_-~,...._.H__A_fl.__G- ...N

...1 C:r:--------------------------------- 5_ (1) Appl1cat11eCon1truct1onCod1 B 3 l.l '.9~Edition,_N_;_/_A_ _ _ _ Addend1,H-l, Zl-7 (b) Applic1011 Edition of Se~tion XI Utilized for Re.011,r~ ~-r Reolac1menu *198-=__.1..__

6. ld11nt1flc11t1on of Comoon1nt1 Aep1,r1d or A11ol1clld ana Reo11e1m11nt Comoonent1 Name of Comoonent I

Neme of Manufacturer I I Menufacturer. Serial No. I. I. N1tion11 Boera No. Otller Identification Y11r Built RIQaiNd, AIQlaced, or AIPIICemetll ASME* Coda s..... (Vn or Not He.1 NtJf ~,, :NA I NA j

• Nit H!.l-l -'M.OV-12.101 JJ A f2ePL Art r;D Ni\

S1UD ~~ 1,~: ,, l i I I l I I I I 1 .l  !..In 1\/vf . "'1" l~DVA I I l..9-'D 12.eo{~cel"'BJT ~,, (' AR.1>/NAL I ~' ,I/ \993 l SYl/i) I I,, ' '  : I/

7. DescricnionofWork 12.ep/.~e..E S1UDS A;Nb ~tJi5

8. Tuu CQnductlld: Hvdro1t1tic Pneumatic O Nominel Qperet1ng Preuure 0 Other O Preuure _ _ _ _ _ psi Ten T1mo. "F NOTE: Suooiement1I sheen 1n form of li1t1, 1ketchn. or drawings mav bl used, provided 11) 1iu i1 8'11, in. x 11 In., (21 lnfonna.

tion in item1 1 throu9h 6 on this repon i1 included on e~h 1hNt. and 131 11eh Shift i1 nuinblrld 1nd the number of IIINII ii recorded at the toO of thi1 form .

• 112/82) This Form IE000301 mev bl obt11necs from tn1 Ordar DIIPt., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

~' ' I , I 1\,1 'I *, I 'I ( FORM NIS-2 (Backl 11

3. Aem11r1<1 NT 430440 ('01e SJYt>)

_, ~Acf,llc~t>le Menu acturer'1 Oeta Aecoru to De anached rfr,, /+e'I( Nu+ CERTIFICATE OF COMPLIANCE We cen1tv that the statements maae ,n tne reoon ant correct and this M~ confonns 10 the rulN of me ASME Code, Section XI. repair or raptecament Type Code Symbol Stamo _ _ _N_/_A__________________________________ Cenific*t* of Authorizat,on No. __N_/_A_____________ Exoiretion D*t* ____H_/_A___________ SignadQ{(~ A_ ~ %S'£ Owner or ~ . . ; ; . ; . . , TIiie CERTIFICATE OF INSERVICE INSPECTION I, the undersi9ned, holding* vat,d comm,11,on ,aued by the National Board of Boiler and Pressure 11. . .1 lnsotctor1 end the Staie or Province of 1/irginia ,nct emc,toyed by HSB:I .!i I Co. of Hartford, CT in this Owner's Repo~ durinQ .th* period 11 ',*', ,-_.' * / a* (4 ~ 9 ..3 lO to the belt of mv knowteci99 ana belief, th* Owner ha i,erformed axam1netion1 ena taken COfT9Cttw me~re1de1crtbecU1111111 Owner's R~on 1n eccorctanc:e with the 19qu1rement1 of the ASME Code, Section XI. By 1i9ni119 this cenific11t1 neither th* tnsoecmr nor hit emotoyer mak* any w11rran1V, *~or.implied,, c:anat'Nlll die uam1_nat:il:'?'. *-~ c:arrec:t\119 mHsur* dt11enbect in this o-r*, Repc,rt. Funhermore: neittter th* lnsoec:t0r nor hi1 * * *,.,., lhllll be liable in 1nv manner for anv personal injury or proper,y dam11119 or a Ion of 1ny kind wiainv from or connacud wtdl 11111 i-n-1PK1-~"'"i"'"o"'"~""* . _______ ._f__,___~---*----------CommiUion1_,~V;;A;;;;;'ii5:;;4;3;;--;;:;;;-;;:;;:;;;-;;;;;;;~;;;;;;;;;;;;;iiii;-- lnlOector'1 Signature Netlonae Boara, Stete, Province, ano Endo.-* Oate _ _ _ _ _ ':f._-_l_l__ l9 'i-( Attachment II '; Page 86 of 93 Serial No.: 94-194 Docket No.: 50-280 r*

• 1. 0,<,ner FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS

'Jirginia Electric and Power Co. As Requ1r1d bv the Provisions ot the ASME Code Section XI aa,, _ _4.;.j.J..:;;z..:...,~1-IP.:....f¥1-.,.....-_-,--_ 'Ume _S_O_O_O_D_o_m_i_n_i_o_n_B_l_v...,.d_*...;,_G_l_e_n_A_l_l_e_n-'-,_V_A. _ _2_3_060 Sheet _ _:._/_ _ ;,t __ z.___________ Aaare11

2. Plant Surry Power Station Unit_..,_(_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Neme P.O. Box 315, Surry, VA. 23883 /,J,(}. ~ OOZfe~ ?(p"}-OI p.::#:- ?r,t-o "S"o Addreu .. .R*P*lr Orgenariltton P.O. No .. Job No,, 110. J. Work Performed bY Virginia Power Type Cod, Symbol Stamo __N...;/;_A....;;,.._ _ _ _ _ _ __ .Nama Authorization No. _ _ _ _ _..i;Ha,{t...J\D...._ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Excirimon 0111 __..ij.,./'-'Ac....._ _ _ _ _ _ _ _ _ _ __ Addren

4. Identification of System -~t1...,/.(.;.:.if.4;:.:;.:..:;I.N,=O":.....________________________________

5. (1) Appt1c1Dl1 Construct,on Code. B3 l. l '.9~::dition,_._N__;_/_A_ _ _ _ Addlnda, N-1, ll-1

!bl Acclic11:11, Edition of Sect10/x1 Utolina for Aec1or1 or A1101acam,nt1 19.=8c..:.._.j,___

6. ldenttflcatton of Comoon,nu Aeoeored or Aeolacl!d and Aeolacament Comoonenu

• I .,

*, ,,..; ASME .... "~ *- Code National Repei'9d, StafflCMCI Name of N1mt1 of Manufacturer I Bo.1rd Otllar Y11r Reoleced, IVn ComQonen1 Manufacturer I Serial No. I No. Identification Built or R1011eemem or Not I I VA C.1/E' 2 II * ,NA e I IJ;... ' I . I. l 1.II" I -Cl-I - z..sr- I NA 'P- I ~=n ,,...0 E(l:n., I I I  ! I I I fJ,PG z II lJ I ,I) 1. ,I, } VA-LV6 z IJ Et>W/412.'l:> V,,u.ve.s IN(!. ,8'.%/ 74F"31 (pT4-I \553, {(r.;p~ ((;µt::t.JT I i elbow fie.tS~IIICoR µ /v'~ ,v ,fl . /990 i '" 0 ,,

7. Dascriorion of Work _ -rp...(A::a.<1-F

__.l\!..,= .. .....__2__...C,""'l-\. . : e.c. -=--Kc..:.-\/.*..A..,.L..,\(...,g:'------------------------

8. Tuu Conducted: Hvdro1t1tic Pneumattc 0 Nominal Operating Preuure ~

Other O Pre11ur1 N(J} psi Ten T1mo. /tlf) r °F NOTE: Sui:,plemanul shHts 1n form of lins, 1kerch111. or dniwings may be used, provided l1 I 1it1 is 8~ in. x 11 In .. 121 lnfomw. tion in i11m1 1 throuc,, 6 on tr1i1 reoon is included on_ Heh_ shNI, and 131 each shift is nu~l:llred and the number of IIINtl ii recorded at the tog of this form . (12/821 This Form IE000301 mav 1:11 obra1n1d from tlll Order Oe1>t., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 '. I FORM NIS-2 (Backl 3.. Rem~rks -~-*c;_..,s.,,S..,E"...__,8=:..'4:...,C..,t<=-_,Q * :1.F:~..:.P_.t\..:.e:,.~e:..__:zt._2...:;:,.,:__________. . . . . , . . . - , - - - - - - - - - - - - - - - - - - .o.cpllcat:11e l\ilanutacturar'1 Data Report~ t~ oe anacflacl CERTIFICATE OF COMPLIANCE 1 We cen,tv that tile statements mace ,n tne reoon are corr&c:t and thi1 4f,*e?rAd1"trlLcon~orm1 to thl rul" of the ASME Code, Section XI. '~*' or reoiacement TvP* Code Svml>OI Stamo*_ _ _N_/_A__________________________________ H/A H/A Cenific111 of Auth~_riztmon No. - - - - - - - - - - - - - - - - E x p i r a t i o n D a t e - - - - - - - - - - - - - - - - Signed /1 "r_r;. ,/ ~ , or O~HllnH, Title etk: -z:J'f . CERTIFICATE OF INSERVICE INSPECTION 01t*--4>---~_..e£....,*___...,_,......__ _ , 19 I, th1 undersigned, holding 11111,d comm1111on ,aued by th1 Netional Board of Boillr ind Preuure V11111 lnmac:ton 111d the State or Province of Virginia and emo1ovea by HSBI ' I Co.  ?¢ of _H_a_r_t_f_o_r_d___._C_T _____________________,,..,..,,....--..,..have ,nsoectJIO the* components dllCnbld in thil Owner*, Repon during th* period '/1)./L/-'!1 * ,o It:>~ 14-'i' EL *~ and' - - to th~ *ban 'of in'v k~ow11d99 ,~a belie~~ th* Ow~ar ha ~ormld 1xam1n111on1 and taken c:onec:uve meuur11 d11CfibeO In 11111 Owner's A9"ort 1n ICCOnllnCI with the n1Qu1remenn of the ASME Code, Sec:11on XI. By 1i9ni119 this c:enific1te neither the IMCMCtOr nor hi1 1mploya, m,11:11 any w1rrancv, eXl)r9llld or implied, co.,.... die u1m1na11on1 and c:orrectiw m11aur* descnbad in thi1 Owner'* A1c,or1.* Funhermore, neidtlr me lnlPICIOr nor hi1 IIIIPID,er shall bl liable in 1nv manner for 1nv p1rson11 iniurv or propeny dim~ or I Ion of any kind *i1inil 'tram or connected wtlll 11111 i_n_ss,eet_*_. *-=*'-1,*1-*... u_.__*...* ..,,f,_.__._Q_~5i',_..,_9e:=----Commiuion1_N*;;v;;;A;;;;"ii5i;4;;3:;:-;*-~;:'ii;;;;;:-;;;;;1~;;;;;;;-- G 4 - & . : , i , . 1n111ec:tor'1 Signature Natlonll Boana, Stau. Province. and Endo,_.... oa,._ _ _ _ _t)_-_&___b__19 cry i*t '. *.r:°'.'* Attachment I-I Page 87 of 93 Serial No.: 94-194 Docket No.: 50-280

• 1. O,.ner 'Ji rginia FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requ1r1d by the Provisions of the ASME Code Section XI Electric
• and Power Co. CJate 4(1;{!,/rf

~*m* 5000 Dominion Blvd., Glen Allen, VA 23060 2.. z_ Sheet cf AaarH1

2. Plant Surry Power Station Unit I Name P.O. Box 315, Surry, VA 23883 w.o. ~ ooZ&'f3~3-o/ 72-12-=# .,,-D5o Aaar ... RaPalr Organ1ut1on P.O. No., Joll No .. no.

J. Work Performld t,y Virginia Power Typ1 Cod, Symbol Stamp __N_/_A________ Name* Authorizauon No. NIA P.O. Box 315, Surry, VA 23883 Expir1t1on 0111 ...............~ - - - - - - - - - - - - Aaareu

4. ld1ntific1t1on of Sv111m -c:-___t__H_'3,,__ll._~_t...tv---"v::;...._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (11 Appl1c1ol1Con11rucuonCod1 B31.l '.9~Edition._N~/_A_ _ _ _ Addlnd1,1'l-l, ll-1 (bl Applic1bl1 Edition of Section XI UtiliHd for Repair, or Aeol*~,m~ntl 198 1

6. ldent1flc11t1on of Comoon1n11 Aep1irea or Aeolacecl 1na Aeolecement Comoonentl i ASME

*-* ". Code National AIDail'N, SlalllON Name of Nameof Menufec:rurtr I Boera Othtr YHr AIDlaced, (VII I Comi,on1nt Manuf ICtU rer .1 Strial No. No. ld1n11fic1tion Built or R1olacemetn or Not *1 I 2 ,, p, pr;; nt.1$c /.{ /Cotiw. I N/4-I .. NA. I- eH - ZS<o l'l1?9 /?.r:/JIA <!'EM'&ij - tt/0 I I I I I I I I I I I .J '

7. 01scricnion of Work ___

'7)--"A/,.,.~ : ti fC._,..,._,f-t.'"'"""-~""!a'"'""'=-..C:..----'C"'""'(i: '/ ...,::,_..,:.._(<_.._,h_.4_,t....11...~ - - - - - - - - - - - - - - - - - - - - - - - - - -

8. Tutc Conducrad: Hydro111ric '-'ntuma11c 0  !'llomintl. Ooartt1n1J Pre11urt ~

Orhtr O Pressura , {1/d, l> psi Ten :r,mo. ,f/tJ r *F NOTE: Suoplem1ntal lhllfl1 ,n form of li1t1, 1ktnchn. or drawings mev bl used, provided 11 I sin i1 'B% in. x 11 In .* 121 *1ntanna 0 lion in it1m1 1 throulJf'I 6 on 1nis reoon is includtd on Heh 1h1c11, and 131 Hell shift ii nu;,,blrtd and thl number of lhNIS It recordld It thl top of this form .

• (12/821 Thi1 Form IE000301 mav bl obr11n1c:1 from the Order Deot., ASME, 345 E. *7th St., N1w York, N.Y. 10017 REPRINT 12/91

FORM NIS-2 (Backl

l .. R1emar1<1 __,,t?::..;S:..,t'1--:.3::...:z~Z=-..,,Z'-.7'-'3'"'----"'S:...>.0..=11f'ic.:.(.:::;b.:,o~=,.)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

(} Aopllcal>la Manufacturar'1 Cata Raporta to ba anacnad S V Z5 t3'/7-/ (p1Pe) CERTIFICATE OF COMPLIANCE We cen1tv that the statements maae ,n tne rt!Don ani correct and this ~ ~ c o n f o r m s to tn, rulN of the ASME Coda, Section XI. repair or raplacamant Type Coda Symbol Stamo _ _ _N_/_A__________________________________ Cenific111 of Authorization No. __N_/_A____________ Exoiration Date ____N_I_A ___________ Signed (1-e:rA-OwnarMO~HlllnN, Title ,RAk:: rs:r 01t*---~.....,. CERTIFICATE OF INSERVICE INSPECTION I, tha undarsuaned, holdin9 1 valid comm1111on ,au.a by tn1 N1tion11 Board of Boilar and Presa,ra I/anal lnsoacto" ar;td the State ...W?ts=-...; _ _~..,_ _ _ , 19 or Province of Virginia and emo1ovea by HSB:I ' I Co. of Hartford, CT have 1n~ed, th* comc,onenu dl!acribad in tni1 0'11'!1ner'1 Rapon durin9 tha PtriOd_....:..._ _ _ __,_/...1()~-.._(.;;;lJ'---lf.,.j.._,o {t)-fU -~ , and IU19 mat to tne belt of my llnowled911 1nd belief, the Owner "* performed ex1m1netion1 ind taken cornctrw menura, d11cribea In 11111 Owner*, Rapon 1n ICCOrdMCe wir" tha rwqu1remenu of the ASME Code, Section XI. By 1i9nir19 this cenific1re neither th* lnsoecior nor his employer m1k* 1nv -rraniv ** ..,,...... or implied, carlCllfflinf die axam1nat1on1 Ind carrec:tiW ma1a,r* dascnbed in thi1 Owner'* Res,on. Funhermore. neither tt,e lnlQl!CtOr nor hi1 empkl\,er shall be liable in 1ny manner for any panonll iniurv or oroo*riv d1m1911 or I Ion of any kind arising from or connected wldl 11111 ina,ect~* f. ~ --~..;;..-""""-----'-..._--~~--==:a...-.=.---Commiuion1_1 :i:;V:j;A;-::;-;:5::4::3~C:::;:-';;;;::=-:::;"ii:=;:;;;:;:;;=;;-- in;.cm,-, Signature Netlonal Baena. Stete. ~r-ince, ana Endo,..,..... Attachment II Page 88 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS

0.1 Reau1r1a bv the Prov111an1 ot the ASME Code Section XI Owner *; i rginia Electric and Power Ca.

...,.,,. '.Jat, _ _ __,_V,f-~~~r-&3.....LY:..___ _ _ _ _ _ _ __ I I 5000 Dominion 3lvd., Glen Allen. "/J\ 23060 Sheet _ _~ - - ~1_ _.__ _ _ _ _ _ _ _ _ _ __ .. aare11

2. Plant Surry Power Station Unit--------------------

a..J1me P.O. Box 315. Surry, '/J\ 23883 Aeo11r Or;en11et1an P.O. Illa .* JaD No., ltL J. Work Perlormec2 bv Virginia Power Tvp1 Codi Svmt>o1 Stamo __N__;_/_A.;;.__ _ _ _ _ _ __ "eme ~utl\or1ut1on No. ------N~/.1.A:i...________ P.O. Box 315, Surry, TA 23883  !:xoir111on 0111 ......._..._.""-------------- ~ddr***

4. ld1nt1fic1t1on of S'i'Ulm _...;;S;;..4,;;.;.;..~...,ff'{:..,..

_ _.,_t.:..;N,::.L)lr::....,,C_ri...:.,.. A..11.~---------------------------- 5_ lal Aoo11c1011 Connruct,on Coo, 831. l *9§2___ :;d1tion. __N...;./_A_____ Addanda. H-1. ll-1 lbl Aoo11ceo1e Edition cl Sect,on .o(I Ut,lir~ci tor R@o1or1 or Reo1ac:11menn ' I ,, 19=8'--'j.....__

6. lden11fic111on of Comoonenu Reoaireo or Replaced ana R101acement co'moonenn I

I I ,,I 1-I AIMI Codi N1tion11 RaoairN, S...... 1 Reolacecl, IV* Name of I Name al Manufacturer Board Ottltr Y11t Comoonant I M1nufacturer Serial No. No. ld1n11fic1t1on Built or Reola:9ffllftt or Not z ,. I 1-51-\41 n .., ,, r ipcr c.. \991 p lf)~ l II 1992 I

7. D1scrict1on of Work __j<..._...e._,.p..u.c/ A.....,s,-"!ie..._.......;.\i.:/A;:.:L.::.,;V~E.,_*--------.;._------------------

8. Tun Conauctld: Hvdr0ttot1c / ~n11Um111c O.  !'ljom,n11 Oc1re11n9 Pr*11~r* ~

Other I  ;,,mure /. ~flD§ffl/PII Ten T1ma. ,,,,,,.,ef,4'~

• F

- Na~ #0.,..- NOTE: Suo01em1nt1I 11\N11 ,n form of tin,. 1katclln. or draw1n91 mtY be ulld, provided 11 I sin ia 8~ in. x 11 In., 121 lnfonlw. tion in iteml 1 lllrOUCJl'I 6 on tr,11 regon 11 1nclud1d On HCfl 11\Nt, and (3J lactl 11\Nt it numbered Ind 1111 numblr Of lhNa ii recorded It 1111100 of mia form .

• 112/821 This Form IE000301 may be obt11nea from 1r,1 Order 0101., ASME, 345 E. ,7th St., New Yori&, N.Y. 10017

tEPRINT 12/91

FORM NIS-2 (Backl *_R'l!mar1t1 _ __,S.,_'-.l=-T..,,___.3...__.5t./L.J..w0.<.7...!...._-~(G.._,,,10~b~e,,___\4i,:.:A-:i:.1,,b~Yws~:--"Z-'....,),,________________________ ~DDllcaDle Manutacturer'1 Data Flaoona to D* anacnea S V 4o<e 4-3 5-i 3 (Pt1'E Z ), G.)~ CERTIFICATE OF COMPLIANCE Wt cen1tv tllat tile n11tement1 maa1 ,n tne ~oon al"I correct and tfti1 k,j?44!tl~AIT;onfonn110 tn1 ruin of Ille ASME Codi, Section XI. ,.;;.;;;r *eo*- 1 Tvo* Code Svmoo1 S1amo _ _ _~_/_A___________________________________ N/A CERTIFICATE OF INSEAVICE INSPECTION I, tilt uncar119nao. lloldino a 11a11d comm1111on ,auad by 1111 NatiOntl Board *of Boilar end Pr1ttail"I llllal lnmtcton and tlle , .... orProv,nceot Virginia end1mo1ovectbv BSBI ' I Co. . 19 9~ of Hartford. CT in tft11 Owner*, AIDOr1 aurino '"'* oerlCICI

• tO-tY-13io have

/0,14~ '"m , , comoonenu _If.I .'*

• 10 tile *111,1 of mv knowtec119 eno belief, the o-, fta ge,tom,ea Hamme11on1 aftd 1111en carqc11w me..,,., ***J-....,.

owner*, Aegon'" ICl:Gf'd8IICII WIIII ,,,. '9QUtnmeml of'"' ASMI Codi, Sen* XI. By 1i9n1ng tflil cenlflcaN n111har tfl* IM08Cl'Of' nor hil emo1aver 1111111.; ~Y warnney, ........... or mCllild, oat~II . . 1xanuna11ona and carrecuw _...,,. dftCf1bed ,n 11'111 a-,*, Reoon.* FunMffl!Ora. neidler lfte lnlOIC!Df nor lli1 * : * . * .. shall be liable 1n any manner tor anv 01nan11 inturv or oroo*nv dlfflell or* loq of any II ind *111"1 tram or coM8C1811,.. dlll Oa11 _ _ _ _ _ Lf__-_d._b_19_'f'_.4_ -~~ ....... -- Attachment 11 Page 89 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions at the ASME Codi Section XI 1 Owner Virginia Electric and Power Co *

....... Date _ _ _ 4~f,-;r...=:,f-l..:..'1~4i..-.-------- 5000 Dominion Blvd-, Aacireu* Glen Allen, VA 23060 Shu, ___/:...--Qf ___....__ _ _ _ _ _ _ _ __

2. Plant Surry Power Station Unit------------------

llleme P_o. Boz 315, Surry, VA 23883 W.O.~ oo2~ l(o 1'1-o l f!"R. +P 'i<I-OS<o ACIClf- Reoair Orgen1u11on P.O. 1110., .100.No,, 111. J. Wane Pirformld t,y Virginia Power Type Codi Symbol StMlo __N_/_A _ _ _ _ _ _ __ Ille me Autl'IOnlltion No. -----N1M.f.11l~------ P.O. Boz 315. Surry, VA 23883 Exoira11on 01te.....llN1.,1l:..1A1....------~----

4. ld1n,1fic111on of Sy111m,, . :Res l Du.AL Hec..1: ~-¢((/IA<-

5. (al Aco11c1011Con1truct1onCode 831.l :9~~di1ion,_N..;/~A_ _ _ _ Admndl..N-l. ll-7

!bl Aoo1ic11111 Edition of Sec11on.J(I u1,1i111a tor Re~,,;, ~r A101aci1menu 19::9_.*fL--_ ' : ~: *1 1 i*

6. ld1nt1flc111on of Comoonenu Aeo1ir1a or AeollC90 *,na R1~im1nt Comoon1nu

• Name of.

Component*

• Nlffllof*****

M1nuf1eturer Mlftuf1C1Urer'. Serial No.*- N1tiOnal Board

• No.

***-'.-- Odlff.. ,,. **

• ldlfttiflcauon R ~ p , s...... ,

Vw - . AIDlaN;f .. IVn Buill or RaollCIIIIIIII ,, or Not AIME*. Cede,, I "i ( II NA I "l. .'.LI . . , Nvt I i. . . l i ,, '8 I (1,,.,1. .* "I:> I Av" , .. .' , *; * :'; :_: _ I i,t,-:.,_.*.,, - **' "

7. 011eriot1on ol Worll_*-~~.~""i.:i4w,C,_1.-.~ -*...*~1.);..*.'9--N..:i2~*......(..iY:..:1.1:;.Q'-'....* - - - - - - - - - - - - - - - - - - _ ; . - -

8. T1111 Conducted: Hvdrost1tic Pnsu:nQI&.: 0* NClfflinel OD1ratt"9 p;q.,. Q'~:., ........ *=" ~ *.. , ..... ~~ **

Otller*O P,HIUfl' . .* psi  ! T111 Temo... -. .. "F NOTE: SuoOllffllfflal. ll'INtl rn form of li111. 11111et111. or drewin91 mav tia uMd. orOVidld C1 I 1iH ii 8)1, In.

• 11 In., '21 lftfonN.,,,_

tion in i111111 1 tllrciutn I on 11111 rtoon ii incl~ on 11ctullNt,-1nd 131 1adl 111111-il 111.1i'.nt11recund 1111 numoer.oflllela*II* recardea It tfll toO Of tflil form .

• 112/B21 Tllli Form 1E000301 mav DI obtarnea-from tr11 Order 010t., ASME:345 E. '7tfl St ** New Yori!, N.V~*tQ017 REPRiNfr:' i2/91 '. .

FORM NIS-2 (8.ackl ?. Rem.er~, -C~s,1-y_......::3-=5;;....0;;;;....L..:9CJ::a...t/:,1---=.3--1,{.,.....s;;_Tt..,~'j):;....._.:..l-=i-');____ _ _ _ _ _ _ _ _ _ __ Aao1~01a Manutacturer*1 O:* Aaooru to oa anacllao Csy 3412' i - I L#er Nut I~ '2 CERTIFICATE OF COMPLl,ANCE 'Ne ce",tv tllat ,ne n1nemenn m1ae ,n tne reoan are correct ena tn11 4>~4~~;cntorm1 10 tne NIN of me** ASME Cede. Sact1on XI. repa1 or rao1eceman, TvP* Cod* SvmbOI S1ama ____ ~_I_A___________________________________ C.n1ficaca of Authorization No. __N_/_A____________ Exaira,1on Oete ____H_I_A ___________ Sign /7_ c/ // e*U ~.;;;.....c:r~,.. DHltnN. TIiie Pf' , 11 9'f'.' CEIITIFICATE OF INSERVICE INSPECTION 1, 1na unaara19ned, holding, vehd comm1111on ,au.ca t,v the NatiOnat Boara ot Boller ana Prna,ni va-Mn1DKto111r1cUlle,ltatei,- orProv111C90f Virginia *na1mo10¥edbv BSBJ:' I: Co. of._ ea rtf o rd. C'l' in uu, Owner:1:Aeoon~aurinQ**111e-*01r1CM1* **

• __.__ ., --* */Q-/';(*:rf &a 10 1ne bait of my knowtec199

.*IICI' *

• belief,*,

ttie . Ownar:11* oertormld - -*~ *. - - **-*na1ion1-ana * - -~<>*** have' -,n~eo __ tha _cDfflPOMMS,.._tlll*/; -~~//j . . /t:,. . . lb 11kan contC11W meaa,ra1 ~ill'lhlt~i'.. and*~-~~!: .... .l'r. l .' ownen Raoon.,n accan1811Cewi1n tne r11C1UlftlNft11of the AIME CGC1e,.1ect6Dft,XI~ i -.:. r'

• 1 * .1*1 I .

BY 119n1119-mi1 cefflflca~._ne.11tier ,the.lntOtCtOr nor-,flil amp1oy11*ma1&* any *wunntV', *----or-im01i1Cti'-.-***t11e1,* UaffllNIIOIII .-nd COfflCl"'9- fflHIUra dllCflbad in thll Owner'I ~-oon. Furmennc,,.. ne1thtr*tt11 lnlOKIOr nor ~** . a!l******"" \ ' shall bl 11abla-in 1ny mann:ar !q~ any, oerwna1 inaurv .or Dl'OD*nv ctarnege,or

• toa _of. any.llind'8'11i"I from or connaclld---'llllt,~i:

~ i-n.-:ts0~0?4==*. *--"____

• _f~_CJ ~__ 11_..:..*--_ - .... -....--.-'-.-._***---,:;;;;.l;.

....,.....,_,_ VA"~-543****"*' si;,  ;;;;;;;;;;;;.;:-;;;;ir.;.ii:i,..._, ... '_,*~- In..-r* s1ona1ur* Natto11a1 aoara; State. Province. ana lndor~~-"~* '*_ ~ '. . -*.-*- .*. ..._....~**?:_*:* *~ 011e* _ _ _ _ Jj__--_i___b___1s Lf *-1_; ** "'. ;t; Attachment II Page 90 of 93 Serial No.: 94*194 Docket No.: SD-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.

*,lame Date _ _s.....,J._~'+-0--'-,_sf _ _ _ _ _ __ _S_D_O~O_D_o_m_i~n_i_o_n_B_l_v_d_.;..*_G_l_e_n __A_l_l_e_n.....;..,_V_A___2_3.;,_060 She1t _ _._/_ _ of_...:/ _ _ _ _ _ _ _ _ __ AddrHI Surry Power Station

2. Plant Nama Uni'-------------------

P.O. Box 315, Surry, VA 23883 fr/,O. # ooZC:.JoSo- OS-Addr- A-.,alr Org1nl11tlon P.O. No., Job No., ate.

3. work Perlormld bv Virginia Power Tvp1 Code Svmbol Stamp __N_/;..A...;.._ _ _ _ _ _ __

Nam* Authorization No. -------Ha..f'-"J\ _______ P.O. Box 315, Surry, VA 23883 Expir1uon Date ...... H ...t. .A~------------ Addren

4. ld11ntific1t1on of Svnem _.. . .;:e.=oc:.N. : . o.v.'4...t.._.N.x.;.M~e-.

..&:"'"'-r__s.....,,.1:)12"'""'"'"'~r/f-------------------------

5. (11 Appllcalll1ConmucuonCodi *B-Jl.l 19~Edition, __H.. . ;. /_A____ Addlnda,H-l, ll-7. Codec...

(bl Applicable Edition of Section )(I Utilized for ~e~a1r1 o!r Aeo;~~m~n~~ 19..=a....

• I *. i': , I \,!; ' '

'f___ )!. ASME .,* ... Codi *, National Replirad, StamPN Nam, of Neme of M1nufec~rar Board Other YHr Replaced, IYII Compon1~1 M1nuf1e1ur1r * , S1ri1I No. No. Identification Built or Replacemeffl or Not ~ At.VE" ~ IJ

• Vt:?lAIV Iv.A. I NA t-t!5-AIOV-f02A
• f..JA ""Ke~/4a.'/I, Al"

~CcJCir * . ; ~(.lie' (a t II 'iJ~li..,J P2-'1MilR-ltOI *

• IJA J 1992. ~-f'4~eM~ '1, I I I t[:

I i

7. Oescricnion of Work 7?sp'4efi ,l/;4t.YE B. Tesu Conducted: Hydrostatic *~neumatic O Nomin11 Oo1r1ting PreS1ure 0 Other O Pressur1l,l 1C Des.lE,N p1i Ten Temi,.,v,tBl~fJT *F 0

NOTE: Supplemental 1heet1 1n for;,, of liltl, aketchet, or drawings mey be und, provided (1 I 1iZ1 i1 8~ in. x 11 I~'.. :(2) l~forme* tion in items 1 throuQtl 6 on this repon 'i1 included on each sheet, and 131 each 1h1et is numbered and the number of shlftl is recorded It the top of thi1 form. * (12/821 Thi1 Form tEOOOJOI mev be obt1inec:1 from the Order Oeot., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT*' 12/91 ...L FORM NIS-2 (Backl

9. Rem1mc1 C"' r- 303 713 (v~ LY~) .. .

*. AppllcaDI* Manuf11ctu~er*1* Oata*A,*porta to ~* anachea CERTIFICATE OF COMPLIANCE We cenitv that the statements mace in the repo" ara correct end this 'il~fflc.Etf,( w<Mf ;ontorms to the rules of the ASME Code, Section XI. rai,a1r or raplacement N/A Type Code Symbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - N/A N/A ----------------Expir1t1on Oat*---------------- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding I valid comm,u,on ,uu~-::iv*the National Board of Boiler ind Pressure lles11111 lnsoecton and the State or Province of Virginia and 1mp1ov1c1 by HSBI & I Co* of Hartford* CT have ,nSPectea the components described in this Owner*, Repon during the period /0, t!;f-13 t_o ID -I"/ -'(L and stata thet to the belt of mv knowledg9 ind belief, the Owner has perlormed 11xammet1on11nC1 taken corract1w measurH dHcribed In thl1 Owner'* Rac,on in accordance with the r1Qu1ramen11 of the ASME Code, Section XI. By 1i9n1no thi1 cenificate neither the Inspector nor his employer mak* anv warran,v, 11xprnaa or implied, conc:eming the examinations and correctivw meesur111 described in this Owner's Reoort. Furthermore, neither the Inspector nor hi1 employer shell be liable in anv manner for anv personal injury or propany damaoe or a 1011 of 1nv kind arising from or connectld with ttlll inapec:t1on.n~ - /,) (\ ~ --i-P,.,._.__~-=-------Commiuions_~-V-A_ _S_4_3___~ - - - - - - - - - - - ..s,<;~;;;...;...._ 1napector1 kna1ur* National Boera, State, Prav1nc1, ana EndortMfteflff Date ------------~ 5'-f {J 19 f¥ l Attachment 11 Page 91 of 93 Serial No.: 94-194 Docket No.: 50-280

• FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS A1 Required bv the Provisions of the ASME Code Section XI

1. 0.Vner Virginia Electric and Power Co.

~1m1 Date st,/'ly I , 5000 Dominion Blvd., Glen Allen. VA 23060 Sheet of Addrlll

2. Plant Surry Power Station Unit I N1m1 P.O. Box 315. Surry. VA 23883 W.O. # 002"13oSO-o9 1<.]Z.:JI= r1-/f,(o Ad0,111 A111alr Or;anlutlon P.O. No., Job No., ato.

J. Work Performed bv Virginia Power Tvp1 Codi Svmbol Stamp __N.;..;/~A~------- Name Authorization No. -----Hli!/U.f..cAa,__ _ _ _ __ P.O. Box 315. Surry, VA 23883 Expirauon Date ......,H.,.l.,,:A~----------- Addrlll

4. ldentific1tion of Svnem _ _..{'_o_N ......te._.N...._7___

___r,_l-l_tlV-=-Jll,f ~, ..S"-t.c:vz.4----:'f'"'I_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. (11 Applicable Connruc.uon Codi B3 l. l 1 9 ~ Edition,_N_.;._/_A_ _ _ _ Addlnda, H-1, U-7 Codie...

(bl Apptic1bl1 Edition of Section XI uiilizea i~r A.~d~,~I. o~ ~eol~1~11nu .19.::;8_.'f~- \ r: * ,; ,. : 1 .' t' *,**.* r;J:,

6. ldanuflcatiDn of Comoonenu Aeo11r1a or Aeol1cea 1na Aepl1e9ment Componenu ASME Codi Repaired, Stamiitd Namaof Nameof.* Manufacturer l National Board Other Vear Aeplacact, ......

Component Manuftcturer S1rial No., No. Identification Built or Repla:ement or Nol I 1 V,., VE ~ "' Vlt.'9,J p,,.,G,.~. }IA I t.14 1-~-MoV-,cia ..:, . ~ .;,./.~":-.:.,. -;.-c.~b UC> VALVP li, ti I r/,:;c.A~ P2- 7l.S.18- lc.01  ! /-Cc; -Mol,I-IOZf 1.99'2. 1~14\CEMa *- .t, I I I I  :

7. Description of Work J2;.:p/~c,e V.-w~ **

8. Tests Conduc:rld: Hydro1t1tic ~eum1uc O Nominal Ooar@ring Preuure 0 Other O Pres1ur~ 1,/ lt' Pa {<ct/Psi Test Temo. 't\!:1,llliiiHT 'F NOTE: Supplementcl aheeu ,n* form of i'im. 1ketc'h*es. or drawin91 mav bl uaed, provided (11 siu is 8~ in. x 11 1~:. 12) lnforma*

tion in items I throut;n 6 on tllll reoon is included on etcfl 1haet, and C3) each sheer is nu~bertd and thl number of 1hNt1 ii rec:Otded It th* toe, of this form .

• 112/821 Thi1 Form iEOOOJOI mav bl obtained from tile Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017

,.:::.:. .. *"':\.-*~~::*.., REPRINT- 12/91 . FORM NIS-2 (Backl \,.'* 1,

9. Rem11ro:1 ......,,C...N=..t.r_*-.. .l~Oz;..;;'3c.,.7~0""+? s~,. .

........ v..e. .)'--___.,. . .______....,...._-,-____.,. . .______________ .Aopllcabla Manufacturar:.,. ca.ta -~~p.oi't1 to oa**.anachecs

• CERTIFICATE OF COMPLIANCE if We cen1tv that the statements mace in the repon are correct and this 'i2,q4J,!!:<6?Y conforms to the ruin of the ASME Code, Siction XI.
• ra.,alr or raplacamant N/A Type Code Svmbol S t a m P - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

N/A N/A Cenifica11 of Aoithorization No. - - - - - - - - - - - - - - - - E x p i r a t i o n D a t a - - - - - - - - - - - - - - - - , 19 ' " CERTIFICATE OF INSERVICE INSPECTION I, the undenigned, holding, valid comm1111on 1uuad by the N1tional Boera of Boiler end Pres111ra 1/11111 lnsoecton end the State or Provinc:t of Virginia ind employed bv HSBI & I Co* of Hartford, CT , h111e inSOICt~ the compon1nt1 dflerl~ in this Ownar'1 AeQOn during the period l()_~ti.1- Cf.3_ ~o IO-:-< Y-9~ and,lt. . tflat !O thl Dllt Of my knowledge Ind belief, the Owner hlS DlrfOrmed exam1natlons end takan COrrlCtlYW m111Urll dlllCfibld In thll j * * *. *owner'1 Repon in accordance w11h tha requ1ramen11 of the ASME Code, Sac:tlon XI. By 1iQnino thi1 e1nificat1 neither the Inspector nor l\i1 employer mak* anv wamnr,, expreslld or implied, conCllffliftt the exam1nation1 and correctivw meeaur11 described in thi1 Ownar't Report. Funhermora, neither the lnspactor nor hi1 amptoyer shall bl liable in any mennar for any personal injury or propany dam-.ie or a 1011 of any kind arising from or connlCtld with thl1 Commiuion, -N<;;V;A;;;:;:-;5;;:4:;3;;"."itta:;;"';;;:;;;;;;;:-;;;~;;;;;;;;;;;;;;;;-- . Natlonat.-Boara.- Stata, Provine*. 1na Endor..-nenu Oate_ _ _ _ _ _ _ S_-__._/_{)__19 ?f Attachment II Page 92 of 93 Serial No.: 94*194 Docket No.: 50*280

• 1. Owner '/ i FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requ1nd bv the Provisions of the ASME Code Section XI rginia Electric and Power Co. Date _ _ S~/~3:;.£/.....:'i...!.f_-,--_;_______

~*m* 5000 Dominion Blvd., Glen Allen, VA 23060 Shea, _ __,/~- cf_.,__ _ _ _ _ _ _ _ _ __ -----------A-d_d:...re-..- - - - - - ~ - - - -

2. Plant Surry Power Station Unit-..:....-----------------

Nem~ P.O. Box 315, Surry, VA 23883 bJ, 0, .tt D02 7'fS 't g-01 J2'..'i2 =ii::. ?o/-6'::l Addreu Repair Organiutton P.O. No., Joa No., etc. J. Work Performed bv Virginia Power Typa Code Symbol Stemo __N..;/:...A....;.._ _ _ _ _ _ __ Neme Authorization No. _ _ _ _ _..i;Na..tt..A1:1..._ _ _ _ _ __ P.O. Box 315, Surry, VA 23883 Expiration D1t1 ..........Hul;...aA._____________ Addren

4. ld1ntific1t1on of svn1m __ga;.;;;::e:;.A.;.;C::.:TP'-""'""i?..;;:_-=C...:;Dl!);.:;,;:L;.A..;;.U~T:......._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

5. l1l Apphcao11Conmuct,onCcde B31.l :9~Edition,_N_/:..._A_ _ _ _ Addenda,N-l, ll-1 (bl Applicable Edition of Section XI Ut.ilind tor Aep1,~~ or Aeot1e1m1nu 198 1

6. ld11nt1flc1mon of Comoonenu Aeo11r1d or Aeolaced ana Aeolecement Comoonenu Name of Component N.,,,. of Manufacturar I I

Menufac1Urer I S1riel No. I l National Boerd No, Ottlar ld1ntific1tion YHr Built RapeirN, RIPIKN, or Raola:ement or Not AIME Code SlamCNCI IYN /'1 AN 1u4 4i (011er- "Bo1-r- Vr:,. IJA. .I t,J~ /-li!.C -E- 2. tJ,. KeP 14 ,i.lY tvt:> ~O.tJWA'f Cover f1;btr WesnN1'1011sia 1 tJ 4- l t i 198'5 I 12,:.n /-4. CEf-\ el\lT i I

7. D1scrio1ion of Work Js§+?l:4,<!.e HANYl1AV B. T11n1 Conducted: Hydrostatic Pneumatic O Nominal 0Ptrltin; Pr1111ure 0 Ott11rQ Pre11ure _ _ _ _ _ p1i Ten T1mo. °F NOTE: SupOlamantal stlntt ,n form of listl, 1k111chn, or drawinga mav be used, prov'ided 111 size is 8~ in. x 11 In., 121 lnfonN.

tion in item* 1 througtl 6 on tllis reoon i1 included on Heh 1hNt, 1nd 131 Heh 1hN1 ii nu;,,bered and tha number of lhNll 11 recorded at 1t11100 of mi, form .

• l (12/821 This Form IE000301 mav be ob111n1d from ,ne Ordar Deen., ASME, 345 E. '7th St., N1w York, N.Y. 10017 REPRINT' 12/91

FORM NIS-2 (Backl

l. Rem11r1<1 __AJ..;;..;S~--,_12.:;:.:0::.;0:::':..ar.J(\-..,..C...,,..Jt,J...;;..:W..:....:.A.:..iY-.Jc~o:Jv~E;s;u.;R::_.J°$'.:i5QwL:...Lt-ft......,)1--------------------------

Aopllcao1a Manufacturar's Data Aaoortl to tie Htacftecs CERTIFICATE OF COMPLIANCE We cen1fv that the statements m11ae ,n tne reoon are correct and this ;eJ:,),:,1e,.w,fAJC ,onforms to the ruin of the ASME Code, Section XI. repair or rei,lecement Type Code Symbol Stamp _ _ _N_/_A__________________________________ Certificate of Authorizet1on No. __N_/_A_____________ Exoiration Date ____H_I_A___________ I, the undersigned, holding 111111d comm1111on CERTIFICATE OF INSEAVICE INSPECTION ,auea by D~-~~-4~J~-f , ______ 199J th* National Board of Boiler end Pr1t111.1111 111ue1 lnsoeetort and the Stet* or Province of Virginia end emo1ovee1 by HSBJ: ' I Co* of Hartford, CT have 1 n ~ the comoonenn deacribld in thi1 Owner*, Repon during the perioc:t / t, .. ( '-/ .. 9,3 ,a IO .. 14 :._ Cfb *

• 1nd *

\ t J din to th* beat of mv knowledl)e ena belief, th* Owner hes oertormed exem1n1111on1 end taken conec,,w mHsur** deicnbad In 11111 o-:vner'1 Repon 1n eccordance wnh th* requ,...,,.,,11 of the ASME Code, Sec:llon XI. By 1i9ning thi1 eanific1ra ne1thar th* lnsc,ecmr nor his emoloyer makes any warranty, 1.xc,rnlld or imolied, c:oncafflinl Ille exam1111110n1 Ind earr1e1ivw m111sur* dncnbed in 1hi1 Owner', Reoo,1. Furthermore, neither th* lnspec:10r nor hi1 1111111o,., shall be liable in any manner for anv persanll injury or proo1nv damaoa or I Ion of 1nv kind *i1ing from or connlCled wltll 11111 __io_g-'**"""""~ i_n_cec, .....-------t.;:.;..'-~-------Commiuion1_--;htV;;A;;;;ie.5;;;4;;3;-;;;;;;:--;;,;;;;j;;;:-;;;;;.~i;;;;;;;;.- lnlpector'tSJgn11ure Natlonel 801r11, S11te, Province, ana Endo,__. Oa11._ _ _ _ _ _0_'..._(...,0_ _ t9 Cff .~. Attachment 11 Page 93 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As ReQuir1d by the Provisions of the ASME Code Section XI

1. Owner '/ i rginia Electric and Power Co. Datn _-,-:71-0..::.z;r-/..:..'1'...J..'/_ _ _ _ _ _ _ __

\lime 5000 Dominion Blvd., Glen Allen, VA 23060 ShHt_-..!/_ _ of _ __,__ _ _ _ _ _ _ _ _ __ AaoraH

2. Pinnt Surry Power Station Unit-'-'------------------

Name P.O. Boz 315, Surry, VA 23883 V\I. V, "/F bOZ.~":i~l~-02. 7272.':lt 9i-ll37 Addi ... Rapalr Or;an1utlon P.O. No .* Joll No., no. J. Work Performed t,y Virginia Power Typ1 Codi Symbol Stamp __N_/_A _ _ _ _ _ _ _ __ Name Authoriu11on No. NIA P.O. Boz 315, Surry, VA 23883 Expir11t1on 0111 __..H...tc.iA~------------ AddreH

4. ld11ntific1t1on of Sv111m /2A-C.WB,, l'OO,?A NL

5. (1) Appl1c1011Construc11onC001* B31.l '.9§2.__Edition._N....;.../_A_ _ _ _ Addanda.1'1-l, ll-1 (bl Applic10l1 Edition of Section XI Utili~eo l~r Aeo~ir~*or Aeotac~m~~u '198, 1

6. ldent1flcat1on of Comoon,nu Aeo11rtd or Aeptac&a and Aeol-ment Componentt

• Name of Comt:ionant Nameol llllanufacturar

*1 I M1nufacturar, Sarial No ... I I N1tio'nat .. Board No. Other ld1n11fication v,., Buill AIPaiM, Aaplaced, or AIPIICtillllftf AIME Code s..... ,v.. or Nol SEAL. fiel.)'S/N1- Bolh l?{es ~,rvrh"vse I All<?,, I ./vA I- ~-f->-1c. .v )3 ~p/4cez> 'v(:) SEAl. I

• 14'r~'-11'17't ldo1,c1Na ~,1-... !l.v'e.sn "-'fh i9-0e* ! /.I I u, I "1'1- j. i 1ru lkp/qe~

I J J I I I

7. Oascription of Work _...,.i2___e""'f/"'-A_c._E::.--_S_.;;;.E:Jl.;;..* ..;.f-b_..;..u....;;'5,.;;.//v;;..:'_J::ii-......;;;.l3...;;o_..;l;....;.-(-_.~:;......-----...;__-----------

_..;l.:.*_ .

8. Tuu Conductld: Hvdr0tt1tic Pneumatic O *Nominal Operating Pre11ure 0 OthlF O Pressure psi Ten .T1mp. *F NOTE: Su1>c,lam1nt1I shNn 1n form of lins, skinchn. or drawings mav bl uHd, provided 11 I sin is B~ in. x 11 In:, 1:ZI 'tnfomw.

1ion in items I througn 6 on tPlis rei,on is included on eech 1hNt, and 131 11cn shift is nu.:nbll'9d and th1 number of lhNIS le recorded et tha top of tt,i1 form . \ 112/821 This Form IE000301 m1v bl obta1nad from tPla Order Dept., ASME, 345 E. 47th St., New York, N.V. 10017 REPRINT 12/91  ; ~- ,: ... I  :

i FORM NIS-2 (Backl

3. Remarks _C-=--t.J_,_.:;..3...cc::,_*"1:_5/....e....,'iJ._'-___..:L---1:,-(_.se;c,.ei-'-'/:........;.~....;.:;..;::...;S::..,e,__;;'8;._o:;...:..J{+~"?ir,<,)_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

A_cpllcable Manul.acturar'1 Oat* Report* to oe anached CERTIFICATE OF COMPLIANCE We een1tv that the natemenrs mace ,n tne reoan are correct and thi* &::/>4?che"z,JC: conforms to thl rul" of me ASME Code, Section XI.

• repair or replecament Tvo* Coda Symbol Stamo _ _ _N_. _I_A----------------------------------

Canificatl of Au1horiza11on No. __N_/_A_____________ exoirlltion Oatl ____N_I_A___________ Sign /l (// ;J --'~/ k ~ ~ ~ O H l g n N , Tltle [Z: CERTIFICAJ'E OF INSERVICE INSPECTION I, thl undersignld, holding I valid comm1111on ,~Id by 1h1 National Board of Boiler and Pr11111.1n 11,-1 lnso1etorw and 1111 State Cat, _ _ _ . . . .~-'/-L /f.. . ......____, 19 :Z 4/ or Province of Virginia *nd lfflCIIOVld by HSB:I 5 I Co* of Hartford, CT have 1n101Ctr c.'h' comc,onants d e ~ in thi1 Owner*, Reoon during the oerlOd /0-ltf-q3 to lo-r':{- * . Ind ........ to th1 b11t of mv lcnow11d9e and blli1f, th1 Owntr h111 oerformaa 1xam1nat1Cffl1 and t11k1n conec,iw m11111.1n1 dalCfibad lll*dll9 Owner'1 R~~ 1n IICCOrdMCe with the rwqu1r11ffllnt1 of thl ASME Code, Seclion XI. Bv 1i9ning 1hi1 cenifican n91th1r 1h1 lnsoeclOr nor hit 1mo1oy1r maka anv wamncv, ,.....- or implied, concarlline*dle 1xam1nation1 and corrtctiw m11111.1r* dncnb.CS in 1hi1 Owner'* Reoon. Funhermor1, neither 11'11 lnSQeCtOr nor hi1 1111111..,.,- shall bl liable in any manner for any p1rson111 injury or Dl'OQl,CV damage or

• Ian of any kind arising from or coMIClld wttll dlla in~~n.~-f.~

Commiuion*-,:..;V;:;A;;;;;iii.S;:4;:l;-;;;;:;;""i;;;;;;i;;:;;;:-;::;;;"'i"::;:;;;:;;;;- ln10ector1 Sl9natura Natlon111 8oan1, State, Province, and Endo,..-* Dat1 _ _ _ __..[._-_.(..... 0..____19 91 **}}