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| number = ML100070554
| number = ML100070554
| issue date = 01/04/2010
| issue date = 01/04/2010
| title = Kewaunee Power Station 2009 Inservice Inspection Summary Report
| title = 2009 Inservice Inspection Summary Report
| author name = Price J A
| author name = Price J
| author affiliation = Dominion, Dominion Energy Kewaunee, Inc
| author affiliation = Dominion, Dominion Energy Kewaunee, Inc
| addressee name =  
| addressee name =  
Line 16: Line 16:


=Text=
=Text=
{{#Wiki_filter:}}
{{#Wiki_filter:Dominion Energy Kewaunee, Inc.
5000 Dominion Boulevard, Glen Allen, VA 23060                            ominion January 4, 2010 ATTN: Document Control Desk                                    Serial No. 09-723 U. S. Nuclear Regulatory Commission                            LIC/NW/RO Washington, DC 20555-0001                                      Docket No. 50-305 License No. DPR-43 DOMINION ENERGY KEWAUNEE, INC.
KEWAUNEE POWER STATION 2009 INSERVICE INSPECTION
 
==SUMMARY==
REPORT As required by American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code Section Xl, 10 CFR 50.55a, and Wisconsin Administrative Code, Department of Commerce, Comm 41.55(3), various inservice inspection (ISI) examinations were performed during the 2009 refueling outage at the Kewaunee Power Station (KPS). The 2009 refueling outage took place from September 26, 2009 through October 22, 2009. This letter transmits the Inservice Inspection Summary Report as required by paragraph IWA-6230 of ASME Section XI.
Two separate ASME Section Xl inservice inspection programs are implemented at KPS.
One program is for pressure retaining piping/vessels and component supports, and the other program is for the metal containment. The 2009 refueling outage inservice inspections met the requirements of these two distinct inspection programs as identified below:
: a. Class 1, Class 2, and Class 3 component inspections were performed for the second inspection outage of the second period of the fourth interval. These inspections met the requirements of ASME Boiler and Pressure Vessel Code Section XI, 1998 Edition, 2000 Addenda with implementation in accordance with the KPS Fourth Ten-Year Inservice Inspection (ISI) Program 2004-2014.
: b. Class MC component inspections were performed for the second inspection outage of the first period of the second interval. These inspections met the requirements of ASME Boiler and Pressure Vessel Code Section Xl, 2001 Edition, 2003 Addenda with implementation in accordance with the KPS Second Ten-Year Inservice Inspection (ISI) Class MC Program 2006-2016.
The following examinations and tests were performed for Class 1, Class 2, and Class 3 components and their supports:
* Reactor vessel upper and lower internals
* Pressurizer circumferential and longitudinal welds
* Pressurizer surge nozzle to safe end
 
Serial No. 09-723 Page 2 of 3
* Pressurizer integrally welded attachment
* Steam generator primary nozzle'to safe end welds o  Class 1, Class 2, and Class 3 piping and component supports and hangers
* Class 1 and Class 2 steam generator primary manway bolting, pressurizer manway bolting, flange bolting, and valve bonnet bolting
* Class 1 and Class 2 preservice of safety injection and residual heat removal piping, supports and gas collection chamber
* Letdown heat exchanger circumferential weld and integrally welded attachments o  Residual heat exchanger circumferential weld
* Seal water injection filter circumferentialweld 0  Class 1 system leakage test o  -Class 2 and Class 3 system leakage tests The following items were examined for the Class MC reactor building containment vessel:
    - Accessible surface areas
* Moisture barriers
* Bolted connections Hydraulic snubbers were examined as required by KPS Technical Specification 4.14, "Testing and Surveillance of Shock Suppressors (Snubbers)."
Documentation summarizing the inservice inspection activities performed during the KPS 2009 refueling outage and associated results is provided in attachments 1-9 of this letter. The final reports for each of these examinations are maintained in the Quality Assurance/Quality Control Records Vault at KPS. Attachment 9 includes Form OAR-i and Form NIS-2A. These forms are submitted in addition to -Forms NIS-1, "Owner's Report for Inservice Inspection Class 1, Class 2 and Class 3 Components for Fourth Ten-Year Interval," and Forms NIS-2, "Owner's Repair/Replacement Activities." It is expected that as KPS approaches the end of the Fourth Ten-Year Interval'and prepares for the Fifth Ten-Year Interval, the site will cease to submit Forms NIS-1 and NIS-2.
The next refueling outage at KPS is tentatively scheduled for the spring of 2011.
If you have questions or require additional information, please feel free to contact Mr.
Craig Sly at 804-273-2784.
Very truly yours, Yresident - Nuclear Engineering
 
Serial No. 09-723 Page 3 of 3 Attachments:
: 1. Summary of Recordable Indications (RIs) and Disposition
: 2. Summary of Class 1 and Class 2 Repair/Replacement Activities for Components 1-Inch in Diameter or Smaller
: 3. "Form NIS-1 Owner's Report for Inservice Inspections," Class 1, Class 2, and Class 3 Components, Fourth Ten-Year Interval
: 4. '.'Form NIS-1 Owner's Report for Inservice Inspections," Class MC Components, Second Ten-Year Interval
: 5. "Form NIS-2 Owner's Report for Repair/Replacement Activities" (33 Total)
: 6. Examination Summary, Class 1, Class 2, and Class 3 Inservice Inspection Program, Fourth Ten-Year Interval
: 7. Examination Summary, Class MC Program Inservice Inspection, Second Ten-Year Interval.
: 8. Summary of Examinations that were Limited by Geometric, Metallurgical, or Design/Access Restrictions and Associated Data Sheets (10 Total)
: 9. "Form OAR-1 Owner's Activity Report," Table            1  and  "Form    NIS-2A Repair/Replacement Certification Record," Table 2 Commitments made by this letter: NONE cc:    Regional Administrator U. S. Nuclear Regulatory Commission Region III 2443 Warrenville Road Suite 210 Lisle, Illinois 60532-4352 Mr. P. S. Tam Sr. Project Manager U.S. Nuclear Regulatory Commission One White Flint North, Mail Stop 08-H4A 11555 Rockville Pike Rockville, MD 20852-2738 NRC Senior Resident Inspector Kewaunee Power Station
 
Serial No. 09-723 ATTACHMENT 1 2009 INSERVICE INSPECTION
 
==SUMMARY==
REPORT
 
==SUMMARY==
OF RECORDABLE INDICATIONS (RIs) AND DISPOSITION KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.
r
 
Serial No. 09-723 Docket No. 50-305 Attachment 1 Page 1 of 2
 
==SUMMARY==
OF RECORDABLE INDICATIONS (RIs) AND DISPOSITION Type Or Location Of Recordable            Examination                  No. Ris            I Indication (RI)                    Method                (Description)
: 1. Reactor Building Containment Vessel        General Visual    1 (Plate Moisture Barrier)
: 2. Reactor Vessel Upper Internals                  VT-3                  1 (Conduit)
: 3. Seal Water Injection Filter                  Ultrasonic          1 (Weld-Ultrasonic Indications)
: 4. Gas Collection Chamber                    Liquid Penetrant              1 (Weld)
: 5. Piping Supports and Hangers                Visual (VT-3)            1 (Support)
: 6. Valve Bonnet Bolting, Reactor Coolant Pump Bolting, Flange Bolting      Visual (VT-3)              10 (Items) and Pressurizer Manway Bolting
: 7. System Leakage Pressure Tests              Visual (VT-2)              41 (Items)
Dispositioning of Class 1, Class 2, and Class 3 indications has been completed in accordance with the rules of American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code Section XI, 1998 Edition, 2000 Addenda for Fourth Ten-Year Interval examinations. Dispositioning of Class MC components has been completed in accordance with the rules of ASME Boiler and Pressure Vessel Code Section Xl, 2001 Edition, 2003 Addenda for Second Ten-Year Interval examinations. Applicable codes, standards, and engineering criteria were used to disposition indications associated with the non-code-required examinations. Recordable indications for Class 1, Class 2, Class 3, and Class MC components have been summarized with disposition as noted below:
: 1. General visual indications consisting of two separations in the moisture barrier of Plate
: 67. The moisture barrier was repaired under Work Order KW100588970, reexamined and accepted.
: 2. Recordable indication was recorded on'the reactor vessel upper internals upper support plate thermocouple conduit at location C-3. The separated conduit cable was previously recorded in 1995, 2004, and 2006. The separated conduit at location C-3 showed no noticeable change in separation and was previously acceptable under the Kewaunee Power Station (KPS) Corrective Action Program.
 
Serial No. 09-723 Docket No. 50-305 Attachment 1 Page 2 of 2
: 3. Ultrasonic 00 and 600 indications were recorded on the seal water injection filter 1A head circumferential weld AFSI-W2. These indications were acceptable per ASME Boiler and, Pressure Vessel Code Section Xl, 1998 Edition, 2000 Addenda, T~able IWB-3514-2 and IWC-3510-2. The 0' indications were typical of the flaws recorded on seal water injection filters 1A and lB during refueling outages 1982, 1986, 1988, 1992, 1998, and 2001.
: 4. One linear indication (2.5" in length) was recorded on the gas collection chamber 6" circumferential weld SI-W6'03. The linear indication was unacceptable per ASME Boiler and Pressure Vessel Code Section Xl, 1998 Edition, 2000 Addenda, Table IWB-3514-2.      The linear indication was removed by buffing, reexamined, and acceptable  to ASME    Boiler and Pressure Vessel Code Section Xl, 1998 Edition, 2000 Addenda Standards.
: 5. Visual (VT-3) indication recorded on 16" feedwater piping support FDW-H1 16 was evaluated and accepted by KPS Engineering and Inservice Inspection (ISI) personnel and reviewed by the Authorized Nuclear Inservice Inspector.
: 6. Visual (VT-3) indications recorded on valve bonnet bolting (five valves), reactor coolantpump bolting (main flange and No. 1 seal housing bolting), flange bolting (two flanges) and pressurizer manway bolting (one manway) were (1) evaluated and accepted, or (2) repaired, reexamined, and accepted by KPS Engineering or ISI personnel. All dispositioned indications were and reviewed by the Authorized Nuclear Inservice Inspector.
: 7. Visual (VT-2) indications recorded during system leakage pressure tests (41 items).
These indications were (1) evaluated and accepted, or (2) repaired, reexamined, and accepted by KPS Engineering or ISI personnel. All dispositioned indications were reviewed by the Authorized Nuclear Inservice Inspector.
 
Serial No. 09-723 ATTACHMENT 2 2009 INSERVICE INSPECTION
 
==SUMMARY==
REPORT
 
==SUMMARY==
OF CLASS 1 AND CLASS 2 REPAIR/REPLACEMENT ACTIVITIES FOR COMPONENTS I-INCH IN DIAMETER OR SMALLER KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.
 
Serial No. 09-723 Docket No. 50-305 Attachment 2 Page 1 of 1
 
==SUMMARY==
OF CLASS 1 AND CLASS 2 REPAIR/REPLACEMENT ACTIVITIES FOR COMPONENTS 1 INCH IN DIAMETER OR SMALLER The following summarizes the repairs and replacements performed following the 2008 refueling outage and during the 2009 refueling outage by grinding, buffing, filing, cutting, or welding on the Class 1 and Class 2 pressure boundaries. These repairs and replacements are in addition to those itemized on the enclosed forms, "NIS-2 Owner's Report for Repair/Replacement Activity" and "NIS-2A Repair/Replacement Certification Record."
Component            Class      Reference          Repair/Replacement Method Drawing Three 3/4" welded plugs        2        XK-100-28      Welding  in three 3/4" pipe plugs 3/4" valve SI-39A              2        XK-100-28      Welding  in replacement 3/4" valve 1" welds by SI-1 O0A          2        XK-100-28      Welding  in 1" welds by SI-1OA 1" valve SI-1O0A              2        XK-100-28      Welding  in new 1" valve SI-100A 1" valve SI-1 OB              2        XK-100-28      Welding  in new 1"valve SI-1 OOB 1/2" valve SI-301A-1          2        XK-100-29      Welding  in new-1/2" valve 3/4" valve SI-301 B-1          2        XK-100-29      Welding  in new 3/4" valve 3/4" valve SI-4A-1            2        XK-100-29      Welding  in new 3/4" valve 3/4" valve SI-4B-1            2        XK-100-29      Welding  in new 3/4" valve 3/4" valve MS-23001-1          2            M-203      Welding  in replacement 3/4" valve 3/4" valve MS-23001-2          2            M-203      Welding  in replacement 3/4" valve 3/4" valve MS-23002-1          2            M-203      Welding  in replacement 3/4" valve 3/4" valve MS-23002-2          2            M-203      Welding  in replacement 3/4" valve 3/4" valve MS-23005-1          2            M-203      Welding  in replacement 3/4" valve 3/4" valve MS-23005-2      J 2            M-203      Welding  in replacement 3/4" valve 3/4" valve MS-23007-1          2            M-203      Welding  in replacement 3/4" valve 3/4" valve MS-23007-2          2            M-203      Welding  in replacement 3/4" valve
 
Serial No. 09-723
(
ATTACHMENT 3 2009 INSERVICE INSPECTION
 
==SUMMARY==
REPORT "FORM NIS-1, OWNER'S REPORT FOR INSERVICE INSPECTIONS" CLASS 1, CLASS 2, AND CLASS 3 COMPONENTS FOURTH TEN-YEAR INTERVAL KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.
 
Page 1 of 10 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES
: 1. OWNER-DOMINION ENERGY KEWAUNEE, INC.
N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511
: 2. PLANT - KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
: 3. PLANT UNIT - NO. 1
: 4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
: 5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
: 6. NATIONAL BOARD NUMBER FOR UNIT - N/A
: 7. COMPONENTS INSPECTED -
MANUFACTURER COMPONENT OR        MANUFACTURER    OR INSTALLER        STATE OR  NATIONAL APPURTENANCE          OR INSTALLER    SERIAL NO. PROVINCE NO; BOARD NO.
Reactor Vessel RV      Combustion          CE69202          U11480      21010 Engineering Replacement Reactor    Mitsubishi Heavy  B-VH-N06          U11480      5845 Vessel Closure Head    Industries Pressurizer PZR        Westinghouse          1151          U11402      68-23 Steam Generator SG-    Westinghouse/      1141/0202        U11400    68-28/151 1A                    Ansaldo Energia Milano Steam Generator SG-    Westinghouse/      1142/0201        U11401    68-29/150 1B                    Ansaldo Energia Milano Excess Letdown Heat    Sentry              3996-5E          U11407        364 Exchanger AHEL-1A Excess Letdown Heat    Sentry              3996-6E          U11408        365 Exchanger AHEL-IB Class 1 Piping        Texas Pipe Bending Reactor Coolant        Westinghouse      1A-1-618J871-Pump RCP-1A                                  GO1
 
Page 2 of 10 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES
: 1. OWNER - DOMINION ENERGY KEWAUNEE, INC.
N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511
: 2. PLANT- KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
: 3. PLANT UNIT - NO. 1
: 4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
: 5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
: 6. NATIONAL BOARD NUMBER FOR UNIT - N/A
: 7. COMPONENTS INSPECTED -
MANUFACTURER COMPONENT OR      MANUFACTURER      OR INSTALLER      STATE OR  NATIONAL APPURTENANCE        OR INSTALLER      SERIAL NO. PROVINCE NO. BOARD NO.
Reactor Coolant      Westinghouse      1B-2-618J871-Pump RCP-1B                                  G02 Residual Heat        Joseph Oat and        1817-IE        U11046      344 Exchanger            Sons AHRSI-IA Residual Heat        Joseph Oat and        1817-IF        U11424      345 Exchanger            Sons AHRS2-1B Charging Pump        Greer Hydraulics    GNI-1848 Pulsation'Dampener APD-1A Charging Pump        Greer Hydraulics    GNI-1846 Pulsation Dampener APD-1B Charging Pump        Greer Hydraulics    GNI-1847 Pulsation Dampener APD-1C Volume Control Tank  Joseph Oat and        1787-1C        Ul1425      376 VCT                  Sons I
 
Page 3 of 10 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS' AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES
: 1. OWNER - DOMINION ENERGY KEWAUNEE, INC.
N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511
: 2. PLANT - KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
: 3. PLANT UNIT - NO. 1
: 4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
: 5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
: 6. NATIONAL BOARD NUMBER FOR UNIT - N/A
: 7. COMPONENTS INSPECTED -
MANUFACTURER COMPONENT OR        MANUFACTURER    OR INSTALLER        STATE OR  NATIONAL APPURTENANCE          OR INSTALLER      SERIAL NO. PROVINCE NO. BOARD NO.
Regenerative Heat      Joseph Oat and      1831-13          U11409      413 Exchanger ARG          Sons                                  U11410      414 U11411      415 Letdown Heat Atlas                1206            U11405      1031 Exchanger AHLD Seal Water Heat        Atlas                  734            U11404      596 Exchanger AHSW Seal Water Injection    Commercial          101072                      1172 Filter AFSI- 1A        Filters Seal Water Injection    Commercial          101073                      1173 Filter AFSI-1B          Filters Reactor Coolant AMF Cuno              121                        2616 Filter AFRC Seal Water Filter      AMF Cuno              123                        2618 AFSW Class 2 Piping          Texas Pipe Bending
                                                                                    /
Charging Pump          Ajax Iron Works      6578 APCH-1A
 
Page 4 of 10 '
FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES
: 1. OWNER - DOMINION ENERGY KEWAUNEE, INC.
N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511
: 2. PLANT - KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
: 3. PLANT UNIT - NO. 1
: 4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
: 5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
: 6. NATIONAL BOARD NUMBER FOR UNIT - N/A
: 7. COMPONENTS INSPECTED -
MANUFACTURER COMPONENT OR      MANUFACTURER    OR INSTALLER        STATE OR  NATIONAL APPURTENANCE        OR INSTALLER      SERIAL NO. PROVINCE NO. BOARD NO.
Charging Pump        Ajax Iron Works        6576 APCH-1B Charging Pump        Ajax Iron Works        6577 APCH-1C Charging Pump        Greer Hydraulics    GHI-10234                      568 APCH-1A Suction Stabilizer GH1 123 Charging Pump        Greer Hydraulics                                  569 APCH-1B Suction Stablizer                                GHI-10235 Charging Pump        Greer Hydraulics                                  570 APCH-IC Suction Stablizer Residual Heat        Byron Jackson        681N0277 Removal Pump APRH1-IA Residual Heat        Byron Jackson        681N0276 Removal Pump APRH2-1B
 
Page 5 of 10 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES
: 1. OWNER - DOMINION ENERGY KEWAUNEE, INC.
N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511
: 2. PLANT - KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
: 3. PLANT UNIT - NO. 1
: 4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
: 5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
: 6. NATIONAL BOARD NUMBER FOR UNIT - N/A
: 7. COMPONENTS INSPECTED -
MANUFACTURER COMPONENT OR        MANUFACTURER      OR INSTALLER      STATE OR  NATIONAL APPURTENANCE        OR INSTALLER      SERIAL NO. PROVINCE NO. BOARD NO.
Diesel Generator      ITT Standard      750797-01-2 AHDG-1A Cooling        Corp.                    &
Water Exchangers (2)                      750797-01-3 Diesel Generator      ITT Standard      750797-01-1 AHDG-1B Cooling        Corp.                    &
Water Exchangers (2)                      750797-01-4 Auxiliary' Feedwater  Pacific Pump          46573 Pump APFM-1A Motor Driven Auxiliary Feedwater    Pacific Pump          46574 Pump APFM-1B Motor Driven Auxiliary Feedwater    Pacific Pump          46575 Pump APFT Turbine Driven Reactor Coolant        Perfex              723701-1                    4014 Pump RCPC-1A          Corporation Lube Oil Cooler Reactor Coolant        Senior                1357901 Pump RCPC-1B          Engineering Lube Oil Cooler        Company
 
Page 6 of 10 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES
: 1. OWNER - DOMINION ENERGY KEWAUNEE, INC.
N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511
: 2. PLANT - KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
: 3. PLANT UNIT - NO. 1
: 4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
: 5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
: 6. NATIONAL BOARD NUMBER FOR UNIT - N/A
: 7. COMPONENTS INSPECTED -
MANUFACTURER COMPONENT OR        MANUFACTURER      OR INSTALLER      STATE OR  NATIONAL APPURTENANCEI      .ORINSTALLER        SERIAL NO. PROVINCE NO. BOARD NO.
Class 3 Piping        Texas Pipe Bending Containment Fan        Joy                  GF14402 Cooler AHCF-1A        Manufacturing and American Air Filter Containment Fan        Joy                  GF14399 Cooler AHCF-1B        Manufacturing and American Air Filter Containment Fan        Joy                  GF14401 Cooler AHCF-1C        Manufacturing and American Air Filter Containment Fan        Joy                  GF14400 Cooler AHCF-1D        Manufacturing and American Air Filter Safety Injection Pump  Flow Serve            21414 Lube Oil Cooler AHSC-1A
 
Page 7 of 10 FORM NIS-l OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE-RULES
: 1. OWNER - DOMINION ENERGY KEWAUNEE, INC.
N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511
: 2. PLANT - KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
: 3. PLANT UNIT - NO. 1
: 4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
: 5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
: 6. NATIONAL BOARD NUMBER FOR UNIT - N/A
: 7. COMPONENTS INSPECTED        -
MANUFACTURER COMPONENT OR        MANUFACTURER    OR INSTALLER        STATE OR  NATIONAL APPURTENANCE          ORINSTALLER        SERIAL NO. PROVINCE NO. BOARD NO.
Safety Injection Pump  Borg Warner          S-96635 Lube Oil Cooler AHSC-1B Safety Injection Pump  Borg Warner      854030:854030 Heat Exchangers (2)
AHSC-1A Safety Injection Pump  Borg Warner      854030:854030 Heat Exchangers (2)
AHSC-1B Residual Heat          Flowserve        03LEX607100/04 Removal Pump AHRHRP-1A Shaft Seal Heat Exchanger Residual Heat          Flowserve        03LEX607100/01 Removal Pump AHRHRP-1B Shaft Seal Heat Exchanger Containment Spray      Helliflow            49486938 Pump APCS-1A Gland Seal Cooler
 
Page 8 of 10 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES
: 1. OWNER - DOMINION ENERGY KEWAUNEE, INC.
N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511
: 2. PLANT - KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
: 3. PLANT UNIT - NO. 1
: 4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
: 5. COMMERCIAL SERVICE DATE - JUNE 16,1974
: 6. NATIONAL BOARD NUMBER FOR UNIT - N/A
: 7. COMPONENTS INSPECTED -
MANUFACTURER COMPONENT OR      MANUFACTURER      OR INSTALLER      STATE OR  NATIONAL APPURTENANCE        'OR INSTALLER      SERIAL NO. PROVINCE NO. BOARD NO.
Containment Spray    Helliflow            6080694 Pump APCS-1B Gland Seal Cooler Component Cooling    Ingersoll Dresser    0600009 Pump APCC-1A          Pump Flow Serv.
Component Cooling    Ingersoll Dresser      0600010 Pump APCC-1B          Pump Flow Serv.
Service Water Pump    Worthington          VTP27737 APSW-1A1              Pump Service Water Pump    Worthington        75 TU-1719-1 APSW-1A2              Pump Service Water Pump    Flowserve            09 08-001 APSW-1B1 Service Water Pump    Flowserve            0908-002 APSW-1B2 Spent Fuel Pool Heat  Struther Wells      1-68-06-1519      U11445 Exchanger AHSF
 
Page 9 of 10 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES
: 1. OWNER - DOMINION ENERGY KEWAUNEE, INC.
N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511
: 2. PLANT - KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
: 3. PLANT UNIT  - NO. 1
: 4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
: 5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
: 6. NATIONAL BOARD NUMBER FOR UNIT - N/A
: 7. COMPONENTS INSPECTED -
MANUFACTURER COMPONENT OR        MANUFACTURER      OR INSTALLER      STATE OR  NATIONAL APPURTENANCE        OR INSTALLER      SERIAL NO. PROVINCE NO. BOARD NO.
Service Water Pump    S.P. Kinney            2278 Strainer ASSW-1A1      Engineers Service Water Pump    S.P. Kinney            2279 Strainer ASSW-1A2      Engineers Service Water Pump    S.P. Kinney            2280 Strainer ASSW-1B1      Engineers Service Water Pump    S.P. Kinney            2281 Strainer ASSW-1B2      Engineers Component Cooling      Engineers and        S-26125        U39499      3269 Heat Exchanger        Fabricators Co.
AHCC1-IA Component Cooling      Engineers and        S-26126        U39500      3270 Heat Exchanger        Fabricators AHCC2-1B Component Cooling      Sharpsville Steel      714          U11421      714 Surge Tank ATCS Control Room Air      Trane Company      KlH202002 Conditioning Unit 1A Coil
 
Page 10 of 10 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES
: 1. OWNER - DOMINION ENERGY KEWAUNEE, INC.
N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511
: 2. PLANT - KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
: 3. PLANT UNIT - NO. 1
: 4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
: 5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
: 6. NATIONAL BOARD NUMBER FOR UNIT - N/A
: 7. COMPONENTS INSPECTED -
MANUFACTURER COMPONENT OR        MANUFACTURER          OR INSTALLER  STATE OR  NATIONAL APPURTENANCE          OR INSTALLER          SERIAL NO. PROVINCE NO. BOARD NO.
Control Room Air      Trane Company          K1H202003 Conditioning UnitilB Coil Control Room Air        ITT Bell and Gossett Conditioning Expansion Tank 1A Control Room Air        ITT Bell and Gossett    116013 Conditioning Expansion TanklB
 
FORM NIS-1 (Back)
: 8. Examination Dates:                  September 23, 2008                  to          October 22, 2009
: 9. Inspection Period Identification:                            2nd
: 10. Inspection Interval Identification:                      /  4th
: 11. Applicable Edition of Section XI:                    1998                          Addenda:              2000
: 12. Date/Revision of Inspection Plan:                February 6, 2009 Revision 3
: 13. Abstract of Examinations and Tests. Include a list of examinations and tests and a statement concerning status of work required for the Inspection Plan. Reference Tab C
: 14. Abstract of Results of Examinations and Tests.                  Reference Tab B and Tab F
: 15. Abstract of Corrective Measures.              Reference Tab B and Tab F Utilization of ASME Boiler and Pressure Vessel Code Section XI Code Case: N-460, N-532-4 and N-566-2.
We certify that a) the statements made in this report are correct, b) the examinations and tests meet the Inspection Plan as required by the ASME Code, Section XI, and c) corrective measures taken conform to the rules of the ASME Code, Section XI.
Certificate of Authorization No. (If applicable):                Not Applicable            Expiration Date:              Not Applicable Date:    I/'*.2.                      200Q          Signed:      Dominion-Kewaunee            By:      ?t9*          *.            /
Owner CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of            C.V/S.Co0.'J*
* and employed by                      076401
                                                                                                      -,n        el1 c.7" of C 01VAJ e77 caT                    have inspected the components described in this Owner's Report during the period
    - 5"07"C          08&2-- to 2Z eZ'-  cMe    ?_
0?      , and state that to the best of my knowledge and belief, the Owner has performed examinations and tests and taken corrective measures described in this Owner's Report in accordance with the Inspection. Plan and as required by the ASME Code, Section XI.
By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations, tests, and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
KiI)ew*          *7(ee*-t*                              Commissions        A'" //6Z Xad.,            -,-/    1,9,91y Inspector's Signature                                            National Board, State, Province, and Endorsements Date:        c  1,j,',&-                      20 20 e) 5
 
Serial No. 09-723, ATTACHMENT 4 2009 INSERVICE INSPECTION
 
==SUMMARY==
REPORT "FORM NIS-1, OWNER'S REPORT FOR INSERVICE INSPECTIONS" CLASS MC COMPONENTS SECOND TEN-YEAR INTERVAL KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.
 
FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES
: 1. OWNER - DOMINION ENERGY KEWAUNEE, INC.
N490 HIGHWAY 42 KEWAUNEE, WISCONSIN 54216-9511
: 2. PLANT - KEWAUNEE POWER STATION, N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511
: 3. PLANT UNIT - NO. 1
: 4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
: 5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
: 6. NATIONAL BOARD NUMBER FOR UNIT - N/A
: 7. COMPONENTS INSPECTED -
MANUFACTURER COMPONENT OR        MANUFACTURER    OR INSTALLER        STATE OR  NATIONAL APPURTENANCE        OR INSTALLER      SERIAL NO. PROVINCE NO. BOARD NO.
Reactor Building    Chicago Bridge      C4454            U11423 Containment Vessel    and Iron Company Personnel Airlock  Chicago Bridge      C4454            U11423 and Iron Company
 
FORM NIS-1 (Back)
: 8. Examination Dates:                September 26, 2009                    to      October 22, 2009
: 9. Inspection Period Identification:                              Ist
: 10. Inspection Interval Identification:                            2nd
: 11. Applicable Edition of Section XI:                      2001                          Addenda:              2003
: 12. Date/Revision of Inspection Plan:                  March 9, 2009 Revision: 3
: 13. Abstract of Examinations and Tests. Include a list of examinations and tests and a statement concernifig status of work required for the Inspection Plan. Reference.Tab C
: 14. Abstract of Results of Examinations and Tests.                    Reference Tab B and Tab F
: 15. Abstract of Corrective Measures.              Reference Tab B and Tab F We certify that a) the statements made in this report are correct, b) the examinations and tests meet the Inspection Plan as required by the ASME Code, Section XI, and c) corrective measures taken conform to the rules of the ASME Code, Section XI.
Certificate of Authorization No. (If applicable):                  Not Applicable              Expiration Date:              Not Applicable Date:      Ocdw-,3                      2009            Signed:        minion-Kewaunee Owner By:      *4w          e. *&1k 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              W1.,, -Ao$1A                  and employed by                                  o.
014.=o
                                                                                                                      -rita          of CIaer,*ret                            have inspected the components described in this Owner's Report during the period Z 6 P5p-*ý m    r v          to            ,Ž              , and state that to the best of my knowledge and belief, the Owner has performed examinations and tests and taken corrective measures described in this Owner's Report in accordance with the Inspection Plan and as required by the ASME Code, Section XI.
By signing this certificate, neither the Inspector nor his employer makes any Warranty, expressed or implied, concerning the examinations, tests, and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with th'        tion.
              /~-3/4t~    w7(L,*/(        r-t                    Commissions        A16 //6?Z A,3/,/AN          W,//0013/
            /      Inspector's Signature-)                                              National Board, State, Province, and Endorsements Date:      23    oc3-?                          200o2 20 o*
 
Serial No. 09-723 ATTACHMENT 5 2009 INSERVICE INSPECTION
 
==SUMMARY==
REPORT "FORM NIS-2, OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITIES"
                            *(33 TOTAL)
KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner    Dominion Energy Kewaunee, Inc.                                                            Date 06/24/2008 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet    1 of 2 Unit    No. 1
: 2. Plant    Kewaunee Power Station N490 Highway 42, Kewaunee. Wisconsin 54216-9511                                          Work Order    KW04-006910
: 3. Work Performed By        Dominion Enerqy-Kewaune                                                    Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                            Authorization No. Not Applicable
: 4. Identification of System    35    Class 2      CHEMICAL AND VOLUME CONTROL                        Expiration Date    Not Applicable
'5. (a) Applicable Construction Code NA                                              (c) Applicable Section XI Code Case      NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,        ASME Name of            Name of                    Manufacturer          National            Other        Year        Removed, or        Code Component          Manufacturer                    Serial No.        Board No.              ID          Built          Installed        Stamped*
APCH-1B-SC2 AJAX IRON WORKS                        6576                  NA              00076        1967        INSTALLED              N
: 7. Description of Work      INSTALL CLASS 2 CHEMICAL AND VOLUME CONTROL SYSTEM CHARGING PUIMP 1B MOTOR AND BASE SUPPORT PLATES.
: 8. Tests conducted                Hydrostatic    D        Pneumatic    LI        Nominal Operating Pressure D          Exempt 1-7 Other  L                Pressure          p si            Test Temp.            deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS'-2 (Back)
Sheet 2 of 2 Date: 06/24/2008 Name of Component:        APCH-11B-SC2
'Work Order Number: KW04-006910 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    INSTALLED              conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp            NA Certificate of Authorization' No.        Not Applicable .      Expiration Date      Not Applicable Signed                    Add"    )&Id~A4~4LA1UWn              M2                            Date P120                      0 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period          ___'_O_      to Z2oci'0,  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 dam'age or a loss of any kind arising from or connected with this inspection.
npeto'Commissions                                            -NB_11622, 1. N, B, A    WIS 100131 InspectorsSgntr,                                              National Board, State, Province, and Endorsements Date            AVe'6.k&                    20 _.&'
                                                ,20        _
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
: 1. Owner Dominion Energy Kewaunee, Inc.                                                              Date    03/02/2009 N490 Hiqhway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet    1. of 2
: 2. Plant    Kewaunee Power Station                                                                  Unit    No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order      KW04-006939
: 3. Work Performed By        Dominion Energy-Kewaune'<                                                Type Code Sym. Stamp        NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                          Authorization No. Not Applicable
: 4. Identification of System    35    Class 2      CHEMICAL AND VOLUME CONTROL                        Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code NA                                            (c) Applicable Section Xl Code Case      NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,        ASME Name of,4          Name of                    Manufacturer          National          Other        Year        Removed, or        Code Component          Manufacturer                    Serial No.        Board No.            ID          Built          Installed      Stamped APCH-1C-SC3 AJAX IRON WORKS                        6577                  NA              00077        1967        INSTALLED              N
: 7. Description of Work      INSTALL CLASS 2 CHEMICAL'AND VOLUME CONTROL SYSTEM CHARGING PUMP 1C MOTOR AND BASE SUPPORTS.
.8. Tests conducted                Hydrostatic    D        Pneumatic    E        Nominal Operating Pressure                    Exempt    A 1 Other  D                Pressure          psi            Test Temp.          deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 03/02/2009 Name of Component:        APCH-1C-SC3 Work Order Number: KW04-006939 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this      INSTALLED              conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp              NA Certificate of Authorization No.          Not Applicable        Expiration Date      Not Applicable Signed                    I          JAfM            "            &        OAM*I.
                                                                                &)J/Wt.        Date NVn4                  20  9 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6MVOS,                to 2 Z0O470, 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.
                  $iIIC&#xa2;at&Commissions                                          NB 11622, 1, N, B, A    WIS 100131 nspector's Signature                                          National Board, State, Province, and Endorsements Date    _ _*)&_____ __                    ,20 ___
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner    Dominion Energy Kewaunee, Inc.                                                          Date  11/04/2008 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet    1 of 2
: 2. Plant    Kewaunee Power Station                                                                  Unit    No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order      KW100278054
: 3. Work Performed By        Dominion Enerqy-Kewaune                                                  Type Code Sym. Stamp        NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                          Authorization No. Not Applicable
: 4. Identification of System    35    Class 2      CHEMICAL AND VOLUME CONTROL                        Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code SEC. VIII DIV.I-1975                          (c) Applicable Section Xi Code Case      NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,        ASME Name of            Name of                    Manufacturer          National          Other        Year        Removed, or        Code Component          Manufacturer                    Serial No.        Board No.            ID          Built          Installed      Stamped APD-1B            GREER HYDRAULICS                GHI-1846              NA              07001        1975        INSTALLED              Y
: 7. Description of Work      INSTALL REPLACMENT DAMPENER SPRING ON CLASS 2 CHEMICAL AND VOLUME CONTROL SYSTEM CHARGING PUMP 1B PULSATION DAMPENER.
: 8. Tests conducted                Hydrostatic              Pneumatic              Nominal Operating Pressure          v        Exempt  D Other                    Pressure    2237  psi            Test Temp. 112 deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 11/04/2008 Name of Component:        APD-11B Work Order Number: KW100278054 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    INSTALLED              conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp            NA Certificate of Authorization No.        Not Applicable        Expiration Date    Not Applicable Signed                                                4&UWV'LA)                              Date kdaWA                ,20 09 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period        6,1lt'      to ZZe-T'h9, 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 Xl.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
a --                                Commissions    NB 11622', 1, N, B, A    WIS 100131 Inspector's Signature                                        National Board, State, Province, and Endorsements Date        ?  ,-aVeM66*k                20    49_
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner DominionIEnergy Kewaunee, Inc.                                                              Date 11/02/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet    1 of 2
: 2. Plant    Kewaunee Power Station                                                                  Unit    No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order      KW100278450
: 3. Work Performed By.      Dominion Enerqy-Kewaune                                                    Type Code Sym. Stamp        N__A N490 Highway 42, Kewaunee, Wisconsin 54216-9511                            Authorization No. Not Applicable
: 4. Identification of System  36    Class    1  REACTOR COOLANT                                    Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code B31.1-1967                                      (c) Applicable Section Xl Code Case      NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,          ASME Name of            Name of                    Manufacturer          National          Other          Year        Removed, or          Code Component          Manufacturer                    Serial No.        Board No.              ID          Built          Installed,      Stamped PR-F2              TEXAS PIPE BENDING            383969                NA              NA            1969        INSTALLED              N
: 7. Description of Work    INSTALL REPLACEMENT 12 STUDS AND 24 NUTS ON CLASS 1 REACTOR COOLANT SYSTEM 6" INLET FLANGE PR-F2 TO'6" VALVE PR-3B.
: 8. Tests conducted              Hydrostatic              Pneumatic              Nominal Operating Pressure
* Exe'mpt  -I Other    ]              Pressure    2240  psi            Test Temp.      546 deg.F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 11/02/2009 Name of Component:            PR-F2 Work Order Number: KW100278450 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    INSTALLED              conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp              NA Certificate of Authorization No.          Not Applicable        Expiration Date    Not Aoplicable Signed    f.46          eJr.        -J-A"V39V                    AnT h                    Date NW/      &ML9.        20 Owner or Owner's Designee, Title            V 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 Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period (Ii'"e6              to ZZc7"'d,    and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.                                                                        /
Commissions      NB 11622, 1, N, B, A    WIS 100131 Inspector's Signature                                          National Board, State, Province, and Endorsements Date      3      ,, , A &-ft              ,20 _
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner Dominion Enermqy Kewaunee, Inc.                                                            ,Date    10/30/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet    1 of 2
: 2. Plant    Kewaunee Power Station                                                                    Unit    No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order    KW100280694
: 3. Work Performed By      Dominion Energy-Kewaune                                                    Type Code Sym. Stamp        NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                          Authorization No. Not Applicable
: 4. Identification of System    35    Class  2    CHEMICAL AND VOLUME CONTROL                        Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code B31.1-1967                                    (c) Applicable Section XI Code Case      N.A (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,          ASME Name of            Name of                    Manufacturer          National          Other        Year          Removed, or          Code, Component          Manufacturer                      Serial No.        Board No.            ID          Built            Installed      Stamped LD-5              CROSBY ASHTON GAGE              NF                  NA              CS109-001    1970          CORRECTED              N CO.
: 7. Description of Work      REMOVE FOR SET POINT TESTING AND REPAIR CLASS 2 CHEMICAL AND VOLUME CONTROL SYSTEM 2" VALVE LD-5.
: 8. Tests conducted                Hydrostatic                Pneumatic  D        Nominal Operating Pressure          1          Exempt  D Other  El                Pressure      167  psi            Test Temp.      105 deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 10/30/2009 Name of Component:          LD-5 Work Order Number: KW100280694 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    CORRECTED              conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp            NA Certificate of Authorization No.        Not Applicable        Expiration Date    Not Applicable Signed                    .          tnAf/                        1m6        O&V        Date N&*        4L 9      20 (a__
Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period          ,thwM4O8 to ZZ047'9, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
__Commissions                                                              N3 11622,1, N, B, A    WIS 100131 Inspector's Signature                                        National Board, State, Province, arid Endorsements Date        9 FJO$(8^6. Z                ,20  09
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner Dominion Energy Kewaunee, Inc.                                                              Date    10/30/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet      1 of 2
: 2. Plant Unit    No! 1 Kewaunee Power Station N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order KW100315676
: 3. Work Performed By        Dominion Energy-Kewaune                                                  Type Code Sym. Stamp        N__A N490 Highway 42, Kewaunee, Wisconsin 54216-9511                          Authorization No. Not Applicable
: 4. Identification of System    36    Class  1    REACTOR COOLANT                                    Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code B16.5-1967                                    (c) Applicable Section Xl Code Case    NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity  1998 Edition 2000 Addenda 6: Identification of Components Corrected,          ASME Name of            Name of                    Manufacturer          National          Other        Year        Removed, or          Code Component          Manufacturer                      Serial No.        Board No.            ID          Built          Installed      Stamped PR-2A            MASONEILAN                        H-20693-5-2          NA              RC012-002    1969        CORRECTED              N INTERNATIONAL
: 7. Description of Work      CORRECT SEAT LEAKAGE ON CLASS 1 REACTOR COOLANT SYSTEM 3" VALVE PR-2A.
: 8. Tests conducted                Hydrostatic    []        Pneumatic            Nominal Operating Pressure          Li        Exempt  11 Other  D]                Pressure  2240  psi            Test Temp.      547 deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 10/30/2009 Name of Component:        PR-2A Work Order Number: KW100315676 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    CORRECTED                conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp            NA Certificate of Authorization No.        Not Applicable        Expiration Date      Not Applicable Signed f2g2      4'&,$                      .        A          tA      Ui'/.            Date NL0                    ,20 0o Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company ofCT have inspected the. components described in this Owner's Report during the period 6fA.r4,              to 22OTO',    and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
a~                                          Commissions      NB 11622, 1, N, B, A    WIS 100131 Inspector's Signature                                          National Board, State, Province, and Endorsements Date      T NV    6A6    &Z--              20  09_
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner, Dominion Energy Kewaunee, Inc.                                                              Date    10/13/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet    1 of 2
: 2. Plant    Kewaunee Power Station                                                                  Unit    No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order KW100362587
: 3. Work Performed By        Dominion Energy-Kewaune                                                  Type Code Sym.,Stamp        NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                          Authorization No. Not Applicable
: 4. Identification of System    33    Class 1      SAFETY INJECTION                                  Expiration Date    Not'Applicable
: 5. (a) Applicable Construction Code B31.1-1967                                    (c) Applicable Section XI Code Case    NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,        ASME Name of            Name of                    Manufacturer          National          Other        Year        Removed, or        Code Component          Manufacturer                    Serial No.        Board No.            ID          Built          Installed      Stamped RSI-H63          Il-T GRINNELL VALVE            NA                    NA              NA            1967        INSTALLED              N COMPANY
: 7. Description of Work      INSTALL REPLACEMENT CLASS 1 SAFETY INJECTION 6" PIPE HYDRAULIC SNUBBER RSI-H63.
: 8. Tests conducted                                El        Pneumatic    Dl      Nominal Operating Pressure Hydrostatic "                                                                        LII        Exempt  El psi            Test Temp.
Other  D                Pressure                                              deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 10/13/2009 Name of Component:          RSI-H63 Work Order Number: KW100362587 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    INSTALLED              conforms to the requirements of the ASME Code, Section XI.
Typ&#xfd; Code Symbol Stamp                NA Certificate of Authorization No.          Not Applicable        Expiration Date      Not Applicable Signed      *              /C"    4a}*  A        '-    e      f              i*V.      Date.                      20 0    -
Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period                '    to ____ ___,  and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
* __.____,________-__-___                        Commissions      NB 11622, 1, N, B, A    WIS 100131      .
Inspector's Signature                                          National Board, State, Province, and Endorsements Date      9 A    f *",    7*            ,20    d9
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner    Dominion Energy Kewaunee, Inc.                                                            Date    10/13/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet    1 of 2
: 2. Plant    Kewaunee Power Station                                                                    Unit    No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order KW100362588
: 3. Work Performed By        Dominion Enerqy-Kewaune                                                    Type Code Sym. Stamp        NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                            Authorization No. Not Applicable
: 4. Identification of System    33    Class 2      SAFETY INJECTION                                    Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code B31.1-1967                                      (c) Applicable Section Xl Code Case    NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,        ASME Name of            Name of                    Manufacturer          National            Other        Year        Removed, or          Code Component          Manufacturer                    Serial No.        Board No.              ID          Built          Installed        Stamped RSI-H61          ITT GRINNELL VALVE              NA                    NA              NA            1967        INSTALLED              N COMPANY
: 7. Description of Work      INSTALL REPLACEMENT CLASS 1 SAFETY INJECTION 6" PIPE HYDRAULIC SNUBBER RSI-H61.
: 8. Tests conducted                Hydrostatic              Pneumatic              Nominal Operating Pressure                      Exempt *]
Other []                Pressure          psi            Test Temp.            deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 10/13/2009 Name of Component:        RSI-H61 Work Order Number: KW100362588 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this      INSTALLED              conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp              NA Certificate of Authorization No.          Not Applicable        Expiration Date    Not Applicable Signed        && e                                                                          D20 A          b&            20    j Owner or Owners Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6^1MA*tbe            to  Z    .'T'*, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners 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.
a444W/?'C44ma_                                  Commissions      NB 11622, 1, N, B, A    WIS 100131 Inspector's Signature                                          National Board, State, Province, and Endorsements Date      9    M*eM',Fk                  ,20  6?
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner Dominion Energy Kewaunee, Inc.                                                              Date    10/06/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                        Sheet    1 of 2
: 2. Plant    Kewaunee Power Station                                                                  Unit    No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                        Work Order      KW100362674
: 3. Work Performed By . Dominion Energy-Kewaune                                                      Type Code Sym. Stamp        NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                          Authorization No. Not Applicable
: 4. Identification of System  23    Class  2    CONTAINMENT SPRAY                                  Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code B31.1-1967                                    (c) Applicable Section XI Code Case    NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,        ASME Name of            Name of              . Manufacturer          National          Other        Year        Removed, or        Code Component          Manufacturer                    Serial No.        Board No.            ID          Built          Installed      Stamped ICS-H7            ITT GRINNELL VALVE              NA                  NA              NA            1967        INSTALLED              N COMPANY
: 7. Description of Work    INSTALL REPLACEMENT CLASS 2 CONTAINMENT SPRAY 6" PIPE HYDRAULIC SNUBBER ICS-H-17.
: 8. Tests conducted              Hydrostatic    D          Pneumatic            Nominal Operating Pressure                    Exempt  Lfi Other  LI                Pressure          psi            Test Temp.          deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 10/06/2009
'Name of Component:          ICS-H7 Work Order Number: KW100362674 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    INSTALLED              conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp            NA Certificate of Authorization No.        Not Applicable        Expiration Date      Not Applicable Signed 7U42, t4,*                                  A.            A%4 lAfwuO      trJA4      Date  N&"                  200 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6M^+tB                to 2ZC4-7, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Inspec6tors                                  Commissions      NB 11622,a1, N, B, A    WIS 100131 Inspector's Signature                                        National Board, State, Province, and Endorsements Date    - ?,.0V6M64        ,              20. 69
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
: 1. Owner Dominion Energy Kewaunee, Inc.                                                              Date    10/30/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet      1 of 2
: 2. Plant    Kewaunee Power Station                                                                  Unit      No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order KW100375362
: 3. Work Performed By      Dominion Enerqy-Kewaune                                                  Type Code Sym. Stamp        NA N490 Hi-ghway 42, Kewaunee, Wisconsin 54216-9511                          Authorization No. Not Applicable
: 4. Identification of System    35    Class  2    CHEMICAL AND VOLUME CONTROL                        Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code B31.1-1967                                    (c) Applicable Section Xl Code Case. NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,        ASME Name of            Name of                    Manufacturer          National          Other        Year          Removed, or        Code Component          Manufacturer                    Serial No.        Board No.            ID          Built          Installed        Stamped LD-4B            MASONEILAN                        H20691-1            NA              CS111-004    1970          CORRECTED              N INTERNATIONAL, INC.
: 7. Description of Work    CORRECT SEAT LEAKAGE ON CLASS 2 CHEMICAL AND VOLUME CONTROL SYSTEM 2" VALVE LD-4B
: 8. Tests conducted                Hydrostatic    F]      Pneumatic              Nominal Operating Pressure          L-*
Exempt  1I Other  D                Pressure    2236  psi            Test Temp.      110 deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 10/30/2009 Name of Component:        LD-4B Work Order Number: KW100375362
      /
CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    CORRECTED              conforms to the requirements of the ASME Code, Section X1.
Type Code Symbol Stamp            NA Certificate of Authorization No.          Not Applicable        Expiration Date    Not Applicable Signed                                                              PAd'
                                                                    &M*!      6.Wt*A*        Date    Oft        9      20 0 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE'INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period (OP"A"                to 2Z0Cr"0Y, 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.
44~In  Ctr                                    Commissions    NB 11622,o1, N, B, A    WIS 100131 Inspector's Signature                                          National Board, State, Province, and Endorsements Date      9 Vo */q&SVZ"20                        09
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner:                Dominion Energy-Kewaunee                                      Date        October 30, 2009 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511                                    Sheet:      1      of  2 Address
: 2. Plant :                  Kewaunee Power Station                                      Unit :      No. 1 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511                                    Work Order Number:            KW100385376 Address
: 3. Work performed by :          Dominion Energy-Kewaunee                              Type Code Symbol Stamp                Not Applicable Name                                              Authorization No.                  Not Applicable N490 Highway 42, Kewaunee Wisconsin 54216-9511                                    Expiration Date                  Not Applicable Address
: 4. Identification of System        36 Class 1 Reactor Coolant System
: 5. (a) Applicable Construction Code :          1967 ASME B31.1 (b) Applicable Edition of Section XI used for Repair/Replacement Activity :            1998 Edition 2000 Addenda (c) Applicable Section XI Code Case:            NA
: 6. Identification of Components ASME Corrected,          Code Name of            Name of          Manufacturer      National Board          Other          Year        Removed, or        Stamped Component        Manufacturer          Serial No.            No.          Identification        Built        Installed      (Yes or No) 1" Flange          Dominion                NA                NA                  NA            2009          Installed            No Upstream of          Energy LD-300
: 7. Description of Work        Install replacement 4 Studs and 8 Nuts on Class 1 Reactor Coolant System 1" Flange upstream of 1" Valve LD-300.
: 8. Tests Conducted:            Hydrostatic    E1        Pneumatic      L--    Nominal Operating Pressure                      Exempt    [I Other    EI        Pressure        2240      psi      Test Temp              546    OF
: 9. Remarks:      Not Applicable Applicable Manufacturer's Data Reports to be attached
 
FORM NIS-2 (Back)
Sheet 2 of      2 Date :      October 30, 2009 Name of Component:              1" Flange Upstream of 1" Valve LD-300 Work Order Number :              KW100385376 CERTIFICATE OF COMPLIANCE I certify that the statements made in this report are correct and that this conforms to the requirements of the ASME Code, Section XI Type Code Symbol Stamp            Not Applicable Certificate of Authorization No.          Not Applicable        Expiration Date          Not Applicable Signed i                6'. Ak            JWT*pj                        lv              Date        &#xfd;Jvqn* 1.ad 01 Owner or Owner's Designee, Title            I 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          w/,,o.5ces.                and employed by                            e60&e*- ,T-of            /,Y49?Tite    COMA'rAoTMCO                                have inspected the components described in this Owner's Report during the period            6 M-al      006 o          to    ?2062aT9r Z4009              , 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, tests, and corrective measures described in this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection 1
            -IZI      4~d'(npeto'      nCommissions                                A1,9 116ar ta*    8T PiJ, an1 End/or (Inspector's Sgn4re)                                    National Board, 'State, Province, and Endorsements Date                    ,4J 'ev4vark 2L,0O9
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
: 1. Owner Dominion Energy Kewaunee, Inc.                                                              Date    06/24/2008 N490 Higihway 42, Kewaunee, Wisconsin 54216-9511                                        Sheet    1 of 2
: 2. Plant    Kewaunee Power Station                                                                  Unit    No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                        Work Order    KW100390285
: 3. Work Performed By      Dominion Energy-Kewaune                                                  Type Code Sym. Stamp        NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                          Authorization No. Not Applicable
: 4. Identification of System  35    Class  2    CHEMICAL AND VOLUME CONTROL                        Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code NA                                            (c) Applicable Section Xl Code Case      NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,          ASME Name of            Name of                    Manufacturer          National            Other        Year        Removed, or          Code Component          Manufacturer                    Serial No.        Board No.            ID          Built          Installed        Stamped APCH-1B-SC2      AJAX IRON WORKS                6576                  NA              00076        1967        CORRECTED              N
: 7. Description of Work    CORRECT BY MODIFYING CLASS 2 CHEMICAL AND VOILUME CONTROL SYSTEM CHARGING PUMP 1B BASE SUPPORTS.
: 8. Tests conducted              Hydrostatic F        Pneumatic              Nominal Operating Pressure L-          Exempt 1-7 Other  1                Pressure            psi            Test Temp.            deg. F
: 9. Remarks      NOT APPLICAVLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 06/24/2008 Name of Component:        APCH-1B-SC2 Work Order Number: KW100390285 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this      CORRECTED              conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp            NA Certificate of Authorization No.          Not Applicable          Expiration Date    Not Applicable Signed                  ,V                                          LL**        QWW12      Date    604&t,              20 0 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period          6m#l"',      toZ2.0*7O    , 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.
ct__.      _.            __L."o.*            Commissions    NB 11622,1, N, B, A    WIS 100131 Inspector's Signature-                                          National Board, State, Province, and Endorsements Date        9    0V    420                      _____9
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner    Dominion Energy Kewaunee, Inc.                                                            Date    06/24/2008 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet    1 of 2
: 2. Plant    Kewaunee Power Station                                                                    Unit    No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order KW100390344
: 3. Work Performed By        Dominion Enerqy-Kewaune                                                    Type Code Sym. Stamp        N__A N490 Highway 42, Kewaunee, Wisconsin 54216-9511                            Authorization No. Not Applicable
: 4. Identification of System    35    Class 2      CHEMICAL AND VOLUME CONTROL                        Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code NA                                              1(c) Applicable Section Xl Code Case    NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,          ASME Name of            Name of                    Manufacturer          National            Other        Year        Removed, or        Code Component          Manufacturer                    Serial No.        Board No.              ID          Built          Installed      Stamped APCH-1B-SC2 AJAX IRON WORKS                        6576                  NA              00076        1967        CORRECTED              N
: 7. Description of Work      PERFORM METAL REMOVAL ON CLASS 2 CHEMICAL AND VOLUME CONTROL SYSTEM CHARGING PUMP 1B MOTOR AND BASE SUPPORT PADS.
: 8. Tests conducted                Hydrostatic ED        Pneumatic              Nominal Operating Pressure L          Exempt L-J Other  D                Pressure psi              Test Temp.
deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 06/24/2008 Name of Component:        APCH-1B-SC2 Work Order Number: KW100390344 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this      CORRECTED              conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp            NA Certificate of Authorization No.        Not Applicable          Expiration Date    Not Applicable Signed                  6V.                                                          -t. Date NO                    ,20  j Title Owner or Owner's Designee, 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 Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 60r'1015              to zz.o.'17 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the .Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
4,n~vCommissions                                  NB 11622, 1, N, B, A    WIS 100131 Inspector's Signature-                                          National Board, State, Province, and Endorsements Date        9  UVOVCA*,-*t                20  09
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner    Dominion Enerqy Kewaunee, Inc.                                                            Date    06/24/2008 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet      1 of 2
: 2. Plant    Kewaunee Power Station                                                                    Unit    No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order    KW100393957
: 3. Work Performed By        Dominion Energy-Kewaune                                                    Type Code Sym. Stamp        NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                            Authorization No. Not Applicable
: 4. Identification of System    35    Class 2      CHEMICAL AND VOLUME CONTROL                        Expiration Date Not Applicable
: 5. (a) Applicable Construction Code NA                                              (c) Applicable Section XI Code Case    NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,        ASME Name of            Name of                    Manufacturer          National            Other        Year        Removed, or        Code Component          Manufacturer                      Serial No.        Board No.              ID          Built          Installed      Stamped APCH-1B-SC2 AJAX IRON WORKS                        6576                NA              00076        1967        CORRECTED            N
: 7. Description of Work      CORRECT CRACKED I BEAM SUPPORT ON CLASS 2 CHEMICAL AND VOLUME CONTROL SYSTEM CHARGING PUMP 1B BAS ESUPPORT.
: 8. Tests conducted                Hydrostatic    '-        Pneumatic              Nominal Operating Pressure                    Exempt Other  E]                Pressure            psi            Test Temp.          deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached I
 
NIS-2 (Back)
Sheet 2of2 Date: 06/24/2008 Name of Component:          APCH-1B-SC2 Work Order Number: KW100393957 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this      CORRECTED              conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp            NA Certificate of Authorization No.        Not Applicable          Expiration Date    Not Applicable Signed    /'A/L.Le          /W          L            "              Apwo,'      L)owr        Date t    6      9      2000 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period            __________  to Z&#x17d;.Jc'o, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
                                                -Commissions                      NB 11622,1, N, B, A    WIS 100131 Irnrec.towr's Sirnaure                                          National Board, State, Province, and Endorsements Date    9  /UO v6w$4=0A                ,20  _    9
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner Dominion Energy Kewaunee, Inc.                                                              Date    10/19/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet      1 of 2 Kewaunee Power Station                                                                  Unit    No. 1
: 2. Plant N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order      KW100395492
: 3. Work Performed By      Dominion Ener-gy-Kewaune                                                  Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                            Authorization No. Not Applicable
: 4. Identification of System  34    Class 1      RESIDUAL HEAT REMOVAL                              Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code ASME SECTION VIII                              (c) Applicable Section XI Code Case    NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,        ASME Name of            Name of                    Manufacturer          National            Other        Year        Removed, or        Code Component          Manufacturer                    Serial No.        Board No.              ID          Built          Installed      Stamped RHR-30B-3          BS&B SAFETY SYSTEMS            NA                  NA              AC125-016    2009        INSTALLED              N
: 7. Description of Work    INSTALL REPLACEMENT CLASS 1 RESIDUAL HEAT REMOVAL SYSTEM 1/2" RUPTURE DISC RHR-30B-3.
: 8. Tests conducted              Hydrostatic      --      Pneumatic
                                                                          -1      Nominal Operating Pressure                      Exempt  n-i Other  D                Pressure      358  psi              Test Temp.      100 deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 10/19/2009 Name of Component:            RHR-30B-3 Work Order Number: KW100395492 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this        INSTALLED              conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp              NA Certificate of Authorization No.            Not Applicable        Expiration Date    Not Applicable Signed                    f    .,      -. 2twmj,(*        _    *
* r-  W*/    Date NOey                    20  __
Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period            6 /I" Y-'V to  ZZO'ro 1, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
6------------* .*fsu. CL...      4__l*                    Commissions    NB11622,1,N,B,A        WIS 100131 Inspector's Signature                                        National Board, State, Province, and Endorsements Date          9 /V0 L)"w                      20    0
____20
 
FORM NIS-2 OWNER'S REPORT FOR REPAIRIREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner    Dominion Energy Kewaunee, Inc.                                                          Date 09/24/2008 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet      1 of 2
: 2. Plant    Kewaunee Power Station                                                                  Unit    No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order KW100420045
: 3. Work Performed By        Dominion Enerqy-Kewaune                                                  Type Code Sym. Stamp        NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                          Authorization No. Not Applicable
: 4. Identification of System    35    Class 2      CHEMICAL AND VOLUME CONTROL                        Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code B31.1-1967                                    (c) Applicable Section XI Code Case      NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,          ASME Name of            Name of                    Manufacturer          National          Other        Year        Removed, or          Code Component          Manufacturer                    Serial No.        Board No.            ID          Built          Installed      Stamped CVC-4A          GRINNELL FIRE                    NF                    NA              CS033-007    1973        INSTALLED              N PROTECTION SYSTEMS
: 7. Description of Work      REPLACED VALVE BONNET ASSEMBLY AND DIAPHRAGM ON CLASS 2 CHEMICAL AND VOLUME CONTROL SYSTEM 3" VALVE CVC-4A.
: 8. Tests conducted                Hydrostatic              Pneumatic                                                              Exempt D        Nominal Operating Pressure      '    -E Other  R                Pressure        25 psi            Test Temp.        90 deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 09/24/2008 Name of Component:          CVC-4A Work Order Number: KW100420045 CERTIFICATE OF COMPLIANCE I certify that the statements made-in the report are correct and that this    INSTALLED              conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp            NA Certificate of Authorization No.        Not Applicable        Expiration Date    Not Applicable Signed          4Ar6/44*&f                        X v,      eu              L9UVeV        Date M 6*W/,                20 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 41"*Y7              to,            and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Commissions    NB 11622,1, N,B, A    WIS 100131 Inspector's Signature                                        National Board, State, Province, and Endorsements Date -              vV,        ..        ,20  09
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner    Dominion Energy Kewaunee, Inc.                                                          Date    10/08/2008 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet    1 of 2
: 2. Plant    Kewaunee Power Station                                                                  Unit    No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order KW100421013
: 3. Work Performed By        Dominion Enerqy-Kewaune                                                  Type Code Sym. Stamp -N.A N490 Highway 42, Kewaunee, Wisconsin 54216-9511                          Authorization No. Not Applicable
: 4. Identification of System    35    Class 2      CHEMICAL AND VOLUME CONTROL                        Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code NA                                            (c) Applicable Section XI Code Case    NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,        ASME Name of            Name of                    Manufacturer          National          Other        Year        Removed, or        Code Component          Manufacturer                    Serial No.        Board No.            ID          Built          Installed      Stamped APCH-1A-SCI        AJAX IRON WORKS                6578                  NA              00075        1967        INSTALLED            N
: 7. Description of Work      INSTALL CLASS 2 CHEMICAL AND VOLUME CONTROL SYSTEM CHARGING PUMP 1A MOTOR AND BASE SUPPORTS.
: 8. Tests conducted                                                                Nominal Operating Pressure                              =U Hydrostatic    r-1      Pneumatic    EL                                                      Exempt Other    ]            Pressure            psi            Test Temp.          deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 10/08/2008 Name of Component:        APCH-1A-SC1 Work Order Number: KW100421013 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    INSTALLED              conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp            NA Certificate of Authorization No.        Not Applicable        Expiration Date    Not Applicable Signed                    13A..A&)Lw                                        6 WW'        Date PJ*              q    '20 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6^040e__            to    *670,    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 I
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.
NB 11622,1, N, B, A    WIS.Commissions 100131 Inspector's Signature                                          National Board, State, Provinrce, and Endorsements Date-? /JO0V'        ,a--_              20    09
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner Dominion Energy Kewaunee, Inc.                                                              Date    10/30/2009 N490 Hi-ghway 42, Kewaunee, Wisconsin 54216-9511                                        Sheet      1 of 2 Kewaunee Power Station                                                                  Unit    No. 1
: 2. Plant N490 Highway 42. Kewaunee, Wisconsin 54216-9511                                          Work Order KW100427863
: 3. Work Performed By      Dominion Energy-Kewaune                                                    Type Code Sym. Stamp        NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                            Authorization No. Not Applicable
: 4. Identification of System    35    Class 2      CHEMICAL AND VOLUME CONTROL                        Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code B31.1-1967                                      (c) Applicable Section Xl Code Case    NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,        ASME Name of            Name of                    Manufacturer          National          Other        Year        Removed, or        Code Component          Manufacturer                    Serial No.        Board No.            ID          Built          Installed      Stamped LD-60            VELAN VALVE                      NF                  NA              CS117-001    1971        CORRECTED              N CORPORATION
: 7. Description of Work    CORRECT VALVE PACKING LEAKAGE ON CLASS 2 CHEMICAL AND VOLUME CONTROL SYSTEM 2" VALVE LD-60.
: 8. Tests conducted                Hydrostatic              Pneumatic              Nominal Operating Pressure          El        Exempt  i]
Other    E                Pressure    164  psi            Test Temp.      104 deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: -10/30/2009 Name of Component:          LD-60 Work Order Number: KW100427863 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this      CORRECTED              conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp            NA Certificate of Authorization No.          Not Applicable        Expiration Date    Not Applicable Signed                          or Owners Designee1 T                                        Date                          20 VOwner or Owner's Designee, Titler 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 Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6M-t'.'O8            to 2    ~ocT'I, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
c      -ZII) C .*, .x4*Commissions                                        NB 11622,1, N, B, A    WIS 100131 Inspector's Signature                                          National Board, State, Province, and Endorsements Date      9 ,o    V'E-3Lj  &X            ,20  _    _9
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner Dominion Energy Kewaunee, Inc.                                                              Date    08/17/2009 J
N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet      1 of 2
: 2. Plant    Kewaunee Power Station                                                                  Unit    No. 1 N490 Highway 42, Kewaunee. Wisconsin 54216-9511                                          Work Order    KW100453017
: 3. Work Performed By        Dominion Enerqy-Kewaune                                                  Type Code Sym. Stamp        NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
: 4. Identification of System    23    Class 2      CONTAINMENT SPRAY                                  Expiration Date    Not Aplplicable
: 5. (a) Applicable Construction Code ASME SECT. 11-1986                              (c) Applicable Section XI Code Case    NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,          ASME Name of            Name of                    Manufacturer          National          Other        Year        Removed, or          Code Component          Manufacturer                    Serial No.        Board No.            ID          Built          Installed        Stamped ICS-60A            FLOWSERVE                      02BPE                NA              NA            2009        INSTALLED              N
: 7. Description of Work      INSTALL CLASS 2 INTERNAL CONTAINMENT SPRAY SYSTEM 2" AND 3/4" PIPING AND 3/4" VALVE ICS-60A.
: 8. Tests conducted                Hydrostatic              Pneumatic              Nominal Operating Pressure          L-J        Exempt Other  E                Pressure      285  psi            Test Temp.      73 deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 08/17/2009 Name of Component:        ICS-60A Work Order Number: KW100453017 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    INSTALLED              conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp            NA Certificate of Authorization No.        Not Applicable        Expiration Date    Not Applicable Signed          *MW                  J1*; M-,        I              &%,VN A      A  6tA        Date                      20
                                                                                                                        .4J 0.*
Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period        __r___O_  , to 220't1 O?, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Rep5ort. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damageor a loss of any kind arising from or connected with this inspection.
    ~---                6ic ?6*  e4&#xfd;7,.(                    Commissions      NB 11622,1, N, B, A    WIS 100131 Inspector's Signature                                        National Board, State, Province, and Endorsements Date      ,7,*&#xfd;I /'L-UAi, FR.            20    09
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner Dominion Energy Kewaunee, Inc.                                                                            Date 09/11/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                                        Sheet        1 of 2
: 2. Plant    Kewaunee Power Station                                                                                  Unit      No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                                        Work Order          KW100453019
: 3. Work Performed By      Dominion Energy-Kewaune                                                                  Type Code Sym. Stamp                NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Authorization No.        Not Applicable
: 4. Identification of System    34      Class 2        RESIDUAL HEAT REMOVAL                                        Expiration Date          Not Applicable
: 5. (a) Applicable Construction Code B16.34                                                (c) Applicable Section Xl Code Case                  NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity          1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,              ASME Name of ,          Name of                        Manufacturer            National              Other              Year            Removed, or              Code Component          Manufacturer                          Serial No.          Board No.                ID              Built              Installed          Stamped RHR-220          FLOWSERVE                              08BPE                NA                  NA                2009            INSTALLED                    N IKICIrTAII r 4i ACC  I DC*Clr'H  IAI UCAT  D)CIIfrW1A  O'.C'TCRA      Ak1 f                    A            '    ,    LD
: 7. Description of Work                                                                      IVI 4 /'%I'iL/  JIt 1-tA MIMflIkf VI &#xfd;114LJ J/-+  VPLVF-MinOA F-IF-N-44U.
: 8. Tests conducted Hydrostatic        L]        Pneumatic                Nominal Operating Pressure                                  Exempt      n Other    I-                Pressure ,    175  psi                  Test Temp.            85 deg. F
: 9. Remarks,    NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached I
* NIS-2 (Back)
Sheet 2 of 2 Date: 09/11/2009 Name of Component:          RHR-220 Work Order Number: KW100453019 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    INSTALLED              conforms to the requirements of the ASME Code, Section Xl.
Type Code Symbol Stamp            NA Certificate of Authorization No.        Not Applicable        Expiration Date    Not Applicable Signed P..*        l" .          /. X  A4        *",&-
v
                                                                '  t/iere7*j,3lwnoA q
Date                        20 0 C1 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 61"Y8o              to Z2'"'c-?, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
C&-'-4 U-                                      Commissions      NB 11622,1, N, B, A    WIS 100131 Inspector's Signature                                          National Board, State, Province, and Endorsements Date        9    ONo*44A 06:1.          20    01
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner    Dominion Energy Kewaunee, Inc.                                                            Date    10/20/2009 N490 Hiqhway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet      1 of 2
: 2. Plant    Kewaunee Power Station                                                                    Unit    No. 1 N490 Highway 42, Kewaunee. Wisconsin 54216-9511                                          Work Order KW100453022
: 3. Work Performed By        Dominion Energy-Kewaune                                                    Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                            Authorization No. Not Applicable
: 4. Identification of System    34    Class    2  RESIDUAL HEAT REMOVAL                              Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code ASME SEC.111-1 986                            (c). Applicable Section XI Code Case      NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,          ASME Name of            Name of                    Manufacturer          National            Other        Year        Removed, or          Code Component          Manufacturer                    Serial No.        Board No.              ID          Built          Installed        Stamped RHR-40          FLOWSERVE                        95 BPD                NA              AC008-013    2009        INSTALLED              N
: 7. Description of Work      INSTALL CLASS2 RESIDUAL HEAT REMOVAL SYSTEM 2" AND 3/4" PIPING AND 3/4" VALVE RHR-40.
: 8. Tests conducted                Hydrostatic              Pneumatic              Nominal Operating Pressure          El        Exempt    1 Other
* l            Pressure      160  psi            Test Temp.        70 deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 10/20/2009 Name of Component:          RHR-40 Work Order Number: KW100453022 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    INSTALLED              conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp            NA Certificate of Authorization No.        Not Applicable        Expiration Date    Not Applicable Signed                                                                                    Date    MJL                200__
Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have'inspected the components described in this Owner's Report during the period 6$1-W'c'            to ZZ&#x17d;&7T&, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any-warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Commissions    NB11622,1,N,B,A          WIS100131
              -- 'Inspector's Signature    J                          r      National Board, State, Province, and Endorsements Date_        _ /VV____      ___          ,20 _      _
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
: 1. Owner Dominion Energy Kewaunee, Inc.                                                              Date 10/29/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet      1 of 2
: 2. Plant    Kewaunee Power Station                                                                    Unit. No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order      KW100453023
: 3. Work Performed By        Dominion Energy-Kewaune                                                    Type Code Sym. Stamp        NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                            Authorization No; Not Applicable
: 4. Identification of System    34    Class 2      RESIDUAL HEAT REMOVAL                              Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code ASME SECT. 111-1986                            (c) Applicable Section XI Code Case    NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components I                                                                                                    Corrected,        ASME Name of            Name of                    'Manufacturer        National            Other        Year        Removed, or        Code Component          Manufacturer                    Serial No.        Board No.              ID          Built          Installed      Stamped RHR-501A          FLOWSERVE                      03 BPE              NA                NA            2009        INSTALLED            N
: 7. Description of Work    INSTALL 2" AND 3/4" PIPING AND 3/4" VALVE RHR-501A ON CLASS 2 RESIDUAL HEAT REMOVAL SYSTEM.
: 8. Tests conducted                Hydrostatic Pneumatic    E    I    Nominal Operating Pressure          M          Exempt  LI Other  F-              Pressure      135    psi            Test Temp.        75 deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back).
Sheet 2 of 2 Date: 10/29/2009 Name of Component:          RHR-501A Work Order Number: KW100453023 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    INSTALLED              conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp            NA Certificate of Authorization No.          Not Applicable        Expiration Date    Not Applicable Signed                    ,0V#9,71t.f(&/Date                                                          ak-,              20 09 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period        __"______    to 2Z 0'0-7,  and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
              "ii(Inspector's                                    Commissions      NB 11622,B1, N, B,tA    WIS 100131 Inspector's Signature                                          National Board, State, Province, and Endorsements fI      Date  ( 9      JO V',,                    ,20 _9
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl
: 1. Owner    Dominion Energy Kewaunee, Inc.                                                          Date  10/19/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet      1 of 2
: 2. Plant    Kewaunee Power Station                                                                  Unit    No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order    KW100453024
: 3. Work Performed By        Dominion Enerqy-Kewaune                                                  ,Type Code Sym. Stamp        NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                          Authorization No. Not Applicable
: 4. Identification of System    34    Class 2      RESIDUAL HEAT REMOVAL                              Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code ASME SECT. 111-1986                            (c) Applicable Section XI Code Case      NA (b) Applicable Edition of'Section XI Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,        ASME Name of            Name of                    Manufacturer        National            Other        Year        Removed, or        Code Compoinent        Manufacturer                    Serial No.        Board No.            ID          Built          Installed      Stamped RHR-31A-1          FLOWSERVE                      07 BPE                NA              NA            2009        INSTALLED              N
: 7. Description of Work      INSTALL 2" AND 3/4" PIPING AND 3/4" VALVE RHR-31A-1 ON CLASS 1 RESIDUAL HEAT REMOVAL SYSTEM.
: 8. Tests conducted                Hydrostatic    F1      Pneumatic    L        Nominal Operating Pressure          [-*        Exempt  I-Other  D              Pressure -    353  psi            Test Temp.        99 deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 10/19/2009 Name of Component:        RHR-31A-1 Work Order Number: KW100453024 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    INSTALLED              conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp              NA Certificate of Authorization No.          Not Applicable        Expiration Date    Not Applicable Signed    AQ4L,    2      /ak            WJ4gt.T24tA                    9    CU*W,        Date No~&-,9                20o Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period        6 f4"+t*,    to 2?-        and state that to the best of my knowle/dge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
2      WCommissions                                            NB11622,1,N,BA          WIS 100131 Inspector's Signature                                          National Board, State, Province, and Endorsements Date      9 Ave*      ya';=-            20  _    9
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner Dominion Energy Kewaunee, Inc.                                                              Date    09/23/2009 N490 Higqhway 42, Kewaunee, Wisconsin 54216-9511                                        Sheet    1 of 2
: 2. Plant    Kewaunee Power Station                                                                  Unit    No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order      KW100453025
: 3. Work Performed By        Dominion Energy-Kewaune                                                  Type Code Sym. Stamp        NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                          Authorization No. Not Applicable
: 4. Identification of System    33    Class 2      SAFETY INJECTION                                  Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code B16.5-1967                                      (c) Applicable Section XI Code Case      NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,        ASME Name of            Name of                    Manufacturer          National          Other        Year        Removed, or        Code Component          Manufacturer                    Serial No.        Board No.            ID          Built          Installed      Stamped SI-301A          ALOYCO INCORPORATED              70A 6354              NA              S1017-001    1972        INSTALLED              N
: 7. Description of Work      INSTALL REPLACEMENT VALVE BONNET ON CLASS 2 SAFETY INJECTION SYSTEM 10" VALVE SI-301A AND INSTALL NEW 1/2" VENT VALVE SI-301A-1.
: 8. Tests conducted                Hydrostatic    [-        Pneumatic      1      Nominal Operating Pressure          El        Exempt  D1 Other                  Pressure        35 psi            Test Temp.      9_3 deg.,F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 09/23/2009 Name of Component:          SI-301A Work Order Number: KW100453025 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    INSTALLED              conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp              NA Certificate of Authorization No.        Not Applicable        Expiration Date    Not Applicable Sge  e.                              O        *A        &  0        Date                        20  02 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6*A'e'6              to 2ZOC-r'01, 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.
(1IIII~              wU ?lmtf                            Commissions NB 11622,1, N,B,A WIS 100131 Inspector's Signature                                        National Board, State, Province, and Endorsements Date      9' q      9'    k,6,          ,20  0?__
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code'Section XI
: 1. Owner Dominion Energy Kewaunee, Inc.                                                              Date    10/30/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet      1 of 2 Unit    No. 1
: 2. Plant    Kewaunee Power Station N490 Higqhway 42, Kewaunee, Wisconsin 54216-9511                                        Work Order      KW100453026
: 3. Work Performed By        Dominion Energy-Kewaune                                                  Type Code Sym. Stamp        NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                          Authorization No. Not Applicable
: 4. Identification of System    33    Class 2      SAFETY INJECTION                                  Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code B16.5-1967                                    (c) Applicable Section XI Code Case      NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,          ASME Name of            Name of                    Manufacturer          National          Other        Year        Removed, or          Code Component          Manufacturer                      Serial No.        Board No.            ID          Built          Installed        Stamped SI-301B          ALOYCO INCORPORATED              NF                  NA              S1017-002    1972        INSTALLED              N
: 7. Description of Work      INSTALL REPLACEMENT BONNET ON CLASS 2 SAFETY INJECTION SYSTEM 10" VALVE SI-301B AND INSTALL NEW 3/4" VENT VALVE SI-301B.
: 8. Tests conducted                Hydrostatic    []        Pneumatic            Nominal Operating Pressure          17 Exempt    nI Other  D                  Pressure      10  psi            Test Temp.        87 deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 10/30/2009 Name of Component:        SI-301B Work Order Number: KW100453026 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    INSTALLED                conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp            NA Certificate of Authorization No.          Not Applicable        Expiration Date      Not Applicable Signed                                Zn:&#xfd;                                      6* (/'      D ate W0VR&
014A,1~-                        ,20 20 Owner or Owner's Designee, Tite CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6A,*Y-o              to ZZ.cr07, 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.
InspeYctrs SignatureNatonaCommissions                        NBo11622,1, N,SB,A      WIS 100131 Insectr' SinatreNational                                Board, State, Province, and Endorseme nts Date      9    v*          'V6"
                                  /k_.        ,20 O__
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section X1
: 1. Owner    Dominion Energy Kewaunee. Inc.                                                          Date    11/02/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet    1 of 2
: 2. Plant    Kewaunee Power Station                                                                  Unit    No. 1 N490 Highway 42. Kewaunee, Wisconsin 54216-9511                                          Work Order KW100453027
: 3. Work Performed By        Dominion Energy-Kewaune                                                  Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                          Authorization No. Not Applicable
: 4. Identification of System    33    Class 2      SAFETY INJECTION                                  Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code ASME SECT.ll-1986                              (c) Applicable Section Xl Code Case    NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,        ASME Name of            Name of                    Manufacturer          National          Other        Year        Removed, or        Code Component          Manufacturer                      Serial No.        Board No.            ID          Built          Installed      Stamped SI-31-1            FLOWSERVE                        99 BPD              NA              NA            2009        INSTALLED              N
: 7. Description of Work      INSTALL 2" AND 3/4" PIPING AND 3/4" VALVE SI-31-1 ON CLASS 2 SAFETY INJECTION SYSTEM.
: 8. Tests conducted                Hydrostatic*      ]        Pneumatic  D        Nominal O0perating Pressure                    Exempt  --
Other  []                Pressure      28  psi            Test Temp.      54 deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 11/02/2009 Name of Component:          SI-31-1 Work Order Number: KW100453027 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    INSTALLED              conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp            NA Certificate of Authorization No.          Not Applicable        Expiration Date    Not Applicable Signed                Cv                                                                    Date k]o                      ,20 0.
Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and PreSsure Vesiel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period        ______Y__    to  201C/'7"09, 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.
iC I-*7,a6'ne.,                      Commissions    NB 11622,1, N, B, A      WIS 100131 Inspector's Signature                                          National Board, State:, Province, and Endorsements Date -9        V" 61W r6 e/t              20      0_
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI p,
: 1. Owner Dominion Enerqy Kewaunee, Inc.                                                              Date    10/19/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet      1 of 2
                                    /
: 2. Plant    Kewaunee Power Station                                                                    Unit    No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order KW100453032
: 3. Work Performed By      Dominion Energy-Kewaune                                                    Type Code Sym. Stamp        NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                            Authorization No. Not Applicable
: 4. Identification ofSystem    33      Class 2    SAFETY INJECTION                                    Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code ASME SECT.IIl-1986                              (c) Applicable Section XI Code Case      NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,          ASME Name of            Name of                    Manufacturer          National            Other        Year        Removed, or          Code Component          Manufacturer                    Serial No.        Board No.              ID          Built          Installed        Stamped SI-309            FLOWSERVE                      96 BPD                NA              NA            2009        INSTALLED              N
: 7. Description of Work    INSTALL 2" AND 3/4" PIPING AND 3/4" VALVE St-309 ON CLASS 2 SAFETY INJECTION SYSTEM.
: 8. Tests conducted                Hydrostatic Pneumatic    11        Nominal Operating Pressure          E'        Exempt  D-Other  D              Pressure      353  psi            Test Temp.      105 deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 10/19/2009 Name of Component:        SI-309 Work Order Number: KW100453032 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    INSTALLED            conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp            NA Certificate of Authorization No.        Not Applicable        Expiration Date    Not Applicable Signed 70J          d2,_.                                  *                    &*..*      Date At*      &            ,20 01_
Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 61"0&#xfd;              to 2_OCet,    and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Commissions      NB 11622,1, N, B, A    WIS 100131 n      r SNational                                                  Board, State, Province, and Endorsements Inspector's Signature Date-      9 /Jo Ve-0Si    "            '20    o?__
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner Dominion Energy Kewaunee, Inc.                                                              Date  10/30/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet      1 of 2
: 2. Plant    Kewaunee Power Station                                                                  Unit    No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order      KW100494435
: 3. Work Performed By        Dominion Energy-Kewaune                                                  Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                          Authorization No. Not Applicable
: 4. Identification of System    33    Class 2      SAFETY INJECTION                                  Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code B31.1-1967                                    (c) Applicable-Section XI Code Case      NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,        ASME Name of            Name of                    Manufacturer          National          Other        Year        Removed, or          Code Component          Manufacturer                    Serial No.        Board No.            ID          Built          Installed      Stamped GCC              'DOMINION ENERGY                  NA    -            NA              NA            2009        INSTALLED                N
: 7. Description of Work      INSTALL CLASS 2 SAFETY INJECTION SYSTEM 6" DIAMETER GAS COLLECTION CHAMBER AND 3/4" AND 1/2" PIPING, SUPPORTS AND VALVES SI-39A-1, SI-39A-2 AND SI-39A-3..
: 8. Tests conducted                Hydrostatic    r-          Pneumatic  n        Nominal Operating Pressure          1          Exempt  -
Other  El                  Pressure  2200  psi            Test Temp.      56 deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 10/30/2009 Name of Component:        GCC Work Order Number: KW100494435 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    INSTALLED              conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp            NA Certificate of Authorization No.          Not Applicable        Expiration Date    Not Applicable Signed      2-3/4d,                      f*  1      *&bf                  *      *"J1      DateN&Ww,          L      ,200 q Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period          _______      to Z20cTO?, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
Commissions      NB 11622, 1, N, B, A    WIS 100131 Inspector's Signature                                          National Board, State, Province, and Endorsements Date      9  A''VM#fE*3%      -          ,20 _      _
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI                                      I
: 1. Owner Dominion Energy Kewaunee, Inc.                                                              Date    10/14/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet    1 of 2
: 2. Plant,  Kewaunee Power Station                                                                    Unit    No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order      KW100494435
: 3. Work Performed By      Dominion Energy-Kewaune                                                    Type Code Sym. Stamp        NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511                            Authorization No. Not Applicable
: 4. Identification of System    33    Class 2      SAFETY INJECTION                                    Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code B31.1-1967                                      (c) Applicable Section X1 Code Case      NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,        ASME Name of            Name of                    Manufacturer          National            Other        Year        Removed, or        Code Component          Manufacturer                    Serial No.        Board No.              ID          Built          Installed      Stamped SI-H 109          DOMINION ENERGY                NA                    NA              NA            2009        INSTALLED              N
: 7. Description of Work    INSTALL CLASS 2 SAFETY INJECTION SYSTEM RIGID SUPPORT SI-H109 FOR 6" DIAMETER GAS COLLECTION CHAMBER.
: 8. Tests conducted                Hydrostatic              Pneumatic    D        Nominal Operating Pressure Exempt  El Other  R                PressureI          psi            Test Temp.          deg. F
: 9. Remarks      NOT APPLICABLE Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 10/14/2009 Name of Component:        SI-H1i09 Work Order Number: KW100494435 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    INSTALLED              conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp            NA Certificate of Authorization No.        Not Applicable        Expiration Date    Not Applicable Signed -MA*PAW*gy        .Date                                                                    k          L        20
                        .Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6AW4V'06            to ZZOCO*, 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 Xl.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
61117 6d&#xfd;7L-Ct-d"                            Commissions    NB 11622, 1, N, B, A    WIS 100131 Inspector's Signature                                        National Board, State, Province, and Endorsements Date      4  A,#OVa'*f*6r                20 _9
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner Dominion Energy Kewaunee, Inc.                                                              Date    11/02/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Sheet    1 of 2
: 2. Plant    Kewaunee Power Station                                                                  Unit    No. I N490 Highway 42, Kewaunee, Wisconsin 54216-9511                                          Work Order KW100528252
: 3. Work Performed By        Dominion Enerqy-Kewaune                                                  Type Code Sym. Stamp NA IN490 Highway 42, Kewaunee, Wisconsin 54216-9511                          Authorization No. Not Applicable
: 4. Identification of System    33    Class  2    SAFETY INJECTION                                  Expiration Date    Not Applicable
: 5. (a) Applicable Construction Code B31.1-1967                                    (c) Applicable Section Xl Code Case    NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity  1998 Edition 2000 Addenda
: 6. Identification of Components Corrected,          ASME Name of            Name of                    Manufacturer          National          Other        Year        Removed, or        Code Component          Manufacturer                      Serial No.      Board No.            ID          Built          Installed        Stamped SI-W603            DOMINION ENERGY                  NA                  NA              NA            2009        REPAIRED              N
: 7. Description of Work      CORRECT BY REMOVING 2.5" LINEAR INDICATION ON 6" CIRCUMFERENTIAL WELD SI-W603.
: 8. Tests conducted                Hydrostatic      -'        Pneumatic  D        Nominal Operating Pressure 11
                                                                                                                      --        Exempt Es Other                    Pressure          psi            Test Temp.          deg. F
: 9. Remarks      NOT APPLICABLE.
Applicable Manufacturer's Data Reports to be Attached
 
NIS-2 (Back)
Sheet 2 of 2 Date: 11/02/2009 Name of Component:        SI-W603 Work Order Number: KW100528252 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this    REPAIRED              conforms to the requirements of the ASME Code, Section XI.
Type Code Symbol Stamp* NA Certificate of Authorization No.          Not Applicable      Expiration Date    Not Applicable Signed                  6.A                                2      7          O          Date    Ni1                20 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6P)1YOe            to dCVCiO'i, and state that I
to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section X.'
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.
c-1---1 ) c        tl.,  -'?'                      Commissions    NB 11622, 1, N, B, A    WIS 100131 Z
Inspector's Signature                                        National Board, State, Province, and Endorsements Date        9                                    0___
1OV',41'6' 20
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner :                Dominion Energy-Kewaunee                                    Date :      November 2, 2009 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511                                  Sheet:      1    of  2 Address
: 2. Plant:                  Kewaunee Power Station                                    Unit :      No.. 1 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511                                  Work Order Number:            KW100550233 Address
: 3. Work performed by :          Dominion Energy-Kewaunee                              Type Code Symbol Stamp                Not Applicable Name                  I                        Authorization No.                Not Applicable N490 Highway 42, Kewaunee Wisconsin 54216-9511                                  Expiration Date                Not Applicable Address
: 4. Identification of System :    33 Class 2 Safety Injection System,
: 5. (a) Applicable Construction Code :        1967 ASME 831.1 (b) Applicable Edition of Section XI used for Repair/Replacement Activity :          1998 Edition 2000 Addenda (c) Applicable Section XI Code Case:            NA
: 6. Identification of Components ASME Corrected,          Code Name of            Name of        Manufacturer      National Board          Other          Year        Removed, or        Stamped Component        Manufacturer        Serial No.            No.          Identification      Built        Installed      (Yes or No)
SI Train A          Dominion              NA                NA                  NA            2009        Installed            No Vent System            Energy
: 7. Description of Work      Install Class 2 Safety Injection System 2" and 1" Vent System Piping, Flanges and Fittings from connection to 12" Piping downstream of 12" Valve SI-351A to 1" Flanqe.
: 8. Tests Conducted:            Hydrostatic    D        Pneumatic      -      Nominal Operating Pressure                      Exempt    []
Other    [-I      Pressure          32    psi      Test Temp                86  OF
: 9. Remarks:      Not Applicable Applicable Manufacturer's Data Reports to be attached
 
FORM NIS-2 (Back)
Sheet 2 of    2 Date:      November 2, 2009 Name of'Component            SI Train A Vent System Work Order Number            KW100550233 CERTIFICATE OF COMPLIANCE I certify that the statements made in this report are correct and that this conforms to the requirements of the ASME Code, Section XI Type Code Symbol Stamp            Not Applicable Certificate of Authorization No.          Not Applicable      Expiration Date          Not Applicable Signed    fda** 1              &#xfd;              _Lu&wt&#xfd;A&#xfd;w              cvmwI.4      Date        _N Wtkfl,*, q~d 009 I    Owner or Owner's Designee, Titl&          V4 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            w,.scov/              and employed by        HAMKTV*      5&tM4 '%oLS_ &#xa2;    cT of              I-M/lrre        co&6eicv 7-                            have inspected the components described in this\Owner's Report during the period            6 $1A4-, 8            to      zz oce6*-.67              ,and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or*
implied, concerning the examinations, tests, and corrective measures described in-this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection c1          LCommissions                                    W.6 Ai*A2 J03 " 1-/ /")0/ 3 (Inspectorrs Signa~fre)                                National Board, State, Province, and Endorsements Date              9 M0 V*-ma--            69
 
FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner:                Dominion Energy-Kewaunee                                    Date:        November 2, 2009 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511                                  Sheet:      1      of  2 Address
: 2. Plant:                  Kewaunee Power Station                                    Unit:        No. 1 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511                                  Work Order Number:            KW100550234 Address
: 3. Work performed by:            Dominion Energy-Kewaunee                              Type Code Symbol Stamp                Not Applicable Name                                            Authorization No.                  Not Applicable N490 Highway 42, Kewaunee Wisconsin 54216-9511                                  Expiration Date                  Not Applicable Address
: 4. Identification of System :      33 Class 2 Safety Injection System
: 5. (a) Applicable Construction Code:          1967 ASME B31.1 (b) Applicable Edition of Section XI used for Repair/Replacement Activity:            1998 Edition 2000 Addenda (c) Applicable Section XI Code Case:            NA
: 6. Identification of Components ASME Corrected,          Code Name of            Name of          Manufacturer      National Board          -Other          Year        Removed, or        Stamped Component        Manufacturer        Serial No.            No.          Identification        Built        Installed      (Yes or No)
NA SI Train B          Dominion              NA                NA                                2009          Installed            No Vent System            Energy
: 7. Description of Work        Install Class 2 Safety Injection System 2" and 1" Vent System Piping, Flange and Fittings from connection to 12" Piping downstream of 12" Valve SI-351B to 1" Flange.
: 8. Tests Conducted:            Hydrostatic    -        Pneumatic      LI    Nominal Operating Pressure                      Exempt    L1 Other    I        Pressure          30    psi      Test Temp                89  OF
: 9. Remarks:      Not Applicable Applicable Manufacturer's Data Reports to be attached
 
FORM NIS-2 (Back)
Sheet  2 of    2 Date :      November 2, 2009 Name of Component:              SI Train B Vent System Work Order Number              KW100550234 CERTIFICATE OF COMPLIANCE I certify that the statements made in this report are correct and that this conforms to the requirements of
          .the ASME Code, Section XI Type Code Symbol Stamp              Not Applicable Certificate of Authorization No.            Not Applicable      Expiration Date          Not Applicable Signed      /*          .c*                        j't          A          *2a4IJ      Date        I\J*~eAjq)Jwo qi Owner or Owner's Designee, "hltl 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              tWScoM51/              and employed. by        Y4e& 7rC0/_.                    Cir of                f-/Mtr Fe(?Z'      co0Au,..ie*cncT                    have inspected the components described in this Owner's Report during the period              6nAm A-1o0            to      z* cc7"o?                  , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations, tests, and corrective measures described in this Owner's Report.
Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection KIIIn:a6&4-7LA'&#xfd;"5                          ~            Cmisin Commissions                        1        -,~O~
1-1        (Inspector's Signature)                                  National Board, State, Province, and Endorsements Date                9                      .
* FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
: 1. Owner:                Dominion Energy-Kewaunee                                    Date :      October 30, 2009 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511                                  Sheet:      1    of 2 Address
: 2. Plant:                    Kewaunee Power Station                                    Unit ;      No. 1 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511                                  Work Order Number :        KW100589894 Address
: 3. Work performed by :          Dominion Energy-Kewaunee                              Type Code Symbol Stamp              Not Applicable Name                                            Authorization No.              Not Applicable N490 Highway 42, Kewaunee Wisconsin 54216-9511                                  Expiration Date              Not Applicable Address 4; Identification of System:      36 Class 1 Reactor Coolant System
: 5. (a) Applicable Construction Code :        ASME Section III Class A.
(b) Applicable Edition of Section XI used for Repair/Replacement Activity :            1998 Edition 2000 Addenda (c) Applicable Section XI Code Case:              NA
: 6. Identification of Components ASME Corrected,          Code Name of            Name of          Manufacturer      National Board          Other          Year      Removed, or        Stamped Component          Manufacturer        Serial No.            No.          Identification      Built      Installed      (Yes or No)
Pressurizer    . Westinghouse            1151              68-23            PS&E 0041          1968        Installed            Yes
: 7. Description of Work      Installed Replacement Gasket and 5 Replacement Bolts on Class 1 Reactor Coolant System Pressurizer.
Manway. Additional Manway Repair/Replacements: 1997: Installed 1 Helicoil, 16 Replacement Manway Bolts and Removed Base Metal for Helicoil Insertion: 2001- Installed 2 Helicoils,Removed Base Metal for Helicoil Insertion and Replaced 5 Mafiway Bolts.
: 8. Tests Conducted:            Hydrostatic    LI      Pneumatic      LI    Nominal Operating Pressure                    Exempt    []
Other    El        Pressure      2240      psi      Test Temp          546.5  OF
: 9. Remarks:      Reference Westinghouse Letter Report LTR-SGDA-09-176 Revision 0 " Kewaunee Power Station-Applicable Manufacturer's Data Reports to be attached Evaluation for Continued Use of Prior Installed Helical-Coils on the Pressurizer Manway Bolt Holes"
 
FORM NIS-2 (Back)
Sheet, 2  of  2 Date :      October 30, 2009 Name of Component:                Pressurizer Manway Work Order Number:                KW100589894 CERTIFICATE OF COMPLIANCE I certify that the statements made in this report are correct and that this conforms to the requirements of the ASME Code, Section XI                                            /
Type Code Symbol Stamp                  Not Applicable Certificate of Authorization No.                  Not Applicable    Expiration Date          Not Applicable Signed                        /AW.g.rAt*fZ-t'
* Date        NmgnrriijeA9, ZOO      cj
                              '  Owner or Owner's Designee, Title v              q 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                  W15coV11.#J            and employed by                                1-tlz-6
* o,.cT of            ;-/1,*-*-              c &      C/U 'e,7                      have inspected the components described in this Owner's Report during the period                    6 *'k o'            to      Za 0cr  0?                , 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, tests, and corrective measures described in this Owner's Report.
Furthermnore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection
_____-___________Commissions                                        /Va /M 2Z&#x17d;/40              W      O/- (
            *          (Inspector's Signature)                                      National Board, State, Province, and Endorsements Date                  9 "'1 v,-ms o:            _*:q
 
Serial No. 09-723 ATTACHMENT 6 2009 INSERVICE INSPECTION
 
==SUMMARY==
REPORT EXAMINATION
 
==SUMMARY==
 
CLASS 1, CLASS 2, AND CLASS 3 INSERVICE INSPECTION PROGRAM FOURTH TEN-YEAR INTERVAL KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.
 
KEWAUNEE POWER STATION 4TH INTERVAL: 2ND PERIOD: 2ND OUTAGE 2009 EXAMINATION
 
==SUMMARY==
 
INTRODUCTION An Inservice Inspection (ISI) Program (Scheduled and Augmented) was performed at the Kewaunee Power Station from September 25, 2008 through September 22, 2009 (Non Refueling Outage) and September 26, 2009 through October 22, 2009 (Closing of G1 following Refueling Outage) by Kewaunee Power Station, Lambert, MacGill, and Thomas, Inc.(LMT Inc.) and ITLS examination personnel.
Examinations were performed to satisfy the requirements of:
" ASME Boiler and Pressure Vessel Code Section XI 1998 Edition 2000 Addenda
" Westinghouse NASL-06-8: Pressurizer Heater Sleeve Cracking The Inservice Inspection Program Plan and Augmented Inspection Program Plan located under Tab C was prepared by Kewaunee Power Station for the 4th Interval: 2nd Period: 2nd Outage as identified in the Kewaunee Power Station Fourth 10-Year Inservice Inspection (ISI) Program 2004 - 2014. Examinations during this Refueling Outage were performed to complete 4th Interval; 2nd Period Examination Requirements of ASME Boiler and Pressure Vessel Code Section XI 1998 Edition 2000 Addenda and Kewaunee Power Station Fourth 10-Year Inservice Inspection (ISI) Program 2004-2014.
The following items were examined:
" Reactor Vessel Upper and Lower Internals
" Pressurizer Circumferential and Longitudinal Welds
" Pressurizer Surge Nozzle to Safe End Weld
" Pressurizer Integrally Welded Attachment
" Steam Generator Primary Nozzle to Safe End Welds
" Class 1, Class 2 and Class 3 Piping and Component Supports and Hangers
" Class I and Class 2 Steam Generator Primary Manway Bolting, Pressurizer Manway Bolting, Flange Bolting and Valve Bonnet Bolting
" Class I and Class 2 Preservice of Safety Injection and Residual Heat Removal Piping, Supports and Gas Collection Chamber Page 1 of 4
* Letdown Heat Exchanger Circumferential Weld and Integrally Welded Attachments
" Residual Heat Exchanger Circumferential Weld
" Seal Water Injection Filter Circumferential Weld
" Class 1 System Leakage Test
* Class 2 and Class 3 System Leakage Tests EXAMINATIONS The examinations performed were in accordance with an approved Inservice Inspection Program Plan located under Tab C of the final report. Examination Procedures were approved prior to the start of examinations and certification documents relative to personnel, equipment and materials were reviewed and determined to be satisfactory.
Some of the arrangements and details of the Kewaunee Power Station Components and Piping Systems were designed and fabricated before ASME Boiler and Pressure Vessel Code Section XI Code requirements were established. Examinations performed were intended to examine 100% of the required surface or volume. In some cases, examinations were limited by geometric, metallurgical or design/access restrictions. In each case, the occurrence and cause of the limitation was documented. In all cases the maximum amount achievable was examined.
Witnessing and surveillance of the examinations were conducted by personnel from: Nuclear Regulatory Commission and Hartford Steam Boiler Inspection and Insurance Company of CT.
RESULTS Examinations resulted with the following Recordable Indications being noted on the basis of procedure recording criteria, which are generally more restrictive than specified ASME Boiler and Pressure Vessel Code Section XI Acceptance Standards.
Recordable Indications detected during the 2009 Refueling Outage are listed in Table 1 with a brief summary following. Specific data relative to all Recordable Indications and their dispositions by either corrective measures, acceptance by ASME Boiler and Pressure Vessel Code Section XI 1998 Edition 2000 .Addenda Acceptance Criteria, Repair or Replacement or Evaluation are located in Tab F of the Final Report Page 2 of 4
 
TABLE 1 TYPE OR LOCATION OF RECORDABLE INDICATION (RI)                            METHOD                  NO. OF RI'S
  " Reactor Vessel Upper Internals                  Visual (VT-3)              1 Conduit
  " Seal Water Injection Filter                      Volumetric (UT)          1 Weld
* Gas Collection Chamber                            Surface (PT)              1 Weld
* Piping Supports and Hangers                        Visual (VT-3)            1 Support
* Valve Bonnet Bolting, Reactor Coolant              Visual (VT-3)            10 Items Pump Bolting, Flange Bolting and Pressurizer Manway Bolting
* System Leakage Pressure Tests                      Visual (VT-2)            41 Items
: 1. Recordable Indication was recorded on the Reactor Vessel Upper Internals Upper Support Plate Thermocouple Conduit at Location C-3. The separated conduit cable was previously recorded in 1995, 2004 and 2006. The separated conduit at location C-3 showed no noticeable change in separation and was previously acceptable under the Kewaunee Power Station Corrective Action Program.
: 2. Ultrasonic 0' and 600 Indications were recorded on the Seal Water Injection Filter 1A Head Circumferential Weld AFSI-W2. These indications were Acceptable per ASME Boiler and Pressure Vessel Code Section XI 1998 Edition 2000 Addenda Table IWB-3514-2 and IWC-3510-2. The 0' Indications were typical of the flaws recorded on Seal Water Injection Filters lA and lB during Refueling Outages 1982, 1986, 1988, 1992, 1998 and 2001.
: 3. 1 Linear Indication (2.5" in length) was recorded on the Gas Collection Chamber 6" Circumferential Weld SI-W603. The Linear Indication was Unacceptable per ASME Boiler and Pressure Vessel Code Section XI 1998 Edition 2000 Addenda Table IWB-3514-2. The Linear Indication was removed by buffing, reexamined and acceptable to ASME Boiler and Pressure Vessel Code Section XI 1998 Edition 2000 Addenda Standards.
: 4. Visual (VT,3) Indication recorded on 16" Feedwater Piping Support FDW-HI 16 was Evaluated and Accepted by: Kewaunee Power Station Engineering and Inservice Inspection Personnel and reviewed by the Authorized Nuclear Inservice Inspector.
Page 3 of 4
: 5. Visual (VT-3) Indications recorded on Valve Bonnet Bolting (5 Valves), Reactor Coolant Pump Bolting (Main Flange and No. 1 Seal Housing Bolting), Flange Bolting (2 Flanges) and Pressurizer Manway Bolting (IManway) were- (1) Evaluated and Accepted or (2)
Repaired, Reexamined and Accepted by: Kewaunee Power Station Engineering or Inservice Inspection Personnel and reviewed by the Authorized Nuclear Inservice Inspector.
: 6. Visual (VT-2) Indications recorded during System Leakage Pressure Tests (41 Items) were:
(1) Evaluated and Accepted or (2) Repaired, Reexamined and Accepted by: Kewaunee Power Station Engineering or Inservice Inspection Personnel. and reviewed by the Authorized Nuclear Inservice Inspector.
 
==SUMMARY==
 
An Inservice Inspecti'on Program was performed at the Kewaunee Power Station from September 25, 2008 through September 22, 2009 (Non Refueling Outage) and September 26, 2009 through October 22, 2009 (Closing of GI following Refueling Outage). Examinations were performed as scheduled in the Kewaunee Power Station Fourth 10-Year Inservice Inspection (ISI) Program 2004 -2014 to complete examinations for the 4th Interval; 2nd Period. A total of 55 Recordable Indications were detected. AJl Recordable Indicatiors were corrected or accppted by ASME Boiler and Pressure Vessel Code Section XI 1998 Edition 2000 Addenda Acceptance Criteria, Repair/Replacement or Evaluation requirements Phillip    Bukes                Date Engineering Programs Inservice Inspection Program Owner Page 4 of 4
 
Serial No. 09-723 ATTACHMENT 7 2009 INSERVICE INSPECTION
 
==SUMMARY==
REPORT EXAMINATION
 
==SUMMARY==
 
CLASS MC INSERVICE INSPECTION PROGRAM SECOND TEN-YEAR INTERVAL KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.
 
KEWAUNEE POWER STATION 2ND INTERVAL: 1ST PERIOD: 2ND OUTAGE 2009 EXAMINATION
 
==SUMMARY==
 
INTRODUCTION An Inservice Inspection (ISI) Program for the Class MC Reactor Building Containment Vessel was performed at the Kewaunee Power Station from September 26, 2009 through October 22, 2009 (Closing of G1 following Refueling Outage) by Kewaunee Power Station and Lambert, MacGill and Thomas Inc. examination personnel.
Examinations were performed to satisfy the requirements of:
ASME Boiler and Pressure Vessel Code Section XI 2001 Edition 2003 Addenda The Inservice Inspection Program Plan located under Tab C was prepared by Kewaunee Power Station for the 2nd Interval; 1st Period; 2nd Outage as identified in the Kewaunee Power Station Second 10-Year Inservice Inspection (ISI) Program 2006-2016. Examinations during this Refueling Outage were performed to complete the 2nd Interval, 1st Period examination requirements of ASME Boiler and Pressure Vessel Code Section XI 2001 Edition 2003 Addenda and Kewaunee Power Station Second 10-Year Inservice Inspection (ISI) Program 2006-2016.
The following items were examined for the Class MC Reactor Building Containment Vessel:
"Accessible Surface Areas
* Moisture Barriers
* Bolted Connections EXAMINATIONS The examinations performed were in accordance with an approved Inservice Inspection Program Plan located under Tab C of the final report. Examination Procedures were approved prior to the start of examinations and certification documents relative to personnel, equipment and materials were reviewed and determined to be satisfactory.
Page 1 of 3
 
Some of the arrangements and details of the Kewaunee Power Station Components and Piping Systems were designed and fabricated before ASME Boiler and Pressure Vessel Code Section XI Code requirements were established. Examinations performed were intended to examine 100% of the required surface or volume. In some cases, examinations were limited by geometric, metallurgical or design/access restrictions. In all cases the maximum amount achievable was examined.
Witnessing and surveillance of the examinations were conducted by: Hartford Steam Boiler Inspection and Insurance Company of CT.
RESULTS Examinations resulted with the following Recordable Indications being noted on the basis of procedure recording criteria, which are generally more restrictive than specified ASME Boiler and Pressure Vessel Code Section XI Acceptance Standards.
The Recordable Indications detected during the 2009 Refueling Outage are listed in Table 1 with a brief summary following. Specific data relative to the Recordable Indications disposition by acceptance per ASME Boiler and Pressure Vessel Code Section XI 2001 Edition 2003 Addenda Acceptance Criteria, Repair/Replacement or Evaluation is located in Tab F of the Final Report.
TABLE 1 TYPE OR LOCATION OF RECORDABLE INDICATION (RI)                          METHOD                    NO. OF RI'S Reactor Building Containment Vessel                General Visual                  1 Plate Moisture Barrier
: 1. General Visual Indications consisting of 2 separations in the moisture barrier of Plate 67.
The moisture barrier was repaired under Work Order KW100588970, reexamined and accepted. The following is provided as required by 10CFR50.55a(b)(2)(ix)(A) for the moisture barrier indications:                        (
(A) Description of the type and estimated extent of degradation, and the conditions that led to the degradation: 2 Separations in the moisture barrier caulking one 2" in length and one 3" in length. Potential causes include age related distressand improper application of the moisture barrier sealant-.
Page 2 of 3
 
(B) An evaluation of each area, and the result of the evaluation: Evaluation of the metal containment plate indicated no carbon steel plate degradation and no wetness in the area of moisture barrier separation.
(C) A description of the necessary corrective action: Work Order was generated to repair the separations in the moisture barrier. Repairs were performed and reexamined with acceptable results.
 
==SUMMARY==
 
An Inservice Inspection Program for the Class MC Reactor Building Containment Vessel was performed at the Kewaunee Power Station from September 26, 2009 through October 22, 2009 (Closing of G1 following Refueling Outage). Examinations were performed as scheduled in the Kewaunee Power Station Second 10-Year Inservice Inspection (ISI) Program 2006-2016. One Recordable Indication (2 separations in Plate 67 moisture barrier) area was detected. The Recordable Indication was repaired, reexamined and accepted by Kewaunee Power Station Engineering Personnel.
3,Doot9 Phillip  . Bukes                            Date Engineering Programs Inservice Inspection Program Owner Page 3 of 3
 
Serial No. 09-723 ATTACHMENT 8, 2009 INSERVICE INSPECTION
 
==SUMMARY==
REPORT
 
==SUMMARY==
OF EXAMINATIONS THAT WERE LIMITED BY GEOMETRIC, METALLURGICAL, OR DESIGN/ACCESS RESTRICTIONS AND ASSOCIATED DATA SHEETS (10 TOTAL)
KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.
 
Serial No. 09-723 Docket No. 50-305 Attachment 8 Page 1 of 1
 
==SUMMARY==
OF EXAMINATIONS THAT WERE LIMITED BY GEOMETRIC, METALLURGICAL, OR DESIGN/ACCESS RESTRICTIONS Year      Component Identification        Method of        % Recorded as Not Examination    Examined and Limitation 2.6%
Pressurizer Circumferential Shell To 2009  Head Weld P-W3                          UT                2 - 2.5" x 2.5" Integrally Welded Pads 2.6%
Pressurizer Circumferential Shell To 2009  Head Weld P-W5                          UT                2 - 2.5" x 2.5" Integrally Welded Pads 75.0%
2009  Residual Heat Exchanger 1A Head          Ueldn Circumferential Weld AHRS1-W2            UT      Integrally Welded Attachments 8" Inlet and Outlet Nozzles UT                      0.4%
2009  Regenerative Heat Exchanger Head Circumferential Weld ARG-W9                                2 - 2" Nozzles 2009  Letdown Heat Exchanger Shell            UT                      77.5%
Circumferential Weld AHNR-W1                      Shell to Flange Configuration 43%
Seal Water Injection Filter 1A Head      UT                2" Inlet Nozzle 2009 209Circumferential weld AFSI-W2            U                    "IltNzl 3 Integrally Welded Attachments 74%
Nozzle To Safe End Weld RC-2009  W67DM on 14" Pressurizer Surge          UT          Nozzle To Safe'End Weld Configuration 2009  Circumferential Pipe Weld SI-W74 on                              50%
12" Safety Injection                            Valve To Pipe Weld Configuration Nozzle To Safe End Weld RC-                                      4.5%
2009  W76DM on Steam Generator 1A              UT                  4- 3.5" x4.5" Hotleg                                            Integrally Welded Attachments Nozzle To Safe End Weld RC-                                      4.2%
2009  W77DM on Steam Generator 1A              UT                  4- 3.5" x4.5" Crossover Leg                                      Integrally Welded Attachments
 
Serial No. 09-723 ATTACHMENT 9 2009 INSERVICE INSPECTION
 
==SUMMARY==
REPORT "OAR OWNER'S ACTIVITY REPORT" TABLE 1 AND "FORM NIS-2A REPAIR/REPLACEMENT CERTIFICATION RECORD" TABLE 2 KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.
 
Form OAR-I Owner's, Activity Report IAttcm            n  1,  E-AA      II-0                                    Page  10f Report Number:          2009 Refueling Outage Plant      Kewaunee Power Station, N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Unit No.      No.1                      Commercial service date            June 16, 1974        Refueling outage no. K1R30 (if applicable)
Current inspection interval              4th (1st, 2 nd, 3 r, 4 th, other)
Current inspection period              2nd (1st, 2nd ,3rd)
Edition and Addenda of Section Xl applicable to the inspection plans                  1998 Edition 2000 Addenda Date and revision of inspection plans              February 6, 2009 Revision 3 Edition and Addenda of Section Xl applicable to repair/replacement activities, if different than the inspection plans Not Applicable Code Cases used:            N-460, N-532-4 and N-566-2 (if applicable)
CERTIFICATE OF CONFORMANCE I certify that (a) the statements made in this report are correct; (b) the examinations and tests meet the Inspection Plan as required by the ASME Code, Section XI-; and (c) the repair/replacement activities and evaluations supporting the completion of            KI. R 3Q                          conform to the requirements of Section X1.
(refueling outage number)
Signed P W4 I- .5UOS                          /&O
                                              .f.                                              ,..W 1*&, . Date N&1.044, 1,4oO, Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of            &#xa3;idCoPv*,J                    and employed by      -',5Y c7"        of  eouCicT have inspected the items described in this Owner's Activity Report, and state that, to the best of my knowledge and belief, the Owner has performed all activities represented by this report in accordance with the requirements of Section Xl.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the repair/replacement activities and evaluation described in this 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 cted with this inspection.
Commissions        Ne. ,                    WI /.O/
In      trs Signature                                                      National Board, State, Province and Endorsements Date      ,o9 ^0le        67Zo?
 
Kewaunee Power Station.
Table 1 Items.with Flaws or Relevant Conditions that Required Evaluation for Continued Service Flaw or Relevant Condition Examination                                                                                                                                      Found During Scheduled Category  Item Number                            Item Description                                                Evaluation Description    Section XI Examination or Test (Yes or No)
B-G-2        B7.20  K1..B7.20.001 - PRESSURIZER MANWAY BOLTING                                    THREAD DAMAGE MANWAY BOLTS: F106                    Yes B-N-1        B13.10  K1.B13.10.001 - REACTOR VESSEL INTERNALS                                  SEPARATED CONDUIT AT LOCATION C-3: F105                Yes B-P        B15.10  K1.B15.10.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST                EVIDENCE OF LEAKAGE ON SEAL TABLE: CR353880                Yes B-P        B15.40  K1.B15.40.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST              EVIDENCE OF LEAKAGE ON EX. LET. HX.: KW100385374              Yes B-P        B15.60  K1.B15.60.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST            EVIDENCE OF LEAKAGE ON R.C. PUMP 1A SEAL CR353866                Yes B-P        B15.70  K1.B15.70.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST                    EVIDENCE OF LEAKAGE ON RC-300A: CR353829                Yes B-P        B15.70  K1.B15.70.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST                    EVIDENCE OF LEAKAGE ON RC-100A: CR353832                Yes B-P        B15.70  K1.B15.70.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST                    EVIDENCE OF LEAKAGE ON RC-100B: CR353877                Yes B-P        B15.70  K1.B15.70.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST                    EVIDENCE OF LEAKAGE ON RC-301A: CR353864                Yes B-P        B15.70  K1.B15.70.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST                  EVIDENCE OF LEAKAGE ON RC-23028: CR353868                Yes B-P        B15.70  K1.B15.70.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST                    EVIDENCE OF LEAKAGE ON RHR-1A: CR353850                  Yes B-P        B15.70  K1.B15.70.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST                    EVIDENCE OF LEAKAGE ON SI-44A: CR353849                  Yes B-P        B15.70  K1.B15.70.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST                    EVIDENCE OF LEAKAGE ON LD-332: CR353840                  Yes B-P        B15.70  K1.B15.70.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST                    EVIDENCE OF LEAKAGE ON RC-403: CR353863                  Yes C-A        C1.20  K1 .C1.20.017 - SEAL WATER INJECTION FILTER 1A HEAD                    ULTRASONIC INDICATIONS WELD AFSI-W2: F100                  Yes CIRCUMFERENTIAL WELD C-F-1        C5.21  K1 .C5.21.118 - 6" CIRCUMFERENTIAL WELD                                      LINEAR INDICATION WELD SI-W603: F104                Yes C-H        C7.10  KI.C7.10.006 - CHEMICAL AND VOLUME CONTROL                          EVIDENCE OF LEAKAGE ON LET.HX. STUD: CR116439                Yes C-H        C7.10  Ki.C7.10.006 - CHEMICAL AND VOLUME CONTROL                            EVIDENCE OF LEAKAGE ON CVC-23111-1: CR116354                Yes C-H        C7.10  Ki .C7.10.006 - CHEMICAL AND VOLUME CONTROL                            EVIDENCE OF LEAKAGE ON CVC-101C: CR090284                  Yes C-H        C7.10  Ki .C7.10.006 - CHEMICAL AND VOLUME CONTROL                      EVIDENCE OF LEAKAGE ON SW INJ. FILTER 1A: CR331022              Yes C-H        C7.10  K1.C7.10.005 - SI INSIDE CONTAINMENT SYSTEM PRESSURE                      EVIDENCE OF LEAKAGE ON SI-303B: CR353804                Yes C-H        C7.10  K1 .C7.10.006 - CHEMICAL AND VOLUME CONTROL                    EVIDENCE OF LEAKAGE ON PIA-183A ROOT VALVE: CR116406                Yes C-H        C7.10  K1.C7.10.005"- SI INSIDE CONTAINMENT SYSTEM PRESSURE                      EVIDENCE OF LEAKAGE ON SI-46: CR353786                  Yes C-H        C7.10  K1.C7.10.005 - SI INSIDE CONTAINMENT SYSTEM PRESSURE                    EVIDENCE OF LEAKAGE ON SI-210B; CR 353818                Yes C-H        C7.10  K1.C7.10.005 - SI INSIDE CONTAINMENT SYSTEM PRESSURE                      EVIDENCE OF LEAKAGE ON SI-121: CR353784                Yes C-H        C7.10  K1 .C7.10.005 - SI INSIDE CONTAINMENT SYSTEM PRESSURE                    EVIDENCE OF LEAKAGE ON SI-11 B: CR353785                Yes C-H        C7.10  K1 .C7.10.006 - CHEMICAL AND VOLUME CONTROL                        EVIDENCE OF LEAKAGE ON LET HX FLANGE: CR116438                Yes D-B        D2. 10  K1.D2.10.004 - COMPONENT COOLING WATER SYSTEM                            EVIDENCE OF LEAKAGE ON CC-609A: CR349958                  Yes PRESSURE TEST D-B        D2. 10  K1.D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST            EVIDENCE OF LEAKAGE ON SW-43B2 UNION FITTING: CR334793                Yes D-B        D2. 10  K1.D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST                        EVIDENCE OF LEAKAGE ON SW-50OB: CR334785                  Yes D-B        D2.10  K1.D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST                      EVIDENCE OF LEAKAGE ON SW(R16)-3: CR334780                  Yes
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Kewauee Pwer tation Table I Items with Flaws or Relevant Conditions that Required Evaluation for Continued Service Flaw or Relevant Condition Examination                                                                                                                            Found During Scheduled Category  Item Numbe                          Item Description                                    Evaluation Description            Section XI Examination or Test (Yes or No)
D-B          D2.10  K1.D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST                EVIDENCE OF LEAKAGE ON SW-1299B: CR334778                Yes D-B          D2.10  K1 .D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST          EVIDENCE OF LEAKAGE ON CONT. FAN COIL 1D: CR349565            Yes D-B          D2.10  K1.D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST              EVIDENCE OF LEAKAGE ON FS-16809 FITTING: CR28221            Yes D-B          D2.10  K1 .D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST                EVIDENCE OF LEAKAGE ON HS-2203A: CR333879                Yes D-B          D2.10  Kl.D2.10.004 - COMPONENT COOLING WATER SYSTEM                    EVIDENCE OF LEAKAGE ON CC-18228-2: CR349965              Yes PRESSURE TEST D-B          D2.10  K1.D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST              EVIDENCE OF LEAKAGE ON FS-16810 FITTING: CR28221            Yes D-B          D2.10  K1.D2.10.004 - COMPONENT COOLING WATER SYSTEM                  EVIDENCE OF LEAKAGE ON CCW PUMP 1 B: CR350129              Yes PRESSURE TEST D-B          D2.10  K1.D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST                EVIDENCE OF LEAKAGE ON SW-901B-1: CR340570                Yes D-B          D2.10  K1 .D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST                EVIDENCE OF LEAKAGE ON SW-914C: CR349618                Yes D-B          D2.10  K1 .D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST                EVIDENCE OF LEAKAGE ON SW-910C: CR349617                Yes D-B          D2.10  K1.D2.10.004 - COMPONENT COOLING WATER SYSTEM              EVIDENCE OF LEAKAGE ON FLANGE BY CC-605A: CR349973            Yes PRESSURE TEST NA          NA    K1 .NA.909 - BORIC ACID INJECTION AND RECIRULATION          EVIDENCE OF LEAKAGE ON BA TRANS. PUMP 11B: CR111149            No NA          NA    KI .NA.909 - BORIC ACID INJECTION AND RECIRULATION          EVIDENCE OF LEAKAGE ON BA TRANS. PUMP 1A: CR100394              No 7' A          NA    K1.NA.783 - ELELMENT-RC LOOP B RTD LOOP FLANGE ORIFICE            EVIDENCE OF LEAKAGE ON FLANGE FE-459: F108                No NA          NA    K1.NA.905 - REACTOR COOLANT PUMP 1A                          EVIDENCE OF LEAKAGE ON MAIN FLANGE BOLTING: F110              No NA          NA    K1.NA.813 - REACTOR COOLANT PUMP 1A NO.1 SEAL HOUSING          EVIDENCE OF LEAKAGE ON NO. 1 SEAL BOLTS: F109              No BOLTS NA          NA    K1-.NA.106 - VALVE-CONTROL-COLDLEG LOOP B TO                  EVIDENCE OF LEAKAGE ON VALVE PS-1B BOLTING: F1 12            No NA          NA    KI .NA.090 - VALVE-CHECK-LOOP B HOT LEG INJECTION LINE            EVIDENCE OF LEAKAGE ON VALVE SI-303B: F1 11              No NA          NA    K1 .NA.088 - VALVE-MOTOR-RCS LOOP A SUPPLY TO RHR PUMPS          EVIDENCE OF LEAKAGE ON VALVE RHR-1A: F101                No NA          NA    K1.NA.088 - VALVE-MOTOR-RCS LOOP A SUPPLY TO RHR PUMPS              THREAD DAMAGE ON VALVE RHR-1A: F103                    No NA          NA    Ki.NA.651 - VALVE-MOTOR-RCP LOOP B SUPPLY TO RHR PUMPS            EVIDENCE OF LEAKAGE ON VALVE RHR-1B: F102                No NA          NA    K1.NA.784 - ELEMENT-RC LOOP A RTD LOOP FLOW ORIFICE              EVIDENCE OF LEAKAGE ON FLANGE FE-458: F107                No.
NA          NA    NA -                                                              EVIDENCE OF LEAKAGE ON LT-24013: CR353825                No NA          NA    K1 .NA.239 - HANGER-SPRING                                      OUT OF TOLERANCE SETTING ON FDW-H1 16: F1 13              No ScheduleWorks V. 8.1                                                Page 2      -2
 
FORM NIS-2A REPAIR/REPLACEMENT CERTIFICATION RECORD OWNER'S CERTIFICATE OF COMPLIANCE I certify that the              Repair/Replacement              activities represented by Repair/Replacement Plan number                    KIR30 conform to the requirements of Section XI Edition and Addenda of Section XI used:                    1998 Edition 2000 Addenda Code Cases used:                                                                              N-532-4 (if applicable)
Signed                911.\0 P.&LVI-A '-PjU&"e.1&AW Owner or Owner's Deslgnee Date                              -a00 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              [i.-1iCOJ6'#9J                                      and employed by          1~,    i-e'/'-- .57P7k, ,3J01"e. c7"    of
              /tfZ'-For~t*      CO*NN~        c "r                            have inspected the components described in Repair/Replacement Plan number              k I /?,30            ,and state that to the best of my knowledge and belief, the Owner has performed all the activities described in the Repair/Replacement Plan in accordance with the requirements of Section XL.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the activities described in the Repair/Replacement Plan. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any per-sonal mu or property damage or a loss of any kind arising from or connected with this inspection
____________________                                          Commissions        A-16 M" ZZ 9,3/A/                IWI' /I'6/3/
Inspector's Signat~r,--J                                  National Board, State, Province, and Endorsements Date                /      A'O V&-Wl, -R 0, A,
 
Kiewaiunree P oe                rS
                                                            ~~            R3 ObleRe pal.frIRe p lac              7'          1t la    A,2          ''              .      .,,
Abstract of Repairs, Replacements or Corrective Measures Required for Continued Service Flaw or Relevant Code      Corrected,                                                                                              Condition Found During                    Repair / Replacement Plan Number Class    Removed or              Item Description                          Description of Work                      Scheduled Section Xl      Date Complete              K1 R30 Installed                                                                                              Examination or Test (Yes
_or                                                    No)
Installed    1" Flange Upstream of LD-300 Install Replacement 4 Studs and 8 Nuts                                No                10/21/2009  Work Order KW1 00385376 Corrected      PR-2A                        Correct by Repairing Seat Leakage on 3" Valve PR-2A                    No                10/22/2009  WorkOrder KW100315676 Installed    Pressurizer Manway          Install Replacement Gasket and 5 Replacement Manway                    No                10/30/2009  Work Order KW1 00589894 Bolts Installed    PR-F2                        Install 12 Studs and 24 Nuts on 6" Inlet Flange PR-F2 to              No                10/22/2009  Work Order kW1 00278450 PR-3B Installed    RHR-30B-3                    Install. Replacement 1/2" Rupture Disc RHR-30B-3                      No              <' 10/18/2009  Work Order KW1 00395492 Installed    RSI-H63                      Install Replacement Hydraulic Snubber RSI-H63                          No                10/13/2009  Work Order KW1 00362587 Installed    APCH-1A-SC1                  Install Class 2 Chemical and Volume Control System                    No                12/08/2008  Work Order KW100421013 Charging Pump 1A Motor and Base Support Plates.
Installed    APCH-1B-SC2                  Install Class 2 Chemical and Volume Control System                    No                06/24/2008  Work Order KW04-006910 Charging Pump 1 B Motor and Base Support Plates.
Corrected      APCH-1 B-SC2                Correct by Modifying Class 2 Chemical and Volume                      No                06/24/2008  Work Order KW100390285 Control System Charging Pump 1B Base Supports.
Corrected      APCH-1 B-SC2                Perform Metal Removal on Class 2 Chemical and Volume                  No                06/24/2008  Work Order KW100390344 Control System Charging Pump 1 B Motor and Base Spport Pads.
Corrected      APCH-1 B-SC2                Correct Cracked I Beam Support on Class 2 Chemical                    -No                06/24/2008  Work Order KW1 00393957 and Volume Control System Charging Pump 1B Base Support.
Installed    APCH-1C-SC3                  Install Class 2 Chemical and Volume Control System                    No                02/26/2009  Work Order KW04-006939 Charging Pump 1C Motor and Base Support Plates Installed    APD-1B                      Install Replacement Dampener Spring on Chagring Pump                  No                11/04/2008  Work Order KW100278054 1B Installed    CVC-4A                      Install Replacement Valve Bonnet and Diaphragm                        No                09/24/2008  Work Order KW1 00420045
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I.                          .L                _______________________
11/10/2009                                                                    ScheduleWorks V. 8.1                                                                    Page  1 -3
 
_p          .1;'4e                                r    Ue-tow4,:
Abstract of Repairs, Replacements or Corrective Measures Required for Continued Service Flaw or Relevant Code    Corrected,                                                                                        Condition Found During                Repair/ Replacement Plan Numbe Clas  .Removed or          Item Description                      Description of Work                    Scheduled Section Xl    Date Complete Re            mnb Installed                                                                                      Examination or Test (Ye.R or No)
Installed Gas Collection Chamber    Install 6" Gas Collection Chamber and 3/4" Piping,                    No            10/20/2009  Work Order KW1 00494435 Supports and Valves SI-39A-1, SI-39A-2 and SI-39-A3 Installed ICS-60A                    Install 2" and 3/4" Piping and 3/4" Valve ICS-60A                    No            08/17/2009  Work Order KW1 00453017 Installed ICS-H7                    Install Replacement Hydraulic Snubber ICS-H7                          No            10/06/2009  Work Order KW1 00362674 Corrected  LD-4B                      Correct by Repairing Seat Leakage on 2" Valve LD-4B                  No            10/21/2009  Work Order KW1 00375362 Corrected  LD-5                      Correct by Repairing 2" Valve LD-5                                    No            10/22/2009  Work Order KW1 00280694 C6rected  LD-60                      Correct Valve Packing Leakage on 2" Valve LD-60                      No            10/20/2009  Work Order KW1 00427863 Installed RHR-220                    Install 2" and 3/4" Piping and 3/4" Valve RHR-220                    No            09/10/2009  Work Order KW100453019 Installed RHR-31A-1                  Install 2" and 3/4" Piping and 3/4" Valve RHR-31A-1                  No            10/21/2009  Work Order KW100453024 Installed RHR-40                    Install 2" and 3/4" Piping and 3/4" Valve RHR-40                      No            10/10/2009  Work Order KW1 00453022 Installed RHR-501A                  Install 2" and 3/4" Piping and 3/4" Valve RHR-501A                    No            10/10/2009  Work Order KW1 00453023 Installed RSI-H61                    Install Replacement Hydraulic Snubber RSI-H61-                        No            10/13/2009  Wok Order KW1 00362588 Installed SI Train A Vent System    Install 2" and 1" Vent System Piping, Flange and Fittings            No            09/23/2009  Work Order KW1 00550233 from 12" Piping to 1" Flange Downstream of 12" Valve SI-351A Installed  SI Train B Vent Sytsem    Install 2" and 1" Vent System Piping, Flange and Fittings            No            09/17/2009  Work Order KW100550234 from 12" Piping to 1" Flange Downstream of 12" Valve SI-351 B Installed  SI-301A                    Install Replacement Valve Bonnet on 10" Valve SI-301A                No            09/23/2009  Work Order KW1 00453025 and Install 1/2" Vent Valve SI-301A-1 11/10/2009                                                              ScheduleWorks V. 8.1                                                              Page 2      - 3
 
Abstract of Repairs, Replacements or Corrective Measures
___________                                  Required for Continued Service Flaw or Relevant Coe Corrected,                                                                                                  Condition Found DuringRearIepcmntPnNub Cas Removed Installed or                Item Description                            Description of Work              Scheduled Section Xl    Date Complete Reai/RpacRetla3ub Examination or Test (Ye or No)
Installed                                  rI-301B Install Replacement Bonnet on 10" Valve SI-301B and              No              101912009  Work Order KW1 00453026 Install 3/4" Vent Valve I-301 B-I 2        Installed      SI-309                              Install 2" and 3/4" Piping and 3/4" Vent Valve SI-309            No              10/19/2009 Work Order KW100453032 2        Installed r            I m                      Install 2" and 3/4" Piping and 3/4" Valve SI-31-e                No              10/19/2009 Work Order KWI00453027 2        Installed      SI-H109                            Install Gas Collection Chamber Welded Attachment                No              10/12/2009 Work Order KW100494435 Support SI-H109 2      Corrected        SI-W603                            Correct by Removing 2.5" Linear Indication                      Yes              10/04/2009 Work Order KW100528252 11/10/2009                                                                              ScheduleWorks V. 8.1                                                          Page 3 - 3}}

Latest revision as of 05:49, 12 March 2020

2009 Inservice Inspection Summary Report
ML100070554
Person / Time
Site: Kewaunee Dominion icon.png
Issue date: 01/04/2010
From: Price J
Dominion, Dominion Energy Kewaunee
To:
Document Control Desk, Office of Nuclear Reactor Regulation
References
09-723
Download: ML100070554 (109)
v • d • e


Text

Dominion Energy Kewaunee, Inc.

5000 Dominion Boulevard, Glen Allen, VA 23060 ominion January 4, 2010 ATTN: Document Control Desk Serial No.09-723 U. S. Nuclear Regulatory Commission LIC/NW/RO Washington, DC 20555-0001 Docket No. 50-305 License No. DPR-43 DOMINION ENERGY KEWAUNEE, INC.

KEWAUNEE POWER STATION 2009 INSERVICE INSPECTION

SUMMARY

REPORT As required by American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code Section Xl, 10 CFR 50.55a, and Wisconsin Administrative Code, Department of Commerce, Comm 41.55(3), various inservice inspection (ISI) examinations were performed during the 2009 refueling outage at the Kewaunee Power Station (KPS). The 2009 refueling outage took place from September 26, 2009 through October 22, 2009. This letter transmits the Inservice Inspection Summary Report as required by paragraph IWA-6230 of ASME Section XI.

Two separate ASME Section Xl inservice inspection programs are implemented at KPS.

One program is for pressure retaining piping/vessels and component supports, and the other program is for the metal containment. The 2009 refueling outage inservice inspections met the requirements of these two distinct inspection programs as identified below:

a. Class 1, Class 2, and Class 3 component inspections were performed for the second inspection outage of the second period of the fourth interval. These inspections met the requirements of ASME Boiler and Pressure Vessel Code Section XI, 1998 Edition, 2000 Addenda with implementation in accordance with the KPS Fourth Ten-Year Inservice Inspection (ISI) Program 2004-2014.
b. Class MC component inspections were performed for the second inspection outage of the first period of the second interval. These inspections met the requirements of ASME Boiler and Pressure Vessel Code Section Xl, 2001 Edition, 2003 Addenda with implementation in accordance with the KPS Second Ten-Year Inservice Inspection (ISI) Class MC Program 2006-2016.

The following examinations and tests were performed for Class 1, Class 2, and Class 3 components and their supports:

  • Reactor vessel upper and lower internals
  • Pressurizer circumferential and longitudinal welds

Serial No.09-723 Page 2 of 3

  • Pressurizer integrally welded attachment
  • Class 1 and Class 2 preservice of safety injection and residual heat removal piping, supports and gas collection chamber
  • Letdown heat exchanger circumferential weld and integrally welded attachments o Residual heat exchanger circumferential weld
  • Seal water injection filter circumferentialweld 0 Class 1 system leakage test o -Class 2 and Class 3 system leakage tests The following items were examined for the Class MC reactor building containment vessel:

- Accessible surface areas

Documentation summarizing the inservice inspection activities performed during the KPS 2009 refueling outage and associated results is provided in attachments 1-9 of this letter. The final reports for each of these examinations are maintained in the Quality Assurance/Quality Control Records Vault at KPS. Attachment 9 includes Form OAR-i and Form NIS-2A. These forms are submitted in addition to -Forms NIS-1, "Owner's Report for Inservice Inspection Class 1, Class 2 and Class 3 Components for Fourth Ten-Year Interval," and Forms NIS-2, "Owner's Repair/Replacement Activities." It is expected that as KPS approaches the end of the Fourth Ten-Year Interval'and prepares for the Fifth Ten-Year Interval, the site will cease to submit Forms NIS-1 and NIS-2.

The next refueling outage at KPS is tentatively scheduled for the spring of 2011.

If you have questions or require additional information, please feel free to contact Mr.

Craig Sly at 804-273-2784.

Very truly yours, Yresident - Nuclear Engineering

Serial No.09-723 Page 3 of 3 Attachments:

1. Summary of Recordable Indications (RIs) and Disposition
2. Summary of Class 1 and Class 2 Repair/Replacement Activities for Components 1-Inch in Diameter or Smaller
3. "Form NIS-1 Owner's Report for Inservice Inspections," Class 1, Class 2, and Class 3 Components, Fourth Ten-Year Interval
4. '.'Form NIS-1 Owner's Report for Inservice Inspections," Class MC Components, Second Ten-Year Interval
5. "Form NIS-2 Owner's Report for Repair/Replacement Activities" (33 Total)
6. Examination Summary, Class 1, Class 2, and Class 3 Inservice Inspection Program, Fourth Ten-Year Interval
7. Examination Summary, Class MC Program Inservice Inspection, Second Ten-Year Interval.
8. Summary of Examinations that were Limited by Geometric, Metallurgical, or Design/Access Restrictions and Associated Data Sheets (10 Total)
9. "Form OAR-1 Owner's Activity Report," Table 1 and "Form NIS-2A Repair/Replacement Certification Record," Table 2 Commitments made by this letter: NONE cc: Regional Administrator U. S. Nuclear Regulatory Commission Region III 2443 Warrenville Road Suite 210 Lisle, Illinois 60532-4352 Mr. P. S. Tam Sr. Project Manager U.S. Nuclear Regulatory Commission One White Flint North, Mail Stop 08-H4A 11555 Rockville Pike Rockville, MD 20852-2738 NRC Senior Resident Inspector Kewaunee Power Station

Serial No.09-723 ATTACHMENT 1 2009 INSERVICE INSPECTION

SUMMARY

REPORT

SUMMARY

OF RECORDABLE INDICATIONS (RIs) AND DISPOSITION KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.

r

Serial No.09-723 Docket No. 50-305 Attachment 1 Page 1 of 2

SUMMARY

OF RECORDABLE INDICATIONS (RIs) AND DISPOSITION Type Or Location Of Recordable Examination No. Ris I Indication (RI) Method (Description)

1. Reactor Building Containment Vessel General Visual 1 (Plate Moisture Barrier)
2. Reactor Vessel Upper Internals VT-3 1 (Conduit)
3. Seal Water Injection Filter Ultrasonic 1 (Weld-Ultrasonic Indications)
4. Gas Collection Chamber Liquid Penetrant 1 (Weld)
5. Piping Supports and Hangers Visual (VT-3) 1 (Support)
6. Valve Bonnet Bolting, Reactor Coolant Pump Bolting, Flange Bolting Visual (VT-3) 10 (Items) and Pressurizer Manway Bolting
7. System Leakage Pressure Tests Visual (VT-2) 41 (Items)

Dispositioning of Class 1, Class 2, and Class 3 indications has been completed in accordance with the rules of American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code Section XI, 1998 Edition, 2000 Addenda for Fourth Ten-Year Interval examinations. Dispositioning of Class MC components has been completed in accordance with the rules of ASME Boiler and Pressure Vessel Code Section Xl, 2001 Edition, 2003 Addenda for Second Ten-Year Interval examinations. Applicable codes, standards, and engineering criteria were used to disposition indications associated with the non-code-required examinations. Recordable indications for Class 1, Class 2, Class 3, and Class MC components have been summarized with disposition as noted below:

1. General visual indications consisting of two separations in the moisture barrier of Plate
67. The moisture barrier was repaired under Work Order KW100588970, reexamined and accepted.
2. Recordable indication was recorded on'the reactor vessel upper internals upper support plate thermocouple conduit at location C-3. The separated conduit cable was previously recorded in 1995, 2004, and 2006. The separated conduit at location C-3 showed no noticeable change in separation and was previously acceptable under the Kewaunee Power Station (KPS) Corrective Action Program.

Serial No.09-723 Docket No. 50-305 Attachment 1 Page 2 of 2

3. Ultrasonic 00 and 600 indications were recorded on the seal water injection filter 1A head circumferential weld AFSI-W2. These indications were acceptable per ASME Boiler and, Pressure Vessel Code Section Xl, 1998 Edition, 2000 Addenda, T~able IWB-3514-2 and IWC-3510-2. The 0' indications were typical of the flaws recorded on seal water injection filters 1A and lB during refueling outages 1982, 1986, 1988, 1992, 1998, and 2001.
4. One linear indication (2.5" in length) was recorded on the gas collection chamber 6" circumferential weld SI-W6'03. The linear indication was unacceptable per ASME Boiler and Pressure Vessel Code Section Xl, 1998 Edition, 2000 Addenda, Table IWB-3514-2. The linear indication was removed by buffing, reexamined, and acceptable to ASME Boiler and Pressure Vessel Code Section Xl, 1998 Edition, 2000 Addenda Standards.
5. Visual (VT-3) indication recorded on 16" feedwater piping support FDW-H1 16 was evaluated and accepted by KPS Engineering and Inservice Inspection (ISI) personnel and reviewed by the Authorized Nuclear Inservice Inspector.
6. Visual (VT-3) indications recorded on valve bonnet bolting (five valves), reactor coolantpump bolting (main flange and No. 1 seal housing bolting), flange bolting (two flanges) and pressurizer manway bolting (one manway) were (1) evaluated and accepted, or (2) repaired, reexamined, and accepted by KPS Engineering or ISI personnel. All dispositioned indications were and reviewed by the Authorized Nuclear Inservice Inspector.
7. Visual (VT-2) indications recorded during system leakage pressure tests (41 items).

These indications were (1) evaluated and accepted, or (2) repaired, reexamined, and accepted by KPS Engineering or ISI personnel. All dispositioned indications were reviewed by the Authorized Nuclear Inservice Inspector.

Serial No.09-723 ATTACHMENT 2 2009 INSERVICE INSPECTION

SUMMARY

REPORT

SUMMARY

OF CLASS 1 AND CLASS 2 REPAIR/REPLACEMENT ACTIVITIES FOR COMPONENTS I-INCH IN DIAMETER OR SMALLER KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.

Serial No.09-723 Docket No. 50-305 Attachment 2 Page 1 of 1

SUMMARY

OF CLASS 1 AND CLASS 2 REPAIR/REPLACEMENT ACTIVITIES FOR COMPONENTS 1 INCH IN DIAMETER OR SMALLER The following summarizes the repairs and replacements performed following the 2008 refueling outage and during the 2009 refueling outage by grinding, buffing, filing, cutting, or welding on the Class 1 and Class 2 pressure boundaries. These repairs and replacements are in addition to those itemized on the enclosed forms, "NIS-2 Owner's Report for Repair/Replacement Activity" and "NIS-2A Repair/Replacement Certification Record."

Component Class Reference Repair/Replacement Method Drawing Three 3/4" welded plugs 2 XK-100-28 Welding in three 3/4" pipe plugs 3/4" valve SI-39A 2 XK-100-28 Welding in replacement 3/4" valve 1" welds by SI-1 O0A 2 XK-100-28 Welding in 1" welds by SI-1OA 1" valve SI-1O0A 2 XK-100-28 Welding in new 1" valve SI-100A 1" valve SI-1 OB 2 XK-100-28 Welding in new 1"valve SI-1 OOB 1/2" valve SI-301A-1 2 XK-100-29 Welding in new-1/2" valve 3/4" valve SI-301 B-1 2 XK-100-29 Welding in new 3/4" valve 3/4" valve SI-4A-1 2 XK-100-29 Welding in new 3/4" valve 3/4" valve SI-4B-1 2 XK-100-29 Welding in new 3/4" valve 3/4" valve MS-23001-1 2 M-203 Welding in replacement 3/4" valve 3/4" valve MS-23001-2 2 M-203 Welding in replacement 3/4" valve 3/4" valve MS-23002-1 2 M-203 Welding in replacement 3/4" valve 3/4" valve MS-23002-2 2 M-203 Welding in replacement 3/4" valve 3/4" valve MS-23005-1 2 M-203 Welding in replacement 3/4" valve 3/4" valve MS-23005-2 J 2 M-203 Welding in replacement 3/4" valve 3/4" valve MS-23007-1 2 M-203 Welding in replacement 3/4" valve 3/4" valve MS-23007-2 2 M-203 Welding in replacement 3/4" valve

Serial No.09-723

(

ATTACHMENT 3 2009 INSERVICE INSPECTION

SUMMARY

REPORT "FORM NIS-1, OWNER'S REPORT FOR INSERVICE INSPECTIONS" CLASS 1, CLASS 2, AND CLASS 3 COMPONENTS FOURTH TEN-YEAR INTERVAL KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.

Page 1 of 10 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. OWNER-DOMINION ENERGY KEWAUNEE, INC.

N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511

2. PLANT - KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
3. PLANT UNIT - NO. 1
4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
6. NATIONAL BOARD NUMBER FOR UNIT - N/A
7. COMPONENTS INSPECTED -

MANUFACTURER COMPONENT OR MANUFACTURER OR INSTALLER STATE OR NATIONAL APPURTENANCE OR INSTALLER SERIAL NO. PROVINCE NO; BOARD NO.

Reactor Vessel RV Combustion CE69202 U11480 21010 Engineering Replacement Reactor Mitsubishi Heavy B-VH-N06 U11480 5845 Vessel Closure Head Industries Pressurizer PZR Westinghouse 1151 U11402 68-23 Steam Generator SG- Westinghouse/ 1141/0202 U11400 68-28/151 1A Ansaldo Energia Milano Steam Generator SG- Westinghouse/ 1142/0201 U11401 68-29/150 1B Ansaldo Energia Milano Excess Letdown Heat Sentry 3996-5E U11407 364 Exchanger AHEL-1A Excess Letdown Heat Sentry 3996-6E U11408 365 Exchanger AHEL-IB Class 1 Piping Texas Pipe Bending Reactor Coolant Westinghouse 1A-1-618J871-Pump RCP-1A GO1

Page 2 of 10 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. OWNER - DOMINION ENERGY KEWAUNEE, INC.

N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511

2. PLANT- KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
3. PLANT UNIT - NO. 1
4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
6. NATIONAL BOARD NUMBER FOR UNIT - N/A
7. COMPONENTS INSPECTED -

MANUFACTURER COMPONENT OR MANUFACTURER OR INSTALLER STATE OR NATIONAL APPURTENANCE OR INSTALLER SERIAL NO. PROVINCE NO. BOARD NO.

Reactor Coolant Westinghouse 1B-2-618J871-Pump RCP-1B G02 Residual Heat Joseph Oat and 1817-IE U11046 344 Exchanger Sons AHRSI-IA Residual Heat Joseph Oat and 1817-IF U11424 345 Exchanger Sons AHRS2-1B Charging Pump Greer Hydraulics GNI-1848 Pulsation'Dampener APD-1A Charging Pump Greer Hydraulics GNI-1846 Pulsation Dampener APD-1B Charging Pump Greer Hydraulics GNI-1847 Pulsation Dampener APD-1C Volume Control Tank Joseph Oat and 1787-1C Ul1425 376 VCT Sons I

Page 3 of 10 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS' AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. OWNER - DOMINION ENERGY KEWAUNEE, INC.

N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511

2. PLANT - KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
3. PLANT UNIT - NO. 1
4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
6. NATIONAL BOARD NUMBER FOR UNIT - N/A
7. COMPONENTS INSPECTED -

MANUFACTURER COMPONENT OR MANUFACTURER OR INSTALLER STATE OR NATIONAL APPURTENANCE OR INSTALLER SERIAL NO. PROVINCE NO. BOARD NO.

Regenerative Heat Joseph Oat and 1831-13 U11409 413 Exchanger ARG Sons U11410 414 U11411 415 Letdown Heat Atlas 1206 U11405 1031 Exchanger AHLD Seal Water Heat Atlas 734 U11404 596 Exchanger AHSW Seal Water Injection Commercial 101072 1172 Filter AFSI- 1A Filters Seal Water Injection Commercial 101073 1173 Filter AFSI-1B Filters Reactor Coolant AMF Cuno 121 2616 Filter AFRC Seal Water Filter AMF Cuno 123 2618 AFSW Class 2 Piping Texas Pipe Bending

/

Charging Pump Ajax Iron Works 6578 APCH-1A

Page 4 of 10 '

FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. OWNER - DOMINION ENERGY KEWAUNEE, INC.

N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511

2. PLANT - KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
3. PLANT UNIT - NO. 1
4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
6. NATIONAL BOARD NUMBER FOR UNIT - N/A
7. COMPONENTS INSPECTED -

MANUFACTURER COMPONENT OR MANUFACTURER OR INSTALLER STATE OR NATIONAL APPURTENANCE OR INSTALLER SERIAL NO. PROVINCE NO. BOARD NO.

Charging Pump Ajax Iron Works 6576 APCH-1B Charging Pump Ajax Iron Works 6577 APCH-1C Charging Pump Greer Hydraulics GHI-10234 568 APCH-1A Suction Stabilizer GH1 123 Charging Pump Greer Hydraulics 569 APCH-1B Suction Stablizer GHI-10235 Charging Pump Greer Hydraulics 570 APCH-IC Suction Stablizer Residual Heat Byron Jackson 681N0277 Removal Pump APRH1-IA Residual Heat Byron Jackson 681N0276 Removal Pump APRH2-1B

Page 5 of 10 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. OWNER - DOMINION ENERGY KEWAUNEE, INC.

N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511

2. PLANT - KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
3. PLANT UNIT - NO. 1
4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
6. NATIONAL BOARD NUMBER FOR UNIT - N/A
7. COMPONENTS INSPECTED -

MANUFACTURER COMPONENT OR MANUFACTURER OR INSTALLER STATE OR NATIONAL APPURTENANCE OR INSTALLER SERIAL NO. PROVINCE NO. BOARD NO.

Diesel Generator ITT Standard 750797-01-2 AHDG-1A Cooling Corp. &

Water Exchangers (2) 750797-01-3 Diesel Generator ITT Standard 750797-01-1 AHDG-1B Cooling Corp. &

Water Exchangers (2) 750797-01-4 Auxiliary' Feedwater Pacific Pump 46573 Pump APFM-1A Motor Driven Auxiliary Feedwater Pacific Pump 46574 Pump APFM-1B Motor Driven Auxiliary Feedwater Pacific Pump 46575 Pump APFT Turbine Driven Reactor Coolant Perfex 723701-1 4014 Pump RCPC-1A Corporation Lube Oil Cooler Reactor Coolant Senior 1357901 Pump RCPC-1B Engineering Lube Oil Cooler Company

Page 6 of 10 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. OWNER - DOMINION ENERGY KEWAUNEE, INC.

N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511

2. PLANT - KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
3. PLANT UNIT - NO. 1
4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
6. NATIONAL BOARD NUMBER FOR UNIT - N/A
7. COMPONENTS INSPECTED -

MANUFACTURER COMPONENT OR MANUFACTURER OR INSTALLER STATE OR NATIONAL APPURTENANCEI .ORINSTALLER SERIAL NO. PROVINCE NO. BOARD NO.

Class 3 Piping Texas Pipe Bending Containment Fan Joy GF14402 Cooler AHCF-1A Manufacturing and American Air Filter Containment Fan Joy GF14399 Cooler AHCF-1B Manufacturing and American Air Filter Containment Fan Joy GF14401 Cooler AHCF-1C Manufacturing and American Air Filter Containment Fan Joy GF14400 Cooler AHCF-1D Manufacturing and American Air Filter Safety Injection Pump Flow Serve 21414 Lube Oil Cooler AHSC-1A

Page 7 of 10 FORM NIS-l OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE-RULES

1. OWNER - DOMINION ENERGY KEWAUNEE, INC.

N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511

2. PLANT - KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
3. PLANT UNIT - NO. 1
4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
6. NATIONAL BOARD NUMBER FOR UNIT - N/A
7. COMPONENTS INSPECTED -

MANUFACTURER COMPONENT OR MANUFACTURER OR INSTALLER STATE OR NATIONAL APPURTENANCE ORINSTALLER SERIAL NO. PROVINCE NO. BOARD NO.

Safety Injection Pump Borg Warner S-96635 Lube Oil Cooler AHSC-1B Safety Injection Pump Borg Warner 854030:854030 Heat Exchangers (2)

AHSC-1A Safety Injection Pump Borg Warner 854030:854030 Heat Exchangers (2)

AHSC-1B Residual Heat Flowserve 03LEX607100/04 Removal Pump AHRHRP-1A Shaft Seal Heat Exchanger Residual Heat Flowserve 03LEX607100/01 Removal Pump AHRHRP-1B Shaft Seal Heat Exchanger Containment Spray Helliflow 49486938 Pump APCS-1A Gland Seal Cooler

Page 8 of 10 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. OWNER - DOMINION ENERGY KEWAUNEE, INC.

N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511

2. PLANT - KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
3. PLANT UNIT - NO. 1
4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
5. COMMERCIAL SERVICE DATE - JUNE 16,1974
6. NATIONAL BOARD NUMBER FOR UNIT - N/A
7. COMPONENTS INSPECTED -

MANUFACTURER COMPONENT OR MANUFACTURER OR INSTALLER STATE OR NATIONAL APPURTENANCE 'OR INSTALLER SERIAL NO. PROVINCE NO. BOARD NO.

Containment Spray Helliflow 6080694 Pump APCS-1B Gland Seal Cooler Component Cooling Ingersoll Dresser 0600009 Pump APCC-1A Pump Flow Serv.

Component Cooling Ingersoll Dresser 0600010 Pump APCC-1B Pump Flow Serv.

Service Water Pump Worthington VTP27737 APSW-1A1 Pump Service Water Pump Worthington 75 TU-1719-1 APSW-1A2 Pump Service Water Pump Flowserve 09 08-001 APSW-1B1 Service Water Pump Flowserve 0908-002 APSW-1B2 Spent Fuel Pool Heat Struther Wells 1-68-06-1519 U11445 Exchanger AHSF

Page 9 of 10 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. OWNER - DOMINION ENERGY KEWAUNEE, INC.

N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511

2. PLANT - KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
3. PLANT UNIT - NO. 1
4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
6. NATIONAL BOARD NUMBER FOR UNIT - N/A
7. COMPONENTS INSPECTED -

MANUFACTURER COMPONENT OR MANUFACTURER OR INSTALLER STATE OR NATIONAL APPURTENANCE OR INSTALLER SERIAL NO. PROVINCE NO. BOARD NO.

Service Water Pump S.P. Kinney 2278 Strainer ASSW-1A1 Engineers Service Water Pump S.P. Kinney 2279 Strainer ASSW-1A2 Engineers Service Water Pump S.P. Kinney 2280 Strainer ASSW-1B1 Engineers Service Water Pump S.P. Kinney 2281 Strainer ASSW-1B2 Engineers Component Cooling Engineers and S-26125 U39499 3269 Heat Exchanger Fabricators Co.

AHCC1-IA Component Cooling Engineers and S-26126 U39500 3270 Heat Exchanger Fabricators AHCC2-1B Component Cooling Sharpsville Steel 714 U11421 714 Surge Tank ATCS Control Room Air Trane Company KlH202002 Conditioning Unit 1A Coil

Page 10 of 10 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. OWNER - DOMINION ENERGY KEWAUNEE, INC.

N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511

2. PLANT - KEWAUNEE POWER STATION, N490 HWY 42, KEWAUNEE, WISCONSIN 54216-9511
3. PLANT UNIT - NO. 1
4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
6. NATIONAL BOARD NUMBER FOR UNIT - N/A
7. COMPONENTS INSPECTED -

MANUFACTURER COMPONENT OR MANUFACTURER OR INSTALLER STATE OR NATIONAL APPURTENANCE OR INSTALLER SERIAL NO. PROVINCE NO. BOARD NO.

Control Room Air Trane Company K1H202003 Conditioning UnitilB Coil Control Room Air ITT Bell and Gossett Conditioning Expansion Tank 1A Control Room Air ITT Bell and Gossett 116013 Conditioning Expansion TanklB

FORM NIS-1 (Back)

8. Examination Dates: September 23, 2008 to October 22, 2009
9. Inspection Period Identification: 2nd
10. Inspection Interval Identification: / 4th
11. Applicable Edition of Section XI: 1998 Addenda: 2000
12. Date/Revision of Inspection Plan: February 6, 2009 Revision 3
13. Abstract of Examinations and Tests. Include a list of examinations and tests and a statement concerning status of work required for the Inspection Plan. Reference Tab C
14. Abstract of Results of Examinations and Tests. Reference Tab B and Tab F
15. Abstract of Corrective Measures. Reference Tab B and Tab F Utilization of ASME Boiler and Pressure Vessel Code Section XI Code Case: N-460, N-532-4 and N-566-2.

We certify that a) the statements made in this report are correct, b) the examinations and tests meet the Inspection Plan as required by the ASME Code,Section XI, and c) corrective measures taken conform to the rules of the ASME Code,Section XI.

Certificate of Authorization No. (If applicable): Not Applicable Expiration Date: Not Applicable Date: I/'*.2. 200Q Signed: Dominion-Kewaunee By: ?t9* *. /

Owner CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of C.V/S.Co0.'J*

  • and employed by 076401

-,n el1 c.7" of C 01VAJ e77 caT have inspected the components described in this Owner's Report during the period

- 5"07"C 08&2-- to 2Z eZ'- cMe ?_

0? , and state that to the best of my knowledge and belief, the Owner has performed examinations and tests and taken corrective measures described in this Owner's Report in accordance with the Inspection. Plan and as required by the ASME Code,Section XI.

By signing this certificate, neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations, tests, and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

KiI)ew* *7(ee*-t* Commissions A'" //6Z Xad., -,-/ 1,9,91y Inspector's Signature National Board, State, Province, and Endorsements Date: c 1,j,',&- 20 20 e) 5

Serial No.09-723, ATTACHMENT 4 2009 INSERVICE INSPECTION

SUMMARY

REPORT "FORM NIS-1, OWNER'S REPORT FOR INSERVICE INSPECTIONS" CLASS MC COMPONENTS SECOND TEN-YEAR INTERVAL KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.

FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS AS REQUIRED BY THE PROVISIONS OF THE ASME CODE RULES

1. OWNER - DOMINION ENERGY KEWAUNEE, INC.

N490 HIGHWAY 42 KEWAUNEE, WISCONSIN 54216-9511

2. PLANT - KEWAUNEE POWER STATION, N490 HIGHWAY 42, KEWAUNEE, WISCONSIN 54216-9511
3. PLANT UNIT - NO. 1
4. OWNER CERTIFICATE OF AUTHORIZATION - N/A
5. COMMERCIAL SERVICE DATE - JUNE 16, 1974
6. NATIONAL BOARD NUMBER FOR UNIT - N/A
7. COMPONENTS INSPECTED -

MANUFACTURER COMPONENT OR MANUFACTURER OR INSTALLER STATE OR NATIONAL APPURTENANCE OR INSTALLER SERIAL NO. PROVINCE NO. BOARD NO.

Reactor Building Chicago Bridge C4454 U11423 Containment Vessel and Iron Company Personnel Airlock Chicago Bridge C4454 U11423 and Iron Company

FORM NIS-1 (Back)

8. Examination Dates: September 26, 2009 to October 22, 2009
9. Inspection Period Identification: Ist
10. Inspection Interval Identification: 2nd
11. Applicable Edition of Section XI: 2001 Addenda: 2003
12. Date/Revision of Inspection Plan: March 9, 2009 Revision: 3
13. Abstract of Examinations and Tests. Include a list of examinations and tests and a statement concernifig status of work required for the Inspection Plan. Reference.Tab C
14. Abstract of Results of Examinations and Tests. Reference Tab B and Tab F
15. Abstract of Corrective Measures. Reference Tab B and Tab F We certify that a) the statements made in this report are correct, b) the examinations and tests meet the Inspection Plan as required by the ASME Code,Section XI, and c) corrective measures taken conform to the rules of the ASME Code,Section XI.

Certificate of Authorization No. (If applicable): Not Applicable Expiration Date: Not Applicable Date: Ocdw-,3 2009 Signed: minion-Kewaunee Owner By: *4w e. *&1k 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 W1.,, -Ao$1A and employed by o.

014.=o

-rita of CIaer,*ret have inspected the components described in this Owner's Report during the period Z 6 P5p-*ý m r v to ,Ž , and state that to the best of my knowledge and belief, the Owner has performed examinations and tests and taken corrective measures described in this Owner's Report in accordance with the Inspection Plan and as required by the ASME Code,Section XI.

By signing this certificate, neither the Inspector nor his employer makes any Warranty, expressed or implied, concerning the examinations, tests, and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with th' tion.

/~-3/4t~ w7(L,*/( r-t Commissions A16 //6?Z A,3/,/AN W,//0013/

/ Inspector's Signature-) National Board, State, Province, and Endorsements Date: 23 oc3-? 200o2 20 o*

Serial No.09-723 ATTACHMENT 5 2009 INSERVICE INSPECTION

SUMMARY

REPORT "FORM NIS-2, OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITIES"

  • (33 TOTAL)

KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner Dominion Energy Kewaunee, Inc. Date 06/24/2008 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2 Unit No. 1
2. Plant Kewaunee Power Station N490 Highway 42, Kewaunee. Wisconsin 54216-9511 Work Order KW04-006910
3. Work Performed By Dominion Enerqy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 35 Class 2 CHEMICAL AND VOLUME CONTROL Expiration Date Not Applicable

'5. (a) Applicable Construction Code NA (c) Applicable Section XI Code Case NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 1998 Edition 2000 Addenda

6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped*

APCH-1B-SC2 AJAX IRON WORKS 6576 NA 00076 1967 INSTALLED N

7. Description of Work INSTALL CLASS 2 CHEMICAL AND VOLUME CONTROL SYSTEM CHARGING PUIMP 1B MOTOR AND BASE SUPPORT PLATES.
8. Tests conducted Hydrostatic D Pneumatic LI Nominal Operating Pressure D Exempt 1-7 Other L Pressure p si Test Temp. deg. F
9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS'-2 (Back)

Sheet 2 of 2 Date: 06/24/2008 Name of Component: APCH-11B-SC2

'Work Order Number: KW04-006910 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization' No. Not Applicable . Expiration Date Not Applicable Signed Add" )&Id~A4~4LA1UWn M2 Date P120 0 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period ___'_O_ to Z2oci'0, 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 dam'age or a loss of any kind arising from or connected with this inspection.

npeto'Commissions -NB_11622, 1. N, B, A WIS 100131 InspectorsSgntr, National Board, State, Province, and Endorsements Date AVe'6.k& 20 _.&'

,20 _

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl

1. Owner Dominion Energy Kewaunee, Inc. Date 03/02/2009 N490 Hiqhway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1. of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW04-006939
3. Work Performed By Dominion Energy-Kewaune'< Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 35 Class 2 CHEMICAL AND VOLUME CONTROL Expiration Date Not Applicable
5. (a) Applicable Construction Code NA (c) Applicable Section Xl Code Case NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of,4 Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped APCH-1C-SC3 AJAX IRON WORKS 6577 NA 00077 1967 INSTALLED N
7. Description of Work INSTALL CLASS 2 CHEMICAL'AND VOLUME CONTROL SYSTEM CHARGING PUMP 1C MOTOR AND BASE SUPPORTS.

.8. Tests conducted Hydrostatic D Pneumatic E Nominal Operating Pressure Exempt A 1 Other D Pressure psi Test Temp. deg. F

9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 03/02/2009 Name of Component: APCH-1C-SC3 Work Order Number: KW04-006939 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed I JAfM " & OAM*I.

&)J/Wt. Date NVn4 20 9 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6MVOS, to 2 Z0O470, 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.

$iIIC¢at&Commissions NB 11622, 1, N, B, A WIS 100131 nspector's Signature National Board, State, Province, and Endorsements Date _ _*)&_____ __ ,20 ___

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner Dominion Energy Kewaunee, Inc. Date 11/04/2008 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100278054
3. Work Performed By Dominion Enerqy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 35 Class 2 CHEMICAL AND VOLUME CONTROL Expiration Date Not Applicable
5. (a) Applicable Construction Code SEC. VIII DIV.I-1975 (c) Applicable Section Xi Code Case NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped APD-1B GREER HYDRAULICS GHI-1846 NA 07001 1975 INSTALLED Y
7. Description of Work INSTALL REPLACMENT DAMPENER SPRING ON CLASS 2 CHEMICAL AND VOLUME CONTROL SYSTEM CHARGING PUMP 1B PULSATION DAMPENER.
8. Tests conducted Hydrostatic Pneumatic Nominal Operating Pressure v Exempt D Other Pressure 2237 psi Test Temp. 112 deg. F
9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 11/04/2008 Name of Component: APD-11B Work Order Number: KW100278054 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code, Section Xl.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed 4&UWV'LA) Date kdaWA ,20 09 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6,1lt' to ZZe-T'h9, 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 Xl.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

a -- Commissions NB 11622', 1, N, B, A WIS 100131 Inspector's Signature National Board, State, Province, and Endorsements Date  ? ,-aVeM66*k 20 49_

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner DominionIEnergy Kewaunee, Inc. Date 11/02/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100278450
3. Work Performed By. Dominion Enerqy-Kewaune Type Code Sym. Stamp N__A N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 36 Class 1 REACTOR COOLANT Expiration Date Not Applicable
5. (a) Applicable Construction Code B31.1-1967 (c) Applicable Section Xl Code Case NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed, Stamped PR-F2 TEXAS PIPE BENDING 383969 NA NA 1969 INSTALLED N
7. Description of Work INSTALL REPLACEMENT 12 STUDS AND 24 NUTS ON CLASS 1 REACTOR COOLANT SYSTEM 6" INLET FLANGE PR-F2 TO'6" VALVE PR-3B.
8. Tests conducted Hydrostatic Pneumatic Nominal Operating Pressure
  • Exe'mpt -I Other ] Pressure 2240 psi Test Temp. 546 deg.F
9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 11/02/2009 Name of Component: PR-F2 Work Order Number: KW100278450 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Aoplicable Signed f.46 eJr. -J-A"V39V AnT h Date NW/ &ML9. 20 Owner or Owner's Designee, Title V 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 Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period (Ii'"e6 to ZZc7"'d, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. /

Commissions NB 11622, 1, N, B, A WIS 100131 Inspector's Signature National Board, State, Province, and Endorsements Date 3 ,, , A &-ft ,20 _

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner Dominion Enermqy Kewaunee, Inc. ,Date 10/30/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100280694
3. Work Performed By Dominion Energy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 35 Class 2 CHEMICAL AND VOLUME CONTROL Expiration Date Not Applicable
5. (a) Applicable Construction Code B31.1-1967 (c) Applicable Section XI Code Case N.A (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code, Component Manufacturer Serial No. Board No. ID Built Installed Stamped LD-5 CROSBY ASHTON GAGE NF NA CS109-001 1970 CORRECTED N CO.
7. Description of Work REMOVE FOR SET POINT TESTING AND REPAIR CLASS 2 CHEMICAL AND VOLUME CONTROL SYSTEM 2" VALVE LD-5.
8. Tests conducted Hydrostatic Pneumatic D Nominal Operating Pressure 1 Exempt D Other El Pressure 167 psi Test Temp. 105 deg. F
9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 10/30/2009 Name of Component: LD-5 Work Order Number: KW100280694 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this CORRECTED conforms to the requirements of the ASME Code, Section Xl.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed . tnAf/ 1m6 O&V Date N&* 4L 9 20 (a__

Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period ,thwM4O8 to ZZ047'9, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

__Commissions N3 11622,1, N, B, A WIS 100131 Inspector's Signature National Board, State, Province, arid Endorsements Date 9 FJO$(8^6. Z ,20 09

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner Dominion Energy Kewaunee, Inc. Date 10/30/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Unit No! 1 Kewaunee Power Station N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100315676
3. Work Performed By Dominion Energy-Kewaune Type Code Sym. Stamp N__A N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 36 Class 1 REACTOR COOLANT Expiration Date Not Applicable
5. (a) Applicable Construction Code B16.5-1967 (c) Applicable Section Xl Code Case NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity 1998 Edition 2000 Addenda 6: Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped PR-2A MASONEILAN H-20693-5-2 NA RC012-002 1969 CORRECTED N INTERNATIONAL
7. Description of Work CORRECT SEAT LEAKAGE ON CLASS 1 REACTOR COOLANT SYSTEM 3" VALVE PR-2A.
8. Tests conducted Hydrostatic [] Pneumatic Nominal Operating Pressure Li Exempt 11 Other D] Pressure 2240 psi Test Temp. 547 deg. F
9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 10/30/2009 Name of Component: PR-2A Work Order Number: KW100315676 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this CORRECTED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed f2g2 4'&,$ . A tA Ui'/. Date NL0 ,20 0o Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company ofCT have inspected the. components described in this Owner's Report during the period 6fA.r4, to 22OTO', and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

a~ Commissions NB 11622, 1, N, B, A WIS 100131 Inspector's Signature National Board, State, Province, and Endorsements Date T NV 6A6 &Z-- 20 09_

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner, Dominion Energy Kewaunee, Inc. Date 10/13/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100362587
3. Work Performed By Dominion Energy-Kewaune Type Code Sym.,Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 33 Class 1 SAFETY INJECTION Expiration Date Not'Applicable
5. (a) Applicable Construction Code B31.1-1967 (c) Applicable Section XI Code Case NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped RSI-H63 Il-T GRINNELL VALVE NA NA NA 1967 INSTALLED N COMPANY
7. Description of Work INSTALL REPLACEMENT CLASS 1 SAFETY INJECTION 6" PIPE HYDRAULIC SNUBBER RSI-H63.
8. Tests conducted El Pneumatic Dl Nominal Operating Pressure Hydrostatic " LII Exempt El psi Test Temp.

Other D Pressure deg. F

9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 10/13/2009 Name of Component: RSI-H63 Work Order Number: KW100362587 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code,Section XI.

Typý Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed * /C" 4a}* A '- e f i*V. Date. 20 0 -

Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period ' to ____ ___, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

  • __.____,________-__-___ Commissions NB 11622, 1, N, B, A WIS 100131 .

Inspector's Signature National Board, State, Province, and Endorsements Date 9 A f *", 7* ,20 d9

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner Dominion Energy Kewaunee, Inc. Date 10/13/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100362588
3. Work Performed By Dominion Enerqy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 33 Class 2 SAFETY INJECTION Expiration Date Not Applicable
5. (a) Applicable Construction Code B31.1-1967 (c) Applicable Section Xl Code Case NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped RSI-H61 ITT GRINNELL VALVE NA NA NA 1967 INSTALLED N COMPANY
7. Description of Work INSTALL REPLACEMENT CLASS 1 SAFETY INJECTION 6" PIPE HYDRAULIC SNUBBER RSI-H61.
8. Tests conducted Hydrostatic Pneumatic Nominal Operating Pressure Exempt *]

Other [] Pressure psi Test Temp. deg. F

9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 10/13/2009 Name of Component: RSI-H61 Work Order Number: KW100362588 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed && e D20 A b& 20 j Owner or Owners Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6^1MA*tbe to Z .'T'*, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owners 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.

a444W/?'C44ma_ Commissions NB 11622, 1, N, B, A WIS 100131 Inspector's Signature National Board, State, Province, and Endorsements Date 9 M*eM',Fk ,20 6?

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner Dominion Energy Kewaunee, Inc. Date 10/06/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100362674
3. Work Performed By . Dominion Energy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 23 Class 2 CONTAINMENT SPRAY Expiration Date Not Applicable
5. (a) Applicable Construction Code B31.1-1967 (c) Applicable Section XI Code Case NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of . Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped ICS-H7 ITT GRINNELL VALVE NA NA NA 1967 INSTALLED N COMPANY
7. Description of Work INSTALL REPLACEMENT CLASS 2 CONTAINMENT SPRAY 6" PIPE HYDRAULIC SNUBBER ICS-H-17.
8. Tests conducted Hydrostatic D Pneumatic Nominal Operating Pressure Exempt Lfi Other LI Pressure psi Test Temp. deg. F
9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 10/06/2009

'Name of Component: ICS-H7 Work Order Number: KW100362674 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed 7U42, t4,* A. A%4 lAfwuO trJA4 Date N&" 200 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6M^+tB to 2ZC4-7, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

Inspec6tors Commissions NB 11622,a1, N, B, A WIS 100131 Inspector's Signature National Board, State, Province, and Endorsements Date - ?,.0V6M64 , 20. 69

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl

1. Owner Dominion Energy Kewaunee, Inc. Date 10/30/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100375362
3. Work Performed By Dominion Enerqy-Kewaune Type Code Sym. Stamp NA N490 Hi-ghway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 35 Class 2 CHEMICAL AND VOLUME CONTROL Expiration Date Not Applicable
5. (a) Applicable Construction Code B31.1-1967 (c) Applicable Section Xl Code Case. NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped LD-4B MASONEILAN H20691-1 NA CS111-004 1970 CORRECTED N INTERNATIONAL, INC.
7. Description of Work CORRECT SEAT LEAKAGE ON CLASS 2 CHEMICAL AND VOLUME CONTROL SYSTEM 2" VALVE LD-4B
8. Tests conducted Hydrostatic F] Pneumatic Nominal Operating Pressure L-*

Exempt 1I Other D Pressure 2236 psi Test Temp. 110 deg. F

9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 10/30/2009 Name of Component: LD-4B Work Order Number: KW100375362

/

CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this CORRECTED conforms to the requirements of the ASME Code, Section X1.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed PAd'

&M*! 6.Wt*A* Date Oft 9 20 0 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE'INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period (OP"A" to 2Z0Cr"0Y, 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.

44~In Ctr Commissions NB 11622,o1, N, B, A WIS 100131 Inspector's Signature National Board, State, Province, and Endorsements Date 9 Vo */q&SVZ"20 09

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner: Dominion Energy-Kewaunee Date October 30, 2009 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511 Sheet: 1 of 2 Address
2. Plant : Kewaunee Power Station Unit : No. 1 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511 Work Order Number: KW100385376 Address
3. Work performed by : Dominion Energy-Kewaunee Type Code Symbol Stamp Not Applicable Name Authorization No. Not Applicable N490 Highway 42, Kewaunee Wisconsin 54216-9511 Expiration Date Not Applicable Address
4. Identification of System 36 Class 1 Reactor Coolant System
5. (a) Applicable Construction Code : 1967 ASME B31.1 (b) Applicable Edition of Section XI used for Repair/Replacement Activity : 1998 Edition 2000 Addenda (c) Applicable Section XI Code Case: NA
6. Identification of Components ASME Corrected, Code Name of Name of Manufacturer National Board Other Year Removed, or Stamped Component Manufacturer Serial No. No. Identification Built Installed (Yes or No) 1" Flange Dominion NA NA NA 2009 Installed No Upstream of Energy LD-300
7. Description of Work Install replacement 4 Studs and 8 Nuts on Class 1 Reactor Coolant System 1" Flange upstream of 1" Valve LD-300.
8. Tests Conducted: Hydrostatic E1 Pneumatic L-- Nominal Operating Pressure Exempt [I Other EI Pressure 2240 psi Test Temp 546 OF
9. Remarks: Not Applicable Applicable Manufacturer's Data Reports to be attached

FORM NIS-2 (Back)

Sheet 2 of 2 Date : October 30, 2009 Name of Component: 1" Flange Upstream of 1" Valve LD-300 Work Order Number : KW100385376 CERTIFICATE OF COMPLIANCE I certify that the statements made in this report are correct and that this conforms to the requirements of the ASME Code,Section XI Type Code Symbol Stamp Not Applicable Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed i 6'. Ak JWT*pj lv Date ýJvqn* 1.ad 01 Owner or Owner's Designee, Title I 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 w/,,o.5ces. and employed by e60&e*- ,T-of /,Y49?Tite COMA'rAoTMCO have inspected the components described in this Owner's Report during the period 6 M-al 006 o to ?2062aT9r Z4009 , 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, tests, and corrective measures described in this Owner's Report.

Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection 1

-IZI 4~d'(npeto' nCommissions A1,9 116ar ta* 8T PiJ, an1 End/or (Inspector's Sgn4re) National Board, 'State, Province, and Endorsements Date ,4J 'ev4vark 2L,0O9

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl

1. Owner Dominion Energy Kewaunee, Inc. Date 06/24/2008 N490 Higihway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100390285
3. Work Performed By Dominion Energy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 35 Class 2 CHEMICAL AND VOLUME CONTROL Expiration Date Not Applicable
5. (a) Applicable Construction Code NA (c) Applicable Section Xl Code Case NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped APCH-1B-SC2 AJAX IRON WORKS 6576 NA 00076 1967 CORRECTED N
7. Description of Work CORRECT BY MODIFYING CLASS 2 CHEMICAL AND VOILUME CONTROL SYSTEM CHARGING PUMP 1B BASE SUPPORTS.
8. Tests conducted Hydrostatic F Pneumatic Nominal Operating Pressure L- Exempt 1-7 Other 1 Pressure psi Test Temp. deg. F
9. Remarks NOT APPLICAVLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 06/24/2008 Name of Component: APCH-1B-SC2 Work Order Number: KW100390285 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this CORRECTED conforms to the requirements of the ASME Code, Section Xl.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed ,V LL** QWW12 Date 604&t, 20 0 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6m#l"', toZ2.0*7O , 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.

ct__. _. __L."o.* Commissions NB 11622,1, N, B, A WIS 100131 Inspector's Signature- National Board, State, Province, and Endorsements Date 9 0V 420 _____9

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner Dominion Energy Kewaunee, Inc. Date 06/24/2008 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100390344
3. Work Performed By Dominion Enerqy-Kewaune Type Code Sym. Stamp N__A N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 35 Class 2 CHEMICAL AND VOLUME CONTROL Expiration Date Not Applicable
5. (a) Applicable Construction Code NA 1(c) Applicable Section Xl Code Case NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped APCH-1B-SC2 AJAX IRON WORKS 6576 NA 00076 1967 CORRECTED N
7. Description of Work PERFORM METAL REMOVAL ON CLASS 2 CHEMICAL AND VOLUME CONTROL SYSTEM CHARGING PUMP 1B MOTOR AND BASE SUPPORT PADS.
8. Tests conducted Hydrostatic ED Pneumatic Nominal Operating Pressure L Exempt L-J Other D Pressure psi Test Temp.

deg. F

9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 06/24/2008 Name of Component: APCH-1B-SC2 Work Order Number: KW100390344 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this CORRECTED conforms to the requirements of the ASME Code, Section Xl.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed 6V. -t. Date NO ,20 j Title Owner or Owner's Designee, 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 Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 60r'1015 to zz.o.'17 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the .Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

4,n~vCommissions NB 11622, 1, N, B, A WIS 100131 Inspector's Signature- National Board, State, Province, and Endorsements Date 9 UVOVCA*,-*t 20 09

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner Dominion Enerqy Kewaunee, Inc. Date 06/24/2008 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100393957
3. Work Performed By Dominion Energy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 35 Class 2 CHEMICAL AND VOLUME CONTROL Expiration Date Not Applicable
5. (a) Applicable Construction Code NA (c) Applicable Section XI Code Case NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped APCH-1B-SC2 AJAX IRON WORKS 6576 NA 00076 1967 CORRECTED N
7. Description of Work CORRECT CRACKED I BEAM SUPPORT ON CLASS 2 CHEMICAL AND VOLUME CONTROL SYSTEM CHARGING PUMP 1B BAS ESUPPORT.
8. Tests conducted Hydrostatic '- Pneumatic Nominal Operating Pressure Exempt Other E] Pressure psi Test Temp. deg. F
9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached I

NIS-2 (Back)

Sheet 2of2 Date: 06/24/2008 Name of Component: APCH-1B-SC2 Work Order Number: KW100393957 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this CORRECTED conforms to the requirements of the ASME Code, Section Xl.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed /'A/L.Le /W L " Apwo,' L)owr Date t 6 9 2000 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period __________ to ZŽ.Jc'o, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

-Commissions NB 11622,1, N, B, A WIS 100131 Irnrec.towr's Sirnaure National Board, State, Province, and Endorsements Date 9 /UO v6w$4=0A ,20 _ 9

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner Dominion Energy Kewaunee, Inc. Date 10/19/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2 Kewaunee Power Station Unit No. 1
2. Plant N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100395492
3. Work Performed By Dominion Ener-gy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 34 Class 1 RESIDUAL HEAT REMOVAL Expiration Date Not Applicable
5. (a) Applicable Construction Code ASME SECTION VIII (c) Applicable Section XI Code Case NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped RHR-30B-3 BS&B SAFETY SYSTEMS NA NA AC125-016 2009 INSTALLED N
7. Description of Work INSTALL REPLACEMENT CLASS 1 RESIDUAL HEAT REMOVAL SYSTEM 1/2" RUPTURE DISC RHR-30B-3.
8. Tests conducted Hydrostatic -- Pneumatic

-1 Nominal Operating Pressure Exempt n-i Other D Pressure 358 psi Test Temp. 100 deg. F

9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 10/19/2009 Name of Component: RHR-30B-3 Work Order Number: KW100395492 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code, Section Xl.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed f ., -. 2twmj,(* _ *

  • r- W*/ Date NOey 20 __

Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6 /I" Y-'V to ZZO'ro 1, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

6------------* .*fsu. CL... 4__l* Commissions NB11622,1,N,B,A WIS 100131 Inspector's Signature National Board, State, Province, and Endorsements Date 9 /V0 L)"w 20 0

____20

FORM NIS-2 OWNER'S REPORT FOR REPAIRIREPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner Dominion Energy Kewaunee, Inc. Date 09/24/2008 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100420045
3. Work Performed By Dominion Enerqy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 35 Class 2 CHEMICAL AND VOLUME CONTROL Expiration Date Not Applicable
5. (a) Applicable Construction Code B31.1-1967 (c) Applicable Section XI Code Case NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped CVC-4A GRINNELL FIRE NF NA CS033-007 1973 INSTALLED N PROTECTION SYSTEMS
7. Description of Work REPLACED VALVE BONNET ASSEMBLY AND DIAPHRAGM ON CLASS 2 CHEMICAL AND VOLUME CONTROL SYSTEM 3" VALVE CVC-4A.
8. Tests conducted Hydrostatic Pneumatic Exempt D Nominal Operating Pressure ' -E Other R Pressure 25 psi Test Temp. 90 deg. F
9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 09/24/2008 Name of Component: CVC-4A Work Order Number: KW100420045 CERTIFICATE OF COMPLIANCE I certify that the statements made-in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed 4Ar6/44*&f X v, eu L9UVeV Date M 6*W/, 20 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 41"*Y7 to, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

Commissions NB 11622,1, N,B, A WIS 100131 Inspector's Signature National Board, State, Province, and Endorsements Date - vV, .. ,20 09

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner Dominion Energy Kewaunee, Inc. Date 10/08/2008 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100421013
3. Work Performed By Dominion Enerqy-Kewaune Type Code Sym. Stamp -N.A N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 35 Class 2 CHEMICAL AND VOLUME CONTROL Expiration Date Not Applicable
5. (a) Applicable Construction Code NA (c) Applicable Section XI Code Case NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped APCH-1A-SCI AJAX IRON WORKS 6578 NA 00075 1967 INSTALLED N
7. Description of Work INSTALL CLASS 2 CHEMICAL AND VOLUME CONTROL SYSTEM CHARGING PUMP 1A MOTOR AND BASE SUPPORTS.
8. Tests conducted Nominal Operating Pressure =U Hydrostatic r-1 Pneumatic EL Exempt Other ] Pressure psi Test Temp. deg. F
9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 10/08/2008 Name of Component: APCH-1A-SC1 Work Order Number: KW100421013 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed 13A..A&)Lw 6 WW' Date PJ* q '20 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6^040e__ to *670, 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 I

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.

NB 11622,1, N, B, A WIS.Commissions 100131 Inspector's Signature National Board, State, Provinrce, and Endorsements Date-? /JO0V' ,a--_ 20 09

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner Dominion Energy Kewaunee, Inc. Date 10/30/2009 N490 Hi-ghway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2 Kewaunee Power Station Unit No. 1
2. Plant N490 Highway 42. Kewaunee, Wisconsin 54216-9511 Work Order KW100427863
3. Work Performed By Dominion Energy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 35 Class 2 CHEMICAL AND VOLUME CONTROL Expiration Date Not Applicable
5. (a) Applicable Construction Code B31.1-1967 (c) Applicable Section Xl Code Case NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped LD-60 VELAN VALVE NF NA CS117-001 1971 CORRECTED N CORPORATION
7. Description of Work CORRECT VALVE PACKING LEAKAGE ON CLASS 2 CHEMICAL AND VOLUME CONTROL SYSTEM 2" VALVE LD-60.
8. Tests conducted Hydrostatic Pneumatic Nominal Operating Pressure El Exempt i]

Other E Pressure 164 psi Test Temp. 104 deg. F

9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: -10/30/2009 Name of Component: LD-60 Work Order Number: KW100427863 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this CORRECTED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed or Owners Designee1 T Date 20 VOwner or Owner's Designee, Titler 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 Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6M-t'.'O8 to 2 ~ocT'I, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

c -ZII) C .*, .x4*Commissions NB 11622,1, N, B, A WIS 100131 Inspector's Signature National Board, State, Province, and Endorsements Date 9 ,o V'E-3Lj &X ,20 _ _9

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner Dominion Energy Kewaunee, Inc. Date 08/17/2009 J

N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2

2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee. Wisconsin 54216-9511 Work Order KW100453017
3. Work Performed By Dominion Enerqy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 23 Class 2 CONTAINMENT SPRAY Expiration Date Not Aplplicable
5. (a) Applicable Construction Code ASME SECT. 11-1986 (c) Applicable Section XI Code Case NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped ICS-60A FLOWSERVE 02BPE NA NA 2009 INSTALLED N
7. Description of Work INSTALL CLASS 2 INTERNAL CONTAINMENT SPRAY SYSTEM 2" AND 3/4" PIPING AND 3/4" VALVE ICS-60A.
8. Tests conducted Hydrostatic Pneumatic Nominal Operating Pressure L-J Exempt Other E Pressure 285 psi Test Temp. 73 deg. F
9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 08/17/2009 Name of Component: ICS-60A Work Order Number: KW100453017 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed *MW J1*; M-, I &%,VN A A 6tA Date 20

.4J 0.*

Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period __r___O_ , to 220't1 O?, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Rep5ort. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damageor a loss of any kind arising from or connected with this inspection.

~--- 6ic ?6* e4ý7,.( Commissions NB 11622,1, N, B, A WIS 100131 Inspector's Signature National Board, State, Province, and Endorsements Date ,7,*ýI /'L-UAi, FR. 20 09

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner Dominion Energy Kewaunee, Inc. Date 09/11/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100453019
3. Work Performed By Dominion Energy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 34 Class 2 RESIDUAL HEAT REMOVAL Expiration Date Not Applicable
5. (a) Applicable Construction Code B16.34 (c) Applicable Section Xl Code Case NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of , Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped RHR-220 FLOWSERVE 08BPE NA NA 2009 INSTALLED N IKICIrTAII r 4i ACC I DC*Clr'H IAI UCAT D)CIIfrW1A O'.C'TCRA Ak1 f A ' , LD
7. Description of Work IVI 4 /'%I'iL/ JIt 1-tA MIMflIkf VI ý114LJ J/-+ VPLVF-MinOA F-IF-N-44U.
8. Tests conducted Hydrostatic L] Pneumatic Nominal Operating Pressure Exempt n Other I- Pressure , 175 psi Test Temp. 85 deg. F
9. Remarks, NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached I

  • NIS-2 (Back)

Sheet 2 of 2 Date: 09/11/2009 Name of Component: RHR-220 Work Order Number: KW100453019 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code, Section Xl.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed P..* l" . /. X A4 *",&-

v

' t/iere7*j,3lwnoA q

Date 20 0 C1 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 61"Y8o to Z2'"'c-?, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section Xl.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

C&-'-4 U- Commissions NB 11622,1, N, B, A WIS 100131 Inspector's Signature National Board, State, Province, and Endorsements Date 9 ONo*44A 06:1. 20 01

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner Dominion Energy Kewaunee, Inc. Date 10/20/2009 N490 Hiqhway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee. Wisconsin 54216-9511 Work Order KW100453022
3. Work Performed By Dominion Energy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 34 Class 2 RESIDUAL HEAT REMOVAL Expiration Date Not Applicable
5. (a) Applicable Construction Code ASME SEC.111-1 986 (c). Applicable Section XI Code Case NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped RHR-40 FLOWSERVE 95 BPD NA AC008-013 2009 INSTALLED N
7. Description of Work INSTALL CLASS2 RESIDUAL HEAT REMOVAL SYSTEM 2" AND 3/4" PIPING AND 3/4" VALVE RHR-40.
8. Tests conducted Hydrostatic Pneumatic Nominal Operating Pressure El Exempt 1 Other
  • l Pressure 160 psi Test Temp. 70 deg. F
9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 10/20/2009 Name of Component: RHR-40 Work Order Number: KW100453022 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed Date MJL 200__

Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have'inspected the components described in this Owner's Report during the period 6$1-W'c' to ZZŽ&7T&, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any-warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

Commissions NB11622,1,N,B,A WIS100131

-- 'Inspector's Signature J r National Board, State, Province, and Endorsements Date_ _ /VV____ ___ ,20 _ _

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl

1. Owner Dominion Energy Kewaunee, Inc. Date 10/29/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit. No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100453023
3. Work Performed By Dominion Energy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No; Not Applicable
4. Identification of System 34 Class 2 RESIDUAL HEAT REMOVAL Expiration Date Not Applicable
5. (a) Applicable Construction Code ASME SECT. 111-1986 (c) Applicable Section XI Code Case NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components I Corrected, ASME Name of Name of 'Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped RHR-501A FLOWSERVE 03 BPE NA NA 2009 INSTALLED N
7. Description of Work INSTALL 2" AND 3/4" PIPING AND 3/4" VALVE RHR-501A ON CLASS 2 RESIDUAL HEAT REMOVAL SYSTEM.
8. Tests conducted Hydrostatic Pneumatic E I Nominal Operating Pressure M Exempt LI Other F- Pressure 135 psi Test Temp. 75 deg. F
9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back).

Sheet 2 of 2 Date: 10/29/2009 Name of Component: RHR-501A Work Order Number: KW100453023 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed ,0V#9,71t.f(&/Date ak-, 20 09 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period __"______ to 2Z 0'0-7, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

"ii(Inspector's Commissions NB 11622,B1, N, B,tA WIS 100131 Inspector's Signature National Board, State, Province, and Endorsements fI Date ( 9 JO V',, ,20 _9

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section Xl

1. Owner Dominion Energy Kewaunee, Inc. Date 10/19/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100453024
3. Work Performed By Dominion Enerqy-Kewaune ,Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 34 Class 2 RESIDUAL HEAT REMOVAL Expiration Date Not Applicable
5. (a) Applicable Construction Code ASME SECT. 111-1986 (c) Applicable Section XI Code Case NA (b) Applicable Edition of'Section XI Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Compoinent Manufacturer Serial No. Board No. ID Built Installed Stamped RHR-31A-1 FLOWSERVE 07 BPE NA NA 2009 INSTALLED N
7. Description of Work INSTALL 2" AND 3/4" PIPING AND 3/4" VALVE RHR-31A-1 ON CLASS 1 RESIDUAL HEAT REMOVAL SYSTEM.
8. Tests conducted Hydrostatic F1 Pneumatic L Nominal Operating Pressure [-* Exempt I-Other D Pressure - 353 psi Test Temp. 99 deg. F
9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 10/19/2009 Name of Component: RHR-31A-1 Work Order Number: KW100453024 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed AQ4L, 2 /ak WJ4gt.T24tA 9 CU*W, Date No~&-,9 20o Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6 f4"+t*, to 2?- and state that to the best of my knowle/dge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

2 WCommissions NB11622,1,N,BA WIS 100131 Inspector's Signature National Board, State, Province, and Endorsements Date 9 Ave* ya';=- 20 _ 9

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner Dominion Energy Kewaunee, Inc. Date 09/23/2009 N490 Higqhway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100453025
3. Work Performed By Dominion Energy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 33 Class 2 SAFETY INJECTION Expiration Date Not Applicable
5. (a) Applicable Construction Code B16.5-1967 (c) Applicable Section XI Code Case NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped SI-301A ALOYCO INCORPORATED 70A 6354 NA S1017-001 1972 INSTALLED N
7. Description of Work INSTALL REPLACEMENT VALVE BONNET ON CLASS 2 SAFETY INJECTION SYSTEM 10" VALVE SI-301A AND INSTALL NEW 1/2" VENT VALVE SI-301A-1.
8. Tests conducted Hydrostatic [- Pneumatic 1 Nominal Operating Pressure El Exempt D1 Other Pressure 35 psi Test Temp. 9_3 deg.,F
9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 09/23/2009 Name of Component: SI-301A Work Order Number: KW100453025 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Sge e. O *A & 0 Date 20 02 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6*A'e'6 to 2ZOC-r'01, 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.

(1IIII~ wU ?lmtf Commissions NB 11622,1, N,B,A WIS 100131 Inspector's Signature National Board, State, Province, and Endorsements Date 9' q 9' k,6, ,20 0?__

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code'Section XI

1. Owner Dominion Energy Kewaunee, Inc. Date 10/30/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2 Unit No. 1
2. Plant Kewaunee Power Station N490 Higqhway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100453026
3. Work Performed By Dominion Energy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 33 Class 2 SAFETY INJECTION Expiration Date Not Applicable
5. (a) Applicable Construction Code B16.5-1967 (c) Applicable Section XI Code Case NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped SI-301B ALOYCO INCORPORATED NF NA S1017-002 1972 INSTALLED N
7. Description of Work INSTALL REPLACEMENT BONNET ON CLASS 2 SAFETY INJECTION SYSTEM 10" VALVE SI-301B AND INSTALL NEW 3/4" VENT VALVE SI-301B.
8. Tests conducted Hydrostatic [] Pneumatic Nominal Operating Pressure 17 Exempt nI Other D Pressure 10 psi Test Temp. 87 deg. F
9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 10/30/2009 Name of Component: SI-301B Work Order Number: KW100453026 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed Zn:ý 6* (/' D ate W0VR&

014A,1~- ,20 20 Owner or Owner's Designee, Tite CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6A,*Y-o to ZZ.cr07, 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.

InspeYctrs SignatureNatonaCommissions NBo11622,1, N,SB,A WIS 100131 Insectr' SinatreNational Board, State, Province, and Endorseme nts Date 9 v* 'V6"

/k_. ,20 O__

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section X1

1. Owner Dominion Energy Kewaunee. Inc. Date 11/02/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42. Kewaunee, Wisconsin 54216-9511 Work Order KW100453027
3. Work Performed By Dominion Energy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 33 Class 2 SAFETY INJECTION Expiration Date Not Applicable
5. (a) Applicable Construction Code ASME SECT.ll-1986 (c) Applicable Section Xl Code Case NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped SI-31-1 FLOWSERVE 99 BPD NA NA 2009 INSTALLED N
7. Description of Work INSTALL 2" AND 3/4" PIPING AND 3/4" VALVE SI-31-1 ON CLASS 2 SAFETY INJECTION SYSTEM.
8. Tests conducted Hydrostatic* ] Pneumatic D Nominal O0perating Pressure Exempt --

Other [] Pressure 28 psi Test Temp. 54 deg. F

9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 11/02/2009 Name of Component: SI-31-1 Work Order Number: KW100453027 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed Cv Date k]o ,20 0.

Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and PreSsure Vesiel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period ______Y__ to 201C/'7"09, 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.

iC I-*7,a6'ne., Commissions NB 11622,1, N, B, A WIS 100131 Inspector's Signature National Board, State:, Province, and Endorsements Date -9 V" 61W r6 e/t 20 0_

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI p,

1. Owner Dominion Enerqy Kewaunee, Inc. Date 10/19/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2

/

2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100453032
3. Work Performed By Dominion Energy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification ofSystem 33 Class 2 SAFETY INJECTION Expiration Date Not Applicable
5. (a) Applicable Construction Code ASME SECT.IIl-1986 (c) Applicable Section XI Code Case NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped SI-309 FLOWSERVE 96 BPD NA NA 2009 INSTALLED N
7. Description of Work INSTALL 2" AND 3/4" PIPING AND 3/4" VALVE St-309 ON CLASS 2 SAFETY INJECTION SYSTEM.
8. Tests conducted Hydrostatic Pneumatic 11 Nominal Operating Pressure E' Exempt D-Other D Pressure 353 psi Test Temp. 105 deg. F
9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 10/19/2009 Name of Component: SI-309 Work Order Number: KW100453032 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed 70J d2,_. * &*..* Date At* & ,20 01_

Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 61"0ý to 2_OCet, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

Commissions NB 11622,1, N, B, A WIS 100131 n r SNational Board, State, Province, and Endorsements Inspector's Signature Date- 9 /Jo Ve-0Si " '20 o?__

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner Dominion Energy Kewaunee, Inc. Date 10/30/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100494435
3. Work Performed By Dominion Energy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 33 Class 2 SAFETY INJECTION Expiration Date Not Applicable
5. (a) Applicable Construction Code B31.1-1967 (c) Applicable-Section XI Code Case NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped GCC 'DOMINION ENERGY NA - NA NA 2009 INSTALLED N
7. Description of Work INSTALL CLASS 2 SAFETY INJECTION SYSTEM 6" DIAMETER GAS COLLECTION CHAMBER AND 3/4" AND 1/2" PIPING, SUPPORTS AND VALVES SI-39A-1, SI-39A-2 AND SI-39A-3..
8. Tests conducted Hydrostatic r- Pneumatic n Nominal Operating Pressure 1 Exempt -

Other El Pressure 2200 psi Test Temp. 56 deg. F

9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 10/30/2009 Name of Component: GCC Work Order Number: KW100494435 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed 2-3/4d, f* 1 *&bf * *"J1 DateN&Ww, L ,200 q Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period _______ to Z20cTO?, and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

Commissions NB 11622, 1, N, B, A WIS 100131 Inspector's Signature National Board, State, Province, and Endorsements Date 9 AVM#fE*3% - ,20 _ _

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI I

1. Owner Dominion Energy Kewaunee, Inc. Date 10/14/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant, Kewaunee Power Station Unit No. 1 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100494435
3. Work Performed By Dominion Energy-Kewaune Type Code Sym. Stamp NA N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 33 Class 2 SAFETY INJECTION Expiration Date Not Applicable
5. (a) Applicable Construction Code B31.1-1967 (c) Applicable Section X1 Code Case NA (b) Applicable Edition of Section XI Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped SI-H 109 DOMINION ENERGY NA NA NA 2009 INSTALLED N
7. Description of Work INSTALL CLASS 2 SAFETY INJECTION SYSTEM RIGID SUPPORT SI-H109 FOR 6" DIAMETER GAS COLLECTION CHAMBER.
8. Tests conducted Hydrostatic Pneumatic D Nominal Operating Pressure Exempt El Other R PressureI psi Test Temp. deg. F
9. Remarks NOT APPLICABLE Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 10/14/2009 Name of Component: SI-H1i09 Work Order Number: KW100494435 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this INSTALLED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed -MA*PAW*gy .Date k L 20

.Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6AW4V'06 to ZZOCO*, 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 Xl.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

61117 6dý7L-Ct-d" Commissions NB 11622, 1, N, B, A WIS 100131 Inspector's Signature National Board, State, Province, and Endorsements Date 4 A,#OVa'*f*6r 20 _9

FORM NIS-2 OWNER'S REPORT FOR REPAIR/REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner Dominion Energy Kewaunee, Inc. Date 11/02/2009 N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Sheet 1 of 2
2. Plant Kewaunee Power Station Unit No. I N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Work Order KW100528252
3. Work Performed By Dominion Enerqy-Kewaune Type Code Sym. Stamp NA IN490 Highway 42, Kewaunee, Wisconsin 54216-9511 Authorization No. Not Applicable
4. Identification of System 33 Class 2 SAFETY INJECTION Expiration Date Not Applicable
5. (a) Applicable Construction Code B31.1-1967 (c) Applicable Section Xl Code Case NA (b) Applicable Edition of Section Xl Used for Repair/Replacement Activity 1998 Edition 2000 Addenda
6. Identification of Components Corrected, ASME Name of Name of Manufacturer National Other Year Removed, or Code Component Manufacturer Serial No. Board No. ID Built Installed Stamped SI-W603 DOMINION ENERGY NA NA NA 2009 REPAIRED N
7. Description of Work CORRECT BY REMOVING 2.5" LINEAR INDICATION ON 6" CIRCUMFERENTIAL WELD SI-W603.
8. Tests conducted Hydrostatic -' Pneumatic D Nominal Operating Pressure 11

-- Exempt Es Other Pressure psi Test Temp. deg. F

9. Remarks NOT APPLICABLE.

Applicable Manufacturer's Data Reports to be Attached

NIS-2 (Back)

Sheet 2 of 2 Date: 11/02/2009 Name of Component: SI-W603 Work Order Number: KW100528252 CERTIFICATE OF COMPLIANCE I certify that the statements made in the report are correct and that this REPAIRED conforms to the requirements of the ASME Code,Section XI.

Type Code Symbol Stamp* NA Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed 6.A 2 7 O Date Ni1 20 Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION 1,the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Wisconsin and employed by Hartford Steam Boiler Inspection and Insurance Company of CT have inspected the components described in this Owner's Report during the period 6P)1YOe to dCVCiO'i, and state that I

to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section X.'

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

c-1---1 ) c tl., -'?' Commissions NB 11622, 1, N, B, A WIS 100131 Z

Inspector's Signature National Board, State, Province, and Endorsements Date 9 0___

1OV',41'6' 20

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner : Dominion Energy-Kewaunee Date : November 2, 2009 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511 Sheet: 1 of 2 Address
2. Plant: Kewaunee Power Station Unit : No.. 1 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511 Work Order Number: KW100550233 Address
3. Work performed by : Dominion Energy-Kewaunee Type Code Symbol Stamp Not Applicable Name I Authorization No. Not Applicable N490 Highway 42, Kewaunee Wisconsin 54216-9511 Expiration Date Not Applicable Address
4. Identification of System : 33 Class 2 Safety Injection System,
5. (a) Applicable Construction Code : 1967 ASME 831.1 (b) Applicable Edition of Section XI used for Repair/Replacement Activity : 1998 Edition 2000 Addenda (c) Applicable Section XI Code Case: NA
6. Identification of Components ASME Corrected, Code Name of Name of Manufacturer National Board Other Year Removed, or Stamped Component Manufacturer Serial No. No. Identification Built Installed (Yes or No)

SI Train A Dominion NA NA NA 2009 Installed No Vent System Energy

7. Description of Work Install Class 2 Safety Injection System 2" and 1" Vent System Piping, Flanges and Fittings from connection to 12" Piping downstream of 12" Valve SI-351A to 1" Flanqe.
8. Tests Conducted: Hydrostatic D Pneumatic - Nominal Operating Pressure Exempt []

Other [-I Pressure 32 psi Test Temp 86 OF

9. Remarks: Not Applicable Applicable Manufacturer's Data Reports to be attached

FORM NIS-2 (Back)

Sheet 2 of 2 Date: November 2, 2009 Name of'Component SI Train A Vent System Work Order Number KW100550233 CERTIFICATE OF COMPLIANCE I certify that the statements made in this report are correct and that this conforms to the requirements of the ASME Code,Section XI Type Code Symbol Stamp Not Applicable Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed fda** 1 ý _Lu&wtýAýw cvmwI.4 Date _N Wtkfl,*, q~d 009 I Owner or Owner's Designee, Titl& V4 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 w,.scov/ and employed by HAMKTV* 5&tM4 '%oLS_ ¢ cT of I-M/lrre co&6eicv 7- have inspected the components described in this\Owner's Report during the period 6 $1A4-, 8 to zz oce6*-.67 ,and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or*

implied, concerning the examinations, tests, and corrective measures described in-this Owner's Report.

Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection c1 LCommissions W.6 Ai*A2 J03 " 1-/ /")0/ 3 (Inspectorrs Signa~fre) National Board, State, Province, and Endorsements Date 9 M0 V*-ma-- 69

FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI

1. Owner: Dominion Energy-Kewaunee Date: November 2, 2009 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511 Sheet: 1 of 2 Address
2. Plant: Kewaunee Power Station Unit: No. 1 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511 Work Order Number: KW100550234 Address
3. Work performed by: Dominion Energy-Kewaunee Type Code Symbol Stamp Not Applicable Name Authorization No. Not Applicable N490 Highway 42, Kewaunee Wisconsin 54216-9511 Expiration Date Not Applicable Address
4. Identification of System : 33 Class 2 Safety Injection System
5. (a) Applicable Construction Code: 1967 ASME B31.1 (b) Applicable Edition of Section XI used for Repair/Replacement Activity: 1998 Edition 2000 Addenda (c) Applicable Section XI Code Case: NA
6. Identification of Components ASME Corrected, Code Name of Name of Manufacturer National Board -Other Year Removed, or Stamped Component Manufacturer Serial No. No. Identification Built Installed (Yes or No)

NA SI Train B Dominion NA NA 2009 Installed No Vent System Energy

7. Description of Work Install Class 2 Safety Injection System 2" and 1" Vent System Piping, Flange and Fittings from connection to 12" Piping downstream of 12" Valve SI-351B to 1" Flange.
8. Tests Conducted: Hydrostatic - Pneumatic LI Nominal Operating Pressure Exempt L1 Other I Pressure 30 psi Test Temp 89 OF
9. Remarks: Not Applicable Applicable Manufacturer's Data Reports to be attached

FORM NIS-2 (Back)

Sheet 2 of 2 Date : November 2, 2009 Name of Component: SI Train B Vent System Work Order Number KW100550234 CERTIFICATE OF COMPLIANCE I certify that the statements made in this report are correct and that this conforms to the requirements of

.the ASME Code,Section XI Type Code Symbol Stamp Not Applicable Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed /* .c* j't A *2a4IJ Date I\J*~eAjq)Jwo qi Owner or Owner's Designee, "hltl 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 tWScoM51/ and employed. by Y4e& 7rC0/_. Cir of f-/Mtr Fe(?Z' co0Au,..ie*cncT have inspected the components described in this Owner's Report during the period 6nAm A-1o0 to z* cc7"o? , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code,Section XI.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations, tests, and corrective measures described in this Owner's Report.

Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection KIIIn:a6&4-7LA'ý"5 ~ Cmisin Commissions 1 -,~O~

1-1 (Inspector's Signature) National Board, State, Province, and Endorsements Date 9 .

  • FORM NIS-2 OWNER'S REPORT FOR REPAIR / REPLACEMENT ACTIVITY As Required by the Provisions of the ASME Code Section XI
1. Owner: Dominion Energy-Kewaunee Date : October 30, 2009 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511 Sheet: 1 of 2 Address
2. Plant: Kewaunee Power Station Unit ; No. 1 Name N490 Highway 42, Kewaunee Wisconsin 54216-9511 Work Order Number : KW100589894 Address
3. Work performed by : Dominion Energy-Kewaunee Type Code Symbol Stamp Not Applicable Name Authorization No. Not Applicable N490 Highway 42, Kewaunee Wisconsin 54216-9511 Expiration Date Not Applicable Address 4; Identification of System: 36 Class 1 Reactor Coolant System
5. (a) Applicable Construction Code : ASME Section III Class A.

(b) Applicable Edition of Section XI used for Repair/Replacement Activity : 1998 Edition 2000 Addenda (c) Applicable Section XI Code Case: NA

6. Identification of Components ASME Corrected, Code Name of Name of Manufacturer National Board Other Year Removed, or Stamped Component Manufacturer Serial No. No. Identification Built Installed (Yes or No)

Pressurizer . Westinghouse 1151 68-23 PS&E 0041 1968 Installed Yes

7. Description of Work Installed Replacement Gasket and 5 Replacement Bolts on Class 1 Reactor Coolant System Pressurizer.

Manway. Additional Manway Repair/Replacements: 1997: Installed 1 Helicoil, 16 Replacement Manway Bolts and Removed Base Metal for Helicoil Insertion: 2001- Installed 2 Helicoils,Removed Base Metal for Helicoil Insertion and Replaced 5 Mafiway Bolts.

8. Tests Conducted: Hydrostatic LI Pneumatic LI Nominal Operating Pressure Exempt []

Other El Pressure 2240 psi Test Temp 546.5 OF

9. Remarks: Reference Westinghouse Letter Report LTR-SGDA-09-176 Revision 0 " Kewaunee Power Station-Applicable Manufacturer's Data Reports to be attached Evaluation for Continued Use of Prior Installed Helical-Coils on the Pressurizer Manway Bolt Holes"

FORM NIS-2 (Back)

Sheet, 2 of 2 Date : October 30, 2009 Name of Component: Pressurizer Manway Work Order Number: KW100589894 CERTIFICATE OF COMPLIANCE I certify that the statements made in this report are correct and that this conforms to the requirements of the ASME Code,Section XI /

Type Code Symbol Stamp Not Applicable Certificate of Authorization No. Not Applicable Expiration Date Not Applicable Signed /AW.g.rAt*fZ-t'

  • Date NmgnrriijeA9, ZOO cj

' Owner or Owner's Designee, Title v q 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 W15coV11.#J and employed by 1-tlz-6

  • o,.cT of  ;-/1,*-*- c & C/U 'e,7 have inspected the components described in this Owner's Report during the period 6 *'k o' to Za 0cr 0? , 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, tests, and corrective measures described in this Owner's Report.

Furthermnore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection

_____-___________Commissions /Va /M 2ZŽ/40 W O/- (

  • (Inspector's Signature) National Board, State, Province, and Endorsements Date 9 "'1 v,-ms o: _*:q

Serial No.09-723 ATTACHMENT 6 2009 INSERVICE INSPECTION

SUMMARY

REPORT EXAMINATION

SUMMARY

CLASS 1, CLASS 2, AND CLASS 3 INSERVICE INSPECTION PROGRAM FOURTH TEN-YEAR INTERVAL KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.

KEWAUNEE POWER STATION 4TH INTERVAL: 2ND PERIOD: 2ND OUTAGE 2009 EXAMINATION

SUMMARY

INTRODUCTION An Inservice Inspection (ISI) Program (Scheduled and Augmented) was performed at the Kewaunee Power Station from September 25, 2008 through September 22, 2009 (Non Refueling Outage) and September 26, 2009 through October 22, 2009 (Closing of G1 following Refueling Outage) by Kewaunee Power Station, Lambert, MacGill, and Thomas, Inc.(LMT Inc.) and ITLS examination personnel.

Examinations were performed to satisfy the requirements of:

" ASME Boiler and Pressure Vessel Code Section XI 1998 Edition 2000 Addenda

" Westinghouse NASL-06-8: Pressurizer Heater Sleeve Cracking The Inservice Inspection Program Plan and Augmented Inspection Program Plan located under Tab C was prepared by Kewaunee Power Station for the 4th Interval: 2nd Period: 2nd Outage as identified in the Kewaunee Power Station Fourth 10-Year Inservice Inspection (ISI) Program 2004 - 2014. Examinations during this Refueling Outage were performed to complete 4th Interval; 2nd Period Examination Requirements of ASME Boiler and Pressure Vessel Code Section XI 1998 Edition 2000 Addenda and Kewaunee Power Station Fourth 10-Year Inservice Inspection (ISI) Program 2004-2014.

The following items were examined:

" Reactor Vessel Upper and Lower Internals

" Pressurizer Circumferential and Longitudinal Welds

" Pressurizer Surge Nozzle to Safe End Weld

" Pressurizer Integrally Welded Attachment

" Steam Generator Primary Nozzle to Safe End Welds

" Class 1, Class 2 and Class 3 Piping and Component Supports and Hangers

" Class I and Class 2 Steam Generator Primary Manway Bolting, Pressurizer Manway Bolting, Flange Bolting and Valve Bonnet Bolting

" Class I and Class 2 Preservice of Safety Injection and Residual Heat Removal Piping, Supports and Gas Collection Chamber Page 1 of 4

  • Letdown Heat Exchanger Circumferential Weld and Integrally Welded Attachments

" Residual Heat Exchanger Circumferential Weld

" Seal Water Injection Filter Circumferential Weld

" Class 1 System Leakage Test

  • Class 2 and Class 3 System Leakage Tests EXAMINATIONS The examinations performed were in accordance with an approved Inservice Inspection Program Plan located under Tab C of the final report. Examination Procedures were approved prior to the start of examinations and certification documents relative to personnel, equipment and materials were reviewed and determined to be satisfactory.

Some of the arrangements and details of the Kewaunee Power Station Components and Piping Systems were designed and fabricated before ASME Boiler and Pressure Vessel Code Section XI Code requirements were established. Examinations performed were intended to examine 100% of the required surface or volume. In some cases, examinations were limited by geometric, metallurgical or design/access restrictions. In each case, the occurrence and cause of the limitation was documented. In all cases the maximum amount achievable was examined.

Witnessing and surveillance of the examinations were conducted by personnel from: Nuclear Regulatory Commission and Hartford Steam Boiler Inspection and Insurance Company of CT.

RESULTS Examinations resulted with the following Recordable Indications being noted on the basis of procedure recording criteria, which are generally more restrictive than specified ASME Boiler and Pressure Vessel Code Section XI Acceptance Standards.

Recordable Indications detected during the 2009 Refueling Outage are listed in Table 1 with a brief summary following. Specific data relative to all Recordable Indications and their dispositions by either corrective measures, acceptance by ASME Boiler and Pressure Vessel Code Section XI 1998 Edition 2000 .Addenda Acceptance Criteria, Repair or Replacement or Evaluation are located in Tab F of the Final Report Page 2 of 4

TABLE 1 TYPE OR LOCATION OF RECORDABLE INDICATION (RI) METHOD NO. OF RI'S

" Reactor Vessel Upper Internals Visual (VT-3) 1 Conduit

" Seal Water Injection Filter Volumetric (UT) 1 Weld

  • Gas Collection Chamber Surface (PT) 1 Weld
  • Piping Supports and Hangers Visual (VT-3) 1 Support
  • System Leakage Pressure Tests Visual (VT-2) 41 Items
1. Recordable Indication was recorded on the Reactor Vessel Upper Internals Upper Support Plate Thermocouple Conduit at Location C-3. The separated conduit cable was previously recorded in 1995, 2004 and 2006. The separated conduit at location C-3 showed no noticeable change in separation and was previously acceptable under the Kewaunee Power Station Corrective Action Program.
2. Ultrasonic 0' and 600 Indications were recorded on the Seal Water Injection Filter 1A Head Circumferential Weld AFSI-W2. These indications were Acceptable per ASME Boiler and Pressure Vessel Code Section XI 1998 Edition 2000 Addenda Table IWB-3514-2 and IWC-3510-2. The 0' Indications were typical of the flaws recorded on Seal Water Injection Filters lA and lB during Refueling Outages 1982, 1986, 1988, 1992, 1998 and 2001.
3. 1 Linear Indication (2.5" in length) was recorded on the Gas Collection Chamber 6" Circumferential Weld SI-W603. The Linear Indication was Unacceptable per ASME Boiler and Pressure Vessel Code Section XI 1998 Edition 2000 Addenda Table IWB-3514-2. The Linear Indication was removed by buffing, reexamined and acceptable to ASME Boiler and Pressure Vessel Code Section XI 1998 Edition 2000 Addenda Standards.
4. Visual (VT,3) Indication recorded on 16" Feedwater Piping Support FDW-HI 16 was Evaluated and Accepted by: Kewaunee Power Station Engineering and Inservice Inspection Personnel and reviewed by the Authorized Nuclear Inservice Inspector.

Page 3 of 4

5. Visual (VT-3) Indications recorded on Valve Bonnet Bolting (5 Valves), Reactor Coolant Pump Bolting (Main Flange and No. 1 Seal Housing Bolting), Flange Bolting (2 Flanges) and Pressurizer Manway Bolting (IManway) were- (1) Evaluated and Accepted or (2)

Repaired, Reexamined and Accepted by: Kewaunee Power Station Engineering or Inservice Inspection Personnel and reviewed by the Authorized Nuclear Inservice Inspector.

6. Visual (VT-2) Indications recorded during System Leakage Pressure Tests (41 Items) were:

(1) Evaluated and Accepted or (2) Repaired, Reexamined and Accepted by: Kewaunee Power Station Engineering or Inservice Inspection Personnel. and reviewed by the Authorized Nuclear Inservice Inspector.

SUMMARY

An Inservice Inspecti'on Program was performed at the Kewaunee Power Station from September 25, 2008 through September 22, 2009 (Non Refueling Outage) and September 26, 2009 through October 22, 2009 (Closing of GI following Refueling Outage). Examinations were performed as scheduled in the Kewaunee Power Station Fourth 10-Year Inservice Inspection (ISI) Program 2004 -2014 to complete examinations for the 4th Interval; 2nd Period. A total of 55 Recordable Indications were detected. AJl Recordable Indicatiors were corrected or accppted by ASME Boiler and Pressure Vessel Code Section XI 1998 Edition 2000 Addenda Acceptance Criteria, Repair/Replacement or Evaluation requirements Phillip Bukes Date Engineering Programs Inservice Inspection Program Owner Page 4 of 4

Serial No.09-723 ATTACHMENT 7 2009 INSERVICE INSPECTION

SUMMARY

REPORT EXAMINATION

SUMMARY

CLASS MC INSERVICE INSPECTION PROGRAM SECOND TEN-YEAR INTERVAL KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.

KEWAUNEE POWER STATION 2ND INTERVAL: 1ST PERIOD: 2ND OUTAGE 2009 EXAMINATION

SUMMARY

INTRODUCTION An Inservice Inspection (ISI) Program for the Class MC Reactor Building Containment Vessel was performed at the Kewaunee Power Station from September 26, 2009 through October 22, 2009 (Closing of G1 following Refueling Outage) by Kewaunee Power Station and Lambert, MacGill and Thomas Inc. examination personnel.

Examinations were performed to satisfy the requirements of:

ASME Boiler and Pressure Vessel Code Section XI 2001 Edition 2003 Addenda The Inservice Inspection Program Plan located under Tab C was prepared by Kewaunee Power Station for the 2nd Interval; 1st Period; 2nd Outage as identified in the Kewaunee Power Station Second 10-Year Inservice Inspection (ISI) Program 2006-2016. Examinations during this Refueling Outage were performed to complete the 2nd Interval, 1st Period examination requirements of ASME Boiler and Pressure Vessel Code Section XI 2001 Edition 2003 Addenda and Kewaunee Power Station Second 10-Year Inservice Inspection (ISI) Program 2006-2016.

The following items were examined for the Class MC Reactor Building Containment Vessel:

"Accessible Surface Areas

  • Bolted Connections EXAMINATIONS The examinations performed were in accordance with an approved Inservice Inspection Program Plan located under Tab C of the final report. Examination Procedures were approved prior to the start of examinations and certification documents relative to personnel, equipment and materials were reviewed and determined to be satisfactory.

Page 1 of 3

Some of the arrangements and details of the Kewaunee Power Station Components and Piping Systems were designed and fabricated before ASME Boiler and Pressure Vessel Code Section XI Code requirements were established. Examinations performed were intended to examine 100% of the required surface or volume. In some cases, examinations were limited by geometric, metallurgical or design/access restrictions. In all cases the maximum amount achievable was examined.

Witnessing and surveillance of the examinations were conducted by: Hartford Steam Boiler Inspection and Insurance Company of CT.

RESULTS Examinations resulted with the following Recordable Indications being noted on the basis of procedure recording criteria, which are generally more restrictive than specified ASME Boiler and Pressure Vessel Code Section XI Acceptance Standards.

The Recordable Indications detected during the 2009 Refueling Outage are listed in Table 1 with a brief summary following. Specific data relative to the Recordable Indications disposition by acceptance per ASME Boiler and Pressure Vessel Code Section XI 2001 Edition 2003 Addenda Acceptance Criteria, Repair/Replacement or Evaluation is located in Tab F of the Final Report.

TABLE 1 TYPE OR LOCATION OF RECORDABLE INDICATION (RI) METHOD NO. OF RI'S Reactor Building Containment Vessel General Visual 1 Plate Moisture Barrier

1. General Visual Indications consisting of 2 separations in the moisture barrier of Plate 67.

The moisture barrier was repaired under Work Order KW100588970, reexamined and accepted. The following is provided as required by 10CFR50.55a(b)(2)(ix)(A) for the moisture barrier indications: (

(A) Description of the type and estimated extent of degradation, and the conditions that led to the degradation: 2 Separations in the moisture barrier caulking one 2" in length and one 3" in length. Potential causes include age related distressand improper application of the moisture barrier sealant-.

Page 2 of 3

(B) An evaluation of each area, and the result of the evaluation: Evaluation of the metal containment plate indicated no carbon steel plate degradation and no wetness in the area of moisture barrier separation.

(C) A description of the necessary corrective action: Work Order was generated to repair the separations in the moisture barrier. Repairs were performed and reexamined with acceptable results.

SUMMARY

An Inservice Inspection Program for the Class MC Reactor Building Containment Vessel was performed at the Kewaunee Power Station from September 26, 2009 through October 22, 2009 (Closing of G1 following Refueling Outage). Examinations were performed as scheduled in the Kewaunee Power Station Second 10-Year Inservice Inspection (ISI) Program 2006-2016. One Recordable Indication (2 separations in Plate 67 moisture barrier) area was detected. The Recordable Indication was repaired, reexamined and accepted by Kewaunee Power Station Engineering Personnel.

3,Doot9 Phillip . Bukes Date Engineering Programs Inservice Inspection Program Owner Page 3 of 3

Serial No.09-723 ATTACHMENT 8, 2009 INSERVICE INSPECTION

SUMMARY

REPORT

SUMMARY

OF EXAMINATIONS THAT WERE LIMITED BY GEOMETRIC, METALLURGICAL, OR DESIGN/ACCESS RESTRICTIONS AND ASSOCIATED DATA SHEETS (10 TOTAL)

KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.

Serial No.09-723 Docket No. 50-305 Attachment 8 Page 1 of 1

SUMMARY

OF EXAMINATIONS THAT WERE LIMITED BY GEOMETRIC, METALLURGICAL, OR DESIGN/ACCESS RESTRICTIONS Year Component Identification Method of  % Recorded as Not Examination Examined and Limitation 2.6%

Pressurizer Circumferential Shell To 2009 Head Weld P-W3 UT 2 - 2.5" x 2.5" Integrally Welded Pads 2.6%

Pressurizer Circumferential Shell To 2009 Head Weld P-W5 UT 2 - 2.5" x 2.5" Integrally Welded Pads 75.0%

2009 Residual Heat Exchanger 1A Head Ueldn Circumferential Weld AHRS1-W2 UT Integrally Welded Attachments 8" Inlet and Outlet Nozzles UT 0.4%

2009 Regenerative Heat Exchanger Head Circumferential Weld ARG-W9 2 - 2" Nozzles 2009 Letdown Heat Exchanger Shell UT 77.5%

Circumferential Weld AHNR-W1 Shell to Flange Configuration 43%

Seal Water Injection Filter 1A Head UT 2" Inlet Nozzle 2009 209Circumferential weld AFSI-W2 U "IltNzl 3 Integrally Welded Attachments 74%

Nozzle To Safe End Weld RC-2009 W67DM on 14" Pressurizer Surge UT Nozzle To Safe'End Weld Configuration 2009 Circumferential Pipe Weld SI-W74 on 50%

12" Safety Injection Valve To Pipe Weld Configuration Nozzle To Safe End Weld RC- 4.5%

2009 W76DM on Steam Generator 1A UT 4- 3.5" x4.5" Hotleg Integrally Welded Attachments Nozzle To Safe End Weld RC- 4.2%

2009 W77DM on Steam Generator 1A UT 4- 3.5" x4.5" Crossover Leg Integrally Welded Attachments

Serial No.09-723 ATTACHMENT 9 2009 INSERVICE INSPECTION

SUMMARY

REPORT "OAR OWNER'S ACTIVITY REPORT" TABLE 1 AND "FORM NIS-2A REPAIR/REPLACEMENT CERTIFICATION RECORD" TABLE 2 KEWAUNEE POWER STATION DOMINION ENERGY KEWAUNEE, INC.

Form OAR-I Owner's, Activity Report IAttcm n 1, E-AA II-0 Page 10f Report Number: 2009 Refueling Outage Plant Kewaunee Power Station, N490 Highway 42, Kewaunee, Wisconsin 54216-9511 Unit No. No.1 Commercial service date June 16, 1974 Refueling outage no. K1R30 (if applicable)

Current inspection interval 4th (1st, 2 nd, 3 r, 4 th, other)

Current inspection period 2nd (1st, 2nd ,3rd)

Edition and Addenda of Section Xl applicable to the inspection plans 1998 Edition 2000 Addenda Date and revision of inspection plans February 6, 2009 Revision 3 Edition and Addenda of Section Xl applicable to repair/replacement activities, if different than the inspection plans Not Applicable Code Cases used: N-460, N-532-4 and N-566-2 (if applicable)

CERTIFICATE OF CONFORMANCE I certify that (a) the statements made in this report are correct; (b) the examinations and tests meet the Inspection Plan as required by the ASME Code, Section XI-; and (c) the repair/replacement activities and evaluations supporting the completion of KI. R 3Q conform to the requirements of Section X1.

(refueling outage number)

Signed P W4 I- .5UOS /&O

.f. ,..W 1*&, . Date N&1.044, 1,4oO, Owner or Owner's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of £idCoPv*,J and employed by -',5Y c7" of eouCicT have inspected the items described in this Owner's Activity Report, and state that, to the best of my knowledge and belief, the Owner has performed all activities represented by this report in accordance with the requirements of Section Xl.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the repair/replacement activities and evaluation described in this 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 cted with this inspection.

Commissions Ne. , WI /.O/

In trs Signature National Board, State, Province and Endorsements Date ,o9 ^0le 67Zo?

Kewaunee Power Station.

Table 1 Items.with Flaws or Relevant Conditions that Required Evaluation for Continued Service Flaw or Relevant Condition Examination Found During Scheduled Category Item Number Item Description Evaluation Description Section XI Examination or Test (Yes or No)

B-G-2 B7.20 K1..B7.20.001 - PRESSURIZER MANWAY BOLTING THREAD DAMAGE MANWAY BOLTS: F106 Yes B-N-1 B13.10 K1.B13.10.001 - REACTOR VESSEL INTERNALS SEPARATED CONDUIT AT LOCATION C-3: F105 Yes B-P B15.10 K1.B15.10.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON SEAL TABLE: CR353880 Yes B-P B15.40 K1.B15.40.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON EX. LET. HX.: KW100385374 Yes B-P B15.60 K1.B15.60.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON R.C. PUMP 1A SEAL CR353866 Yes B-P B15.70 K1.B15.70.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON RC-300A: CR353829 Yes B-P B15.70 K1.B15.70.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON RC-100A: CR353832 Yes B-P B15.70 K1.B15.70.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON RC-100B: CR353877 Yes B-P B15.70 K1.B15.70.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON RC-301A: CR353864 Yes B-P B15.70 K1.B15.70.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON RC-23028: CR353868 Yes B-P B15.70 K1.B15.70.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON RHR-1A: CR353850 Yes B-P B15.70 K1.B15.70.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON SI-44A: CR353849 Yes B-P B15.70 K1.B15.70.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON LD-332: CR353840 Yes B-P B15.70 K1.B15.70.001 -ASME CODE CLASS 1 SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON RC-403: CR353863 Yes C-A C1.20 K1 .C1.20.017 - SEAL WATER INJECTION FILTER 1A HEAD ULTRASONIC INDICATIONS WELD AFSI-W2: F100 Yes CIRCUMFERENTIAL WELD C-F-1 C5.21 K1 .C5.21.118 - 6" CIRCUMFERENTIAL WELD LINEAR INDICATION WELD SI-W603: F104 Yes C-H C7.10 KI.C7.10.006 - CHEMICAL AND VOLUME CONTROL EVIDENCE OF LEAKAGE ON LET.HX. STUD: CR116439 Yes C-H C7.10 Ki.C7.10.006 - CHEMICAL AND VOLUME CONTROL EVIDENCE OF LEAKAGE ON CVC-23111-1: CR116354 Yes C-H C7.10 Ki .C7.10.006 - CHEMICAL AND VOLUME CONTROL EVIDENCE OF LEAKAGE ON CVC-101C: CR090284 Yes C-H C7.10 Ki .C7.10.006 - CHEMICAL AND VOLUME CONTROL EVIDENCE OF LEAKAGE ON SW INJ. FILTER 1A: CR331022 Yes C-H C7.10 K1.C7.10.005 - SI INSIDE CONTAINMENT SYSTEM PRESSURE EVIDENCE OF LEAKAGE ON SI-303B: CR353804 Yes C-H C7.10 K1 .C7.10.006 - CHEMICAL AND VOLUME CONTROL EVIDENCE OF LEAKAGE ON PIA-183A ROOT VALVE: CR116406 Yes C-H C7.10 K1.C7.10.005"- SI INSIDE CONTAINMENT SYSTEM PRESSURE EVIDENCE OF LEAKAGE ON SI-46: CR353786 Yes C-H C7.10 K1.C7.10.005 - SI INSIDE CONTAINMENT SYSTEM PRESSURE EVIDENCE OF LEAKAGE ON SI-210B; CR 353818 Yes C-H C7.10 K1.C7.10.005 - SI INSIDE CONTAINMENT SYSTEM PRESSURE EVIDENCE OF LEAKAGE ON SI-121: CR353784 Yes C-H C7.10 K1 .C7.10.005 - SI INSIDE CONTAINMENT SYSTEM PRESSURE EVIDENCE OF LEAKAGE ON SI-11 B: CR353785 Yes C-H C7.10 K1 .C7.10.006 - CHEMICAL AND VOLUME CONTROL EVIDENCE OF LEAKAGE ON LET HX FLANGE: CR116438 Yes D-B D2. 10 K1.D2.10.004 - COMPONENT COOLING WATER SYSTEM EVIDENCE OF LEAKAGE ON CC-609A: CR349958 Yes PRESSURE TEST D-B D2. 10 K1.D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON SW-43B2 UNION FITTING: CR334793 Yes D-B D2. 10 K1.D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON SW-50OB: CR334785 Yes D-B D2.10 K1.D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON SW(R16)-3: CR334780 Yes

__________ L _________ +/- _____________________________________________________ a ____________________________________________________ a ScheduleWorks V. 8.1 Page 1 - 2

Kewauee Pwer tation Table I Items with Flaws or Relevant Conditions that Required Evaluation for Continued Service Flaw or Relevant Condition Examination Found During Scheduled Category Item Numbe Item Description Evaluation Description Section XI Examination or Test (Yes or No)

D-B D2.10 K1.D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON SW-1299B: CR334778 Yes D-B D2.10 K1 .D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON CONT. FAN COIL 1D: CR349565 Yes D-B D2.10 K1.D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON FS-16809 FITTING: CR28221 Yes D-B D2.10 K1 .D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON HS-2203A: CR333879 Yes D-B D2.10 Kl.D2.10.004 - COMPONENT COOLING WATER SYSTEM EVIDENCE OF LEAKAGE ON CC-18228-2: CR349965 Yes PRESSURE TEST D-B D2.10 K1.D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON FS-16810 FITTING: CR28221 Yes D-B D2.10 K1.D2.10.004 - COMPONENT COOLING WATER SYSTEM EVIDENCE OF LEAKAGE ON CCW PUMP 1 B: CR350129 Yes PRESSURE TEST D-B D2.10 K1.D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON SW-901B-1: CR340570 Yes D-B D2.10 K1 .D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON SW-914C: CR349618 Yes D-B D2.10 K1 .D2.10.002 - SERVICE WATER SYSTEM PRESSURE TEST EVIDENCE OF LEAKAGE ON SW-910C: CR349617 Yes D-B D2.10 K1.D2.10.004 - COMPONENT COOLING WATER SYSTEM EVIDENCE OF LEAKAGE ON FLANGE BY CC-605A: CR349973 Yes PRESSURE TEST NA NA K1 .NA.909 - BORIC ACID INJECTION AND RECIRULATION EVIDENCE OF LEAKAGE ON BA TRANS. PUMP 11B: CR111149 No NA NA KI .NA.909 - BORIC ACID INJECTION AND RECIRULATION EVIDENCE OF LEAKAGE ON BA TRANS. PUMP 1A: CR100394 No 7' A NA K1.NA.783 - ELELMENT-RC LOOP B RTD LOOP FLANGE ORIFICE EVIDENCE OF LEAKAGE ON FLANGE FE-459: F108 No NA NA K1.NA.905 - REACTOR COOLANT PUMP 1A EVIDENCE OF LEAKAGE ON MAIN FLANGE BOLTING: F110 No NA NA K1.NA.813 - REACTOR COOLANT PUMP 1A NO.1 SEAL HOUSING EVIDENCE OF LEAKAGE ON NO. 1 SEAL BOLTS: F109 No BOLTS NA NA K1-.NA.106 - VALVE-CONTROL-COLDLEG LOOP B TO EVIDENCE OF LEAKAGE ON VALVE PS-1B BOLTING: F1 12 No NA NA KI .NA.090 - VALVE-CHECK-LOOP B HOT LEG INJECTION LINE EVIDENCE OF LEAKAGE ON VALVE SI-303B: F1 11 No NA NA K1 .NA.088 - VALVE-MOTOR-RCS LOOP A SUPPLY TO RHR PUMPS EVIDENCE OF LEAKAGE ON VALVE RHR-1A: F101 No NA NA K1.NA.088 - VALVE-MOTOR-RCS LOOP A SUPPLY TO RHR PUMPS THREAD DAMAGE ON VALVE RHR-1A: F103 No NA NA Ki.NA.651 - VALVE-MOTOR-RCP LOOP B SUPPLY TO RHR PUMPS EVIDENCE OF LEAKAGE ON VALVE RHR-1B: F102 No NA NA K1.NA.784 - ELEMENT-RC LOOP A RTD LOOP FLOW ORIFICE EVIDENCE OF LEAKAGE ON FLANGE FE-458: F107 No.

NA NA NA - EVIDENCE OF LEAKAGE ON LT-24013: CR353825 No NA NA K1 .NA.239 - HANGER-SPRING OUT OF TOLERANCE SETTING ON FDW-H1 16: F1 13 No ScheduleWorks V. 8.1 Page 2 -2

FORM NIS-2A REPAIR/REPLACEMENT CERTIFICATION RECORD OWNER'S CERTIFICATE OF COMPLIANCE I certify that the Repair/Replacement activities represented by Repair/Replacement Plan number KIR30 conform to the requirements of Section XI Edition and Addenda of Section XI used: 1998 Edition 2000 Addenda Code Cases used: N-532-4 (if applicable)

Signed 911.\0 P.&LVI-A '-PjU&"e.1&AW Owner or Owner's Deslgnee Date -a00 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 [i.-1iCOJ6'#9J and employed by 1~, i-e'/'-- .57P7k, ,3J01"e. c7" of

/tfZ'-For~t* CO*NN~ c "r have inspected the components described in Repair/Replacement Plan number k I /?,30 ,and state that to the best of my knowledge and belief, the Owner has performed all the activities described in the Repair/Replacement Plan in accordance with the requirements of Section XL.

By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the activities described in the Repair/Replacement Plan. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any per-sonal mu or property damage or a loss of any kind arising from or connected with this inspection

____________________ Commissions A-16 M" ZZ 9,3/A/ IWI' /I'6/3/

Inspector's Signat~r,--J National Board, State, Province, and Endorsements Date / A'O V&-Wl, -R 0, A,

Kiewaiunree P oe rS

~~ R3 ObleRe pal.frIRe p lac 7' 1t la A,2 . .,,

Abstract of Repairs, Replacements or Corrective Measures Required for Continued Service Flaw or Relevant Code Corrected, Condition Found During Repair / Replacement Plan Number Class Removed or Item Description Description of Work Scheduled Section Xl Date Complete K1 R30 Installed Examination or Test (Yes

_or No)

Installed 1" Flange Upstream of LD-300 Install Replacement 4 Studs and 8 Nuts No 10/21/2009 Work Order KW1 00385376 Corrected PR-2A Correct by Repairing Seat Leakage on 3" Valve PR-2A No 10/22/2009 WorkOrder KW100315676 Installed Pressurizer Manway Install Replacement Gasket and 5 Replacement Manway No 10/30/2009 Work Order KW1 00589894 Bolts Installed PR-F2 Install 12 Studs and 24 Nuts on 6" Inlet Flange PR-F2 to No 10/22/2009 Work Order kW1 00278450 PR-3B Installed RHR-30B-3 Install. Replacement 1/2" Rupture Disc RHR-30B-3 No <' 10/18/2009 Work Order KW1 00395492 Installed RSI-H63 Install Replacement Hydraulic Snubber RSI-H63 No 10/13/2009 Work Order KW1 00362587 Installed APCH-1A-SC1 Install Class 2 Chemical and Volume Control System No 12/08/2008 Work Order KW100421013 Charging Pump 1A Motor and Base Support Plates.

Installed APCH-1B-SC2 Install Class 2 Chemical and Volume Control System No 06/24/2008 Work Order KW04-006910 Charging Pump 1 B Motor and Base Support Plates.

Corrected APCH-1 B-SC2 Correct by Modifying Class 2 Chemical and Volume No 06/24/2008 Work Order KW100390285 Control System Charging Pump 1B Base Supports.

Corrected APCH-1 B-SC2 Perform Metal Removal on Class 2 Chemical and Volume No 06/24/2008 Work Order KW100390344 Control System Charging Pump 1 B Motor and Base Spport Pads.

Corrected APCH-1 B-SC2 Correct Cracked I Beam Support on Class 2 Chemical -No 06/24/2008 Work Order KW1 00393957 and Volume Control System Charging Pump 1B Base Support.

Installed APCH-1C-SC3 Install Class 2 Chemical and Volume Control System No 02/26/2009 Work Order KW04-006939 Charging Pump 1C Motor and Base Support Plates Installed APD-1B Install Replacement Dampener Spring on Chagring Pump No 11/04/2008 Work Order KW100278054 1B Installed CVC-4A Install Replacement Valve Bonnet and Diaphragm No 09/24/2008 Work Order KW1 00420045

+/- ..-

I. .L _______________________

11/10/2009 ScheduleWorks V. 8.1 Page 1 -3

_p .1;'4e r Ue-tow4,:

Abstract of Repairs, Replacements or Corrective Measures Required for Continued Service Flaw or Relevant Code Corrected, Condition Found During Repair/ Replacement Plan Numbe Clas .Removed or Item Description Description of Work Scheduled Section Xl Date Complete Re mnb Installed Examination or Test (Ye.R or No)

Installed Gas Collection Chamber Install 6" Gas Collection Chamber and 3/4" Piping, No 10/20/2009 Work Order KW1 00494435 Supports and Valves SI-39A-1, SI-39A-2 and SI-39-A3 Installed ICS-60A Install 2" and 3/4" Piping and 3/4" Valve ICS-60A No 08/17/2009 Work Order KW1 00453017 Installed ICS-H7 Install Replacement Hydraulic Snubber ICS-H7 No 10/06/2009 Work Order KW1 00362674 Corrected LD-4B Correct by Repairing Seat Leakage on 2" Valve LD-4B No 10/21/2009 Work Order KW1 00375362 Corrected LD-5 Correct by Repairing 2" Valve LD-5 No 10/22/2009 Work Order KW1 00280694 C6rected LD-60 Correct Valve Packing Leakage on 2" Valve LD-60 No 10/20/2009 Work Order KW1 00427863 Installed RHR-220 Install 2" and 3/4" Piping and 3/4" Valve RHR-220 No 09/10/2009 Work Order KW100453019 Installed RHR-31A-1 Install 2" and 3/4" Piping and 3/4" Valve RHR-31A-1 No 10/21/2009 Work Order KW100453024 Installed RHR-40 Install 2" and 3/4" Piping and 3/4" Valve RHR-40 No 10/10/2009 Work Order KW1 00453022 Installed RHR-501A Install 2" and 3/4" Piping and 3/4" Valve RHR-501A No 10/10/2009 Work Order KW1 00453023 Installed RSI-H61 Install Replacement Hydraulic Snubber RSI-H61- No 10/13/2009 Wok Order KW1 00362588 Installed SI Train A Vent System Install 2" and 1" Vent System Piping, Flange and Fittings No 09/23/2009 Work Order KW1 00550233 from 12" Piping to 1" Flange Downstream of 12" Valve SI-351A Installed SI Train B Vent Sytsem Install 2" and 1" Vent System Piping, Flange and Fittings No 09/17/2009 Work Order KW100550234 from 12" Piping to 1" Flange Downstream of 12" Valve SI-351 B Installed SI-301A Install Replacement Valve Bonnet on 10" Valve SI-301A No 09/23/2009 Work Order KW1 00453025 and Install 1/2" Vent Valve SI-301A-1 11/10/2009 ScheduleWorks V. 8.1 Page 2 - 3

Abstract of Repairs, Replacements or Corrective Measures

___________ Required for Continued Service Flaw or Relevant Coe Corrected, Condition Found DuringRearIepcmntPnNub Cas Removed Installed or Item Description Description of Work Scheduled Section Xl Date Complete Reai/RpacRetla3ub Examination or Test (Ye or No)

Installed rI-301B Install Replacement Bonnet on 10" Valve SI-301B and No 101912009 Work Order KW1 00453026 Install 3/4" Vent Valve I-301 B-I 2 Installed SI-309 Install 2" and 3/4" Piping and 3/4" Vent Valve SI-309 No 10/19/2009 Work Order KW100453032 2 Installed r I m Install 2" and 3/4" Piping and 3/4" Valve SI-31-e No 10/19/2009 Work Order KWI00453027 2 Installed SI-H109 Install Gas Collection Chamber Welded Attachment No 10/12/2009 Work Order KW100494435 Support SI-H109 2 Corrected SI-W603 Correct by Removing 2.5" Linear Indication Yes 10/04/2009 Work Order KW100528252 11/10/2009 ScheduleWorks V. 8.1 Page 3 - 3

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