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{{#Wiki_filter:Engineering Report No. PNPS-CS-12-00001, Rev. 0Attachment IPage I1 of 19Attachment ISeismic Walkdown Engineer Training Certificates W'NS Sc~smic~af=ral ICertificate ofCompletion David SmallTraining on Near TermTask ForceICECRecommendation 2.3-Plant Seismic Walkdowns Ju lI I19. 2012Robert K. Kassawara EPRI Manager,ti~uctutal Reliability  
{{#Wiki_filter:Engineering Report No. PNPS-CS-12-00001, Rev. 0 Attachment I Page I1 of 19 Attachment I Seismic Walkdown Engineer Training Certificates W'NS Sc~smic~af=ral I Certificate of Completion David Small Training on Near Term Task Force ICE C Recommendation 2.3-Plant Seismic Walkdowns Ju lI I19. 2012 Robert K. Kassawara EPRI Manager, ti~uctutal Reliability  
& Integrity CCDC-CCD30 PNPS Pc~ec ev'tcu *Te_(xmv Lzi-,1=122I1--Certificate ofCompletion Jeffrey KalbTraining on NearTerm Task ForceRecommendation 2.3-Plant Seismic Walkdowns CDGDCCCc0CdC-0:CDI LIl IN 9. 20 1 2DateRobert K. Kassawara EPRI Manager.Struclural Reliatility  
& Integrity C CDC-C CD 30 PNPS Pc~ec ev'tcu *Te_(xmv Lzi-, 1=122I1--Certificate of Completion Jeffrey Kalb Training on Near Term Task Force Recommendation 2.3-Plant Seismic Walkdowns CD GD CC Cc 0 Cd C-0: CD I LIl IN 9. 20 1 2 Date Robert K. Kassawara EPRI Manager.Struclural Reliatility  
& Irntegfty CDCA)0 Le. i fNP. 3J ENERCONExcet/ence--Every project.
& Irntegfty CD CA)0 Le. i fNP. 3J ENERCON Excet/ence--Every project. Every day.Certificate of Completion is hereby granted to Laura Maclay for successful completion of m TRAINING ON NEAR TERM TASK FORCE : RECOMMENDATION 2.3 CD PLANT SEISMIC WALKDOWNS 0 Awarded: 7/26/2012 in Mt. Arlington, NJ o"1 z C,,"13°6 C,, Kenneth Whitmore Certified Seismic Walkdown Engineer 1 _U o°Alexandria, VA -6/20/2012 cc a CD 0 T&? mbr fo:r NPSENERCON Excellence-Every project. Every day Certificate of Completion is hereby granted to Gary Sweder for successful completion of m TRAINING ON NEAR TERM TASK FORCE C CD"a RECOMMENDATION 2.3 PLANT SEISMIC WALKDOWNS 0 Awarded: 9/13/2012 in Mt Arlington NJ 0-0 z Alex SmerchCertified Seismic Walkdown Engineer Certified Seismic Walkdown Engineer a o Palo Alto, CA -6/13/2012 Palo Alto, CA -6/13/2012 CD o So=CnD CD Evee~zv, WutAo.A k "AE N E R C 0 N Exceilence--Evety project. Every day Certificate of Completion is hereby granted to Halie Aroz for successful completion of TRAINING ON NEAR TERM TASK FORCE RECOMMENDATION 2.3 PLANT SEISMIC WALKDOWNS Awarded: 9/13/2012 in Mt. Arlington, NJ m CD CD (D'D 0 z z-U C', CD0 (0 CDC h = 5 3'-0/ Kevi,;,(Bessell Cer tified Seismic Walkdown Engineer Palo Alto, CA -6/13/2012 Alex Smerch Certified Seismic Walkdown Engineer Palo Alto, CA -6/13/2012  
Every day.Certificate of Completion is hereby granted toLaura Maclayfor successful completion of mTRAINING ON NEAR TERM TASK FORCE :RECOMMENDATION 2.3CDPLANT SEISMIC WALKDOWNS 0Awarded:
~iF ~ -~~*Not jkclc+yj PI~ia r--a iaq i Li Certificate of Completion Kenneth Whitmore Training on Near Term Task Force Recommendation 2.3-Plant Seismic Walkdowns~i t'11 II~CD (D (0 0 z 0 z C-)0 a) 0-0 June 21, 2012 Date Robert K. Kasmwaru EPRI Manager, stru.UMtda ReSa~bdk & kft*~(0 70 Ene~vTý'rWV)P-C (r(. CAIeA1 OR Iu Not irc t-vaiwd1v4 Iiv-, PMP~s UiJ k2&-,v1 Certificate of Completion Kevin Bessell Training on Near Term Task Force Recommendation 2.3 Plant Seismic Walkdowns JuLIC 13, 2012 Oate Robert K. Kassawara EPRI Manager, Stfuctural Reliabihty  
7/26/2012 in Mt. Arlington, NJ o"1zC,,"13°6C,,Kenneth WhitmoreCertified Seismic Walkdown Engineer 1 _U o°Alexandria, VA -6/20/2012 cc aCD 0 T&? mbr fo:r NPSENERCONExcellence-Every project.
& Integrity 0-4, 0I er~ E-1 ELECTRIC POWER ar aI~ 'RESEARCH INSTITUTE Certificate of Completion Alex Smerch Training on Near Term Task Force Recommendation 2.3-Plant Seismic Walkdowns Q) CD 0.M<C (D 0.<CD)June 13, 2012 Date Robedt K. Kessawara EPRI Maager.stuctuiu Reriabdity  
Every dayCertificate of Completion is hereby granted toGary Swederfor successful completion of mTRAINING ON NEAR TERM TASK FORCE CCD"aRECOMMENDATION 2.3PLANT SEISMIC WALKDOWNS 0Awarded:
& integlity CD o 0 CD M C2.CD CD cc CD'a 0 z z 0 0 0 Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J1 of J134 Attachment J Form 9.6: Deferred Seismic Walkdown Checklists (SWCs)SWCs Added: SWELl-001, SWELl-002, SWELl-003, SWELl-004, SWELl-023, SWELl-034, SWELl-083, SWELl-084, SWELl-095, SWELl-096, SWELl-097, SWELl-098, SWELl -099, SWELl-100 SWEL2-003, SWEL2-004, SWEL2-005, SWEL2-006, SWEL2-007, SWEL2-008, SWEL2-009, SWEL2-01 0, SWEL2-01 1, SWEL2-012, SWEL2-013, SWEL2-014, SWEL2-015, SWEL2-016 Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J2 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 4 Status: YZ NF-] U--1 Seismic Walkdown Checklist (SWC) SWELl- 001 Equipment ID No. A0203-2A Equip. Class, Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation Valve Location:
9/13/2012 in Mt Arlington NJ 0-0zAlex SmerchCertified Seismic Walkdown Engineer Certified Seismic Walkdown Engineer a oPalo Alto, CA -6/13/2012 Palo Alto, CA -6/13/2012 CD oSo=CnD CD Evee~zv, WutAo.Ak "AE N E R C 0 NExceilence--Evety project.
Bldg. RB Floor El. 23 Room, Area STM TNL Manufacturer, Model, Etc. (optional but recommended)
Every dayCertificate of Completion is hereby granted toHalie Arozfor successful completion ofTRAINING ON NEAR TERM TASK FORCERECOMMENDATION 2.3PLANT SEISMIC WALKDOWNS Awarded:
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
9/13/2012 in Mt. Arlington, NJmCDCD(D'D0zz-UC',CD0(0 CDCh = 53'-0/ Kevi,;,(Bessell Cer tified Seismic Walkdown EngineerPalo Alto, CA -6/13/2012 Alex SmerchCertified Seismic Walkdown EngineerPalo Alto, CA -6/13/2012  
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
~iF ~ -~~*Not jkclc+yjPI~ia r--a iaq iLiCertificate of Completion Kenneth WhitmoreTraining on Near Term Task ForceRecommendation 2.3-Plant Seismic Walkdowns
Y[-] NE 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
~it'11II~CD(D(00z0zC-)0a) 0-0June 21, 2012DateRobert K. KasmwaruEPRI Manager,stru.UMtda ReSa~bdk  
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?YD] NEIl UEl NIAZ YLI NEIl UEI N/AZ YLI N[:] U[:] NIAZ' Enter the equipment class name from Appendix B: Classes of Equipment.
& kft*~(070 Ene~vT&#xfd;'rWV)P-C (r(. CAIeA1 OR IuNot irc t-vaiwd1v4 Iiv-, PMP~s UiJ k2&-,v1Certificate ofCompletion Kevin BessellTraining on Near Term Task ForceRecommendation 2.3Plant Seismic Walkdowns JuLIC 13, 2012OateRobert K. Kassawara EPRI Manager,Stfuctural Reliabihty  
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J3 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 4 Status: YZ NF] U-Seismic Walkdown Checklist (SWC) SWELl- 001 Equipment ID No. A0203-2A Equip. Class Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation Valve 5. Is the anchorage configuration consistent with plant documentation?
& Integrity 0-4,0Ier~ E-1 ELECTRIC POWERar aI~ 'RESEARCH INSTITUTE Certificate of Completion Alex SmerchTraining on Near Term Task ForceRecommendation 2.3-Plant Seismic Walkdowns Q) CD0.M<C (D0.<CD)June 13, 2012DateRobedt K. Kessawara EPRI Maager.stuctuiu Reriabdity  
Y[-I NiJ U[i N/AE (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
& integlity CD o0 CDMC2.CDCDccCD'a0zz000 Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J1 of J134Attachment JForm 9.6: Deferred Seismic Walkdown Checklists (SWCs)SWCs Added:SWELl-001, SWELl-002, SWELl-003, SWELl-004, SWELl-023, SWELl-034, SWELl-083, SWELl-084, SWELl-095, SWELl-096, SWELl-097, SWELl-098, SWELl -099, SWELl-100 SWEL2-003, SWEL2-004, SWEL2-005, SWEL2-006, SWEL2-007, SWEL2-008, SWEL2-009, SWEL2-01 0, SWEL2-01 1, SWEL2-012, SWEL2-013, SWEL2-014, SWEL2-015, SWEL2-016 Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J2 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet I of 4Status: YZ NF-] U--1Seismic Walkdown Checklist (SWC) SWELl- 001Equipment ID No. A0203-2A Equip. Class, Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation ValveLocation:
Bldg. RB Floor El. 23 Room, Area STM TNLManufacturer, Model, Etc. (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
Additional space is provided at the end of this checklist for documenting other comments.
Anchorage
: 1. Is the anchorage configuration verification required (i.e., is the item oneof the 50% of SWEL items requiring such verification)?
Y[-] NE2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?YD] NEIl UEl NIAZYLI NEIl UEI N/AZYLI N[:] U[:] NIAZ' Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J3 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YZ NF] U-Seismic Walkdown Checklist (SWC) SWELl- 001Equipment ID No. A0203-2A Equip. Class Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation Valve5. Is the anchorage configuration consistent with plant documentation?
Y[-I NiJ U[i N/AE(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YM NE-] U[-]potentially adverse seismic conditions?
: 6. Based on the above anchorage evaluations, is the anchorage free of YM NE-] U[-]potentially adverse seismic conditions?
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
: 8. Are overhead equipment, distribution  
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y[ NE] U-1 N/A[]YZ N] urE] N/Ar]YE NEI UE- N/A[-]Y[ N[:] UE Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J4 of J 134 Ar-ACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 4 Status: YN! NI-- UF-Seismic Walkdown Checklist (SWC) SWELl- 001 Equipment ID No. A0203-2A Equip. Class Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation Valve Other Adverse Conditions
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?Y[ NE] U-1 N/A[]YZ N] urE] N/Ar]YE NEI UE- N/A[-]Y[ N[:] UE Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J4 of J 134Ar-ACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YN! NI-- UF-Seismic Walkdown Checklist (SWC) SWELl- 001Equipment ID No. A0203-2A Equip. Class Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation ValveOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could Y[ N[- UF-L adversely affect the safety functions of the equipment?
: 11. Have you looked for and found no other seismic conditions that could Y[ N[- UF-Ladversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Comments (Additional pages may be added as necessary)
Scaffolding around valve for maintenance during RFO 19, appropriately tagged, ref scaffolding log#13-129.
Scaffolding around valve for maintenance during RFO 19, appropriately tagged, ref scaffolding log#13-129. Will be removed per WO 304506-15, scheduled for 5/2/13 per Asset Suite.No equipment label found on valve. Verified correct equipment based on drawing M33, A0203-2A is East-most MSIV in Steam Tunnel.Area walk-by is AWC-035.Evaluated by: 11--XaA 3S.Al ( ~ 1 LA'Date: U/1. i/LZL..;sI~ffF tkr i alWj, Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J5 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 4 Status: Y[J Nr-1 UL]Seismic Walkdown Checklist (SWC) SWELl- 001 Equipment ID No. A0203-2A Equip. Class Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation Valve Photographs Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J6 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 4 Status: YZ NFi]- UF1 Seismic Walkdown Checklist (SWC) SWELl- 002 Equipment ID No. RV9085E Equip. Class, Pneumatic-Operated Valves (07)Equipment Description Stmline A Accum T220E Relief Location:
Will be removed per WO 304506-15, scheduled for 5/2/13 per Asset Suite.No equipment label found on valve. Verified correct equipment based on drawing M33, A0203-2A isEast-most MSIV in Steam Tunnel.Area walk-by is AWC-035.Evaluated by: 11--XaA3S.Al( ~ 1LA'Date: U/1. i/LZL..;sI~ffF tkri alWj, Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J5 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: Y[J Nr-1 UL]Seismic Walkdown Checklist (SWC) SWELl- 001Equipment ID No. A0203-2A Equip. Class Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation ValvePhotographs Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J6 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet I of 4Status: YZ NFi]- UF1Seismic Walkdown Checklist (SWC) SWELl- 002Equipment ID No. RV9085E Equip. Class, Pneumatic-Operated Valves (07)Equipment Description Stmline A Accum T220E ReliefLocation:
Bldg. RB Floor El. 23 Room, Area STM TNL Manufacturer, Model, Etc. (optional but recommended)
Bldg. RB Floor El. 23 Room, Area STM TNLManufacturer, Model, Etc. (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one YEI NZ of the 50% of SWEL items requiring such verification)?
Additional space is provided at the end of this checklist for documenting other comments.
: 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
Anchorage
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?Y[ll Nil] U[l] N/AN Y[I- NE- U[-] N/AE YE[1 NEll U-] N/AN' Enter the equipment class name from Appendix B: Classes of Equipment.
: 1. Is the anchorage configuration verification required (i.e., is the item one YEI NZof the 50% of SWEL items requiring such verification)?
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J7 of J134 Ar-ACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 4 Status: YE NFI- UI-I Seismic Walkdown Checklist (SWC) SWELl- 002 Equipment ID No. RV9085E Equip. Class Pneumatic-Operated Valves(07)
: 2. Is the anchorage free of bent, broken, missing or loose hardware?
Equipment Description Stmline A Accum T220E Relief 5. Is the anchorage configuration consistent with plant documentation?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
Y-] Nil U-I N/A[(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[ll Nil] U[l] N/ANY[I- NE- U[-] N/AEYE[1 NEll U-] N/AN' Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J7 of J134Ar-ACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YE NFI- UI-ISeismic Walkdown Checklist (SWC) SWELl- 002Equipment ID No. RV9085E Equip. Class Pneumatic-Operated Valves(07)
Equipment Description Stmline A Accum T220E Relief5. Is the anchorage configuration consistent with plant documentation?
Y-] Nil U-I N/A[(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YN NE] UI-potentially adverse seismic conditions?
: 6. Based on the above anchorage evaluations, is the anchorage free of YN NE] UI-potentially adverse seismic conditions?
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
: 8. Are overhead equipment, distribution  
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y[J NE] UE] N/AE]YZ NE-] U] N/AE]YE] NE] U[r] N/A[Y[ NEI u-]
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?Y[J NE] UE] N/AE]YZ NE-] U] N/AE]YE] NE] U[r] N/A[Y[ NEI u-]
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J8 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 4 Status: YE N--I U-II Seismic Walkdown Checklist (SWC) SWELl- 002 Equipment ID No. RV9085E Equip. Class Pneumatic-Operated Valves (07)Equipment Description Stmline A Accum T220E Relief Other Adverse Conditions
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J8 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YE N--I U-IISeismic Walkdown Checklist (SWC) SWELl- 002Equipment ID No. RV9085E Equip. Class Pneumatic-Operated Valves (07)Equipment Description Stmline A Accum T220E ReliefOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YN NEil UI-]adversely affect the safety functions of the equipment?
: 11. Have you looked for and found no other seismic conditions that could YN NEil UI-]adversely affect the safety functions of the equipment?
Comments  
Comments .(Additional pages may be added as necessary)
.(Additional pages may be added as necessary)
Area walk-by is A WC-035 Evaluated by: Ul)vt,; , N<1 I- I I Date: I-. ~1 --TXI C, 1. A&#xfd;tjjj t3-7 IF V5 KA LB Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J9 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 4 Status: YE N-- U[--Seismic Walkdown Checklist (SWC) SWELl- 002 Equipment ID No. RV9085E Equip. Class Pneumatic-Operated Valves (07)Equipment Description Stmline A Accum T220E Relief Photographs Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1 Attachment J Page J10 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: Y[ Nr-] Ur-]Seismic Walkdown Checklist (SWC) SWELl- 003 Equipment ID No. SV-203-2A-2 Equip. Class, Motor-Operated  
Area walk-by is A WC-035Evaluated by: Ul)vt,; , N<1 I- I IDate: I-. ~1 --TXI C, 1. A&#xfd;tjjj t3-7 IF V5 KA LB Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J9 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YE N-- U[--Seismic Walkdown Checklist (SWC) SWELl- 002Equipment ID No. RV9085E Equip. Class Pneumatic-Operated Valves (07)Equipment Description Stmline A Accum T220E ReliefPhotographs Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J10 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 5Status: Y[ Nr-] Ur-]Seismic Walkdown Checklist (SWC) SWELl- 003Equipment ID No. SV-203-2A-2 Equip. Class, Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol Vlv Location:
& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol VlvLocation:
Bldg. RB Floor El. 23 R Manufacturer, Model, Etc. (optional but recommended) oom, Area STM TNL Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL The space below each of the following questions may be used to record the results of judgments and findings.
Bldg. RB Floor El. 23 RManufacturer, Model, Etc. (optional but recommended) oom, Area STM TNLInstructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL The space below each of the following questions may be used to record the results of judgments andfindings.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
Additional space is provided at the end of this checklist for documenting other comments.
YLI NZ 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
Anchorage
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?YLI NEI Ui- N/AZ YE-I NEIr U-] N/AZ YEIl NEI Ul N/AZ' Enter the equipment class name from Appendix B: Classes of Equipment.
: 1. Is the anchorage configuration verification required (i.e., is the item oneof the 50% of SWEL items requiring such verification)?
Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1 Attachment J Page J1i1 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YZ N-- U-Seismic Walkdown Checklist (SWC) SWELl- 003 Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated  
YLI NZ2. Is the anchorage free of bent, broken, missing or loose hardware?
& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol Vlv 5. Is the anchorage configuration consistent with plant documentation?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
Yr-- Nr- U[-I N/A[(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?YLI NEI Ui- N/AZYE-I NEIr U-] N/AZYEIl NEI Ul N/AZ' Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J1i1 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YZ N-- U-Seismic Walkdown Checklist (SWC) SWELl- 003Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol Vlv5. Is the anchorage configuration consistent with plant documentation?
Yr-- Nr- U[-I N/A[(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YN NEI U-potentially adverse seismic conditions?
: 6. Based on the above anchorage evaluations, is the anchorage free of YN NEI U-potentially adverse seismic conditions?
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
: 8. Are overhead equipment, distribution  
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YN ND Ur- N/AD YZ NDI U[-D N/AD YS NO ur N/AD YN ND-1UD Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1 Attachment J Page J12 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YE NnI UL-Seismic Walkdown Checklist (SWC) SWELl- 003 Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated  
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?YN ND Ur- N/ADYZ NDI U[-D N/ADYS NO ur N/ADYN ND-1UD Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J12 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YE NnI UL-Seismic Walkdown Checklist (SWC) SWELl- 003Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol Vlv Other Adverse Conditions
& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol VlvOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could adversely affect the safety functions of the equipment?
: 11. Have you looked for and found no other seismic conditions that couldadversely affect the safety functions of the equipment?
YN NO UL Comments (Additional pages may be added as necessary)
YN NO ULComments (Additional pages may be added as necessary)
Area walk-by is A WC-035 Evaluated by: DpvJ ,x, Q~I Date: batrr' +fIq/j3'Trrr V M ~PAP U-Ir Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J13 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YZ NF] UrII Seismic Walkdown Checklist (SWC) SWELl- 003 Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated  
Area walk-by is A WC-035Evaluated by: DpvJ,x, Q~IDate:batrr' +fIq/j3'Trrr VM ~PAPU-Ir Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J13 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YZ NF] UrIISeismic Walkdown Checklist (SWC) SWELl- 003Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol Vlv Photographs Note: Note:
& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol VlvPhotographs Note:Note:
Engineering Report No. PNPS-CS-12-O0001, Rev. 1 Attachment J Page J14 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YM N[--I URI Seismic Walkdown Checklist (SWC) SWELl- 003 Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated  
Engineering Report No. PNPS-CS-12-O0001, Rev. 1Attachment JPage J14 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YM N[--I URISeismic Walkdown Checklist (SWC) SWELl- 003Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol Vlv Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1 Attachment J Page J15 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 5 Status: YE ND ULI Seismic Walkdown Checklist (SWC) SWELl- 004 Equipment ID No. SV-203-2A-1 Equip. Class' Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol Vlv Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J15 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet I of 5Status: YE ND ULISeismic Walkdown Checklist (SWC) SWELl- 004Equipment ID No. SV-203-2A-1 Equip. Class' Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stm/ine A Isol Vlv Location:
& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stm/ine A Isol VlvLocation:
Bldg. RB Floor El. 23 R Manufacturer, Model, Etc. (optional but recommended) oom, Area STM TNL Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
Bldg. RB Floor El. 23 RManufacturer, Model, Etc. (optional but recommended) oom, Area STM TNLInstructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
Additional space is provided at the end of this checklist for documenting other comments.
Y-J NE 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
Anchorage
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?YE] N[] U[:] N/A[YE] NEI ui-] N/AZ Y[-] NO-] ur-] N/AZ I Enter the equipment class name from Appendix B: Classes of Equipment.
: 1. Is the anchorage configuration verification required (i.e., is the item oneof the 50% of SWEL items requiring such verification)?
Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1 Attachment J Page J16 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YE NnI- U-I Seismic Walkdown Checklist (SWC) SWELl- 004 Equipment ID No. SV-203-2A-1  
Y-J NE2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?YE] N[] U[:] N/A[YE] NEI ui-] N/AZY[-] NO-] ur-] N/AZI Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J16 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YE NnI- U-ISeismic Walkdown Checklist (SWC) SWELl- 004Equipment ID No. SV-203-2A-1  
-Equip. Class Motor-Operated  
-Equip. Class Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol Vlv5. Is the anchorage configuration consistent with plant documentation?
& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol Vlv 5. Is the anchorage configuration consistent with plant documentation?
YEI NE] UI- N/AE(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
YEI NE] UI- N/AE (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YN NEI UI-potentially adverse seismic conditions?
: 6. Based on the above anchorage evaluations, is the anchorage free of YN NEI UI-potentially adverse seismic conditions?
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
: 8. Are overhead equipment, distribution  
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YE NI] UE] N/A[-]YE NEi U-] N/AE]Y[J NEI UF] N/AE]YM N] U-]
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?YE NI] UE] N/A[-]YE NEi U-] N/AE]Y[J NEI UF] N/AE]YM N] U-]
Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1 Attachment J Page J1 7 of J1 34 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YZ NF-] UL-Seismic Walkdown Checklist (SWC) SWELl- 004 Equipment ID No. SV-203-2A-1 Equip. Class Motor-Operated  
Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J1 7 of J1 34ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YZ NF-] UL-Seismic Walkdown Checklist (SWC) SWELl- 004Equipment ID No. SV-203-2A-1 Equip. Class Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol Vlv Other Adverse Conditions
& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol VlvOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YE NEil U[i adversely affect the safety functions of the equipment?
: 11. Have you looked for and found no other seismic conditions that could YE NEil U[iadversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Comments (Additional pages may be added as necessary)
Area walk-by is A WC-035EvaluMed bry, U-,&#xfd; -st-AEvalualedbV Date;Dato; IfI191il-f-&#xfd;t-f f- QS qq kU7D Im 4'r 4/)q ) o Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J18 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YE ND] UD]Seismic Walkdown Checklist (SWC) SWELl- 004Equipment ID No. SV-203-2A-1 Equip. Class Motor-Operated  
Area walk-by is A WC-035 EvaluMed bry, U-,&#xfd; -st-A EvalualedbV Date;Dato; IfI191il-f-&#xfd;t-f f- QS qq kU7 D Im 4'r 4/)q ) o Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J18 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YE ND] UD]Seismic Walkdown Checklist (SWC) SWELl- 004 Equipment ID No. SV-203-2A-1 Equip. Class Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol VlvPhotographs Note:Note:
& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol Vlv Photographs Note: Note:
Engineering Report No. PNPS-CS-12-OOOQ1, Rev. 1Attachment JPage J19 of J134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YE NF U--Seismic Walkdown Checklist (SWC) SWELl- 004Equipment ID No. SV-203-2A-1 Equip. Class Motor-Operated  
Engineering Report No. PNPS-CS-12-OOOQ1, Rev. 1 Attachment J Page J19 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YE NF U--Seismic Walkdown Checklist (SWC) SWELl- 004 Equipment ID No. SV-203-2A-1 Equip. Class Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol VlvNote:Note:
& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol Vlv Note: Note:
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J20 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 5Status: YE NF- UF--Seismic Walkdown Checklist (SWC) SWELl- 023Equipment ID No. M01201-2 Equip. Class, Motor-Operated  
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J20 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: YE NF- UF--Seismic Walkdown Checklist (SWC) SWELl- 023 Equipment ID No. M01201-2 Equip. Class, Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Location:
& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Location:
Bldg. RB Floor El. 41' Room, Area DWManufacturer, Model, Etc. (optional but recommended)
Bldg. RB Floor El. 41' Room, Area DW Manufacturer, Model, Etc. (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
Anchorage
YE]- NE 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 1. Is the anchorage configuration verification required (i.e., is the item oneof the 50% of SWEL items requiring such verification)?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?YE] NEr] U-- N/AE Y[-] NE] u[-] N/A[Y[-] N[:] U- N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.
YE]- NE2. Is the anchorage free of bent, broken, missing or loose hardware?
Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1 Attachment J Page J21 ofJl134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YE NFI- UI-Seismic Walkdown Checklist (SWC) SWELl- 023 Equipment ID No. M01201-2 Equip. Class Motor-Operated  
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation 5. Is the anchorage configuration consistent with plant documentation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?YE] NEr] U-- N/AEY[-] NE] u[-] N/A[Y[-] N[:] U- N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.
YII N[I U[I N/AE (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J21 ofJl134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YE NFI- UI-Seismic Walkdown Checklist (SWC) SWELl- 023Equipment ID No. M01201-2 Equip. Class Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation
: 5. Is the anchorage configuration consistent with plant documentation?
YII N[I U[I N/AE(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YE NEIl U[-potentially adverse seismic conditions?
: 6. Based on the above anchorage evaluations, is the anchorage free of YE NEIl U[-potentially adverse seismic conditions?
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
Valve! actuator assembly is very robust8. Are overhead equipment, distribution  
Valve! actuator assembly is very robust 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
Relatively few items in overhead at this location 9. Do attached lines have adequate flexibility to avoid damage?90 degree bend in conduit provides good flexibility
Relatively few items in overhead at this location9. Do attached lines have adequate flexibility to avoid damage?90 degree bend in conduit provides good flexibility
: 10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Lead shielding hanging adjacent to valve is well supported by Recirc.Riser. This lead is removed during the operating cycle.YZI NIZ Ur1 N/AZ YZ NEIr u-I N/AL]YZ N[-I U[-] N/Ar-YZ NF- U-Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1 Attachment J Page J22 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YZ NEI ULiI Seismic Walkdown Checklist (SWC) SWELl- 023 Equipment ID No. M01201-2 Equip. Class Motor-Operated  
: 10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?Lead shielding hanging adjacent to valve is well supported by Recirc.Riser. This lead is removed during the operating cycle.YZI NIZ Ur1 N/AZYZ NEIr u-I N/AL]YZ N[-I U[-] N/Ar-YZ NF- U-Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J22 of J 134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YZ NEI ULiISeismic Walkdown Checklist (SWC) SWELl- 023Equipment ID No. M01201-2 Equip. Class Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Other Adverse Conditions
& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Other Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YI NF UrLadversely affect the safety functions of the equipment?
: 11. Have you looked for and found no other seismic conditions that could YI NF UrL adversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Comments (Additional pages may be added as necessary)
Body of valve covered by lead shielding at time of inspection.
Body of valve covered by lead shielding at time of inspection.
Area walk-by is AWC-037Evaloaled by- I&a y ASW,&ILAL~i1Date: Lt1-3/-&r~r vlka _ 4 V-f~rE,- 4/Z3113 Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J23 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YE N-I UrISeismic Walkdown Checklist (SWC) SWELl- 023Equipment ID No. M01201-2 Equip. Class Motor-Operated  
Area walk-by is AWC-037 Evaloaled by- I&a y ASW,&IL AL~i1 Date: Lt1-3/-&r~r vlka _ 4 V-f~rE,- 4/Z3113 Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J23 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YE N-I UrI Seismic Walkdown Checklist (SWC) SWELl- 023 Equipment ID No. M01201-2 Equip. Class Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Photographs Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J24 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YE NI I UIISeismic Walkdown Checklist (SWC) SWELl- 023Equipment ID No. M01201-2 Equip. Class Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Photographs Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J24 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YE NI I UII Seismic Walkdown Checklist (SWC) SWELl- 023 Equipment ID No. M01201-2 Equip. Class Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Note:Note:
& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Note: Note:
Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1Attachment JPage J25 of J 134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet I of 5Status: YN NFI- UI-Seismic Walkdown Checklist (SWC) SWELl- 034Equipment ID No. M01301-16 Equip. Class, Motor-Operated  
Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1 Attachment J Page J25 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 5 Status: YN NFI- UI-Seismic Walkdown Checklist (SWC) SWELl- 034 Equipment ID No. M01301-16 Equip. Class, Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation V/vLocation:
& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation V/v Location:
Bldg. RB Floor El. 41 RManufacturer, Model, Etc. (optional but recommended) oom, Area DWInstructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL The space below each of the following questions may be used to record the results of judgments andfindings.
Bldg. RB Floor El. 41 R Manufacturer, Model, Etc. (optional but recommended) oom, Area DW Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL The space below each of the following questions may be used to record the results of judgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
Anchorage
YnI NO 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 1. Is the anchorage configuration verification required (i.e., is the item oneof the 50% of SWEL items requiring such verification)?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?YEr- N[] U[] N/AZ YO- N[] u-] N/AS YI-] NE] U-] N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.
YnI NO2. Is the anchorage free of bent, broken, missing or loose hardware?
Engineering Report No. PNPS-CS-12-OQOO1, Rev. 1 Attachment J Page J26 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YM NnI- U-I Seismic Walkdown Checklist (SWC) SWELl- 034 Equipment ID No. M01301-16 Equip. Class Motor-Operated  
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation Vlv 5. Is the anchorage configuration consistent with plant documentation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?YEr- N[] U[] N/AZYO- N[] u-] N/ASYI-] NE] U-] N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.
YrI Nil u[-I N/A (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
Engineering Report No. PNPS-CS-12-OQOO1, Rev. 1Attachment JPage J26 of J 134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YM NnI- U-ISeismic Walkdown Checklist (SWC) SWELl- 034Equipment ID No. M01301-16 Equip. Class Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation Vlv5. Is the anchorage configuration consistent with plant documentation?
YrI Nil u[-I N/A(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of Y[ NI- UL--potentially adverse seismic conditions?
: 6. Based on the above anchorage evaluations, is the anchorage free of Y[ NI- UL--potentially adverse seismic conditions?
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
Nothing threatening the I" flex conduits, acceptable
Nothing threatening the I" flex conduits, acceptable
: 8. Are overhead equipment, distribution  
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
Lights well supported by rigid conduit 9. Do attached lines have adequate flexibility to avoid damage?1" flex conduits have adequate bend/ loop 10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YN Nil U[- N/A[-]Y[ N-I U-] N/Al-]Y[ N[]l UJl N/A--]YN NEI U-I Engineering Report No. PNPS-CS-12-OOOO1, Rev. I Attachment J Page J27 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YE Nn U--Seismic Walkdown Checklist (SWC) SWELl- 034 Equipment ID No. M01301-16 Equip. Class Motor-Operated  
Lights well supported by rigid conduit9. Do attached lines have adequate flexibility to avoid damage?1" flex conduits have adequate bend/ loop10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?YN Nil U[- N/A[-]Y[ N-I U-] N/Al-]Y[ N[]l UJl N/A--]YN NEI U-I Engineering Report No. PNPS-CS-12-OOOO1, Rev. IAttachment JPage J27 of J 134ATTACHMENT 9.6SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YE Nn U--Seismic Walkdown Checklist (SWC) SWELl- 034Equipment ID No. M01301-16 Equip. Class Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation Vlv Other Adverse Conditions
& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation VlvOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could adversely affect the safety functions of the equipment?
: 11. Have you looked for and found no other seismic conditions that couldadversely affect the safety functions of the equipment?
YN NE] UL1 Comments .(Additional pages may be added as necessary)
YN NE] UL1Comments
Area walk-by is AWC-037~')_'LJL Evaluated by: q." h Date: 0()A1>_.,-___.__a 1~ I ~ 1 Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J28 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YE NFIl U[]Seismic Walkdown Checklist (SWC) SWELl- 034 Equipment ID No. M01301-16 Equip. Class Motor-Operated  
.(Additional pages may be added as necessary)
& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation Vlv Photographs Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J29 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YZ NFI Ur-]Seismic Walkdown Checklist (SWC) SWELl- 034 Equipment ID No. M01301-16 Equip,. Class Motor-Operated  
Area walk-by is AWC-037~')_'LJLEvaluated by: q." hDate:0()A1>_.,-___.__a 1~ I ~ 1 Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J28 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YE NFIl U[]Seismic Walkdown Checklist (SWC) SWELl- 034Equipment ID No. M01301-16 Equip. Class Motor-Operated  
& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation Vlv Note: Note:
& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation VlvPhotographs Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J29 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YZ NFI Ur-]Seismic Walkdown Checklist (SWC) SWELl- 034Equipment ID No. M01301-16 Equip,. Class Motor-Operated  
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J30 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 4 Status: YE NR U--Seismic Walkdown Checklist (SWC) SWEL2- 003 Equipment ID No. 19-HO-159 Equip. Classi Other (0)Equipment Description Spent Fuel Pool and cavity drains Location:
& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation VlvNote: Note:
Bldg. RB Floor El. 74' Room, Area SFPHx Manufacturer, Model, Etc. (optional but recommended)
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J30 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 4Status: YE NR U--Seismic Walkdown Checklist (SWC) SWEL2- 003Equipment ID No. 19-HO-159 Equip. Classi Other (0)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
Bldg. RB Floor El. 74' Room, Area SFPHxManufacturer, Model, Etc. (optional but recommended)
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
YE-I NO 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
Additional space is provided at the end of this checklist for documenting other comments.
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?YE- NDJ U[-] N/AO Y[-- NiD ULi N/A[Yr-] NE] U[- WAN/I I Enter the equipment class name from Appendix B: Classes of Equipment.
Anchorage
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J31 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 4 Status: YE NE] UE]Seismic Walkdown Checklist (SWC) SWEL2- 003 Equipment ID No. 19-HO-159 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?
: 1. Is the anchorage configuration verification required (i.e., is the item oneof the 50% of SWEL items requiring such verification)?
YOI NO- ur-- N/A[E (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
YE-I NO2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?YE- NDJ U[-] N/AOY[-- NiD ULi N/A[Yr-] NE] U[- WAN/II Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J31 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YE NE] UE]Seismic Walkdown Checklist (SWC) SWEL2- 003Equipment ID No. 19-HO-159 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
YOI NO- ur-- N/A[E(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YE N-] UF-potentially adverse seismic conditions?
: 6. Based on the above anchorage evaluations, is the anchorage free of YE N-] UF-potentially adverse seismic conditions?
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
: 8. Are overhead equipment, distribution  
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y[E] NEI UE] N/A[YN NE] UE] N/AE]YE-] NE] UE] N/A[YN NE] U--2 Enter the equipment class name from Appendix 13: Classes of Equipment.
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?Y[E] NEI UE] N/A[YN NE] UE] N/AE]YE-] NE] UE] N/A[YN NE] U--2 Enter the equipment class name from Appendix 13: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J32 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 4 Status: Y[ NI-- UI-Seismic Walkdown Checklist (SWC) SWEL2- 003 Equipment ID No. 19-HO-159 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J32 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: Y[ NI-- UI-Seismic Walkdown Checklist (SWC) SWEL2- 003Equipment ID No. 19-HO-159 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could Y[ N[:] U[i]adversely affect the safety functions of the equipment?
: 11. Have you looked for and found no other seismic conditions that could Y[ N[:] U[i]adversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Comments (Additional pages may be added as necessary)
Area walk-by is A WC-034/0"--j 14Evaluated bV:Date: 7h 3I~Wr~4127 j 3LI,. (, k#3 Enter the equipment class name from Appendix B: Classes of Equipment.
Area walk-by is A WC-034/0"--j 14 Evaluated b V: Date: 7h 3 I~Wr~4127 j 3 LI,. (, k#3 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J33 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YE NF-] UL-ISeismic Walkdown Checklist (SWC) SWEL2- 003Equipment ID No. 19-HO-159 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J33 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 4 Status: YE NF-] UL-I Seismic Walkdown Checklist (SWC) SWEL2- 003 Equipment ID No. 19-HO-159 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drains Photographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J34 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 4Status: YZ NEI U-ISeismic Walkdown Checklist (SWC) SWEL2- 004Equipment ID No. 19-HO-160 Equip. Class, Other(O)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J34 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 4 Status: YZ NEI U-I Seismic Walkdown Checklist (SWC) SWEL2- 004 Equipment ID No. 19-HO-160 Equip. Class, Other(O)Equipment Description Spent Fuel Pool and cavity drains Location:
Bldg. RB Floor El. 74' Room, Area SFPHxManufacturer, Model, Etc. (optional but recommended)
Bldg. RB Floor El. 74' Room, Area SFPHx Manufacturer, Model, Etc. (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
Anchorage
Y[I NE 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 1. Is the anchorage configuration verification required (i.e., is the item oneof the 50% of SWEL items requiring such verification)?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?Y[-- NEI- ur] N/AZ Y[-] NI-] U[ N/A[Y[-I NE]I ULI N/AZ I Enter the equipment class name from Appendix B: Classes of Equipment.
Y[I NE2. Is the anchorage free of bent, broken, missing or loose hardware?
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J35 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 4 Status: YZ NFI U[]Seismic Walkdown Checklist (SWC) SWEL2- 004 Equipment ID No. 19-HO-160 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
YEI NEI UrL N/AO (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[-- NEI- ur] N/AZY[-] NI-] U[ N/A[Y[-I NE]I ULI N/AZI Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J35 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YZ NFI U[]Seismic Walkdown Checklist (SWC) SWEL2- 004Equipment ID No. 19-HO-160 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
YEI NEI UrL N/AO(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YZ NEi Ur-potentially adverse seismic conditions?
: 6. Based on the above anchorage evaluations, is the anchorage free of YZ NEi Ur-potentially adverse seismic conditions?
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
: 8. Are overhead equipment, distribution  
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YEI N-- U[-] N/A[YO NE] UE] N/A--YE] NE] UE] N/A[Y[ NEI UF]2 Enter the equipment class name from Appendix B: Classes of Equipment.
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?YEI N-- U[-] N/A[YO NE] UE] N/A--YE] NE] UE] N/A[Y[ NEI UF]2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J36 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 4 Status: Y[ NEI Ur-Seismic Walkdown Checklist (SWC) SWEL2- 004 Equipment ID No. 19-HO-160 Equip. Class3 Other(0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J36 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: Y[ NEI Ur-Seismic Walkdown Checklist (SWC) SWEL2- 004Equipment ID No. 19-HO-160 Equip. Class3 Other(0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YN NE] UE-adversely affect the safety functions of the equipment?
: 11. Have you looked for and found no other seismic conditions that could YN NE] UE-adversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Comments (Additional pages may be added as necessary)
Radiation shielding on line below is well secured to piping, therefore acceptable.
Radiation shielding on line below is well secured to piping, therefore acceptable.
Area walk-by is AWC-034Evaluated by,,L'UfQJJA4AJZ69P--Date: 1/27 -Dfre, /71~/ I3 Enter the equipment class name from Appendix B: Classes of Equipment.
Area walk-by is AWC-034 Evaluated by, ,L'Uf QJJA 4 AJZ69P--Date: 1/27 -Dfre, /71~/ I 3 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J37 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YE N-- Uf--iSeismic Walkdown Checklist (SWC) SWEL2- 004Equipment ID No. 19-HO-160 Equip. Classw Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J37 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 4 Status: YE N-- Uf--i Seismic Walkdown Checklist (SWC) SWEL2- 004 Equipment ID No. 19-HO-160 Equip. Classw Other (0)Equipment Description Spent Fuel Pool and cavity drains Photographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J38 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet I of 4Status: YE NI-- U[-IISeismic Walkdown Checklist (SWC) SWEL2- 005-Equipment ID No. 19-HO-161 Equip. Class, Other(0)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J38 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 4 Status: YE NI-- U[-II Seismic Walkdown Checklist (SWC) SWEL2- 005-Equipment ID No. 19-HO-161 Equip. Class, Other(0)Equipment Description Spent Fuel Pool and cavity drains Location:
Bldg. RB Floor El. 74' Room, Area SFPHxManufacturer, Model, Etc. (optional but recommended)
Bldg. RB Floor El. 74' Room, Area SFPHx Manufacturer, Model, Etc. (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
Anchorage
Y[:] NEI 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 1. Is the anchorage configuration verification required (i.e., is the item oneof the 50% of SWEL items requiring such verification)?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?Y[-] N[:] Ur] N/AZ Y[-] N[] ul-] N/AZ YEI NEil U[-- N/AZ I Enter the equipment class name from Appendix B: Classes of Equipment.
Y[:] NEI2. Is the anchorage free of bent, broken, missing or loose hardware?
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J39 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 4 Status: YIZ NFI U-I Seismic Walkdown Checklist (SWC) SWEL2- 005 Equipment ID No. 19-HO-161 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
YrI NDI U-- N/A[(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[-] N[:] Ur] N/AZY[-] N[] ul-] N/AZYEI NEil U[-- N/AZI Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J39 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YIZ NFI U-ISeismic Walkdown Checklist (SWC) SWEL2- 005Equipment ID No. 19-HO-161 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
YrI NDI U-- N/A[(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YZ N[-] U--]potentially adverse seismic conditions?
: 6. Based on the above anchorage evaluations, is the anchorage free of YZ N[-] U--]potentially adverse seismic conditions?
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
: 8. Are overhead equipment, distribution  
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y[-D N[-- U[-] N/AE Y9 N[-D ur-D N/AD-I Y[-] ND] U[] NWAS YN ND] u-2 Enter the equipment class name from Appendix B: Classes of Equipment.
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?Y[-D N[-- U[-] N/AEY9 N[-D ur-D N/AD-IY[-] ND] U[] NWASYN ND] u-2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J40 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 4 Status: YE Nn UI-Seismic Walkdown Checklist (SWC) SWEL2- 005 Equipment ID No. 19-HO-161 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J40 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YE Nn UI-Seismic Walkdown Checklist (SWC) SWEL2- 005Equipment ID No. 19-HO-161 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YM NiD URi adversely affect the safety functions of the equipment?
: 11. Have you looked for and found no other seismic conditions that could YM NiD URiadversely affect the safety functions of the equipment?
Comments .(Additional pages may be added as necessary)
Comments  
Area Walk-by is AWC-034 0--) I-V Evaluated by.rz * ... ._-W Date. ;-z/m 3 Enter the equipment class name from Appendix B: Classes of Equipment.
.(Additional pages may be added as necessary)
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J41 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 4 Status: YZ NF] Ur--Seismic Walkdown Checklist (SWC) SWEL2- 005 Equipment ID No. 19-HO-161 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drains Photographs Note: Note: 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Area Walk-by is AWC-0340--) I-VEvaluated by.rz * ... ._-WDate. ;-z/m3 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J42 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: Y[ Nr-I U-I Seismic Walkdown Checklist (SWC) SWEL2- 006 Equipment ID No. 19-HO-162 Equip. Class, Other(O)Equipment Description Spent Fuel Pool and cavity drains Location:
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J41 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YZ NF] Ur--Seismic Walkdown Checklist (SWC) SWEL2- 005Equipment ID No. 19-HO-161 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs Note:Note:4 Enter the equipment class name from Appendix B: Classes of Equipment.
Bldg. RB Floor El. 74' Room, Area SFPHx Manufacturer, Model, Etc. (optional but recommended)
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J42 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 5Status: Y[ Nr-I U-ISeismic Walkdown Checklist (SWC) SWEL2- 006Equipment ID No. 19-HO-162 Equip. Class, Other(O)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
Bldg. RB Floor El. 74' Room, Area SFPHxManufacturer, Model, Etc. (optional but recommended)
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
Y[- NE 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
Additional space is provided at the end of this checklist for documenting other comments.
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?Y[-] Nil U[-] N/AS YE] Nr-] Ur- N/AE Y[:] NF-O U[- N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.
Anchorage
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J43 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YE NF] U--Seismic Walkdown Checklist (SWC) SWEL2- 006 Equipment ID No. 19-HO-162 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?
: 1. Is the anchorage configuration verification required (i.e., is the item oneof the 50% of SWEL items requiring such verification)?
Y[-] NF-7 Ur N/AE (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
Y[- NE2. Is the anchorage free of bent, broken, missing or loose hardware?
: 6. Based on the above anchorage evaluations, is the anchorage free of YE NEIr Ur-7 potentially adverse seismic conditions?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[-] Nil U[-] N/ASYE] Nr-] Ur- N/AEY[:] NF-O U[- N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J43 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YE NF] U--Seismic Walkdown Checklist (SWC) SWEL2- 006Equipment ID No. 19-HO-162 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YFZ NO U[Z N/AE YE NrO uO N/AD YO NEJ ULDl N/A[YE NO UD 2 Enter the equipment class name from Appendix B: Classes of Equipment.
Y[-] NF-7 Ur N/AE(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J44 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YZ NFI- UF-]Seismic Walkdown Checklist (SWC) SWEL2- 006 Equipment ID No. 19-HO-162 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions
: 6. Based on the above anchorage evaluations, is the anchorage free of YE NEIr Ur-7potentially adverse seismic conditions?
: 11. Have you looked for and found no other seismic conditions that could YZ Nil U-I adversely affect the safety functions of the equipment?
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
Comments .(Additional pages may be added as necessary)
: 8. Are overhead equipment, distribution  
Area walk-by is on AWC-034;3j__VI Evaluated by: Date-2: Z oJJ 0, 6IL Ui 1 3 Enter the equipment class name from Appendix B: Classes of Equipment.
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J45 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YE NEI-- U[I Seismic Walkdown Checklist (SWC) SWEL2- 006 Equipment ID No. 19-HO-162 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drains Photographs Note: Note: 4 Enter the equipment class name from Appendix B: Classes of Equipment.
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?YFZ NO U[Z N/AEYE NrO uO N/ADYO NEJ ULDl N/A[YE NO UD2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J46 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YN NEIl U--Seismic Walkdown Checklist (SWC) SWEL2- 006 Equipment ID No. 19-HO-162 Equip. Classw Other(O)Equipment Description Spent Fuel Pool and cavity drains Note: 5 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J44 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YZ NFI- UF-]Seismic Walkdown Checklist (SWC) SWEL2- 006Equipment ID No. 19-HO-162 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J47 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: YE NFIl U[]Seismic Walkdown Checklist (SWC) SWEL2- 007 Equipment ID No. 19-HO-163 Equip. Class' Other(O)Equipment Description Spent Fuel Pool and cavity drains Location:
: 11. Have you looked for and found no other seismic conditions that could YZ Nil U-Iadversely affect the safety functions of the equipment?
Bldg. RB Floor El. 74' Room, Area SPFHx Manufacturer, Model, Etc. (optional but recommended)
Comments  
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
.(Additional pages may be added as necessary)
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
Area walk-by is on AWC-034;3j__VIEvaluated by:Date-2: ZoJJ 0, 6ILUi 13 Enter the equipment class name from Appendix B: Classes of Equipment.
Yr-- NZ 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J45 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YE NEI-- U[ISeismic Walkdown Checklist (SWC) SWEL2- 006Equipment ID No. 19-HO-162 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs Note:Note:4 Enter the equipment class name from Appendix B: Classes of Equipment.
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?YDI NEI UED NIAI YD- NDI U[- N/AZ YE-I NDI ur- N/AE IEnter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J46 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YN NEIl U--Seismic Walkdown Checklist (SWC) SWEL2- 006Equipment ID No. 19-HO-162 Equip. Classw Other(O)Equipment Description Spent Fuel Pool and cavity drainsNote:5 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J48 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YE NE] URI-Seismic Walkdown Checklist (SWC) SWEL2- 007 Equipment ID No. 19-HO-163 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J47 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 5Status: YE NFIl U[]Seismic Walkdown Checklist (SWC) SWEL2- 007Equipment ID No. 19-HO-163 Equip. Class' Other(O)Equipment Description Spent Fuel Pool and cavity drainsLocation:
YI-- N[i UI] N/AN (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
Bldg. RB Floor El. 74' Room, Area SPFHxManufacturer, Model, Etc. (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
Additional space is provided at the end of this checklist for documenting other comments.
Anchorage
: 1. Is the anchorage configuration verification required (i.e., is the item oneof the 50% of SWEL items requiring such verification)?
Yr-- NZ2. Is the anchorage free of bent, broken, missing or loose hardware?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?YDI NEI UED NIAIYD- NDI U[- N/AZYE-I NDI ur- N/AEIEnter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J48 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YE NE] URI-Seismic Walkdown Checklist (SWC) SWEL2- 007Equipment ID No. 19-HO-163 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
YI-- N[i UI] N/AN(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of YI N-] urE]potentially adverse seismic conditions?
: 6. Based on the above anchorage evaluations, is the anchorage free of YI N-] urE]potentially adverse seismic conditions?
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
: 8. Are overhead equipment, distribution  
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YE] NED] UE] N/A[D YE N[-] U[-I] N/A-I YE-] NEI] UE N/AZ Y[ NE] Ur 2 Enter the equipment class name from Appendix B: Classes of Equipment.
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?YE] NED] UE] N/A[DYE N[-] U[-I] N/A-IYE-] NEI] UE N/AZY[ NE] Ur2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J49 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YM N-- U[Seismic Walkdown Checklist (SWC) SWEL2- 007 Equipment ID No. 19-HO-163 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J49 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YM N-- U[Seismic Walkdown Checklist (SWC) SWEL2- 007Equipment ID No. 19-HO-163 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YN NEI UF-1I adversely affect the safety functions of the equipment?
: 11. Have you looked for and found no other seismic conditions that could YN NEI UF-1Iadversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Comments (Additional pages may be added as necessary)
Area walk-by is A WC-034.Evaluated by:Date:QJ I. /djU-*Fr .Z- 71)3I I, j3 Enter the equipment class name from Appendix B: Classes of Equipment.
Area walk-by is A WC-034.Evaluated by: Date: QJ I. /djU-*Fr .Z- 71)3 I I, j 3 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J50 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YM NR U-Seismic Walkdown Checklist (SWC) SWEL2- 007Equipment ID No. 19-HO-163 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J50 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YM NR U-Seismic Walkdown Checklist (SWC) SWEL2- 007 Equipment ID No. 19-HO-163 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drains Photographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J51 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YE NIl-- Ur-]Seismic Walkdown Checklist (SWC) SWEL2- 007Equipment ID No. 19-HO-163 Equip. Classw Other (0)Equipment Description Spent Fuel Pool and cavity drainsNote:MiUM~.5 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J51 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YE NIl-- Ur-]Seismic Walkdown Checklist (SWC) SWEL2- 007 Equipment ID No. 19-HO-163 Equip. Classw Other (0)Equipment Description Spent Fuel Pool and cavity drains Note: MiUM~.5 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J52 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 4Status: YE NI-] ULIISeismic Walkdown Checklist (SWC) SWEL2- 008Equipment ID No. 19-HO-164 Equip. Classi Other (0)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J52 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 4 Status: YE NI-] ULII Seismic Walkdown Checklist (SWC) SWEL2- 008 Equipment ID No. 19-HO-164 Equip. Classi Other (0)Equipment Description Spent Fuel Pool and cavity drains Location:
Bldg. RB Floor El. 74' Room, Area SFPHxManufacturer, Model, Etc. (optional but recommended)
Bldg. RB Floor El. 74' Room, Area SFPHx Manufacturer, Model, Etc. (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
Anchorage
YE-] NN 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 1. Is the anchorage configuration verification required (i.e., is the item oneof the 50% of SWEL items requiring such verification)?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?YF-I N[il u--] N/AZ Y[-I NRl ul-l N/AZ Yll NEIJ UEJ N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.
YE-] NN2. Is the anchorage free of bent, broken, missing or loose hardware?
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J53 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 4 Status: YZ NF- U--Seismic Walkdown Checklist (SWC) SWEL2- 008 Equipment ID No. 19-HO-164 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
Y[I- NEI UL- N/AE (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?YF-I N[il u--] N/AZY[-I NRl ul-l N/AZYll NEIJ UEJ N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J53 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YZ NF- U--Seismic Walkdown Checklist (SWC) SWEL2- 008Equipment ID No. 19-HO-164 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
Y[I- NEI UL- N/AE(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of Y[ NE] UE]potentially adverse seismic conditions?
: 6. Based on the above anchorage evaluations, is the anchorage free of Y[ NE] UE]potentially adverse seismic conditions?
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
: 8. Are overhead equipment, distribution  
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YEI NEI uE] N/A[YE NE] uE] N/AE]YEI NEi uE] N/A[Y[ NE] UE]2 Enter the equipment class name from Appendix B: Classes of Equipment.
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?YEI NEI uE] N/A[YE NE] uE] N/AE]YEI NEi uE] N/A[Y[ NE] UE]2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J54 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 4 Status: YZ NFI] UI--Seismic Walkdown Checklist (SWC) SWEL2- 008 Equipment ID No. 19-HO-164 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J54 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YZ NFI] UI--Seismic Walkdown Checklist (SWC) SWEL2- 008Equipment ID No. 19-HO-164 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YZ NR Ur-]adversely affect the safety functions of the equipment?
: 11. Have you looked for and found no other seismic conditions that could YZ NR Ur-]adversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Comments (Additional pages may be added as necessary)
Piece of black duct tape on valve body is acceptable Area walk-by is A WC-0346)jX VEvaluated by:.Date:94g(L.iJLF DT'FrrI2aJ 3 Enter the equipment class name from Appendix B: Classes of Equipment.
Piece of black duct tape on valve body is acceptable Area walk-by is A WC-034 6)j X V Evaluated by:.Date: 94g(L.iJLF DT'FrrI2aJ 3 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J55 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YE! NFI] U[---Seismic Walkdown Checklist (SWC) SWEL2- 008Equipment ID No. 19-HO-164 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J55 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 4 Status: YE! NFI] U[---Seismic Walkdown Checklist (SWC) SWEL2- 008 Equipment ID No. 19-HO-164 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drains Photographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J56 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 5Status: YO NF] UI-Seismic Walkdown Checklist (SWC) SWEL2- 009Equipment ID No. 19-HO-170 Equip. Class, Other (0)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J56 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: YO NF] UI-Seismic Walkdown Checklist (SWC) SWEL2- 009 Equipment ID No. 19-HO-170 Equip. Class, Other (0)Equipment Description Spent Fuel Pool and cavity drains Location:
Bldg. RB Floor El. 23' Room, Area DrywellManufacturer, Model, Etc. (optional but recommended)
Bldg. RB Floor El. 23' Room, Area Drywell Manufacturer, Model, Etc. (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
Anchorage
Y[I NZ 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 1. Is the anchorage configuration verification required (i.e., is the item oneof the 50% of SWEL items requiring such verification)?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?Y[-- N[i UL-] N/AZ Y[- NEI] UE1 N/A[Y-I N[ll U-] N/AE' Enter the equipment class name from Appendix B: Classes of Equipment.
Y[I NZ2. Is the anchorage free of bent, broken, missing or loose hardware?
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J57 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YZ NF] UL--Seismic Walkdown Checklist (SWC) SWEL2- 009 Equipment ID No. 19-HO-170 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
YE] NF- UI- N/A[(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[-- N[i UL-] N/AZY[- NEI] UE1 N/A[Y-I N[ll U-] N/AE' Enter the equipment class name from Appendix B: Classes of Equipment.
: 6. Based on the above anchorage evaluations, is the anchorage free of Y[ NEI U-il potentially adverse seismic conditions?
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J57 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YZ NF] UL--Seismic Walkdown Checklist (SWC) SWEL2- 009Equipment ID No. 19-HO-170 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
YE] NF- UI- N/A[(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 6. Based on the above anchorage evaluations, is the anchorage free of Y[ NEI U-ilpotentially adverse seismic conditions?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Yr-- NEI urE] N/AN Y[ NF] u[-] N/AL]YEI NEIl u[] N/As YN N-] U]2 Enter the equipment class name from Appendix B: Classes of Equipment.
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J58 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YE Nn U--Seismic Walkdown Checklist (SWC) SWEL2- 009 Equipment ID No. 19-HO-170 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions
: 8. Are overhead equipment, distribution  
: 11. Have you looked for and found no other seismic conditions that could YE NE:] Ur-1 adversely affect the safety functions of the equipment?
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?Yr-- NEI urE] N/ANY[ NF] u[-] N/AL]YEI NEIl u[] N/AsYN N-] U]2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J58 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YE Nn U--Seismic Walkdown Checklist (SWC) SWEL2- 009Equipment ID No. 19-HO-170 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YE NE:] Ur-1adversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Comments (Additional pages may be added as necessary)
Area walk-by is AWC-036Evaluated by; D4XJ -.11k,~J 4~~'//-s~V A th'WijDate-.42:1-bol,: 4/i ..sV V3 Enter the equipment class name from Appendix B: Classes of Equipment.
Area walk-by is AWC-036 Evaluated by; D4XJ -.11 k,~J 4~~'//-s~V A th'Wij Date-.42:1-bol,: 4/i ..s V V 3 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J59 of J134ATrACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YE Nij1 UE--Seismic Walkdown Checklist (SWC) SWEL2- 009Equipment ID No. 19-HO-170 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J59 of J134 ATrACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YE Nij1 UE--Seismic Walkdown Checklist (SWC) SWEL2- 009 Equipment ID No. 19-HO-170 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drains Photographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J60 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YZ NOi UL]Seismic Walkdown Checklist (SWC) SWEL2- 009Equipment ID No. 19-HO-170 Equip. Class5 Other (0)Equipment Description Spent Fuel Pool and cavity drainsNote: Note:5 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J60 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YZ NOi UL]Seismic Walkdown Checklist (SWC) SWEL2- 009 Equipment ID No. 19-HO-170 Equip. Class5 Other (0)Equipment Description Spent Fuel Pool and cavity drains Note: Note: 5 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J61 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 5Status: YE ND ULISeismic Walkdown Checklist (SWC) SWEL2- 010Equipment ID No. 19-HO-171 Equip. Class' Other(0)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J61 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: YE ND ULI Seismic Walkdown Checklist (SWC) SWEL2- 010 Equipment ID No. 19-HO-171 Equip. Class' Other(0)Equipment Description Spent Fuel Pool and cavity drains Location:
Bldg. RB Floor El. 23' Room, Area DrywellManufacturer, Model, Etc. (optional but recommended)
Bldg. RB Floor El. 23' Room, Area Drywell Manufacturer, Model, Etc. (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
Anchorage
YE] NO 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 1. Is the anchorage configuration verification required (i.e., is the item oneof the 50% of SWEL items requiring such verification)?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?Y[-] N[-I Ul] N/AO YE[ NE-] UrI N/AO Y[-] NE] U[-L N/AO IEnter the equipment class name from Appendix B: Classes of Equipment.
YE] NO2. Is the anchorage free of bent, broken, missing or loose hardware?
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J62 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YE NF] Ur-7 Seismic Walkdown Checklist (SWC) SWEL2- 010 Equipment ID No. 19-HO-171 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
Y[I No Ur7 N/AE (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[-] N[-I Ul] N/AOYE[ NE-] UrI N/AOY[-] NE] U[-L N/AOIEnter the equipment class name from Appendix B: Classes of Equipment.
: 6. Based on the above anchorage evaluations, is the anchorage free of YE Nn] UL potentially adverse seismic conditions?
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J62 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 5Status: YE NF] Ur-7Seismic Walkdown Checklist (SWC) SWEL2- 010Equipment ID No. 19-HO-171 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
Y[I No Ur7 N/AE(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 6. Based on the above anchorage evaluations, is the anchorage free of YE Nn] ULpotentially adverse seismic conditions?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Scaffold 13-134 approximately 2' away from valve (green tagged).Verified in scaffold log that this is an approved seismic scaffold and was removed 5-1-13.Y[ NE-] UE] N/AD YZ N[E u--] N/AL]YE] NE] urE] N/AN Y NE-I Uil 2 Enter the equipment class name from Appendix B: Classes of Equipment.
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J63 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YE NF] UL-Seismic Walkdown Checklist (SWC) SWEL2- 010 Equipment ID No. 19-HO-171 Equip. Class3 Other(0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions
: 8. Are overhead equipment, distribution  
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?Scaffold 13-134 approximately 2' away from valve (green tagged).Verified in scaffold log that this is an approved seismic scaffold and wasremoved 5-1-13.Y[ NE-] UE] N/ADYZ N[E u--] N/AL]YE] NE] urE] N/ANY NE-I Uil2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J63 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 5Status: YE NF] UL-Seismic Walkdown Checklist (SWC) SWEL2- 010Equipment ID No. 19-HO-171 Equip. Class3 Other(0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YE NE] UL-adversely affect the safety functions of the equipment?
: 11. Have you looked for and found no other seismic conditions that could YE NE] UL-adversely affect the safety functions of the equipment?
Identified that 1" pipe above 19-HO-171 was missing a pipe strap.Initiated CR-PNP-2013-3020 and work request 306569* to have strapinstalled.
Identified that 1" pipe above 19-HO-171 was missing a pipe strap.Initiated CR-PNP-2013-3020 and work request 306569* to have strap installed.
Walkdown team agreed that this does not pose a seismicinteraction hazard based on the short unsupported length of the pipeand very low mass (no valves or fittings).
Walkdown team agreed that this does not pose a seismic interaction hazard based on the short unsupported length of the pipe and very low mass (no valves or fittings).
*WR 306569 actioned to WO 349452Comments
*WR 306569 actioned to WO 349452 Comments .(Additional pages may be added as necessary)
.(Additional pages may be added as necessary)
Area walk-by is AWC-036 flu-Jf1 Date: L 1 z3/i3 Evalualed by-.StfKAL-B-P q kt&#xfd;-b"n : ______1 __3 Enter the equipment class name from Appendix B: Classes of Equipment.
Area walk-by is AWC-036flu-Jf1Date: L1z3/i3Evalualed by-.StfKAL-B-P q kt&#xfd;-b"n : ______1 __3 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J64 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YE NEI UI--Seismic Walkdown Checklist (SWC) SWEL2- 010 Equipment ID No. 19-HQ-171 Equip. Class4 Other(0)Equipment Description Spent Fuel Pool and cavity drains Photographs Note: Note: 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J64 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 5Status: YE NEI UI--Seismic Walkdown Checklist (SWC) SWEL2- 010Equipment ID No. 19-HQ-171 Equip. Class4 Other(0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs Note:Note:4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J65 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YN NDI ULI Seismic Walkdown Checklist (SWC) SWEL2- 010 Equipment ID No. 19-HO-171 Equip. Class5 Other (0)Equipment Description Spent Fuel Pool and cavity drains Note: 5 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J65 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 5 of 5Status: YN NDI ULISeismic Walkdown Checklist (SWC) SWEL2- 010Equipment ID No. 19-HO-171 Equip. Class5 Other (0)Equipment Description Spent Fuel Pool and cavity drainsNote:5 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J66 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 4 Status: YE NRI- UI-Seismic Walkdown Checklist (SWC) SWEL2- 011 Equipment ID No. 19-HO-172 Equip. Class' Other (0)Equipment Description Spent Fuel Pool and cavity drains Location:
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J66 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet I of 4Status: YE NRI- UI-Seismic Walkdown Checklist (SWC) SWEL2- 011Equipment ID No. 19-HO-172 Equip. Class' Other (0)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Bldg. RB Floor El. 74' Room, Area General Area North Manufacturer, Model, Etc. (optional but recommended)
Bldg. RB Floor El. 74' Room, Area General Area NorthManufacturer, Model, Etc. (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
Additional space is provided at the end of this checklist for documenting other comments.
YFI NZ 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
Anchorage
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?Y[-D NEI UL] N/AZ YO] N1 UL-] N/A]YEI NEI UF- N/A[' Enter the equipment class name from Appendix B: Classes of Equipment.
: 1. Is the anchorage configuration verification required (i.e., is the item oneof the 50% of SWEL items requiring such verification)?
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J67 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 4 Status: YE Nr- UI-Seismic Walkdown Checklist (SWC) SWEL2- 011 Equipment ID No. 19-HO-172 Equip. Classw Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?
YFI NZ2. Is the anchorage free of bent, broken, missing or loose hardware?
YEi- NEI U[] N/A[(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 6. Based on the above anchorage evaluations, is the anchorage free of YE NDl U[-D potentially adverse seismic conditions?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?Y[-D NEI UL] N/AZYO] N1 UL-] N/A]YEI NEI UF- N/A[' Enter the equipment class name from Appendix B: Classes of Equipment.
Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J67 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YE Nr- UI-Seismic Walkdown Checklist (SWC) SWEL2- 011Equipment ID No. 19-HO-172 Equip. Classw Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
YEi- NEI U[] N/A[(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YD- NDI U-I N/A[Y[ NEI uE- N/AD1 YDI NDI UD- N/A[YN NEI Ur 2 Enter the equipment class name from Appendix B: Classes of Equipment.
: 6. Based on the above anchorage evaluations, is the anchorage free of YE NDl U[-Dpotentially adverse seismic conditions?
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J68 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 4 Status: YN U-Seismic Walkdown Checklist (SWC) SWEL2- 011 Equipment ID No. 19-HO-172 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
: 11. Have you looked for and found no other seismic conditions that could Y[ NRI UFI adversely affect the safety functions of the equipment?
: 8. Are overhead equipment, distribution  
Comments .(Additional pages may be added as necessary)
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
Area walk-by is AWC-033 e")/ -- j A--A IUvaRIat d hv: QIJLA&#xfd;2ff-.Date: /2 27Zt~AW ____ ___I U I I j 3 Enter the equipment class name from Appendix B: Classes of Equipment.
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?YD- NDI U-I N/A[Y[ NEI uE- N/AD1YDI NDI UD- N/A[YN NEI Ur2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J69 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 4 Status: YZ NR U--Seismic Walkdown Checklist (SWC) SWEL2- 011 Equipment ID No. 19-HO-172 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drains Photographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J68 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YN U-Seismic Walkdown Checklist (SWC) SWEL2- 011Equipment ID No. 19-HO-172 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J70 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 4 Status: YZ N-] ULI Seismic Walkdown Checklist (SWC) SWEL2- 012 Equipment ID No. 19-HO-173 Equip. Class, Other(O)Equipment Description Spent Fuel Pool and cavity drains Location:
: 11. Have you looked for and found no other seismic conditions that could Y[ NRI UFIadversely affect the safety functions of the equipment?
Bldg. RB Floor El. 74' Room, Area General Area North Manufacturer, Model, Etc. (optional but recommended)
Comments  
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
.(Additional pages may be added as necessary)
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
Area walk-by is AWC-033e")/ -- j A--AIUvaRIat d hv:QIJLA&#xfd;2ff-
YE] NZ 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
.Date: /2 27Zt~AW ____ ___IU I I j3 Enter the equipment class name from Appendix B: Classes of Equipment.
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?YE:] NE-] uE N/A[YE] NE] uE-] N/AO YE] NE- UE] N/As' Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J69 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YZ NR U--Seismic Walkdown Checklist (SWC) SWEL2- 011Equipment ID No. 19-HO-172 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J71 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 4 Status: YE NI UL-]Seismic Walkdown Checklist (SWC) SWEL2- 012 Equipment ID No. 19-HO-173 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J70 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet I of 4Status: YZ N-] ULISeismic Walkdown Checklist (SWC) SWEL2- 012Equipment ID No. 19-HO-173 Equip. Class, Other(O)Equipment Description Spent Fuel Pool and cavity drainsLocation:
YE] NE] Ui N/AN (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
Bldg. RB Floor El. 74' Room, Area General Area NorthManufacturer, Model, Etc. (optional but recommended)
: 6. Based on the above anchorage evaluations, is the anchorage free of Y[ Nil Ur-1 potentially adverse seismic conditions?
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
Additional space is provided at the end of this checklist for documenting other comments.
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
Anchorage
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YLI NEI urE N/AZ YO NEi UEI N/AD--YD-- NDI U-I N/A[YZ NF] Ur 2 Enter the equipment class name from Appendix B: Classes of Equipment.
: 1. Is the anchorage configuration verification required (i.e., is the item oneof the 50% of SWEL items requiring such verification)?
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J72 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 4 Status: YE N[-] UFI-Seismic Walkdown Checklist (SWC) SWEL2- 012 Equipment ID No. 19-HO-173 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions
YE] NZ2. Is the anchorage free of bent, broken, missing or loose hardware?
: 11. Have you looked for and found no other seismic conditions that could YO NEI UrI adversely affect the safety functions of the equipment?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?YE:] NE-] uE N/A[YE] NE] uE-] N/AOYE] NE- UE] N/As' Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J71 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YE NI UL-]Seismic Walkdown Checklist (SWC) SWEL2- 012Equipment ID No. 19-HO-173 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
YE] NE] Ui N/AN(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of Y[ Nil Ur-1potentially adverse seismic conditions?
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
: 8. Are overhead equipment, distribution  
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?YLI NEI urE N/AZYO NEi UEI N/AD--YD-- NDI U-I N/A[YZ NF] Ur2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J72 of J 134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YE N[-] UFI-Seismic Walkdown Checklist (SWC) SWEL2- 012Equipment ID No. 19-HO-173 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could YO NEI UrIadversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Comments (Additional pages may be added as necessary)
Area walk-by is AWC-033.11w 141Evaluated by:Date: 2-.12"7LA14 A.bwrit "__7/771_13 i-I i )3 Enter the equipment class name from Appendix B: Classes of Equipment.
Area walk-by is AWC-033.11w 141 Evaluated by: Date: 2-.12"7 LA14 A.bwrit "__7/771_13 i-I i )3 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J73 of J1 34ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: Y[ NE] U[-ISeismic Walkdown Checklist (SWC) SWEL2- 012Equipment ID No. 19-HO-173 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J73 of J1 34 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 4 Status: Y[ NE] U[-I Seismic Walkdown Checklist (SWC) SWEL2- 012 Equipment ID No. 19-HO-173 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drains Photographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J74 of Ji134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 1 of 4Status: YE N--] U--Seismic Walkdown Checklist (SWC) SWEL2- 013Equipment ID No. 19-HO-177 Equip. Class, Other (0)Equipment Description Spent Fuel Pool and cavity drainsLocation:
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J74 of Ji134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 4 Status: YE N--] U--Seismic Walkdown Checklist (SWC) SWEL2- 013 Equipment ID No. 19-HO-177 Equip. Class, Other (0)Equipment Description Spent Fuel Pool and cavity drains Location:
Bldg. RB Floor El. 74' Room, Area SFPHxManufacturer, Model, Etc. (optional but recommended)
Bldg. RB Floor El. 74' Room, Area SFPHx Manufacturer, Model, Etc. (optional but recommended)
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on theSWEL. The space below each of the following questions may be used to record the results of judgments andfindings.
Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.
Additional space is provided at the end of this checklist for documenting other comments.
Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?
Anchorage
YF- NO 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
: 1. Is the anchorage configuration verification required (i.e., is the item oneof the 50% of SWEL items requiring such verification)?
: 4. Is the anchorage free of visible cracks in the concrete near the anchors?Yr-] NFI UL] N/A[YEI- NEI U--i N/AZ Y[-] NEI Ur- N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.
YF- NO2. Is the anchorage free of bent, broken, missing or loose hardware?
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J75 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 4 Status: YZ NEIl UD Seismic Walkdown Checklist (SWC) SWEL2- 013 Equipment ID No. 19-HO-177 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?
: 3. Is the anchorage free of corrosion that is more than mild surfaceoxidation?
Yr- Nn Ur N/AZ (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)
: 4. Is the anchorage free of visible cracks in the concrete near theanchors?Yr-] NFI UL] N/A[YEI- NEI U--i N/AZY[-] NEI Ur- N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J75 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 2 of 4Status: YZ NEIl UDSeismic Walkdown Checklist (SWC) SWEL2- 013Equipment ID No. 19-HO-177 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains5. Is the anchorage configuration consistent with plant documentation?
Yr- Nn Ur N/AZ(Note: This question only applies if the item is one of the 50% for whichan anchorage configuration verification is required.)
: 6. Based on the above anchorage evaluations, is the anchorage free of Y[A NEI UI-potentially adverse seismic conditions?
: 6. Based on the above anchorage evaluations, is the anchorage free of Y[A NEI UI-potentially adverse seismic conditions?
Interaction Effects7. Are soft targets free from impact by nearby equipment or structures?
Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?
: 8. Are overhead equipment, distribution  
: 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YEr NEI UD-] N/AZ YE N[- U-i N/AD-Yr-- N[-- UD- N/AZ YE ND-- uD--2 Enter the equipment class name from Appendix B: Classes of Equipment.
: 9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment freeof potentially adverse seismic interaction effects?YEr NEI UD-] N/AZYE N[- U-i N/AD-Yr-- N[-- UD- N/AZYE ND-- uD--2 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J76 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 4 Status: YE NnIl UD Seismic Walkdown Checklist (SWC) SWEL2- 013 Equipment ID No. 19-HO-177 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J76 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 3 of 4Status: YE NnIl UDSeismic Walkdown Checklist (SWC) SWEL2- 013Equipment ID No. 19-HO-177 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drainsOther Adverse Conditions
: 11. Have you looked for and found no other seismic conditions that could Y[ N[-I U-II adversely affect the safety functions of the equipment?
: 11. Have you looked for and found no other seismic conditions that could Y[ N[-I U-IIadversely affect the safety functions of the equipment?
Comments (Additional pages may be added as necessary)
Comments (Additional pages may be added as necessary)
Area walk-by is AWC-0349~J1w'AEvaluated by:Date: 2-1 /! 13 Enter the equipment class name from Appendix B: Classes of Equipment.
Area walk-by is AWC-034 9~J 1w'A Evaluated by: Date: 2-1 /! 1 3 Enter the equipment class name from Appendix B: Classes of Equipment.
Engineering Report No. PNPS-CS-12-00001, Rev. 1Attachment JPage J77 of J134ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORMSheet 4 of 4Status: YZ NEI Ur-Seismic Walkdown Checklist (SWC) SWEL2- 013Equipment ID No. 19-HO-177  
Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J77 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 4 Status: YZ NEI Ur-Seismic Walkdown Checklist (SWC) SWEL2- 013 Equipment ID No. 19-HO-177  
-Equip. Class4 Other(O)Equipment Description Spent Fuel Pool and cavity drainsPhotographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.}}
-Equip. Class4 Other(O)Equipment Description Spent Fuel Pool and cavity drains Photographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.}}

Revision as of 02:02, 14 July 2018

PNPS-CS-12-00001, Rev. 1, Pilgrim Station Seismic Walkdown Submittal Report for Resolution of Fukushima Near-Term Task Force Recommendation 2.3: Seismic, Attachment I, Page I1 of I9 Through Attachment J, Page J77 of J134
ML13232A141
Person / Time
Site: Pilgrim
Issue date: 06/17/2013
From: Maclay L
Entergy Nuclear Operations
To:
Office of Nuclear Reactor Regulation
References
2.13.056 PNPS-CS-12-00001, Rev 1
Download: ML13232A141 (86)


Text

Engineering Report No. PNPS-CS-12-00001, Rev. 0 Attachment I Page I1 of 19 Attachment I Seismic Walkdown Engineer Training Certificates W'NS Sc~smic~af=ral I Certificate of Completion David Small Training on Near Term Task Force ICE C Recommendation 2.3-Plant Seismic Walkdowns Ju lI I19. 2012 Robert K. Kassawara EPRI Manager, ti~uctutal Reliability

& Integrity C CDC-C CD 30 PNPS Pc~ec ev'tcu *Te_(xmv Lzi-, 1=122I1--Certificate of Completion Jeffrey Kalb Training on Near Term Task Force Recommendation 2.3-Plant Seismic Walkdowns CD GD CC Cc 0 Cd C-0: CD I LIl IN 9. 20 1 2 Date Robert K. Kassawara EPRI Manager.Struclural Reliatility

& Irntegfty CD CA)0 Le. i fNP. 3J ENERCON Excet/ence--Every project. Every day.Certificate of Completion is hereby granted to Laura Maclay for successful completion of m TRAINING ON NEAR TERM TASK FORCE : RECOMMENDATION 2.3 CD PLANT SEISMIC WALKDOWNS 0 Awarded: 7/26/2012 in Mt. Arlington, NJ o"1 z C,,"13°6 C,, Kenneth Whitmore Certified Seismic Walkdown Engineer 1 _U o°Alexandria, VA -6/20/2012 cc a CD 0 T&? mbr fo:r NPSENERCON Excellence-Every project. Every day Certificate of Completion is hereby granted to Gary Sweder for successful completion of m TRAINING ON NEAR TERM TASK FORCE C CD"a RECOMMENDATION 2.3 PLANT SEISMIC WALKDOWNS 0 Awarded: 9/13/2012 in Mt Arlington NJ 0-0 z Alex SmerchCertified Seismic Walkdown Engineer Certified Seismic Walkdown Engineer a o Palo Alto, CA -6/13/2012 Palo Alto, CA -6/13/2012 CD o So=CnD CD Evee~zv, WutAo.A k "AE N E R C 0 N Exceilence--Evety project. Every day Certificate of Completion is hereby granted to Halie Aroz for successful completion of TRAINING ON NEAR TERM TASK FORCE RECOMMENDATION 2.3 PLANT SEISMIC WALKDOWNS Awarded: 9/13/2012 in Mt. Arlington, NJ m CD CD (D'D 0 z z-U C', CD0 (0 CDC h = 5 3'-0/ Kevi,;,(Bessell Cer tified Seismic Walkdown Engineer Palo Alto, CA -6/13/2012 Alex Smerch Certified Seismic Walkdown Engineer Palo Alto, CA -6/13/2012

~iF ~ -~~*Not jkclc+yj PI~ia r--a iaq i Li Certificate of Completion Kenneth Whitmore Training on Near Term Task Force Recommendation 2.3-Plant Seismic Walkdowns~i t'11 II~CD (D (0 0 z 0 z C-)0 a) 0-0 June 21, 2012 Date Robert K. Kasmwaru EPRI Manager, stru.UMtda ReSa~bdk & kft*~(0 70 Ene~vTý'rWV)P-C (r(. CAIeA1 OR Iu Not irc t-vaiwd1v4 Iiv-, PMP~s UiJ k2&-,v1 Certificate of Completion Kevin Bessell Training on Near Term Task Force Recommendation 2.3 Plant Seismic Walkdowns JuLIC 13, 2012 Oate Robert K. Kassawara EPRI Manager, Stfuctural Reliabihty

& Integrity 0-4, 0I er~ E-1 ELECTRIC POWER ar aI~ 'RESEARCH INSTITUTE Certificate of Completion Alex Smerch Training on Near Term Task Force Recommendation 2.3-Plant Seismic Walkdowns Q) CD 0.M<C (D 0.<CD)June 13, 2012 Date Robedt K. Kessawara EPRI Maager.stuctuiu Reriabdity

& integlity CD o 0 CD M C2.CD CD cc CD'a 0 z z 0 0 0 Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J1 of J134 Attachment J Form 9.6: Deferred Seismic Walkdown Checklists (SWCs)SWCs Added: SWELl-001, SWELl-002, SWELl-003, SWELl-004, SWELl-023, SWELl-034, SWELl-083, SWELl-084, SWELl-095, SWELl-096, SWELl-097, SWELl-098, SWELl -099, SWELl-100 SWEL2-003, SWEL2-004, SWEL2-005, SWEL2-006, SWEL2-007, SWEL2-008, SWEL2-009, SWEL2-01 0, SWEL2-01 1, SWEL2-012, SWEL2-013, SWEL2-014, SWEL2-015, SWEL2-016 Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J2 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 4 Status: YZ NF-] U--1 Seismic Walkdown Checklist (SWC) SWELl- 001 Equipment ID No. A0203-2A Equip. Class, Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation Valve Location:

Bldg. RB Floor El. 23 Room, Area STM TNL Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Y[-] NE 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YD] NEIl UEl NIAZ YLI NEIl UEI N/AZ YLI N[:] U[:] NIAZ' Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J3 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 4 Status: YZ NF] U-Seismic Walkdown Checklist (SWC) SWELl- 001 Equipment ID No. A0203-2A Equip. Class Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation Valve 5. Is the anchorage configuration consistent with plant documentation?

Y[-I NiJ U[i N/AE (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YM NE-] U[-]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y[ NE] U-1 N/A[]YZ N] urE] N/Ar]YE NEI UE- N/A[-]Y[ N[:] UE Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J4 of J 134 Ar-ACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 4 Status: YN! NI-- UF-Seismic Walkdown Checklist (SWC) SWELl- 001 Equipment ID No. A0203-2A Equip. Class Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation Valve Other Adverse Conditions
11. Have you looked for and found no other seismic conditions that could Y[ N[- UF-L adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Scaffolding around valve for maintenance during RFO 19, appropriately tagged, ref scaffolding log#13-129. Will be removed per WO 304506-15, scheduled for 5/2/13 per Asset Suite.No equipment label found on valve. Verified correct equipment based on drawing M33, A0203-2A is East-most MSIV in Steam Tunnel.Area walk-by is AWC-035.Evaluated by: 11--XaA 3S.Al ( ~ 1 LA'Date: U/1. i/LZL..;sI~ffF tkr i alWj, Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J5 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 4 Status: Y[J Nr-1 UL]Seismic Walkdown Checklist (SWC) SWELl- 001 Equipment ID No. A0203-2A Equip. Class Pneumatic-Operated Valves (07)Equipment Description Steamline A Isolation Valve Photographs Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J6 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 4 Status: YZ NFi]- UF1 Seismic Walkdown Checklist (SWC) SWELl- 002 Equipment ID No. RV9085E Equip. Class, Pneumatic-Operated Valves (07)Equipment Description Stmline A Accum T220E Relief Location:

Bldg. RB Floor El. 23 Room, Area STM TNL Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one YEI NZ of the 50% of SWEL items requiring such verification)?

2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?
4. Is the anchorage free of visible cracks in the concrete near the anchors?Y[ll Nil] U[l] N/AN Y[I- NE- U[-] N/AE YE[1 NEll U-] N/AN' Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J7 of J134 Ar-ACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 4 Status: YE NFI- UI-I Seismic Walkdown Checklist (SWC) SWELl- 002 Equipment ID No. RV9085E Equip. Class Pneumatic-Operated Valves(07)

Equipment Description Stmline A Accum T220E Relief 5. Is the anchorage configuration consistent with plant documentation?

Y-] Nil U-I N/A[(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YN NE] UI-potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y[J NE] UE] N/AE]YZ NE-] U] N/AE]YE] NE] U[r] N/A[Y[ NEI u-]

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J8 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 4 Status: YE N--I U-II Seismic Walkdown Checklist (SWC) SWELl- 002 Equipment ID No. RV9085E Equip. Class Pneumatic-Operated Valves (07)Equipment Description Stmline A Accum T220E Relief Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YN NEil UI-]adversely affect the safety functions of the equipment?

Comments .(Additional pages may be added as necessary)

Area walk-by is A WC-035 Evaluated by: Ul)vt,; , N<1 I- I I Date: I-. ~1 --TXI C, 1. Aýtjjj t3-7 IF V5 KA LB Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J9 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 4 Status: YE N-- U[--Seismic Walkdown Checklist (SWC) SWELl- 002 Equipment ID No. RV9085E Equip. Class Pneumatic-Operated Valves (07)Equipment Description Stmline A Accum T220E Relief Photographs Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1 Attachment J Page J10 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: Y[ Nr-] Ur-]Seismic Walkdown Checklist (SWC) SWELl- 003 Equipment ID No. SV-203-2A-2 Equip. Class, Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol Vlv Location:

Bldg. RB Floor El. 23 R Manufacturer, Model, Etc. (optional but recommended) oom, Area STM TNL Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YLI NZ 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YLI NEI Ui- N/AZ YE-I NEIr U-] N/AZ YEIl NEI Ul N/AZ' Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1 Attachment J Page J1i1 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YZ N-- U-Seismic Walkdown Checklist (SWC) SWELl- 003 Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol Vlv 5. Is the anchorage configuration consistent with plant documentation?

Yr-- Nr- U[-I N/A[(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YN NEI U-potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YN ND Ur- N/AD YZ NDI U[-D N/AD YS NO ur N/AD YN ND-1UD Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1 Attachment J Page J12 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YE NnI UL-Seismic Walkdown Checklist (SWC) SWELl- 003 Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol Vlv Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could adversely affect the safety functions of the equipment?

YN NO UL Comments (Additional pages may be added as necessary)

Area walk-by is A WC-035 Evaluated by: DpvJ ,x, Q~I Date: batrr' +fIq/j3'Trrr V M ~PAP U-Ir Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J13 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YZ NF] UrII Seismic Walkdown Checklist (SWC) SWELl- 003 Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol Vlv Photographs Note: Note:

Engineering Report No. PNPS-CS-12-O0001, Rev. 1 Attachment J Page J14 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YM N[--I URI Seismic Walkdown Checklist (SWC) SWELl- 003 Equipment ID No. SV-203-2A-2 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description AC Solenoid Stmline A Isol Vlv Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1 Attachment J Page J15 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 5 Status: YE ND ULI Seismic Walkdown Checklist (SWC) SWELl- 004 Equipment ID No. SV-203-2A-1 Equip. Class' Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stm/ine A Isol Vlv Location:

Bldg. RB Floor El. 23 R Manufacturer, Model, Etc. (optional but recommended) oom, Area STM TNL Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Y-J NE 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YE] N[] U[:] N/A[YE] NEI ui-] N/AZ Y[-] NO-] ur-] N/AZ I Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1 Attachment J Page J16 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YE NnI- U-I Seismic Walkdown Checklist (SWC) SWELl- 004 Equipment ID No. SV-203-2A-1

-Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol Vlv 5. Is the anchorage configuration consistent with plant documentation?

YEI NE] UI- N/AE (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YN NEI UI-potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YE NI] UE] N/A[-]YE NEi U-] N/AE]Y[J NEI UF] N/AE]YM N] U-]

Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1 Attachment J Page J1 7 of J1 34 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YZ NF-] UL-Seismic Walkdown Checklist (SWC) SWELl- 004 Equipment ID No. SV-203-2A-1 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol Vlv Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YE NEil U[i adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Area walk-by is A WC-035 EvaluMed bry, U-,ý -st-A EvalualedbV Date;Dato; IfI191il-f-ýt-f f- QS qq kU7 D Im 4'r 4/)q ) o Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J18 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YE ND] UD]Seismic Walkdown Checklist (SWC) SWELl- 004 Equipment ID No. SV-203-2A-1 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol Vlv Photographs Note: Note:

Engineering Report No. PNPS-CS-12-OOOQ1, Rev. 1 Attachment J Page J19 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YE NF U--Seismic Walkdown Checklist (SWC) SWELl- 004 Equipment ID No. SV-203-2A-1 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description DC Solenoid Stmline A Isol Vlv Note: Note:

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J20 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: YE NF- UF--Seismic Walkdown Checklist (SWC) SWELl- 023 Equipment ID No. M01201-2 Equip. Class, Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Location:

Bldg. RB Floor El. 41' Room, Area DW Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YE]- NE 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YE] NEr] U-- N/AE Y[-] NE] u[-] N/A[Y[-] N[:] U- N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1 Attachment J Page J21 ofJl134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YE NFI- UI-Seismic Walkdown Checklist (SWC) SWELl- 023 Equipment ID No. M01201-2 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation 5. Is the anchorage configuration consistent with plant documentation?

YII N[I U[I N/AE (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YE NEIl U[-potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

Valve! actuator assembly is very robust 8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

Relatively few items in overhead at this location 9. Do attached lines have adequate flexibility to avoid damage?90 degree bend in conduit provides good flexibility

10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Lead shielding hanging adjacent to valve is well supported by Recirc.Riser. This lead is removed during the operating cycle.YZI NIZ Ur1 N/AZ YZ NEIr u-I N/AL]YZ N[-I U[-] N/Ar-YZ NF- U-Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1 Attachment J Page J22 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YZ NEI ULiI Seismic Walkdown Checklist (SWC) SWELl- 023 Equipment ID No. M01201-2 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YI NF UrL adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Body of valve covered by lead shielding at time of inspection.

Area walk-by is AWC-037 Evaloaled by- I&a y ASW,&IL AL~i1 Date: Lt1-3/-&r~r vlka _ 4 V-f~rE,- 4/Z3113 Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J23 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YE N-I UrI Seismic Walkdown Checklist (SWC) SWELl- 023 Equipment ID No. M01201-2 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Photographs Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J24 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YE NI I UII Seismic Walkdown Checklist (SWC) SWELl- 023 Equipment ID No. M01201-2 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RWCU Suction Line Isolation Note: Note:

Engineering Report No. PNPS-CS-12-OOOO1, Rev. 1 Attachment J Page J25 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 5 Status: YN NFI- UI-Seismic Walkdown Checklist (SWC) SWELl- 034 Equipment ID No. M01301-16 Equip. Class, Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation V/v Location:

Bldg. RB Floor El. 41 R Manufacturer, Model, Etc. (optional but recommended) oom, Area DW Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YnI NO 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YEr- N[] U[] N/AZ YO- N[] u-] N/AS YI-] NE] U-] N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-OQOO1, Rev. 1 Attachment J Page J26 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YM NnI- U-I Seismic Walkdown Checklist (SWC) SWELl- 034 Equipment ID No. M01301-16 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation Vlv 5. Is the anchorage configuration consistent with plant documentation?

YrI Nil u[-I N/A (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Y[ NI- UL--potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

Nothing threatening the I" flex conduits, acceptable

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?

Lights well supported by rigid conduit 9. Do attached lines have adequate flexibility to avoid damage?1" flex conduits have adequate bend/ loop 10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YN Nil U[- N/A[-]Y[ N-I U-] N/Al-]Y[ N[]l UJl N/A--]YN NEI U-I Engineering Report No. PNPS-CS-12-OOOO1, Rev. I Attachment J Page J27 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YE Nn U--Seismic Walkdown Checklist (SWC) SWELl- 034 Equipment ID No. M01301-16 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation Vlv Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could adversely affect the safety functions of the equipment?

YN NE] UL1 Comments .(Additional pages may be added as necessary)

Area walk-by is AWC-037~')_'LJL Evaluated by: q." h Date: 0()A1>_.,-___.__a 1~ I ~ 1 Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J28 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YE NFIl U[]Seismic Walkdown Checklist (SWC) SWELl- 034 Equipment ID No. M01301-16 Equip. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation Vlv Photographs Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J29 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YZ NFI Ur-]Seismic Walkdown Checklist (SWC) SWELl- 034 Equipment ID No. M01301-16 Equip,. Class Motor-Operated

& Solenoid-Operated Valves (08)Equipment Description RCIC Stream Line Isolation Vlv Note: Note:

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J30 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 4 Status: YE NR U--Seismic Walkdown Checklist (SWC) SWEL2- 003 Equipment ID No. 19-HO-159 Equip. Classi Other (0)Equipment Description Spent Fuel Pool and cavity drains Location:

Bldg. RB Floor El. 74' Room, Area SFPHx Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YE-I NO 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YE- NDJ U[-] N/AO Y[-- NiD ULi N/A[Yr-] NE] U[- WAN/I I Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J31 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 4 Status: YE NE] UE]Seismic Walkdown Checklist (SWC) SWEL2- 003 Equipment ID No. 19-HO-159 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?

YOI NO- ur-- N/A[E (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YE N-] UF-potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y[E] NEI UE] N/A[YN NE] UE] N/AE]YE-] NE] UE] N/A[YN NE] U--2 Enter the equipment class name from Appendix 13: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J32 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 4 Status: Y[ NI-- UI-Seismic Walkdown Checklist (SWC) SWEL2- 003 Equipment ID No. 19-HO-159 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Y[ N[:] U[i]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Area walk-by is A WC-034/0"--j 14 Evaluated b V: Date: 7h 3 I~Wr~4127 j 3 LI,. (, k#3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J33 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 4 Status: YE NF-] UL-I Seismic Walkdown Checklist (SWC) SWEL2- 003 Equipment ID No. 19-HO-159 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drains Photographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J34 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 4 Status: YZ NEI U-I Seismic Walkdown Checklist (SWC) SWEL2- 004 Equipment ID No. 19-HO-160 Equip. Class, Other(O)Equipment Description Spent Fuel Pool and cavity drains Location:

Bldg. RB Floor El. 74' Room, Area SFPHx Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Y[I NE 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Y[-- NEI- ur] N/AZ Y[-] NI-] U[ N/A[Y[-I NE]I ULI N/AZ I Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J35 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 4 Status: YZ NFI U[]Seismic Walkdown Checklist (SWC) SWEL2- 004 Equipment ID No. 19-HO-160 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?

YEI NEI UrL N/AO (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YZ NEi Ur-potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YEI N-- U[-] N/A[YO NE] UE] N/A--YE] NE] UE] N/A[Y[ NEI UF]2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J36 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 4 Status: Y[ NEI Ur-Seismic Walkdown Checklist (SWC) SWEL2- 004 Equipment ID No. 19-HO-160 Equip. Class3 Other(0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YN NE] UE-adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Radiation shielding on line below is well secured to piping, therefore acceptable.

Area walk-by is AWC-034 Evaluated by, ,L'Uf QJJA 4 AJZ69P--Date: 1/27 -Dfre, /71~/ I 3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J37 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 4 Status: YE N-- Uf--i Seismic Walkdown Checklist (SWC) SWEL2- 004 Equipment ID No. 19-HO-160 Equip. Classw Other (0)Equipment Description Spent Fuel Pool and cavity drains Photographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J38 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 4 Status: YE NI-- U[-II Seismic Walkdown Checklist (SWC) SWEL2- 005-Equipment ID No. 19-HO-161 Equip. Class, Other(0)Equipment Description Spent Fuel Pool and cavity drains Location:

Bldg. RB Floor El. 74' Room, Area SFPHx Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Y[:] NEI 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Y[-] N[:] Ur] N/AZ Y[-] N[] ul-] N/AZ YEI NEil U[-- N/AZ I Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J39 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 4 Status: YIZ NFI U-I Seismic Walkdown Checklist (SWC) SWEL2- 005 Equipment ID No. 19-HO-161 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?

YrI NDI U-- N/A[(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YZ N[-] U--]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Y[-D N[-- U[-] N/AE Y9 N[-D ur-D N/AD-I Y[-] ND] U[] NWAS YN ND] u-2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J40 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 4 Status: YE Nn UI-Seismic Walkdown Checklist (SWC) SWEL2- 005 Equipment ID No. 19-HO-161 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YM NiD URi adversely affect the safety functions of the equipment?

Comments .(Additional pages may be added as necessary)

Area Walk-by is AWC-034 0--) I-V Evaluated by.rz * ... ._-W Date. ;-z/m 3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J41 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 4 Status: YZ NF] Ur--Seismic Walkdown Checklist (SWC) SWEL2- 005 Equipment ID No. 19-HO-161 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drains Photographs Note: Note: 4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J42 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: Y[ Nr-I U-I Seismic Walkdown Checklist (SWC) SWEL2- 006 Equipment ID No. 19-HO-162 Equip. Class, Other(O)Equipment Description Spent Fuel Pool and cavity drains Location:

Bldg. RB Floor El. 74' Room, Area SFPHx Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Y[- NE 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Y[-] Nil U[-] N/AS YE] Nr-] Ur- N/AE Y[:] NF-O U[- N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J43 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YE NF] U--Seismic Walkdown Checklist (SWC) SWEL2- 006 Equipment ID No. 19-HO-162 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?

Y[-] NF-7 Ur N/AE (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YE NEIr Ur-7 potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YFZ NO U[Z N/AE YE NrO uO N/AD YO NEJ ULDl N/A[YE NO UD 2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J44 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YZ NFI- UF-]Seismic Walkdown Checklist (SWC) SWEL2- 006 Equipment ID No. 19-HO-162 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YZ Nil U-I adversely affect the safety functions of the equipment?

Comments .(Additional pages may be added as necessary)

Area walk-by is on AWC-034;3j__VI Evaluated by: Date-2: Z oJJ 0, 6IL Ui 1 3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J45 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YE NEI-- U[I Seismic Walkdown Checklist (SWC) SWEL2- 006 Equipment ID No. 19-HO-162 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drains Photographs Note: Note: 4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J46 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YN NEIl U--Seismic Walkdown Checklist (SWC) SWEL2- 006 Equipment ID No. 19-HO-162 Equip. Classw Other(O)Equipment Description Spent Fuel Pool and cavity drains Note: 5 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J47 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: YE NFIl U[]Seismic Walkdown Checklist (SWC) SWEL2- 007 Equipment ID No. 19-HO-163 Equip. Class' Other(O)Equipment Description Spent Fuel Pool and cavity drains Location:

Bldg. RB Floor El. 74' Room, Area SPFHx Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Yr-- NZ 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YDI NEI UED NIAI YD- NDI U[- N/AZ YE-I NDI ur- N/AE IEnter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J48 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YE NE] URI-Seismic Walkdown Checklist (SWC) SWEL2- 007 Equipment ID No. 19-HO-163 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?

YI-- N[i UI] N/AN (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YI N-] urE]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YE] NED] UE] N/A[D YE N[-] U[-I] N/A-I YE-] NEI] UE N/AZ Y[ NE] Ur 2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J49 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YM N-- U[Seismic Walkdown Checklist (SWC) SWEL2- 007 Equipment ID No. 19-HO-163 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YN NEI UF-1I adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Area walk-by is A WC-034.Evaluated by: Date: QJ I. /djU-*Fr .Z- 71)3 I I, j 3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J50 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YM NR U-Seismic Walkdown Checklist (SWC) SWEL2- 007 Equipment ID No. 19-HO-163 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drains Photographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J51 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YE NIl-- Ur-]Seismic Walkdown Checklist (SWC) SWEL2- 007 Equipment ID No. 19-HO-163 Equip. Classw Other (0)Equipment Description Spent Fuel Pool and cavity drains Note: MiUM~.5 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J52 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 4 Status: YE NI-] ULII Seismic Walkdown Checklist (SWC) SWEL2- 008 Equipment ID No. 19-HO-164 Equip. Classi Other (0)Equipment Description Spent Fuel Pool and cavity drains Location:

Bldg. RB Floor El. 74' Room, Area SFPHx Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YE-] NN 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YF-I N[il u--] N/AZ Y[-I NRl ul-l N/AZ Yll NEIJ UEJ N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J53 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 4 Status: YZ NF- U--Seismic Walkdown Checklist (SWC) SWEL2- 008 Equipment ID No. 19-HO-164 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?

Y[I- NEI UL- N/AE (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Y[ NE] UE]potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YEI NEI uE] N/A[YE NE] uE] N/AE]YEI NEi uE] N/A[Y[ NE] UE]2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J54 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 4 Status: YZ NFI] UI--Seismic Walkdown Checklist (SWC) SWEL2- 008 Equipment ID No. 19-HO-164 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YZ NR Ur-]adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Piece of black duct tape on valve body is acceptable Area walk-by is A WC-034 6)j X V Evaluated by:.Date: 94g(L.iJLF DT'FrrI2aJ 3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J55 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 4 Status: YE! NFI] U[---Seismic Walkdown Checklist (SWC) SWEL2- 008 Equipment ID No. 19-HO-164 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drains Photographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J56 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: YO NF] UI-Seismic Walkdown Checklist (SWC) SWEL2- 009 Equipment ID No. 19-HO-170 Equip. Class, Other (0)Equipment Description Spent Fuel Pool and cavity drains Location:

Bldg. RB Floor El. 23' Room, Area Drywell Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

Y[I NZ 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Y[-- N[i UL-] N/AZ Y[- NEI] UE1 N/A[Y-I N[ll U-] N/AE' Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J57 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YZ NF] UL--Seismic Walkdown Checklist (SWC) SWEL2- 009 Equipment ID No. 19-HO-170 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?

YE] NF- UI- N/A[(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Y[ NEI U-il potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Yr-- NEI urE] N/AN Y[ NF] u[-] N/AL]YEI NEIl u[] N/As YN N-] U]2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J58 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YE Nn U--Seismic Walkdown Checklist (SWC) SWEL2- 009 Equipment ID No. 19-HO-170 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YE NE:] Ur-1 adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Area walk-by is AWC-036 Evaluated by; D4XJ -.11 k,~J 4~~'//-s~V A th'Wij Date-.42:1-bol,: 4/i ..s V V 3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J59 of J134 ATrACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YE Nij1 UE--Seismic Walkdown Checklist (SWC) SWEL2- 009 Equipment ID No. 19-HO-170 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drains Photographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J60 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YZ NOi UL]Seismic Walkdown Checklist (SWC) SWEL2- 009 Equipment ID No. 19-HO-170 Equip. Class5 Other (0)Equipment Description Spent Fuel Pool and cavity drains Note: Note: 5 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J61 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 5 Status: YE ND ULI Seismic Walkdown Checklist (SWC) SWEL2- 010 Equipment ID No. 19-HO-171 Equip. Class' Other(0)Equipment Description Spent Fuel Pool and cavity drains Location:

Bldg. RB Floor El. 23' Room, Area Drywell Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YE] NO 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Y[-] N[-I Ul] N/AO YE[ NE-] UrI N/AO Y[-] NE] U[-L N/AO IEnter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J62 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 5 Status: YE NF] Ur-7 Seismic Walkdown Checklist (SWC) SWEL2- 010 Equipment ID No. 19-HO-171 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?

Y[I No Ur7 N/AE (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YE Nn] UL potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?Scaffold 13-134 approximately 2' away from valve (green tagged).Verified in scaffold log that this is an approved seismic scaffold and was removed 5-1-13.Y[ NE-] UE] N/AD YZ N[E u--] N/AL]YE] NE] urE] N/AN Y NE-I Uil 2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J63 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 5 Status: YE NF] UL-Seismic Walkdown Checklist (SWC) SWEL2- 010 Equipment ID No. 19-HO-171 Equip. Class3 Other(0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YE NE] UL-adversely affect the safety functions of the equipment?

Identified that 1" pipe above 19-HO-171 was missing a pipe strap.Initiated CR-PNP-2013-3020 and work request 306569* to have strap installed.

Walkdown team agreed that this does not pose a seismic interaction hazard based on the short unsupported length of the pipe and very low mass (no valves or fittings).

  • WR 306569 actioned to WO 349452 Comments .(Additional pages may be added as necessary)

Area walk-by is AWC-036 flu-Jf1 Date: L 1 z3/i3 Evalualed by-.StfKAL-B-P q ktý-b"n : ______1 __3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J64 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 5 Status: YE NEI UI--Seismic Walkdown Checklist (SWC) SWEL2- 010 Equipment ID No. 19-HQ-171 Equip. Class4 Other(0)Equipment Description Spent Fuel Pool and cavity drains Photographs Note: Note: 4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J65 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 5 of 5 Status: YN NDI ULI Seismic Walkdown Checklist (SWC) SWEL2- 010 Equipment ID No. 19-HO-171 Equip. Class5 Other (0)Equipment Description Spent Fuel Pool and cavity drains Note: 5 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J66 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 4 Status: YE NRI- UI-Seismic Walkdown Checklist (SWC) SWEL2- 011 Equipment ID No. 19-HO-172 Equip. Class' Other (0)Equipment Description Spent Fuel Pool and cavity drains Location:

Bldg. RB Floor El. 74' Room, Area General Area North Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YFI NZ 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Y[-D NEI UL] N/AZ YO] N1 UL-] N/A]YEI NEI UF- N/A[' Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J67 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 4 Status: YE Nr- UI-Seismic Walkdown Checklist (SWC) SWEL2- 011 Equipment ID No. 19-HO-172 Equip. Classw Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?

YEi- NEI U[] N/A[(Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of YE NDl U[-D potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YD- NDI U-I N/A[Y[ NEI uE- N/AD1 YDI NDI UD- N/A[YN NEI Ur 2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J68 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 4 Status: YN U-Seismic Walkdown Checklist (SWC) SWEL2- 011 Equipment ID No. 19-HO-172 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Y[ NRI UFI adversely affect the safety functions of the equipment?

Comments .(Additional pages may be added as necessary)

Area walk-by is AWC-033 e")/ -- j A--A IUvaRIat d hv: QIJLAý2ff-.Date: /2 27Zt~AW ____ ___I U I I j 3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J69 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 4 Status: YZ NR U--Seismic Walkdown Checklist (SWC) SWEL2- 011 Equipment ID No. 19-HO-172 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drains Photographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J70 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet I of 4 Status: YZ N-] ULI Seismic Walkdown Checklist (SWC) SWEL2- 012 Equipment ID No. 19-HO-173 Equip. Class, Other(O)Equipment Description Spent Fuel Pool and cavity drains Location:

Bldg. RB Floor El. 74' Room, Area General Area North Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YE] NZ 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?YE:] NE-] uE N/A[YE] NE] uE-] N/AO YE] NE- UE] N/As' Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J71 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 4 Status: YE NI UL-]Seismic Walkdown Checklist (SWC) SWEL2- 012 Equipment ID No. 19-HO-173 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?

YE] NE] Ui N/AN (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Y[ Nil Ur-1 potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YLI NEI urE N/AZ YO NEi UEI N/AD--YD-- NDI U-I N/A[YZ NF] Ur 2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J72 of J 134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 4 Status: YE N[-] UFI-Seismic Walkdown Checklist (SWC) SWEL2- 012 Equipment ID No. 19-HO-173 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could YO NEI UrI adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Area walk-by is AWC-033.11w 141 Evaluated by: Date: 2-.12"7 LA14 A.bwrit "__7/771_13 i-I i )3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J73 of J1 34 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 4 Status: Y[ NE] U[-I Seismic Walkdown Checklist (SWC) SWEL2- 012 Equipment ID No. 19-HO-173 Equip. Class4 Other (0)Equipment Description Spent Fuel Pool and cavity drains Photographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J74 of Ji134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 1 of 4 Status: YE N--] U--Seismic Walkdown Checklist (SWC) SWEL2- 013 Equipment ID No. 19-HO-177 Equip. Class, Other (0)Equipment Description Spent Fuel Pool and cavity drains Location:

Bldg. RB Floor El. 74' Room, Area SFPHx Manufacturer, Model, Etc. (optional but recommended)

Instructions for Completing Checklist This checklist may be used to document the results of the Seismic Walkdown of an item of equipment on the SWEL. The space below each of the following questions may be used to record the results of judgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage 1. Is the anchorage configuration verification required (i.e., is the item one of the 50% of SWEL items requiring such verification)?

YF- NO 2. Is the anchorage free of bent, broken, missing or loose hardware?3. Is the anchorage free of corrosion that is more than mild surface oxidation?

4. Is the anchorage free of visible cracks in the concrete near the anchors?Yr-] NFI UL] N/A[YEI- NEI U--i N/AZ Y[-] NEI Ur- N/A[I Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J75 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 2 of 4 Status: YZ NEIl UD Seismic Walkdown Checklist (SWC) SWEL2- 013 Equipment ID No. 19-HO-177 Equip. Class2 Other (0)Equipment Description Spent Fuel Pool and cavity drains 5. Is the anchorage configuration consistent with plant documentation?

Yr- Nn Ur N/AZ (Note: This question only applies if the item is one of the 50% for which an anchorage configuration verification is required.)

6. Based on the above anchorage evaluations, is the anchorage free of Y[A NEI UI-potentially adverse seismic conditions?

Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

8. Are overhead equipment, distribution systems, ceiling tiles and lighting, and masonry block walls not likely to collapse onto the equipment?
9. Do attached lines have adequate flexibility to avoid damage?10. Based on the above seismic interaction evaluations, is equipment free of potentially adverse seismic interaction effects?YEr NEI UD-] N/AZ YE N[- U-i N/AD-Yr-- N[-- UD- N/AZ YE ND-- uD--2 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J76 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 3 of 4 Status: YE NnIl UD Seismic Walkdown Checklist (SWC) SWEL2- 013 Equipment ID No. 19-HO-177 Equip. Class3 Other (0)Equipment Description Spent Fuel Pool and cavity drains Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Y[ N[-I U-II adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Area walk-by is AWC-034 9~J 1w'A Evaluated by: Date: 2-1 /! 1 3 Enter the equipment class name from Appendix B: Classes of Equipment.

Engineering Report No. PNPS-CS-12-00001, Rev. 1 Attachment J Page J77 of J134 ATTACHMENT 9.6 SEISMIC WALKDOWN CHECKLIST FORM Sheet 4 of 4 Status: YZ NEI Ur-Seismic Walkdown Checklist (SWC) SWEL2- 013 Equipment ID No. 19-HO-177

-Equip. Class4 Other(O)Equipment Description Spent Fuel Pool and cavity drains Photographs 4 Enter the equipment class name from Appendix B: Classes of Equipment.