ML14071A068

Enclosure 2, Updated Farley Unit 1 Seismic Walkdown Report for Resolution of Fukushima Near-Term Force Recommendation 2.3: Seismic Through Attachment 3 Page 197 of 562 Through 233 of 562

ML14071A068
Person / Time
Site:	Farley
Issue date:	02/20/2014
From:	Southern Nuclear Operating Co
To:	Office of Nuclear Reactor Regulation
References
NL-14-0249
Download: ML14071A068 (37)

Text

ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Fp-5i Sheet I of 3 Status: ]ND UI-]Seismic Walkdown Checklist (SWC)Equipment ID No. QINI1HV3369A Equip. Class, Equipment Description MAIN STEAM ISOLATION VALVE Location:

Bldg. AUXILIARY Floor El, 121 Room, Area , _ _ __/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 ofjudgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchora2e 1. Is the anchorage configuration verification required (i.e., is the item one YO N 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?

YQI NO Url NIAPT YOI NO UD]NA-, 4. Is the anchorage free of visible cracks in the concrete near the anchors? YO ND UF N/A] '5. Is the anchorage configuration consistent with plant documentation?(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 potentially adverse seismic conditions?

YD1 ND UD N/Av Y6ND- U0 I Enter the equipment class name from Appendix B: Classes of Equipment.

Page 197 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 F/-57 (Sw4 Seismic Walkdown Checklist (SWC)Sheet 2 of 3 Status: Y N-] u0i]Equipment ID No. QINI1HV3369A Equip, Class, 7 Equipment Description MAIN STEAM ISOLATION VALVE 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?Y1;NO UO N/A-YfNNO UD N/A0 10. Based on the above seismic interaction evaluations, is equipment free YVN- UO of potentially adverse seismic interaction effects?Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could 'NDU0 adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

Dee &_.v,,,ieV1 t O IUt/1S/33q9i (Af/e,,- Fl -

z,-5ý*,V A4L.-,DAAJ Evaluated by Date: '. 2 3. _o-,0, an4/d~J-/Page 198 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0-n Ut Page 199 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Shet/i of l Status: Nn Ut]Seismi -WSA Seismic Wulkdown Checklist (SWC)Equipment ID No. QINIIHV3370A Equip. Class' 7 Equipment Description MAIN STEAM LINE ISOLA TION VALVE Location:

Bldg. AUXILIARY Floor El. 121 Room, Area 2 1 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 ofjudgments 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)?

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?

YE YE NE UO N/Ate YO NE UE NiAo,-NIAEI(" 4. Is the anchorage free of visible cracks in the concrete near the anchors? YE NE UE 5. Is the anchorage configuration consistent with plant documentation?(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 potentially adverse seismic conditions?

YO NE UE Ye/Nil3 UE Enter the equipment class name from Appendix B: Classes of Equipment.

Page 200 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Sheep ofd40 Status: Y[n N[] u[]Seismic Waikdown Checklist (SWC)Equipment ID No. QINIIHV3370A Equip. Class' 7 Equipment Description MAIN STEAM LINE ISOLATION VALVE 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?Y9-fD- UO N/A]Y2/N UO N/AQl I&NLJ UE3 N/AD--Y~i/NO UEI Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Y NE U0 adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary) e,/o AJ Evaluated by:-- F Page 201 of 562

---

7 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 N Page 202 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Page 203 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Fl.- 5 Sheet 1 of 3'Status: YI NEI U[Seismic Walkdown Checklist (SWC)Equipment ID No, QINI1PT0476 Equip. Class' 18 Equipment Description STEAM GENERATOR IA DISCHARGE PRESSURE Location:

Bldg. AUXILIARY Floor El .155 Room, Area Manufacturer, Model, Etc. (optional 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.Anchoraze 1. Is the anchorage configuration verification required (i.e., is the item one YO" of the 50% of SWEL items requiring such verification)?

2. Is the anchorage free of bent, broken, missing or loose hardware?YOI NO UCY"N/AO YOJ NO U[TN/AO 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? YQ"l NO Uff N/AQ 5. Is the anchorage configuration consistent with plant documentation?(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 potentially adverse seismic conditions?

YED NEI UO N/A[3'YO NO UCT IEnter the equipment class name from Appendix B: Classes of Equipment.

Page 204 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Seismic Walkdown Checklist (SWC)Equipment ID No. QINIIPT0476 Equip. Class, 18 Equipment Description STEAM GENERATOR 1A DISCHARGE PRESSURE Sheet 2 of4 q Status: YE] NE U[3r 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?Y2"N- U" N/AD YEM2'NO UD N/AD YO ND U2YN/AD YEi NO UD Other Adverse Conditions

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

Comments (Additional pages may be added as necessary)

Evahisatpedb hir PM! 1V 0 Yfob )I / t., 9- 1 ý ý(f U,2 Date: <Page 205 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Page 206 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Page 207 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Page 208 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS 0-t -I mo... ..... ..... ..... ..... ...... ......F, NO. SNCF164-RPT-01, VERSION 2.0 Page 209 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Page 210 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Page 211 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Shee.'of.&056 Status: I N[] U[]Seismic Walkdown Checklist (SWC)Equipment ID No. QINIIPV3371C Equip. Class' L Equipment Description MAIN STEAM ATMOSPHERIC RELIEF VALVE Location:

Bldg. AUXILIARY Floor El. 121 Room, Area 2:4/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 ofjudgments and findings.

Additional space is provided at the end of this checklist for documenting other comments.Anchorage I. Is the anchorage configuration verification required (i.e., is the item one YIQ N[D 11 of the 50% of SWEL items requiring such verification)?

2. Is the anchorage free of bent, broken, missing or loose hardware?YO NO UO/,4 -/- IA e 3. Is the anchorage free of corrosion that is more than mild surface oxidation?

YO NO UO N/Al-7 4. Is the anchorage free of visible cracks in the concrete near the anchors? YO NE UO N/A&/5. Is the anchorage configuration consistent with plant documentation?(Note: This question only applies if the item is one of the 50% fbr which an anchorage configuration verification is required.)

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

YO NO UO N/Aa/-YNOU'UO IEnter the equipment class name from Appendix B: Classes of Equipment.

Page 212 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Sheet: o 3-f D[Status: U0[Seismic Walkdown Checklist (SWC)Equipment ID No. QgINPV3,371C Equip. Class' 7 Equipment Description MAIN STEAM ATMOSPHERIC RELIEF VALVE 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?Y[U0 UD N/AD VIO UO-I N/ADI Y94[ UE-] N!AO 10. Based on the above seismic interaction evaluations, is equipment free Yff/NO ULD of potentially adverse seismic interaction effects?Other Adverse Conditions

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

Comments (Additional pages may be added as necessary)

()1U1V33( 26 (11-Evaluated by: " 4z6,2A ~~Date: ;-zf Z 3. Zo/,?" Y6,~ b/ -O2 Page 213 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Page 214 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0=-Page 215 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Page 216 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Sheet i ofw Z-Status: YZN-] U0I Seismic Walkdown Checklist (SWC)Equipment ID No. QINIISV3369BC Equip. Class w Equipment Description SOLENOID VALVE Location:

Bldg. AUXILIARY Floor El. 121 Room, Area -2 4 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 ofjudgments and findings.

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

2. Is the anchorage free of bent, broken, missing or loose hardware?/ A. -,U9Cý.4 .f --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?5. Is the anchorage configuration consistent with plant documentation?(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 potentially adverse seismic conditions?

YO YO NO UrlJNAm YOJ NEI Un N/AE[-'YO- NO UE= N/AJ /YO NO U" N/A[I-7 I Enter the equipment class name from Appendix B: Classes of Equipment.

Page 217 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Status 31z: Status: NCI UM Seismic Walkdown Checklist (SWC)Equipment ID No. O1NIISV3369BC Equip. Class'Equipment Description SOLENOID VALVE Interaction Effects 7. Are soft targets fl-ce 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?Y1Z /N UO NIAO Y NO UO N/AO UD N/AD Other Adverse Conditions X 11, Have you looked for and found no other seismic conditions that could Y NfNO UD adversely affect the safety fiuctions of the equipment?

Comments (Additional pages may be added as necessary)

Evaluated by: 'It'-~ (dJelaa6 5 Date: 9; 3. -3 &0/2-I Page 218 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Page 219 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Page 220 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Sheet 1 of 4 Status: YE NEI- U-]Seismic Walkdown Checklist (SWC)Equipment lID No. QlN23FIS3229CB, Equip. Class' 18 Pkq F1-56 Equipment Description FEEDWA TER INTAKE FLOW INDICATION Location:

Bldg. AUXILIARY Floor El. 100 Room, Area 190 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. 'Ihe 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 Y[I] 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?5. Is the anchorage configuration consistent with plant documentation?(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 potentially adverse seismic conditions?

Y[ NEI UE N/AE]YZ NEI UE' N/AE3 YZ NEI UE- N/AQ-YE NE UE- N/AZ YN NEI UE-IEnter the equipment class name from Appendix B: Classes of Equipment.

Page 221 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Sheet 2 of 4 Status: YN NO U[-]Seismic Walkdown Checklist (SWC)Equipment ID No. QIN23FIS3229CB, Equip. Class, 18 Pkg Fl-56 Equipment Description FEEDWA TER INTAKE FLOW INDICATION Interaction Effects 7. Are soft targets free from impact by nearby equipment or structures?

YO NEI Ut] N/At]8. Are overhead equipment, distribution systems, ceiling tiles and lighting, YM NE] Ut] N/At]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?YO NtI Ut] N/At]Y NO- U-]Other Adverse Conditions

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

No comments.Comments (Additional pages may be added as necessary)

Cabinet adjacent (N-42) per D- 175069 is <3/4" away, but adequately stiff to pose no adverse seismic I/A concern.This package was originally signed on 8-22-12 but retyped for clarity on 10-15-12.#,4 .11A "Mikfip, I'f/I z Evaluated by Y a.. .. I Date: 8/22/12 8/22/12 Page 222 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Page 223 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Page 224 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 r Sheejof 3 Status: N-] Uf-]Seismic Walkdown Checklist (SWC)Equipment ID No. Q1N23FT3229A Equip. Class, 18 Equipment Description AUX FEEDWATER FLOW TRANSMITTER Location:

Bldg. AUXILIARY Floor El. 100 Room, Area I 9&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 tlý following questions may be used to record the results ofjudgments 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 YE] N 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?

Y$3 NF- UE N/A[-two Url N/A[l 4. Is the anchorage free of visible cracks in the concrete near the anchors? Yt<Nr] UFD N/AD 5. Is the anchorage configuration consistent with plant documentation?(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 potentially adverse seismic conditions?

YE] NEI UE] N/Ab'-Y/N0]UE]I Enter the equipment class name from Appendix B: Classes of Equipment.

Page 225 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Seismic Walkdown Checklist (SWC)Equipment ID No. QIN23FT3229A Equip. Class, 18 Equipment Description AUX FEEDWA TER FLOW TRANSMITTER Sheet 2 of 3 Status: NQ6 N EUo 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?YV4 UI-3 N/A[]Yb,] UD N/AC YWNN0 U" NIAQ Other Adverse Conditions

11. Have you looked for and found no other seismic conditions that could Y040 UD adversely affect the safety functions of the equipment?

Comments (Additional pages may be added as necessary)

/VoV.Kr WAIA ZaJ1 .J 2 4{2iiL ate: Evaluated by:, A.dZI 12-01 J J Page 226 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 a 1'~(y l I C-Page 227 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Fl-St Seismic Walkdown Checklist (SWC)Equipment ID No. Q1N23HV3227A Equip.Sheet of 3 Status: Y[W N[- U" Equipment Description MOTOR DRIVEN AUX FEEDWA TER TO STEAM GENERA TOR IA Location:

Bldg. AUXILIARY Floor El. 121 Room, Area , "fi 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.Anchorate 1. Is the anchorage configuration verification required (i.e., is the item one YQ of the 50% of SWEL items requiring such verification)?

2. Is the anchorage free of bent, broken, missing or loose hardware?YDI NEI UE N/AZI--^/,4/ -4'W4 g-ý3. 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?5. Is the anchorage configuration consistent with plant documentation?(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 potentially adverse seismic conditions?

YEI NEI ULD N/Ag---YOI NO UE] N/LID YDI NO UM N/A&" Y2/N LID IEnter the equipment class name from Appendix B: Classes of Equipment.

Page 228 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Seismic Walkdown Checklist (SWC)Sheet 2 of 3 Status: YVNR'] U[Z]Equipment ID No. QlN23HV3227A Equip. Class, 7 Equipment Description MOTOR DRIVEN AUX FEEDWA TER TO STEAM GENERA TOR 1A 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?YO/NC U0 N/AC 4KC UEJ N/AC Y040/ UC N/AC YYVO UO Other Adverse Conditions

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

Comments (Additional pages may be added as necessary)

A/ 0JIVar Evaluated by: nfgj Date: K' 3. 2/2-Page 229 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Page 230 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Seismic Walkdown Checklist (SWC)St hees of 3 Status: Ur0 Equipment ID) No. QIN23M0V3209A Equip. Class, 8 Equipment Description SERWCX WATER ISOLA TION VALVE TO AUX FEED WA TER Location:

Bldg. AUXILIARY Floor El. 100 Room, Area /I/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)?

2. Is the anchorage free of bent, broken, missing or loose hardware?YEN-[I UM N/A r/I PJ -L / /v 6 4,-o A4 po ,.j 4,ix/ r 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?5. Is the anchorage configuration consistent with plant documentation?(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 potentially adverse seismic conditions?

YE NE UD N/AE /YE NE UE N/A Y[4 UniE I Enter the equipment class name from Appendix B: Classes of Equipment.

Page 231 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 FI:-VI Fi- S Seismic Walkdown Checklist (SWC)Sheet f3 Status: Y[N{1 U[0 Equipment ID No, Q1N23MOV3209A Equip. Class' 8 Equipment Description SERVICE WA TER ISOLA TION VALVE TO AUX FEEDWA TER 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&Ni' UF-C N/Ar-Y4'N[ Url N/AO'Yyý UD N/AD 4/(NO UQ Other Adverse Conditions

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

Comments (Additional pages may be added as necessary)

NVOAIk-Evaluated by-.ý/AL'Do%'/

On IA/ /jDLA0(11CL

-1411a: Date: ~1,27. 2012,1 Z%ý ~~6/C -7/ lc Page 232 of 562 ATTACHMENT 3: SEISMIC WALKDOWN CHECKLISTS NO. SNCF164-RPT-01, VERSION 2.0 Page 233 of 562