ML18151A224

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ISI Summary Rept for 1994 Refueling Outage
ML18151A224
Person / Time
Site: Surry Dominion icon.png
Issue date: 05/24/1994
From: CODEN R L
VIRGINIA POWER (VIRGINIA ELECTRIC & POWER CO.)
To:
Shared Package
ML18151A225 List:
References
94-194, NUDOCS 9406090242
Download: ML18151A224 (211)
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  • ATTACHMENT 1 SURRY POWER STATION UNIT 1 ISi INSPECTIONS

:---.......

9406090242 940602 PDR ADOCK 05000280 Q PDR NIS

  • 1 FORM
  • * *** FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules Attachment I Page 1 of 29 Serial No.: 94-194 Docket No.: 50-280 Virginia Electric and Power COll1)8ny, 5000 Dominion Blvd., Glen Allen, VA 23060 1. Owner---------------------------------------(Name and Address of Owner) Surry Power Station, P.O. Box 315, Surry, VA 23883 2. Plant-----------------------------------------(Name and Address of Plant) NA 3. Plant Unit _________
4. Owner Certificate of Authorization (if required)

_________ _ 12/22/72 NA 5. Commercial Service Date _____ 6. National Board Number for Unit -------------

7. Components Inspected Manufacturer Component or Manufacturer or Installer State or National Appurtenance or Installer Serial No. Province No. Board No. Reactor Vessel Rotterdam 137-1 VA58201 NA Steam Generator Westinghouse Ta~ Division 2981 VA 58203 681 1-RC-E-1A Steam Generator Westinghouse Ta~ Division 2982 VA 58204 682 1-RC-E-1B Steam Generator Westinghouse Ta~ Division 2983 VA 58205 683 1-RC-E-1C Reactor Coolant Westinghouse 458 NA NA PUil) 1-RC-P-1A Reactor Coolant Westinghouse 460 NA NA PLIIK> 1-RC-P-1C Seal Injection Commercial Filters Corporation NA NA NA Filter 1-CH-FL-4A Seal Injection Commercial Filters Corporation NA NA NA Filter 1-CH-FL'-4B Pressurizer Westinghouse NA VA 58202 1031 1-Rr.-F-:>

RHR Heat Exchger Atlas Industrial Mfg. Co. 890 VA 58212 740 1-RH-E-1A SI Puip Byron Jackson Puips, Inc. NA NA NA 1-SI-P-1A Recirc. Spray ' .. PUil) 1-RS-P-2A Byron Jackson Puips, Inc. NA NA NA Class 1/2 Piping Southwest Fabricating Comany NA NA NA Class 1/2 Component Supports Southwest Fabricating COll1)8ny NA NA NA Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (I) size is 8¥2 in. x 11 in., (2)'information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/86) This form (E00029) may be obtained from the Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300. FORM MS-1 (Back) 8. Examination Dates 513192 to 3/24/94 9. Inspection Interval from 12/22/82 to 7/15/94 10. Applicable Editions of Section XI ~1~9 ... A~O ___ Addenda -W~SO ____ _ 11. Abstract of Examinations. Include a list of examinations and a statement concerning status of work required for current interval. see Attachment 1, Pages 4 through 15 12. Abstract of Conditions Noted. See attachment 1, Page 4 13. Abstract of Corrective Measures Recommended and Taken. See Attachment 1, Page 4 We certify that the statements made in this report are correct and the examinations and corrective sures taken conform to the rules of the ASME Code, Section XI. Certificate of Authorization No. (if applicable) ~Y~A~------- Expiration Date -~--------- Date ___ m_~l'l ...... ,.,_V __ /_t __ 19 9"-/ Signed Virginia Elect. & Power Co.Byf;J Owner CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors an~at.lrt&M!e& Province of Virginia and employed by Hartford S.B. I. & I. Co. of _____________ have inspected the components described in this Owner's Report during the period 03/21 (22 to 03/24/94 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the inspection plan and as required by the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. --~R~ .... ~C,JL.......,~~~~--Commissions _VA---,-5_4_3 ___________________ _ Inspector's Signature National Board, State, Province, and Endorsements Date .5"* 19 _jJ£_ * *

  • J
  • *
  • FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules Attachment I Page 2 of 29 Serial No.: 94-194 Docket No.: 50-280 1. Owner ---"-'/i1-1r,c;g~i-11F1"'i aa-1Ee-1Lc4le~e~t,,.ri..ie-a1r:1ndl8-aPfl<oMW.u;e~rc....GCompMV:~a1r:1F11¥Yc,,.., ~s"Olli01Y()LCl)1J<001oouiei1R1-1-i 00F11t-.11lul,\<V'Cld1..-.

~, (N ame and Address of Owner) 2. Plant Surry Power Station, P.O. Box 315, Surry, VA 23883 (Name and Address of Plant) 3. Plant Unit ------4>-----------4. Owner Certificate of Authorization (if required) __ ---INHAt------

5. Commercial Service Date --t-2122--112-----
6. National Board Number for Unit ------#A-----------
7. Components Inspected Manufacturer Component or Manufacturer or Installer State or National Appurtenance or Installer Serial No. Province No. Board No. Reactor Vessel Rotterdam 137-1 VA58201 NA Class 1/2 Piping Southwest Fabricating Comany NA NA NA uass,:. C~nent Supports Southwest Fabricating Company NA NA NA Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8V2 in. x 11 in., (2) information in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/86) This form (E00029) may be obtained from the Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300.

FORM NIS-1 (Back) 8. Examination Dates 2 1 15 1 94 to 3/24/94 9. Inspection Interval_ from 10/14/93 to 10/14/03 10. Applicable Editions of Section XI -1 .... 9 ... 8~9---Addenda __ Nis,A,._ __ _ 11. Abstract of Examinations. Include a list of examinations and a statement concerning status of work required for current interval. see Attachment 1, Page 4 and Pages 14 and 15 12. Abstract of Conditions Noted. See Attachments 1, Page 4 13. Abstract of Corrective Measures Recommended and Taken. See Attachments 1, Page 4 We certify that the statements made in this report are correct and the examinations and corrective sures taken conform to the rules of the ASME Code, Section XI. Certificate of Authorization No. (if applicable) NA Expiration Date -PIA---------- Date ___ 19 ~Signed Virginia Elect. & Power Co.By~-zt,Jc:,,_~ Owner CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors an~}A:1§~a~e& Province of Virginia and employed by Hartford S.B. I. & I. Co. of _____________ have inspected the components described in this Owner's Report during the period 02115/94 to 03/24/94 , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the inspection plan and as required by the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. f M Commissions _VA_5_4_3 ___________________ _ Inspector's Signature National Board, State, Province, and Endorsements Date Y-Jl.Y-19~ * * *

    • *
  • Introduction Examination summary Virginia Electric and Power company Surry Power Station Unit 1 1994 Refueling outage 2nd Interval, 3rd Period and 3rd Interval, 1st Period Attachment I Page 3 of 29 Serial No.: 94-194 Docket No.: 50-280 This report covers inservice examinations and tests of Class 1 and Class 2 components, piping and component supports that were conducted at Surry Power Station Unit 1 from May 3, 1992 through March 24, 1994. For Interval 2, Period 3 the examinations were conducted to meet the requirements of ASME Section XI, 1980 Edition through the Winter 1980 Addenda. For Interval 3, Period 1 the examinations were conducted to meet the requirements of ASME Section XI, 1989 Edition, of the ASME Boiler and Pressure Vessel Code. Examination procedures were approved prior to the performance of the examinations.

Certification documents relative to personnel, equipment and materials were reviewed and determined to be satisfactory. Inspections, witnessing and surveillance of the examinations and related activities were conducted by personnel from the Hartford steam Boiler Inspection and Insurance Company, One State Street, Hartford, Connecticut 06102 (Mr. R.L. Coder), Surry station Quality Assurance Department and Surry technical staff. Limitations Some of the arrangements and details of the piping systems and components were designed and fabricated before the access and examination requirements of ASME Section XI of the 1980 Code could be applied. Consequently, some examinations are limited or not practical due to geometric configuration or accessibility. Generally these limitations exist at fitting to fitting joints, such as elbow to tee, elbow to valve, reducer to valve, and where integrally welded attachments, lugs and supports preclude access to some part of the examination area. These limitations sometimes preclude ultrasonic coupling or access for the required scan length . Page 1 of 2

  • Examinations Attachment I Page 4 of 29 Serial No.: 94*194 Docket No.: 50*280 Examinations were conducted to review as much of the examination zones as was practical within geometric, metallurgical and physical limitations.

When the required ultrasonic examination volume or area could not be examined 100%, the examination method was evaluated and alternate beam angles or methods were considered in an attempt to achieve the maximum examination volume. However, where 100% examination was not possible the examination was considered to be a partial and so noted on the examination report. Where the reduction in coverage was 10% or greater, per Code Case N-460, a subsequent relief request has been provided by separate correspondence. Results Examinations of components, piping and component supports resulted in no items being reported on the basis of procedure reporting criteria. Analytical Evaluation Analytical evaluation(s) of examination results (Volumetric and/or Surface examinations):

  • None required or performed.
  • Evaluation Analyses Evaluation analyses of examination results (Visual Examinations):

None required or performed. Statement of Interval Status Virginia Electric and Power Company has completed one-hundred (100) percent of the second interval examinations and is on schedule with its examination requirements for interval three . Page 2 of 2

  • Drawing Niiii>er 11448-WMKS-0100A2Z 11448-WMKS-0100A2Z 11448-WMKS-0100A2Z 11448-WMKS-0100A2Z 11448-WMKS-0100A2Z 11448-WMKS-0100A2Z 11448-WMKS*0100A4Z 11448-WMKS-0100A4Z 11448-WMKS-0100A4Z 11448-WMKS-0100A4Z 11448-WMKS-0100A4Z 11448-WMKS-0100A4Z
  • 8-YMKS-0100A4Z 11448*WMKS-0100A4Z 11448*WMKS-0100A4Z 11448*WMKS-0100A4Z 11448*WMKS-0100A4Z 11448-WMKS-0100A4Z 11448-WMKS-0100A4Z 11448*WMKS-0100A6Z 11448-WMKS-0100A6Z 11448-WMKS-0100A6Z 11448-WMKS-0100A6Z 11448-WMKS-0100A6Z 11448-WMKS-0100A7Z 11448-WMKS-0100AZ-1 11448-WMKS-0100AZ-1 11448-WMKS-0100AZ-1 11448-WMKS-0100AZ-1

~8-WMKS*0100AZ-1 Nark No-1-01BC 1-02 1-03 1-04 1-05 1-06 1-07 1-08 1-11 1-12 1

  • 13 1-14 1-15 1-16 1-19 1-20 1-21 1-RC-H001 1-RC-H003 1-02 1-03 1-04 1-05 1-RC-H001 1-CH-H-019 1-06DM 1-07 1-17DM 1-20 1-21 Abstract of Examinations Performed IWB, IWC & IWF Line No. Interval 2"-CH-5-1502 2"-CH-5-1502 2 11-CH-5-1502 2"*CH-5-1502 2"-CH-5-1502 2"-CH-5-1502 2 11-RC-53-1502 2 11-RC-53-1502 2"-RC-53-1502 2 11-RC-53-1502 2"-RC-53-1502 2"-RC-53-1502 2 11-RC-53-1502 2 11-RC-53-1502 2 11-RC-55-1502 2"-RC-55-1502 2 11-RC-55-1502 2"-RC-53-1502 2 11-RC-55-1502 2 11-RC-198-1502 2 11-RC-198-1502 2"-RC-198-1502 2 11-RC-198-1502 2 11-RC-198-1502 2 11-CH-8*1503 31 11-RC*2-2501R 31 11-RC*2-2501R 272 11-RC*3-2501R 31 11-RC*2-2501R 31 11-RC*2-2501R Sect XI Sect XI Sect XI Class category Item No. 2 Examinations 1A B-J B9.32 1A B-J B9.21 1A B-J B9.21 1A B-J B9.21 1A B-J B9.21 1A B*J B9.21 1A B-J B9.40 1A B-J B9.40 1A B-J B9.40 1A B-J B9.40 1A B*J B9.40 1A B-J B9.40 1A B-J B9.40 1A B-J B9.40 1A B-J B9.40 1A B-J B9.40 1A B-J B9.40 1A F*C FC1234 1A F-C FC1234 1A B-J B9.40 1A B-J B9.40 1A B-J B9.40 1A B-J B9.40 1A F-C FC1234 1A F-C FC1234 1A B-F B5.30 1A B-J B9.11 1A B*F B5.10 1A B-J B9.12 1A B-J B9.12 Page 1 of 11 Exam. Method PT PT PT PT PT PT PT PT PT PT PT PT PT PT PT PT PT VT-3 VT-3 PT PT PT PT VT-3 VT-3 UT/PT UT/PT UT Auto UT & PT UT & PT Attachment I Page 5 of 29 Serial No.: 94-194 Docket No.: 50*280 Exam. Date 02/04/94 02/04/94 02/03/94 02/03/94 02/03/94 02/03/94 02/03/94 02/03/94 02/03/94 02/03/94 02/03/94 02/03/94 02/03/94 02/03/94 02/04/94 02/03/94 02/03/94 02/10/94 02/10/94 02/04/94 02/03/94 02/03/94 02/03/94 02/10/94 02/18/94 Remarks 02/05/94 Note 2 02/05/94 02/17/94 01/30/94 01/30/94 Attachment I Page 6 of 29 Serial No.: 94-194 Docket No.: 50-280 Abstract of Examinations Performed
  • IWB, IWC & IWF Drawi~ Nark Line Sect XI Sect XI Sect XI Exam. Exam. Nllli>er No. No. Class category Item No. Method Date Remarks 11448-WMKS-0100D1 1-SHP-H073 30 11-SHP-1-601 2A F-A FA123 VT-3 02/14/94 11448-WMKS-0100D1 1-SHP-HSS-007 30 11-SHP-1-601 2A TS3.2 TS4.17 VT-3 02/15/94 11448-WMKS-0100D1 1-SHP-HSS-008 30 11-SHP-1-601 2A TS3.2 TS4.17 VT-3 02/15/94 11448-WMKS-0100G1 1-WFPD-H076 14 11-WFPD-17-601 2A F-A FA123 VT-3 02/14/94 11448-WMKS-0100G1 1-WFPD-HSS-003 14 11-WFPD-17-601 2A TS3.2 TS4.17 VT-3 02/15/94 11448-WMKS-0100G1 1-WFPD-HSS-008 14 11-WFPD-17-601 2A TS3.2 TS4.17 VT-3 02/15/94 11448-WMKS-0101A3Z 1-CH-H001 2 11-CH-9-1502 1A F-C FC1234 VT-3 02/14/94 11448-WMKS-0101AZ-1 1-12 27'/:z"-RC-6-2501R 1A 8-J 89.11 UT/PT 03/01/94 Note 1 11448-WMKS-0101AZ-1 1-15 27'/:z 11-RC-6-2501R 1A 8-J 89.11 UT/PT 02/10/94 11448-WMKS-0101AZ-1 1-17DM 27'/:z 11-RC-6-2501R 1A 8-F 85.10 UT Auto 02/17/94 11448-WMKS-0101D1 1-SHP-H074 30 11-SHP-2-601 2A F-A FA123 VT-3 02/14/94 11448-WMKS-0101D1 1-SHP-HSS-013A 30 11-SHP-2-601 2A TS3.2 TS4.17 VT-3 02/15/94 11448-WMKS-0101D1 H003-1 30 11-SHP-2-601 2A c-c C3.40 Surface 02/19/94
  • 11448-WMKS-0101D1 H003-2 30 11-SHP-2-601 2A c-c C3.40 Surface 02/19/94 ~-WMKS-0102A3Z 1-CH-H001 2"-CH-10-1503 1A F-C FC1234 VT-3 02/10/94 11448-WMKS-0102AZ-1 1-17DM 27'/:z"-RC-9-2501R 1A 8-F 85.10 UT Auto 02/17/94 11448-WMKS-0102AZ-1 1-18 31 11-RC-8-2501R 1A 8-J 89.12 UT/PT 02/04/94 11448-WMKS-0102AZ-1 1-19 31 11-RC-8-2501R 1A 8-J 89.12 UT/PT 02/04/94 Note 1 11448-WMKS-0102AZ-1
  • 1-20 31 11-RC-8-2501R 1A 8-J 89.12 UT/PT 02/04/94 11448-WMKS-0102AZ-1 1-20 31 11-RC-8-2501R 1A 8-J 89.12 UT/PT 02/04/94 11448-WMKS-0102AZ-1 1-21 31"-RC-8-2501R 1A 8-J 89.12 UT/PT 02/04/94 11448-WMKS-0102AZ-1 1-21 31"-RC-8-2501R 1A 8-J 89.12 UT/PT 02/04/94 11448-WMKS-0102D1 H002-1 30"-SHP-3-601 2A c-c C3.40 Surface 02/17/94 11448-WMKS-0103A2-2 1-SHP-H086 6 11-SHP-46-601 2A F-8 F8123 VT-3 12/30/93 11448-WMKS-0103A2-2 4-28 30 11-SHP-2-601 2A. C-F CS.21 UT 02/16/94 11448-WMKS-0103A2-3 H001-1 30 11-SHP-24-601 2A c-c C3.40 Surface 01/31/94 11448-WMKS-0103A2-3 H001-2 30"-SHP-24-601 2A c-c C3.40 Surface 01/31/94 11448-WMKS-0117A1-1 1-018C 14 11-RH-1-1502 1A 8-J 89.31 UT/PT 02/09/94 Note 2 11448-WMKS-0117A1-1 1-RH-H-001 14 11-RH-2-1502 2A F-C FC123 VT-3 03/21/92 PSI 11448-WMKS-0117A1-1 1-RH-H-002 14 11-RH-2-1502 2A F-C FC123 VT-3 03/21/92 PSI 11448-WMKS-0117A1-1 1-RH-H-003 14 11-RH-18-602 2A F-C FC123 VT-3 03/28/92 PSI ~-WMKS-0117A1-1 1-RH-H-004 14 11-RH-18-602 2A F-C FC123 VT-3 03/28/92 PSI Page 2 of 11

~ Attachment I Page 7 of 29 Serial No.: 94-194 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC & IWF

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

~----------------Attachment I Page 8 of 29 Serial No.: 94-194 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC ' IWF

  • Drawing Nark Line Sect XI Sect XI Sect XI Exam. Exam. Nllli>er No. No. Class category Item No. Method Date Remarks 11448*1JMKS*0125A1*1 H018*1 4 11-RC-14*1502 1A B-K-1 B10.10 Surface 02/22/94 11448-IJMKS-0125A1*1 H018*2 4 11-RC-14-1502 1A B*K-1 B10.10 Surface 02/22/94 11448*WMKS*0125A1*1 H018*3 4 11-RC-14-1502 1A B*K-1 B10.10 Surface 02/22/94 11448*WMKS*0125A1*1 H018*4 4 11-RC-14-1502 1A B-K-1 B10.10 Surface 02/22/94 11448*WMKS-0127F1 0-01 10 11-SI-6-153 2A C*F CS.11 PT 01/26/94 11448-WMKS-0127F1 0-02 10 11-Sl-6-153 2A C*F CS.11 PT 01/26/94 11448-IJMKS*0127F1 0-08 10 11-SI-6*153 2A C*F CS.11 PT 01/26/94 11448-IJMKS-0127F1 0-10 10 11-SI-6*153 2A C*F CS.11 PT 01/26/94 11448-IJMKS-0127F1 1-Sl*H002 10 11-SI *6-153 2A F*A FA123 VT-3 01/13/94 11448-WMKS-0127F1 1*Sl*H003 10 11-SI-6-153 2A F*A FA123 VT-3 01/13/94 11448-WMKS-0127F1 1-Sl*HOOS 10 11-SI-6-153 2A F*B FB123 VT-3 01/13/94 11448-WMKS-0127G1*1 1*Sl*H002 8 11-SI-92-153 2A F*A FA123 VT-3 01/12/94 11448*\JMKS*0127G1*1 1*SI*H006 8 11-SI-92-153 2A F*A FA123 VT-3 01/12/94 11448*WMKS*0127G1-2 0*09L 8 11-CH-17-152 2A C*F CS.12 UT/PT 02/27/94 *8*WMKS-0127G1*2 1-BEF 8 11-CH-17-152 2A C*F CS.11 PT 02/21/94 11448-WMKS-0127G1*2 1-BHF 8 11-CH-17-152 2A C*F CS.11 UT/PT 02/27/94 11448-WMKS*0127G1-2 1-BLS 8 11-CH-17-152 2A C*F CS.11 UT/PT 02/27/94 11448*1JMKS-0127G1*2 1-BX 6 11-CH-18-152 2A C-F CS.11 UT/PT 02/27/94 11448*WMKS*0127G2 1sAGF 10"-Sl-6-153 2A C*F CS.11 PT 02/02/94 11448-WMKS-0127G2 1-AJF 10"-Sl-6-153 2A C*F C5.11 PT 02/15/94 11448-WMKS*0127G2 1-AKF 10 11-SI-6-153 2A C*F C5.11 PT 02/09/94 11448*1JMKS-0127G2 1-AMF 10 11-SI-6-153 2A C*F C5.11 PT 02/14/94 11448*\JMKS*0127G2 1-AVF 8 11-SJ-102-152 2A C*F C5.11 PT 02/14/94 11448-IJMKS*0127G2 1-AWF 8"-SI-102-152 2A C*F C5.11 PT 02/14/94 11448-IJMKS*0127G2 1-AYF 8 11-SI
  • 7-152 2A C*F C5.11 PT 02/14/94 11448*1JMKS*0127G2 1-BAF 8 11-SI-7-152 2A C*F CS.11 PT 02/01/94 11448-IJMKS*0127G2 1-BJF 8 11-SJ-102-152 2A C*F C5.11 PT 02/14/94 11448-WMKS*0127G2.

1-BSF 8 11-SI-170-153 2A C*F C5.11 PT 02/01/94 11448*\JMKS*0127G2 1-BUF 8 11-SI-171*153 2A C*F C5.11 PT 02/01/94 11448*1JMKS-0127G2 1-BWF 8 11-SJ-171-153 2A C*F C5.11 PT 02/01/94 11448*WMKS*0127G2 1-CEF 8"-SI-170-153 2A C-F CS.11 PT 02/09/94 ~-IJMKS-0127G2 1-CFF 8 11-SI-170-153 2A C*F CS.11 PT 02/02/94 Page 4 of 11 L_____ ______ -------

~-----Attachment I Page 9 of 29 Serial No.: 94*194 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC & IWF

  • Drawing Nark Line Sect XI Sect XI Sect XI Exam-Exam. Nud>er No. No. Class category Item No. Method Date Remarks 11448-WMKS-0127G2 1-CJF 8 11-SI-170-153 2A C-F C5.11 PT 02/01/94 11448-WMKS-0127G2 1-CLF 8 11-SI-170-153 2A C-F C5.11 PT 02/01/94 11448-WMKS-0127G2 1*Sl*H028 8 11-SI-170-153 2A F-A FA123 VT-3 01/12/94 11448-WMKS-0127G2 1*SI-H029 8"*Sl*170*153 2A F-C FC1234 VT-3 01/12/94 11448-WMKS*0127G2 1*SI-H030 8 11-Sl-170-153 2A F-A FA123 VT-3 01/12/94 11448-WMKS*0127G2 1-SI*H031 8 11-Sl-170-153 2A F-C FC1234 VT-3 01/12/94 11448*WMKS-0127G2 1-SI-H034 8 11-SI-102-152 2A F-C FC1234 VT-3 01/12/94 11448-WMKS*0127G2 1*Sl*H035 8 11-Sl-102-152 2A F-A FA123 VT-3 01/12/94 11448*WMKS*0127G2 1-SI-H036 10"-Sl-6-153 2A F-B FB123 VT-3 01/12/94 11448-WMKS-0127G2 1*Sl*H037 10 11-Sl-6-153 2A F-A FA123 VT-3 01/12/94 11448*WMKS*0127G2 1-SI-H038 10"-Sl-6-153 2A F-B FB123 VT-3 01/12/94 11448-WMKS*0127G2 1*SI-H039 10 11-Sl-6-153 2A F-A FA123 VT-3 01/12/94 11448-WMKS-0127G2 1*Sl*H040 10 11-Sl-6*153 2A F-B FB123 VT-3 01/12/94 11448*WMKS*0127G2 1*Sl*H041 10"-Sl-6-153 2A F-A FA123 VT-3 01/12/94 *8-WMKS*0127G2 1*Sl*H042 10"-Sl-6-153 2A F-A FA123 VT-3 01/12/94 11448*WMKS-0127G2 1-YF 8 11-CH-204-152 2A C-F C5.11 UT/PT 02/27/94 11448*WMKS*0127G2 53 8 11-Sl-170-153 2A C-F C5.11 PT 02/09/94 11448*WMKS-0127G2 xx 10"-SI-6-153 2A C-F C5.11 PT 02/02/94 11448-WMKS*0127J1 1-08 2"-Sl-74-1502 1A B-J B9.21 PT 02/03/94 11448-WMKS*0127J1 1-09 2"-Sl-74-1502 1A B-J B9.40 PT 02/03/94 11448*WMKS-0127J1 1*SI-H004 6 11-Sl-145-1502 2A F-B FB123 VT-3 02/10/94 11448-WMKS-0127J2 1-03 6 11-RC-19-1502 1A B-J B9.11 UT/PT 02/10/94 11448*WMKS-1101A3 0-02 12"-CS-1-153 2A C-F C5.11 UT/PT 02/19/94 11448-WMKS*1101A3 0-07 12 11-CS-2-153 2A C-F C5.11 UT/PT 02/19/94 11448*WMKS*1101A6 0-01 16"-SI-5-153 2A C-F C5.11 PT 02/21/94 11448*WMKS-1101A6 0-02 16"-Sl-5-153 2A C-F C5.11 PT 02/19/94 11448-WMKS-1101A6 0-03 16"-Sl-5-153 2A C-F C5.11 PT 02/19/94 11448*WMKS*1103A1Z 1-14 2"-RC-45-1502 1A B-J B9.40 PT 02/03/94 11448*WMKS-1103A1Z 1-15 2 11-RC-45-1502 1A B-J B9.40 PT 02/03/94 11448-WMKS*1103A1Z 1-16 2 11-RC-45-1502 1A B-J B9.40 PT 02/04/94 11448-WMKS*1103A1Z 1*17BC 2"-RC-45-1502 1A B-J B9.32 PT 02/04/94 ~-WMKS-1103A3 1-02 8 11-RC-12-2501R 1A B-J B9.11 UT/PT 02/24/94 Page 5 of 11 Attachment I Page 10 of 29 Serial No.: 94-194 Docket No.: 50-280 Abstract of Examinations Performed
  • IWB, IWC & IWF Drawing Nark Line Sect XI Sect XI Sect XI Exam-Exam. Nuit>er No. No. Class category Item No. Method Date Remarks 11448-WMKS-1103A3 1-03 8 11-RC-12-2501R 1A 8-J 89.11 UT/PT 02/24/94 11448-WMKS-1103A3Z 1-12 2 11-RC-46-1502 1A 8-J 89.40 PT 02/09/94 11448-WMKS-1103A3Z 1-13 2 11-RC-46-1502 1A 8-J 89.40 PT 02/09/94 11448-WMKS-1103A3Z 1-RC-45 2 11-RC-46-1502 1A 8-G-2 87.70 VT-1 02/09/94 11448-WMKS-1103A3Z FE-1481 2 11-RC-46-1502 1A 8-G-2 87.50 VT-1 02/09/94 Note 5 11448-WMKS-1105C4 1-018C 3 11-CH-1-1502 1A 8-J 89.32 PT 02/09/94 11448-WMKS*1105C4 1-09 3 11-CH-1-1502 1A 8-J 89.21 PT 02/09/94 11448-WMKS-1105C4 1-10 3 11-CH-1-1502 1A 8-J 89.21 -PT 02/09/94 11448-WMKS-1106A6 0-03 12"-SI-5-153 2A C-F C5.11 PT 02/08/94 11448-WMKS-1106A6 0-04 12"-SI-5-153 2A C-F C5.11 PT 02/08/94 11448-WMKS-1106A6 1-S1-H001 12"-SI-5-153 2A F-8 F8123 VT-3 01/13/94 11448-WMKS-1106A7 1-18 12"-SI-2-153 2A C-F C5.11 PT 02/02/94 11448-WMKS-1106A7 1-S1-H001 12"-SI-5-153 2A F-A FA123 VT-3 01/13/94 11448-WMKS-1106A7 1-S1-H015 12"-SI-5-153 2A F-A FA123 VT-3 01/13/94 ea-WMKS-1106A7 2-17 12"-SI-5-153 2A C-F C5.11 PT 01/25/94 11448-WMKS-1106A7 2-18 12"-SI-5-153 2A C-F C5.11 PT 01/25/94 11448-WMKS-1106A7 2-19 12 11-SI-5-153 2A C-F C5.11 PT 01/25/94 11448*WMKS-1106A7 3-03 12"-SI-107-153 2A C-F C5.11 PT 01/25/94 11448-WMKS-CH-FL*4A 1-01 1-CH-FL-4A 2A C-A C1.20 UT 08/31/92 Note 2 11448-WMKS*CH*FL*4B 1-02 1-CH-FL-4B 2A C-A C1 .10 UT 08/31/92 23 11 -0 11 11448-WMKS-RC-E-002 1-07 1-RC-E-2 1A 8-8 B2.11 UT 02/27/94 Note 4, 360° 11448-WMKS-RC*E-002 1-15 1-RC-E-2 1A B-8 82.12 UT 03/16/94 Note 3 11448-WMKS-RC*E-002 1*RC*18NIR 1-RC-E-2 1A B-D 83.120 VT-1 02/10/94 SR-007 11448-WMKS*RC-E-002 1-RC-19NIR 1-RC-E-2 1A 8-D 83.120 VT-1 02/10/94 SR-007 11448-WMKS-RC-E-002 1*RC*20NIR 1-RC-E-2 1A 8-D 83.120 VT-1 02/10/94 SR*007 11448-WMKS-RC-E-002 H001-1 1-RC-E-2 1A 8-H B8.20 MT 02/11/94 11448-WMKS-RC-E-002 H001-2 1-RC*E-2 1A B-H 88.20 MT 02/11/94 11448-WMKS-RC-E-002 H001-3 1-RC-E-2 1A 8-H 88.20 MT 02/11/94 11448-WMKS-RC-E-002 H001*4 1-RC*E-2 1A 8-H B8.20 MT 02/11/94 11448-WMKS-RC-E-002 Heater Elements 1-RC-E-2 1A 8-E 84.20 VT-2 03/24/94 11448-WMKS-RC-E-002 Instrument Nozzle 1-RC-E-2 1A 8-E 84.13 VT-2 03/24/94
  • Page 6 of 11 Attachment I Page 11 of 29 Serial No.: 94-194 Docket No.: 50-280 Abstract of Examinations Performed
  • IWB, IWC & IWF Drawing Nark Line Sect XI Sect XI Sect XI Exam-Exam-Nllli>er No-No-Class category Item No-Method Date Remarks 11448-WMKS-RC-E-002 Lower Saq,le Nozzles 1-RC-E-2 1A 8-E 84.11 VT-2 . 03/24/94 11448-WMKS-RC-E-1A.1 2-02 1-RC-E-1A 2A C-A C1.30 UT 02/01/94 Note 1 11448-WMKS-RC-E-1A.1 2-03 1-RC-E-1A 2A C-A C1.10 UT 02/01/94 284 11 -424.2 11 11448-WMKS-RC-E-1A.1 2-05 1-RC-E-1A 2A C-A C1 .10 UT 02/20/94 284 11 -424.2 11 11448-WMKS-RC-E-1A.1 2-06 1-RC-E-1A 2A C-A C1.10 UT 02/20/94 370 11 -552.2 11 11448-WMKS-RC-E-1A.1 2-06 1-RC-E-1A 2A C-A C1 .10 UT 02/23/94 Note 5 11448-WMKS-RC-E-1A.1 2-08 1-RC-E-1A 2A C-A C1.20 UT 02/18/94 370 11 -552.2 11 11448-WMKS-RC-E-1A.2 1-RC-HSS-138 1-RC-E-1A 2A TS3.2 TS4.17 VT-3 02/22/94 11448-WMKS-RC-E-1A.2 1-RC-HSS-140 1-RC-E-1A 2A TS3.2 r"s4.17 VT-3 02/22/94 11448-WMKS-RC-E-1A.2 2-09 1-RC-E-1A 2A C-8 C2.21 UT/MT 02/20/94 Note 1, 360° 11448-WMKS-RC-E-1A.2 2-10 1-RC-E-1A 2A C-8 C2.21 UT/MT 02/18/94 360° 11448-WMKS-RC-E-18.1 2-06 1-RC-E-18 2A C-A C1.10 UT 02/25/94 Note 5 11448-WMKS-RC-E-18.2 1-RC-HSS-142 1-RC-E-18 2A TS3.2 TS4.17 VT-3 02/15/94 ~8-WMKS-RC-E-18.2 1-RC-HSS-144 1-RC-E-18 2A TS3.2 TS4.17 VT-3 02/15/94 8-WMKS-RC-E-1C.2 1-RC-2-03CNIR 1-RC-E-1C 2A C-8 C2.22 VT-2 03/24/94 SR-007 11448-WMKS-RC-E-1C.2 1-RC-HSS-146 1-RC-E-1C 2A TS3.2 TS4.17 VT-3 02/15/94 11448-WMKS-RC-E-1C.2 1-RC-HSS-148 1-RC-E-1C 2A TS3.2 TS4.17 VT-3 02/15/94 11448-WMKS-RC-MOV1590 1-RC-MOV-1590 1-RC-MOV-1590 1A 8-M-2 812.40 VT-3 02/24/94 Note 6 11448-WMKS-RC-MOV1590 FLANGE 1-RC-MOV-1590 1A 8-G-1 86.220 VT-1 02/24/94 Note 6 11448-WMKS-RC-MOV1592 NUTS 1-26 1-RC-MOV-1592 1A 8-G-1 86.230 VT-1 02/07/94 11448-WMKS-RC-MOV1592 STUD 1-26 1-RC-MOV-1592 1A 8-G-1 86.210 UT 02/07/94 11448-WMKS-RC-MOV1593 NUTS 1-26 1-RC-MOV-1593 1A 8-G-1 86.230 VT-1 02/07/94 11448-WMKS-RC-MOV1593 STUD 1-26 1-RC-MOV-1593 1A 8-G-1 86.210 UT 02/07/94 11448-WMKS-RC-P-1A.1 1-01 1-RC-P-1A 1A 8-L-1 812.10 Visual 02/05/94 Note 7 11448-WMKS-RC-R-1.1 01-RC-1-CSS 1-RC-R-1 1A 8-N-3 813.30 VT-3 02/21/94 11448-WMKS-RC-R-1.1 01-RC-R-1-IA08R 1-RC-R-1 1A 8-N-3 813.30 VT-3 02/21/94 11448-WMKS-RC-R-1.1 01-RC-R-1-IAWBR 1-RC-R-1 1A 8-N-3 813.30 VT-3 02/21/94 11448-WMKS-RC-R-1.1 1-01 1-RC-R-1 1A 8-A 81.30 UT Auto 03/06/94 180° 11448-WMKS-RC-R-1.1 1-02 1-RC-R-1 1A 8-A B1.11 UT Auto 02/15/94 11448-WMKS-RC-R-1.1 1-03 1-RC-R-1 1A 8-A B1.11 UT Auto 02/15/94 Note 8 ~8-WMKS-RC-R-1.1 1-04 1-RC-R-1 1A B-A B1.11 UT Auto 02/20/94 Note 8 Page 7 of 11

---Attachment I Page 12 of 29 Serial No.: 94*194 Docket No.: 50-280 Abstract of Examinations Performed

  • IWB, IWC ' IWF Drawing Nark Line Sect XI Sect XI Sect XI Exam. Exam. NudJer No. No. Class category Item No. Method Date Remarks 11448-WMKS-RC-R-1.1 1-05 1-RC-R-1 1A 8-A 81.21 UT Auto 02/20/94 11448-WMKS-RC-R-1.1 1-06 . 1-RC-R-1 1A 8-A 81.12 UT Auto 02/15/94 Note 8 11448*WMKS-RC-R-1.1 1-07 1-RC-R-1 1A 8-A 81.12 UT Auto 02/15/94 11448-WMKS-RC-R-1.1 1-08 1-RC-R-1 1A 8-A 81.12 UT Auto 02/16/94 Note 8 11448-WMKS-RC-R*1.1 1-09 1-RC-R-1 1A 8-A 81.12 UT Auto 02/15/94 Note 8 11448-WMKS-RC-R*1.1 1*RC*11NIR 1-RC*R-1 1A 8-D B3.100 UT Auto 02/19/94 11448-WMKS*RC*R-1.1 1*RC*13NIR 1 *RC*R-1 1A B*D B3.100 UT Auto 02/19/94 11448-WMKS*RC*R-1.1 1*RC*15NIR 1-RC*R-1 1A B*D B3.100 UT Auto 02/19/94 11448-WMKS*RC*R-1.1 1-RC*PAD-1 1-RC*R-1 1A F*A FA123 VT-3 03/07/94 11448-WMKS*RC*R-1.1 1-RC*PAD-2 1-RC*R-1 1A F*A FA123 VT-3 01/28/94 11448-WMKS*RC*R-1.1 1-RC*PAD-3 1-RC*R-1 1A F*A FA123 VT-3 03/07/94 11448-WMKS*RC-R-1.1 1-RC*PAD-4 1-RC*R-1 1A F*A FA123 VT-3 03/07/94 11448-WMKS*RC*R-1.1 1*RC*PAD*5 1-RC*R-1 1A F*A FA123 VT-3 03/07/94 11448-WMKS*RC*R-1.1 1-RC*PAD-6 1-RC*R-1 1A F*A FA123 VT-3 03/07/94 *8-WMKS*RC*R-1.1 2-11 1-RC*R-1 1A B-D B3.90 UT Auto 02/19/94 11448-WMKS*RC-R-1.1 2-13 1-RC*R-1 1A B*D B3.90 UT Auto 02/19/94 11448-WMKS*RC*R-1.1 2-15 1-RC*R-1 1A B*D B3.90 UT Auto 02/19/94 ' 11448-WMKS*RC*R-1.1 RV Instrument Nozzle 1-RC*R-1 1A B-E B4.13 VT-2 03/24/94 11448-WMKS*RC*R-1.2 CRD-58 1-RC*R-1 1A B*O B14.10 PT 02/15/94 11448-WMKS*RC*R-1.2 CRD-62 1-RC*R-1 1A B*O B14.10 PT 02/15/94 11448-WMKS*RC*R-1.2 CRD-69 1-RC*R-1 1A B*O B14.10 PT 02/15/94 11448-WMKS*RC*R-1.2 CROM Nozzles 1-RC*R-1 1A B*E B4.12 VT-2 03/24/94 11448-WMKS*RC*R-1.2 Vessel Vent 1-RC*R-1 1A B*E B4.11 VT-2 03/24/94 11448-WMKS*RC*R-1.3 TIF-03 1-RC*R-1 1A B*G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TI F-04 1-RC*R-1 1A B*G-1 B6.40 UT
  • 03/06/94 11448-WMKS*RC*R-1.3 TIF-05 1-RC*R-1 1A B*G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-06 1-RC*R-1 1A B*G-1 B6.40 UT 03/06/94 11448-WMKS-RC*R-1.3 TIF-07 1-RC*R-1 1A B*G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-12 1-RC-R-1 1A B*G-1 B6.40 UT 03/06/94 11448-WMKS*RC*R-1.3 TIF-13 1-RC*R-1 1A B*G-1 B6.40 UT 03/06/94 ~8-WMKS*RC*R-1.3 TIF-14 1-RC*R-1 1A B*G-1 B6.40 UT 03/06/94 Page 8 of 11 Attachment I Page 13 of 29 Serial No.: 94-194 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC & IWF
  • Drawing Mark Line Sect XI Sect XI Sect XI Exam-EXIIII-Nlllber No_ No. Class category Item No. Method Date Remarks 11448-WMKS-RC-R-1.3 TIF-15 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-16 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-17 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-18 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-19 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TI F-20 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TI F-21 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-22 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-IJMKS-RC-R-1.3 TIF-23 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-33 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-34 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TI F-35 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-IJMKS-RC-R-1.3 TIF-36 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-37 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 *8-WMKS-RC-R-1.3 TIF-38 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-IJMKS-RC-R-1.3 TIF-39 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-IJMKS-RC-R-1.3 TI F-52 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-IJMKS-RC-R-1.3 TIF-53 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-54 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-IJMKS-RC-R-1.3 TIF-55 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-IJMKS-RC-R-1.3 TIF-56 1-RC-R-1 1A B-G-1 B6.40 UT 03/06/94 11448-WMKS-RH-E-1A H002-1 1-RH-E-1A 2A c-c C3.10 Surface 02/15/94 11448-WMKS-RS-P-2A 2-05 1-RS-P-2A 2C C-G C6.10 Surface 02/04/94 11448-WMKS-SI-P-1A 2-05 1-SI-P-1A 2A C-G C6.10 surface 01/27/94 Interval 3 Examinations 11448-WMKS-0100AZ-1 1-01DM 29 11-RC-1-2501R 1A B-F B5.10 UT Auto 02/18/94 11448-IJMKS-0101AZ-1 1-01DM 29 11-RC-4-2501R 1A B-F B5.10 UT Auto 02/16/94 11448-IJMKS-0102AZ-1 1-01DM 29 11-RC-7-2501R 1A B-F B5.10 UT Auto 02/17/94 11448-IJMKS-0102G1 1-WFPD-HSS-013 14 11-YFPD-9-601 2A TS3.2 TS4.17 VT-3 03/11/94 PSI 11448-IJMKS-0122A1 01-RH-MOV-1720A 10 11-RH-16-1502 1A B-M-2 B12.50 VT-3 02/24/94 11448-IJMKS-0122A1 01-RH-MOV-1720A 10"-RH-16-1502 1A B-G-2 B7.70 VT-1 02/24/94 PSI ~-IJMKS-0122A2 1-SI-145 12 11-Sl-47-1502 1A B-G-2 B7.70 VT-1 02/26/94 PSI Page 9 of 11

~~---*-----

Attachment I Page 14 of 29 Serial No.: 94-194 Docket No.: 50-280 Abstract of Examinations Performed IWB, IWC & IWF

  • Drawing Nark Line Sect XI Sect XI Sect XI Exam. Exam. Nllli>er No. No. Class Category Item No. Method Date Remarks 11448-WMKS-0122J1 1-Sl-240 6 11-RC-21-1502 1A 8-M-2 812.40 VT-3 02/16/94 PSI 11448-WMKS-0122J1 1-Sl-240 6 11-RC-21-1502 1A 8-G-2 87.70 VT-1 01/16/94 PSI 11448-WMKS-0122H1 2-07 6 11-Sl-49-1502 2A C-F-1 C5.11 UT/PT 02/18/94 11448-WMKS-0124A1-1 1-RC-H003 4"-RC-34-1502 1A F-C FC1234 VT-3 03/11/94 PSI 11448-WMKS-0124A1-1 1-RC-SV-1551A 6 11-RC-39-1502 1A 8-G-2 87.70 VT-1 01/27/94 PSI 11448-WMKS-0124A1-1 1-RC-SV-1551A 6 11-RC-39-1502 1A 8-M-2 B12.40 VT-3 03/01/94 PSI 11448-WMKS-0124A1-1 1-RC-SV-15518 6 11-RC-38-1502 1A 8-G-2 87.70 VT-1 01/27/94 PSI 11448-WMKS-0124A1-1 1-RC-SV-1551C 6 11-RC-37-1502 1A 8-G-2 87.70 VT-1 01/27/94 PSI 11448-WMKS-0124A1-1 1-RC-SV-1551C 6 11-RC-37-1502 1A 8-M-2 B12.40 VT-3 02/15/94 PSI 11448-WMKS-110585 2-AM 3"-CH-2-1503 2A C-F-1 C5.21 UT/PT 02/20/94 PSI 11448-WMKS-110585 2-AN 3 11-CH-2-1503 2A C-F-1 C5.21 UT/PT 02/20/94 PSI 11448-WMKS-110585 2-AV 3 11-CH-3-1503 2A C-F-1 C5.21 UT/PT 02/20/94 PSI 11448-WMKS-110585 2-AW 3 11-CH-3-1503 2A C-F-1 C5.21 UT/PT 02/20/94 PSI 11448-WMKS-110585 2-8E 2"-CH-20-1503 2A C-F-1 C5.30 PT 02/15/94 PSI es-WMKS-110585 2-DD 2"-CH-20-1503 2A C-F-1 C5.30 PT 02/15/94 PSI 11448-WMKS-110589 1-CH-H-009 3 11-CH-71-1503 2A F-A F1.20 VT-3 02/22/94 PSI 11448-WMKS-RC-E-002 MANWAY 1-RC-E-2 1A 8-G-2 87.20 VT-1 02/26/94 PSI 11448-WMKS-RC-P-1C.2 LSH8 1-RC-P-1C 1A 8-G-2 87.60 VT-1 02/04/94 PSI 11448-WMKS-RC-R-1.1 1-01 1-RC-R-1 1A B-A 81.30 UT Auto 03/06/94 180° 11448-WMKS-RC-R-1.1 1-RC-10NIR 1-RC-R-1 1A 8-D 83.100 UT Auto 02/19/94 11448-WMKS-RC-R-1.1 1-RC-12NIR 1-RC-R-1 1A B-D B3.100 UT Auto 02/19/94 11448-WMKS-RC-R-1.1 1-RC-14NIR 1-RC-R-1 1A B-D 83.100 UT Auto 02/19/94 11448-WMKS-RC-R-1.1 2-10 1-RC-R-1 1A B-D B3.90 UT Auto 02/19/94 11448-WMKS-RC-R-1.1 2-12 1-RC-R-1 1A B-D B3.90 UT Auto 02/19/94 11448-WMKS-RC-R-1.1 2-14 1-RC-R-1 1A 8-D 83.90 UT Auto 02/19/94 11448-WMKS-RC-R-1.3 TIF-01 1-RC-R-1 1A 8-G-1 86.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-02 1-RC-R-1 1A 8-G-1 86.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-08 1-RC-R-1 1A 8-G-1 86.40 UT 03/06/94 11448-WMKS-RC-R-1.3 Tl F-09 1-RC-R-1 1A 8-G-1 86.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-10 1-RC-R-1 1A 8-G-1 86.40 UT 03/06/94 11448-WMKS-RC-R-1.3 TIF-11 1-RC-R-1 1A 8-G-1 86.40 UT 03/06/94 ~-WMKS-RC-R-1.3 Tl F-24 1-RC-R-1 1A 8-G-1 86.40 UT 03/06/94 Page 10 of 11
  • Drawing Nllli>er 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3

.8~WMKS*RC*R*1.3 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3 11448-WMKS*RC*R-1.3 Note 1: Note 2: Note 3: Note 4: Note 5: Note 6: 1 7: 8: Nark No. TI F*25 TIF-26 TIF-27 TIF-28 TIF-29 TI F-30 TIF-31 TI F-32 TIF-40 TI F-41 TIF-42 TIF-43 TI F-44 TI F-45 TIF-46 TIF-47 TIF-48 TIF-49 TIF-50 TI F-51 TIF-57 TI F-58 Abstract of Examinations Performed IWB, IWC & IWF Line No. 1-RC*R-1 1-RC*R-1 1-RC*R-1 1-RC*R-1 1-RC*R-1 1-RC-R-1 1-RC*R-1 1-RC*R-1 1-RC-R-1 1-RC-R-1 1-RC*R-1 1-RC*R-1 1-RC*R-1 1-RC*R-1 1-RC*R-1 1-RC*R-1 1-RC*R-1 1-RC-R-1 1-RC*R-1 1-RC*R-1 1-RC-R-1 1-RC*R-1 Sect XI Sect XI Class category 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A 1A B-G-1 B-G-1 B-G-1 B-G-1 B-G-1 B-G-1 B-G-1 B-G-1 B-G-1 B-G-1 B-G-1 B-G-1 B-G-1 B-G-1 B-G-1 B-G-1 B-G-1 B-G-1 B-G-1 B*G-1 B-G-1 B-G-1 Sect XI Item No. B6.40 B6.40 B6.40 B6.40 B6.40 B6.40 B6.40 B6.40 B6.40 B6.40 B6.40 B6.40 B6.40 B6.40 B6.40 B6.40 B6.40 B6.40 B6.40 B6.40 B6.40 B6.40 Exam. Method UT UT UT UT UT UT UT UT UT UT UT UT UT UT UT UT UT UT UT UT UT . UT Attachment I Page 15 of 29 Serial No.: 94-194 Docket No.: 50-280 Exam. Date 03/06/94 03/06/94 03/06/94 03/06/94 03/06/94 03/06/94 03/06/94 03/06/94 03/06/94 03/06/94 03/06/94 03/06/94 03/06/94 03/06/94 03/06/94 03/06/94 03/06/94 03/06/94 03/06/94 03/06/94 03/06/94 03/06/94 Remarks Partial examination, (reduction in coverage is greater than 10% as allowed by Code Case N-460) relief request has been provided by separate correspondence. Relief request submitted previously. No examination could be performed at the Code required examination area of 0 11 -12 11* This is the second attempt to examine this area. However, the weld from 24 11 -36 11 was examined on 5-18-86. Relief Request SR-005 applies. Per Relief Request SR-005 the expected percent coverage of the weld for reflectors parallel to the weld was 66.7% and the actual coverage was 37.25% For reflectors transverse to the weld seam the expected coverage was 79% and the actual coverage was Br~. Credit not taken, reexamination of a previous indication. Valve internal inspection per 1989 Code, relief request SR-016. Reference Code Case N-481. Examination performed per CFR 10, 50.55a (g) (6) (ii) (2). Page 11 of 11 ~o 0,. co .-N I I ~o 0,. 0,. "' -N .... ........ I I COO 0 :!!-o zz .c..--..., U 111 GI 111 GI*-.),t ... a, .. u +' 111 GI 0 <a. enc Zone 1-SPM-64A-1-1 , 1-SPM-64A-2-1 '1-SPM-64A-3-1 1-SPM-68A-1-4 1-SPM-68A-1-1 1-SPM-68A-1-2 1-SPM-68A-1-3 1-SPM-79D-1-1 1-SPM-79D-1-2 1-SPM-79D-1-3

1-SPM-79D-1-4 1-SPM-82A-1-1 1-SPM-82A-1-2 1-SPM-82A-1-3 1-SPM-82A-1-5 1-SPM-82A-1-6 1-SPM-828-2-5 1-SPM-828-2-6 1-SPM-83A-1-2 1-SPM-83A-2-1
  • Abstract of Examinations Performed system Pressure Test Program Sect XI Test Description Class Type IIA 11 MAIN S/G SECONDARY SIDE 2 INSERVICE/N498 11 8 11 MAIN S/G SECONDARY SIDE 2 INSERVICE/N498 11 C 11 MAIN S/G SECONDARY SIDE 2 INSERVICE/N498 AUX. FEEDWATER HEADERS 2 FUNCTIONAL/N498 S/G 11 A 11 FEEDWATER 2 INSERVICE/498 S/G 11 8 11 FEEDWATER 2 INSERVICE/N498 S/G 11 cn FEEDWATER 2 INSERVICE/N498 "A 11 BORIC ACID TRANSFER PUMP 2 INSERVICE/N498 11911 BORIC ACID TRANSFER PUMP 2 INSERVICE/N498 11 C 11 BORIC ACID TRANSFER PUMP 2 INSERVICE/N498 11 D 11 BORIC ACID TRANSFER PUMP 2 INSERVICE/N498 VCT & LETDOWN HEADER 2 INSERVICE/N498 CHARGING PUMP SAMPLING LINES 2 INSERVICE/N498 VCT & LETDOWN HEADER 2 INSERVICE/N498 LETDOWN SAMPLE UNIT 1 2 INSERVICE/N498 LETDOWN SAMPLE UNIT 2 2 INSERVICE/N498 RHR SAMPLE 2 FUNCTIONAL/N498 PRESSURIZER RELIEF TANK SAMPLE 2 FUNCTIONAL/N498 PRIMARY DRAIN TRANSFER TANK PUMP DISCHARGE 2 FUNCTIONAL/N498 POST ACCIDENT SAMPLE RETURN 2 FUNCTIONAL/N498 Page 1 of 6
  • Date Remarks 01/22/94 p 01/22/94 p 01/22/94 p 03/15/94 p 01/22/94 F 01/22/94 F 01/22/94 F 12/19/93 F 12/18/93 F 12/18/93 F 12/18/93 F 12/14/92 F 01/22/94 F 12/14/92 F 12/29/93 F 02/08/94 F 01/25/94 F 01/30/94 F 02/23/94 F 01/29/94 F *

.-N ' ' ..,tO 0. 0. in -N ..., ....

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

& 1B DISCHARGE TO RWST 2 FUNCTIONAL/FLOW/N498 03/10/94 F 1*SPM*84A*2*3 1*CS*P*1A & 1B DISCHARGE TO RWST 2 FUNCTIONAL/FLOW/N498 03/10/94 F 1*SPM*84A*2*6 CONTAINMENT SPRAY RINGS 2 FLOW 02/07/94 F 1 *SPM*84A*2*8 CONTAINMENT SPRAY PUMP SUCTION PIPING 2 INSERVICE/BURIED/N498 03/18/94 F 1*SPM*84A*3*1 CONTAINMENT SPRAY PUMP SUCTION PIPING 2 INSERVICE/BURIED/N498 03/18/94 F 1*SPM*84A*3*2 CONTAINMENT SPRAY PUMP SUCTION PIPING 2 INSERVICE/BURIED/N498 03/18/94 F 1*SPM*84A*3*3 CONTAINMENT SPRAY PUMP SUCTION PIPING 2 INSERVICE/BURIED/N498 03/18/94 F 1*SPM*84A*3*4 CONTAINMENT SPRAY PUMP SUCTION PIPING 2 INSERVICE/BURIED/N498 03/18/94 F 1*SPM*84B*1*1 RECIRC SPRAY RINGS* B 2 FLOW/FUNCTIONAL 02/07/94 F 1*SPM*84B*1*2 RECIRC SPRAY RINGS* A 2 FLOW/FUNCTIONAL 02/07/94 F 1*SPM*84B*2*1 OUTSIDE RECIRC SPRAY PUMP SUCTION SUMP 2 FUNCTIONAL 03/09/94 p Page 2 of 6 * * * .-N I I -4'0 0,. 0,. "' ... N .... +' 't,a I I cooo Abstract of Examinations Performed a!cozz .c.--..., system Pressure Test Program U RI QI co a,, ... .:,J,. ... CILU .., RI QI 0 < II. UI C Sect XI Test Zone Description Class Type Date Remarks 1*SPM-84B-2*2 "A" OUTSIDE RECIRC SPRAY PUMP 2 FUNCTIONAL 03/09/94 F 1-SPM*84B*2*3 "B" OUTSIDE RECIRC SPRAY PUMP 2 FUNCTIONAL 03/09/94 F 1*SPM-84B-2*6 RECIRC SPRAY RINGS -D 2 FLOW/FUNCTIONAL 02/07/94 F 1-SPM-84B-2-7 RECIRC SPRAY RINGS -C 2 FLOW/FUNCTIONAL 02/07/94 F 1-SPM-85A*1*2 LEAKAGE MONITORING OPEN PRESSURE TAPS 2 FLOW 02/13/94 F 1-SPM*85A*1*4 LEAKAGE MONITORING 2 FUNCTIONAL 02/13/94 F 1-SPM*86A*1*1 RC SYSTEM "A" DEAD LEGS FUNCTI0NAL/N498 03/08/94 p 1*SPM*86A-2*1 RC SYSTEM 11 B 11 DEAD LEGS FUNCTI0NAL/N498 03/07/94 p 1*SPM-86A-3*1 RC SYSTEM "C" DEAD LEGS & MISC. FUNCTIONAL/N498 03/08/94 p 1-SPM-86B-1*4 RCS HIGH POINT VENT FUNCTI0NAL/N498 02/26/94 F 1*SPM*86B-1*5 PRESSURIZER VENT HOSE FUNCTIONAL/N498 03/04/94 F 1-SPM-87A-1*4 11 B 11 RHR PUMP 2 INSERVICE/N498 02/28/94 F 1-SPM-87A-2*2 RHR TO RWST PIPING 2 FUNCTIONAL/N498 02/13/94 F 1-SPM-87A-2*5 LETDOWN HEADER 2 INSERVICE/N498 01/22/94 F 1*SPM-88A-1*2 11 A 11 BORIC ACID TRANSFER PUMP 2 . INSERVICE/N498 12/19/93 F 1-SPM*88A*1*3 "B" BORIC ACID TRANSFER PUMP 2 INSERVICE/N498 12/18/93 F 1-SPM*88A*1*4 "C" BORIC ACID TRANSFER PUMP 2 INSERVICE/N498 12/18/93 F 1-SPM*88A*1*5 "D" BORIC ACID TRANSFER PUMP 2 INSERVICE/N498 12/18/93 F 1-SPM*88A*1*6 BORIC ACID LINES TO CHARGING PUMPS 2 INSERVICE/N498 03/13/94 F 1*SPM*88A*2*1 "A" BORIC ACID TRANSFER PUMP 2 INSERVICE/N498 12/19/93 F 1-SPM-88A*2*2 11 B 11 BORIC ACID TRANSFER PUMP 2 INSERVICE/N498 12/18/93 F Page 3 of 6 * * ~o °' co .-N I I ~o °'°'in ,..N .... ..... \t-I I COO 0 Abstract of Examinations Performed

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

& AUX SPRAY 2 INSERVICE/N498 01/22/94 F 1-SPM-88C-1-7 SEAL RETURN HEADER 2 INSERVICE/N498 01/22/94 F 1-SPM-88C-1-9 LETDOWN HEADER 2 INSERVICE/N498 01/22/94 F 1-SPM-88C-2-2 SEAL RETURN HEADER 2 INSERVICE/N498 01/22/94 F 1-SPM-88C-2-3 RCP SEAL INJECTION 2 INSERVICE/N498 01/22/94 F 1-SPM-88C-2-4 RCP 11 A 11 SEAL RETURN 2 INSERVICE/N498 01/22/94 F Page 4 of 6 * * *

~o a.co .-N I I ~c °' °' II\ -N .... .. COO 0 Abstract of Examinations Performed ~0 zz .CN-',IJ system Pressure Test Program u lU GI lU GI*-~ t g, 8 ca.enc Sect XI Test Zone Description Class Type Date Remarks 1*SPM*88C-2*5 RCP 11 8 11 SEAL RETURN 2 INSERVICE/N498 01/22/94 F 1*SPM*88C-2*6 RCP 11 C 11 SEAL RETURN 2 INSERVICE/N498 01/22/94 F 1-SPM-89A*1*4 LOW HEAD SAFETY INJECTION FROM RWST 2 PRESS DROP/CHANGE IN FLOW 02/26/94 F 1-SPM-89A-1*5 LOW HEAD SAFETY INJECTION FROM SUMP 2 FUNCTIONAL/N498 04/19/92 F 1*SPM*89A*2*2 LOW HEAD SAFETY INJECTION TO HOT & COLD LEGS 2 FUNCTIONAL/N498 03/15/94 F 1-SPM*89A*2*6 DISCHARGE INTO RWST FROM SI PUMPS 2 FUNCTIONAL/N498 10/18/93 F 1*SPM*8r*2*8 SEAL RETURN HEADER & CHARGING PUMP SUCTION 2 INSERVICE/N498 12/14/92 F 1 *SPM*89A-3* 1 Ni TO SI ACCMULATOR 2 FUNCTIONAL/N498 02/16/94 F 1-SPM*89A-3*2 HIGH HEAD SAFETY INJECTION TO HOT & COLD LEGS 2 FUNCTIONAL/N498 02/27/94 F 1-SPM-89B-1*4 HIGH HEAD SAFETY INJECTION TO COLD LEGS 2 FUNCTIONAL/N498 01/22/94 F 1*SPM*89B*1*8 Ni TO SI ACCUMULATOR 2 FUNCTIONAL/N498 02/16/94 F 1*SPM*89B*2*4 HIGH HEAD SAFETY INJECTION TO COLD LEGS 2 FUNCTIONAL/N498 01/22/94 F 1-SPM-89B-3*4 HIGH HEAD SAFETY INJECTION TO COLD LEGS 2 FUNCTIONAL/N498 01/22/94 F 1*SPM*89B*4*2 HIGH HEAD SAFETY INJECTION TO HOT & COLD LEGS 2 FUNCTIONAL/N498 03/15/94 F 1*SPM*118A*2*1 RX CAVITY PURIFICATION INTAKE 2 FUNCTIONAL/N498 02/07/94 F 1-SPM-118A*2*2 RX CAVITY PURIFICATION DISCHARGE 2 FUNCTIONAL/N498 02/07/94 F 1-SPM*124A*1*1 S/G 11 A 11 RECIRC & TRANSFER 2 INSERVICE/N498 03/09/94 F 1*SPM*124A-1-2 S/G "A" BLOIJDOWN 2 INSERVICE/N498 01/22/94 F 1*SPM-124A*2-1 S/G 11 8 11 RECIRC & TRANSFER 2 INSERVICE/N498 03/07/94 F 1*SPM-124A-2-2 S/G 11 8 11 BLOIJDOWN 2 INSERVICE/N498 01/22/94 F 1*SPM*124A*3*1 S/G "C" RECIRC & TRANSFER 2 INSERVICE/N498 03/08/94 F Page 5 of 6 * * * ~o °' CX) .-N I I ~o °'°'on -N .... .... .. C: 0 0 0 ~--zz .cN-.., 0 CU QI CUQl*-.:.1. .... tJ) L. u ._,CUQIO CCC. inc Zone 1-SPM-124A-3-2 NA Description S/G 11 C 11 BLO\IDOWN 3rd Interval, 1st Period Abstract of Examinations Performed system Pressure Test Program Sect XI Test Class Type 2 INSERVICE/N498 SYSTEM LEAKAGE TEST Date 01/22/94 03/24/94 Remarks F P = Partial Test -A portion of this zone was completed this outage, and the remaining portions of this zone was completed previously. F = Full Test Piping and components shown on SPM drawings can be found on FM drawings with the same number. Page 6 of 6 * * *

  • *
  • Abstract of Examinations Snubber Program Attachment I Page 22 of 29 Serial No.: 94-194 Docket No.: 50-280 During snubber visual inspection per Technical Specifications 4.17, three (3) hydraulic snubbers (1-MS-HSS-6A, 1-MS-HSS-12 and HSS-22) were found to have empty (0%) fluid reservoirs.

All three snubbers were removed and functionally tested to demonstrate operability in accordance with Technical Specifications 4.17.B.2, and all snubbers passed. The snubbers were replaced with spares. Thirty-eight (38) snubbers were selected for functional testing and seal replacement this refueling outage. There were no failures identified . Page 1 of 1

  • Abstract of Examinations Eddy current Examinations of Nonferromagnetic steam Generator Tubing Attachment I Page 23 of 29 Serial No.: 94-194 Docket No.: 50-280 Inservice examination was performed on steam generator "B" In Steam Generator "B", all available tubes were inspected full length with bobbin probes. A 301 tube sample was tested with a rotating pancake coil (RPC) probe in the hot leg transition (TSH +/-3 11) region. Supplemental examinations were also performed using RPC probes where additional confirmatory or other data was desired. The following tubes were preventively plugged for vibration bar wear. Row 34 34 39 43 Column 17 19 23 31
  • This Steam Generator contains a total of eight plugged tubes. See the attached list for details. steam Generator "B" Row Col Ind Loe Remarks 19 7 SAA 6H 31 14 SAA 6H 3 15 14 2H 6 16 10 2C 23 17 MAA 6H 34 17 24 AV4 TUBE PREVENTIVELY PLUGGED 35 17 16 AV3 24 18 SAA 6H
  • Page 1 of 7

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

  • 34 19 22 AV2 TUBE PREVENTIVELY PLUGGED 31 21 SAA 4C 33 21 . 17 7H 38 21 19 AVl 24 23 SAA BPH 39 23 19 AV3 TUBE PREVENTIVELY PLUGGED 39 23 20 AV4 TUBE PREVENTIVELY PLUGGED 34 24 SAA 6C 13 26 SAA 2H 28 26 SAA TSC 20 28 10 5H 26 28 11 6H 27 28 SAA 4H 39 29 11 6H
  • 41 29 14 5H 42 29 18 AV2 42 29 SAA 7H 25 31 MAA 6H 43 31 21 AV2 TUBE PREVENTIVELY PLUGGED 13 32 SAA TSH 33 32 SCA 6C 15 34 SCA lC 24 34 SAA BPH 3 35 SAA TSH 15 35 SCA 2C 1 36 SAA TSH 33 36 SAA 4H ** Page 2 of 7 Attachment I Page 25 of 29 Serial No.: 94-194 Docket No.: 50*280
  • 10 37 19 JH 15 37 19 lC 36 38 SCA 6C 36 38 SCA TSC 38 38 18 6H 9 39 SAA TSH 11 40 10 5C 20 40 SAA TSH 1 41 SAA TSC 17 41 13 6H 21 42 SAA TSH 3 43 SAA TSH 6 43 SAA TSH 39 43 SAA 7H
  • 45 43 11 lC 21 44 SAA TSH 2 45 SAA TSH 5 45 MAA TSH 7 45 SAA 2C 13 46 SAA TSH 36 46 SCA JC 3 47 SAA TSH 45 47 SAA TSC 6 48 SAA JC 15 48 SAA 7C 21 48 SAA lC 45 48 SAA TSC
  • Page 3 of 7 Attachment I Page 26 of 29 Serial No.: 94*194 Docket No.: 50-280
  • 11 49 16 2C 12 49 SAA TSH 20 49 SAA lC 13 50 SAA TSH 28 51 SAA lC 22 52 SAA 2C 27 52 SAA 6C 40 52 18 TSC 41 52 15 7C 46 52 10 6C 46 52 SAA 6C 7 53 14 TSC 43 53 SAA 5C
  • 40 54 SAA 2C 16
  • 55 SAA 5C 45 55 10 BPH 45 55 11 AV4 3 56 SAA TSH 25 56 MAA 3C 3 57 SAA TSH 37 57 11 2C 37 57 13 2C 1 58 SAA TSC 4 58 11 2C 11 58 SAA TSH 20 58 MAA 6C 34 58 16 AV2
  • Page 4 of 7 Attachment I Page 27 of 29 Serial No.: 94-194 Docket No.: 50-280
  • 11 59 SAA 3C 16 59 18 7C 43 59 SCA 7C 28 62 SAA BPC 1 63 SAA 5H 32 63 SAA 2H 43 64 SAA 7C 5 66 SAA TSH 7 66 SAA TSH 13 66 SAA TSH 24 66 SAA 4H 4 67 16 4C 7 67 MAA 4C
  • 14 67 16 2C 21 67 10 6C 39 67 SAA 2C 7 68 SAA TSH 26 68 SAA 1C 26 69 12 6H 36 69 SAA 4C 16 70 15 2C 29 70 12 AV4 32 70 12 TSH 40 70 10 AV3 8 71 SCA TSH 2 72 SAA 4C
  • Page 5 of 7 Attachment I Page 28 of 29 Serial No.: 94-194 Docket No.: 50-280
  • 11 72 SAA TSC 13 74 16 2H 13 74 SAA lC 33 75 19 AV4 3 79 16 2C 31 79 10 2H 27 80 12 6H 13 83 18 2C 17 83 MAA 6C 25 83 SAA TSH 28 83 SAA 7H 4 85 16 SC 19 87 16 4C 2 88 14 2C
  • 4 89 SAA 2C 15 89 17 TSC 13 90 MAA 6C 13 90 SAA 2C 18 90 19 TSC 18 90 SAA 6C
  • Page 6 of 7
  • *
  • 1. ROW, COL COLUMN tube identifier numbers coordinate system. Attachment I Page 29 of 29 Serial No.: 94-194 Docket No.: 50-280 an X-Y 2. IND INDICATION Character codes and numerics that 3. 4. represent the analysis results of the data for that tube, e.g., SAA, 25%, etc. LOCN LOCATION The location in the tube of the INDICATION called. MAA axially MULTIPLE AXIAL ANOMALY oriented anomalies.

Describes multiple 5. 55 A number in the indication column shows the% 6. 7. 8 9. 10 . 11. 12. 13. through wall depth of the indication. SAA SCA Describes a single axially oriented anomaly. Describes a single circumferentially oriented anomaly TEH Tube End Hot leg. TEC Tube End Cold leg. TSH Top of Tubesheet Hot leg. TSC Top of Tubesheet Cold leg. BPH, BPC BAFFLE PLATE HOT AND COLD #C, #H (#=number) of Support Plate Hot or Cold leg. e.g., 3H, 6H, 7C. 14. AVl, AV2, AV3, AV4 Anti-Vibration Bars 1 through 4. Note: Where no comment appears in the remarks column the tube is still in service

  • Page 7 of 7
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  • ATTACHMENT 2 SURRY POWER STATION UNIT 1 ISi INSPECTIONS NIS
  • 2 FORMS
  • *
  • Repair and Replacements Attachment II Page 1 of 93 Serial No.: 94-194 Docket No.: 50-280 Repairs and replacements completed during this refueling outage for Interval 2, Period 3 were performed in accordance with Section XI of the ASME Boiler and Pressure Vessel Code, 1980 Edition through the Winter 1980 Addenda. For Interval 3, Period 1 the repairs and replacements were performed in accordance with the Section XI, 1989 Edition, of the ASME Boiler and Pressure Vessel Code. The following paragraphs and the attached NIS-2 Forms represent those repairs and replacements performed on Class 1 and Class 2 systems: Interval 2 Repairs and Replacements
1. Replaced valve internals (trim set) on valve 01-CH-FCV-1160 on line No. 2"-CH-8-1503, Class 1. The applicable work order number is 3800124514.

The replacement was completed on 4-3-92. 2. Replaced bonnet on valve 01-GN-1 on line No. 2"-GN-23-601, Class 2. The applicable work order number is 3800267155-01. The replacement was completed on 8-26-93. 3

  • Replaced trim assembly on valve 01-RC-PCV-1455A on line No. 4"-RC-14-1502, Class 1. The applicable work order number is 00266806-01.

The replacement was completed on 8-24-93. Interval 3 Repairs and Replacements

4. Removed a test flange and installed a blank flange on P-2A, Class 2. The applicable work order number is 002785-25-24. The replacement was completed on 2-3-94. 5. Removed a test flange and installed a blank flange on P-2B, Class 2. The applicable work order number is 002785-25-26. The replacement was completed on 2-3-94. 6. Replaced valve bonnet bolting on valve 01-SI-56, on line No. 12"-SI-1-153, Class 2. The applicable work order number is 00267801-01.

The replacement was completed on 2-5-94. 7. Removed a test flange and installed a blank flange on P-1A, Class 2. The applicable work order number is 002785-25-20. The replacement was completed on 2-4-94. 8. Removed a test flange and installed a blank flange. on P-1B, Class 2. The applicable work order number is 002785-25-22. The replacement was completed on 2-4-94

  • Page 1 of 7
  • *
  • 9
  • Attachment II Page 2 of 93 Serial No.: 94*194 Docket No.: 50-280 Replaced bolting on valve Ol-DG-TV-108A on line No. 2"-DG-42-152, Class 2. The applicable work order number is 00283-443-02. The replacement was completed on 3-11-94. 10. Replaced studs between flanges on valve 01-IA-TV-100 on line No. 2"-ACC-73-153, Class 2. The applicable work order number is 00264444-01.

The replacement was completed on 3-10-94. 11. Replaced trim assembly on valve Ol-RC-PCV-1455B on line No. 4 11-RC-15-1502, Class 1. The applicable work order number is 00276738-01. The replacement was completed on 3-10-94. 12. Replaced trim assembly on valve Ol-RC-PCV-1455C on line No. 4 11-RC-34-1502, Class 1. The applicable work order number is 00267643-01. The replacement was completed on 3-7-94.

  • 13. Replaced valve bonnet bolting on valve 01-CH-276 on line No. 3 11-CH-3-1503, Class 2. The applicable work order number is 00281758-01.

The replacement was completed on 2-16-94. 14. Ground out a 1 11 long indication (on valve 01-SI-410) found by liquid penetrant examination. The area was examined again by the liquid penetrant method and found acceptable. No welding was required. The applicable line No. is 10 11-SI-6-153, Class 2. The applicable work order number is 002672-41-02. The repair was completed on 3-14-94

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

The replacement was completed on 2-28-94. 16. 17. 18. 19. Replaced rod extension with extended rod eye on support 01-SI-HSS-24B on line No. 12"-SI-46-1502, Class 1. The cable work order number is 00269068-0l. The replacement.was completed on 2-8-94. Replaced snubber V-0511 with snubber V-0696 (Ol-MS-HSS-33B) on line No. 30"-SHP-23-601, Class 2. The applicable work order number is 00269105-0l. The replacement was completed on 1-26-94. Replaced snubber V-0512 with snubber V-0697 (01-MS-HSS-34A) on line No. 30"-SHP-24-601, Class 2. The applicable work order number is 00268933-01. The replacement was completed on 1-26-94. Replaced snubber V-0511 with snubber V-0698 (Ol-MS-HSS-34B) on line No. 30"-SHP-24-601, Class 2. The applicable work order number is 00269006-0l. The replacement was completed on 1-26-94

  • Page 2 of 7
  • *
  • Attachment II Page 3 of 93 Serial No.: 94-194 Docket No.: 50-280 20. Replaced snubber V-0515 with snubber V-0699 (Ol-MS-HSS-35B) on line No. 30"-SHP-22-601, Class 2. The applicable work order number is 00266018-0l.

The replacement was completed on 1-25-94. 21. Replaced rod extension with elongated rod eye on support MS-HSS-6B on line No. 30 11-SHP-1-601, Class 2. The ble work order number is 00281727-01. The replacement was completed on 1-31-94. 22. Replaced snubber V-0681 with snubber V-0702 (Ol-MS-HSS-12) on line No. 30"-SHP-2-601, Class 2. The applicable work order number is 00281726-01. The replacement was completed on 2-7-94. 23. Replaced bracket on support Ol-RC-H003 on line No. 4 11-RC-34-1502, Class 1. The applicable work order number is 002843-81-01. The replacement was completed on 3-10-94. 24. Replaced bracket on support 01-RC-HOlO on line No. 4"-RC-34-1502, Class 1. The applicable work order number is 002844-70-01. The replacement was completed on 3-11-94. 25. Replaced bolting on valve 01-SI-240 on line No. 6"-RC-21-1502, Class 1. The applicable work order number is 002817-62-01. The replacement was completed on 2-17-94 . 26. Replaced bolting on valve Ol-SI-142 on line No. 2"-SI-67-602, Class 2. The applicable work order number is 00282537-01. The replacement was completed on 3-9-94. 27. 28. 29. 30. 31. Replaced bolting on valve 01-CS-52 on line No. 6"-CS-98-153, Class 2. The applicable work order number is 00282293-01. The replacement was completed on 3-9-94. Replaced valve Ol-RC-160 and bolting on line 3"-RC-52-152, Class 2. The applicable work order number is 00282592-01. The replacement was completed on 3-10-94. Replaced bolting on valve Ol-SI-MOV-1864A on line lO"-SI 153, Class 2. The applicable work order number is 00260128-01. The replacement was completed on 2-4-94. Replaced bolting on valve Ol-CH-MOV-1287C on line No. 3 11-CH-71-1503, Class 2. The applicable work order number is 00260234-01. The replacement was completed on 2-16-94. Replaced trim assembly on valve Ol-RC-HCV-1557C on line No. 2"-RC-59-1502, Class 1. The applicable work order number is 00282151-01. The replacement was completed on 3-12-94

  • Page 3 of 7
  • *
  • Attachment II Page 4 of 93 Serial No.: 94-194 Docket No.: 50-280 32. Replaced bolting on valve 01-CH-MOV-1115E on line No. 3"-CH-73-152, Class 2. The applicable work order number is 00260-233-03. The replacement was completed on 2-16-94. 33. Modified support 1-CH-H-009 for check valve access (01-CH-276) on line No. 3 11-CH-71-1503, Class 2. The applicable work order number is 00281758-03.

The replacement was completed on 2-18-94. The preservice examination was pleted on 2-22-94. 34. Replaced disc and cap screw on valve 01-MS-176 on line No. 3 11-SHP-30-601, Class 2. The applicable work order number is 00267618-04. The replacement was completed on 2-1-94. 35. Replaced disc and cap screw on valve 01-MS-182 on line No. 3 11-SHP-28-601, Class 2. The applicable work order number is 00267616-04. The replacement was completed on 2-20-94. 36. Replaced disc and cap screw on valve 01-MS-178 on line No. 3"-SHP-29-601, Class 2. The applicable work order number is 00267617-01. The replacement was completed on 2-1-94. 37. Replaced valve 01-MS-158 on line No. 4"-SHP-27-601, Class 2. The applicable work order number is 00264340-01. The placement was completed on 2-22-94. 38. Replaced valve 01-MS-116 on line No. 6"-SHP-46-601, Class 2

  • The applicable work order number is 00260328-02.

The placement was completed on 3-15-94. 39. 40. 41. 42. 43. Repair flanges and replace fasteners on valve 01-MS-SV-101A on line No. 4"-SHP-37-601, Class 2. The applicable work order number is 00270975-01. The replacement was completed on 3-14-94. Replaced valve 01-BD-14 on line No. 2~"-WGCB-3-601, Class 2. The applicable work order number is 00283463-02. The placement was completed on 3-4-94. Replace bolting on valve Ol-SI-47 on line No. 12"-SI-2-153, Class 2. The applicable work order number is 00267798-01. The replacement was completed on 3-9-94. Replace bolting on valve Ol-SI-145 on line No. 12"-SI 1502, Class 1. The applicable work order number is 002678-02-01. The replacement was completed on 2-27-94. Replace bolting on valve Ol-FW-72 on line No. 14"-WFPD 601, Class 2. The applicable work order number is 00267621-01. The replacement was completed on 2-11-94

  • Page 4 of 7
  • *
  • Attachment II Page 5 of 93 Serial No.: 94-194 Docket No.: 50-280 44. Replaced bolting on flow element 01-FW-FE-lOlC on line No
  • 3 11-WAPD-13-601, Class 2. The applicable work order number is 00263046-0l.

The replacement was completed on 2-8-94. 45. Replaced nut and spring can on support Ol-RS-H003 on line No. 4 11-RS-14-153, Class 2. The applicable work order number is 00275127-0l. The replacement was completed on 3-30-94. 46. Replaced bolting and trim assembly on valve Ol-RC-HCV-1556B on line No. 2 11-RC-199-1502, Class 1. The applicable work order number is 00267649-01. The replacement was completed on 2-2-94. 47. Replaced valve Ol-RC-160 on line No. 3 11-RC-52-152, Class 2. The applicable work order number is 00282592-02. The placement was completed on 3-10-94. 48. Replaced valve Ol-RC-SV-155A on line No. 6 11-RC-39-1502, Class 1. The applicable work order number is 00279407-01. The replacement was completed on 3-12-94. 49. Replaced valve Ol-RC-SV-155B on line No. 6 11-RC-38-1502, Class 1. The applicable work order number is 00279409-0l. The replacement was completed on 3-12-94. 50. Replaced valve Ol-RC-SV-155C on line No. 6"-RC-37-1502, Class 1. The applicable work order number is 00279410-0l

  • The replacement was completed on 3-12-94. 51. Replaced bolting on valve Ol-RC-MOV-1590 on line No. 29 11l-2501R, Class 1. The applicable work order number is 00267153-02.

The replacement was completed on 2-27-94. 52. Replaced valve Ol-CH-267 on line No. 3 11-CH-2-1503, Class 2. The applicable work order number is 00263361-0l. The placement was completed on 2-17-94. 53. Replaced valve Ol-CH-RV-1203 on line No. 2"-CH-232-602, Class 2. The applicable work order number is 00282950-0l. The replacement was completed on 3-10-94. 54. Replaced valve Ol-CH-276 on line No. 3 11-CH-3-1503, Class 2. The applicable work order number is 00281758-02. The placement was completed on 2-18-94. 55. Replaced bolting on pump 01-CS-P-lB, Class 2. The ble work order number is 00273520-02. The replacement was completed on 3-6-94. 56. Replaced snubber bracket for Ol-FW-HSS-13 on line No. 14 11-WFPD-9-601, Class 2. The applicable work order number is 00269067-02. The replacement was completed on 3-13-94

  • Page 5 of 7
  • *
  • Attachment II Page 6 of 93 Serial No.: 94-194 Docket No.: 50-280 57. Replaced orifice flange on 01-FW-FE-lOOA on line No. WAPD-9-601, Class 2. The applicable work order number is 00271826-0l.

The replacement was completed on 3-7-94. 58. Replaced disc on valve 01-MS-SV-lOlC on line No. 4"-SHP 601, Class 2. The applicable work order number is 00270977-01. The replacement was completed on 3-14-94. 59. Replaced disc on valve Ol-MS-SV-102A on line No. 30"-SHP 601, Class 2. The applicable work order number is 00270996-0l. The replacement was completed on 3-14-94. 60. Replaced orifice on Ol-MS-FE-100 on line No. 3"-SHP-31-601, Class 2. The applicable work order number is 00283862-0l. The replacement was completed on 3-9-94. 61. Removed support tube steel (due to interference with cent work on valve Ol-CC-242) on valve 01-BD-TV-lOOE on line 3"-WGCB-3-601, Class 2. The applicable work order number is 00263120-02. The replacement was completed on 3-11-94. 62. Replaced plug (overhauled valve) on valve Ol-VG-TV-109A on line No. 2"-VG-2-152, Class 2. The applicable work order number is 00260396-01. The replacement was completed on 3-12-94. 63. Replaced bolting on 01-CH-E-4, Class 2. The applicable work order number is 00262027-0l. The replacement was completed on 3-4-94. 64. 65. 66. 67. 68. Replaced bolting on valve Ol-CH-MOV-1270A on line No. 6"-CH-19-152, Class 2. The applicable work order number is 00260-266-0l. The replacement was completed on 2-15-94. Replaced valve Ol-CH-256 on line No. 3 11-CH-20-1502, Class 2. The applicable work order number is 00263363-0l. The placement was completed on 2-15-94. Replaced valve Ol-SI-141 on line No. 2"-SI-67-602, Class 2. The applicable work order number is 00274969-0l. The placement was completed on 2-10-94. Replaced bolting on valve Ol-RH-MOV-1720A on line No. RH-16-1502, Class 1. The applicable work order number is 00281617-01. The replacement was completed on 2-26-94. Replaced valve Ol-CS-MOV-102A on line No. 6 11-CS-98-153, Class 2. The applicable work order number is 00263050-05. The replacement was completed on 3-5-94

  • Page 6 of 7
  • Attachment II Page 7 of 93 Serial No.: 94-194 Docket No.: 50-280 69. Replaced valve Ol-CS-MOV-102B on line No. 6"-CS-99-153, Class 2. The applicable work order number is 00263050-09.

The replacement was completed on 3-5-94. 70. Replaced manway cover bolt on Ol-RC-E-2, Class 1. The applicable work order number is 00274598-0l. The ment was completed on 2-28-94. 71. Replaced seal housing bolting on 01-RC-P-lC, Class 1. The applicable work order number is 00265628-02. The ment was completed on 2-28-94 . Page 7 of 7

  • *
  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Sectil:>n XI Attachment II Page 8 of 93 Serial No.: 94-194 Docket No.: 50-280 1. Owner Virginia Electric & Power Co. Date __ 9.___-_,e.~_-_9=-*

=Z.=-* -------Nama . 5000 Dominion Blvd. , Glen Allen, Va. 23060 Sheet _ __.'--_ of __ _._ ________ _ Addrea 2. Plant Surry Power Sta ti on Name Unit _ ___:O=-:N-==:Ee....... ____________ _ P.O. Box 315, Surry, Va. 23883 3SOO(Z.4S(4 Addrea Repair Organization P.O. No., Job No., etc. 3. Work Performed by Virginia Power Name Type Code Symbol Stamp ___ N~/_A ______ _ Authorization No. -----..JNUL,,_l.,,,A~----- P.O. Box 315, Surry, VA. 23883 Expiration Date ______ ..,._,'-"'------- Addrea 4. Identification of System __ c,..~'-'/./-"'i==fv_.1 .... /=tA'-'-L=--'A~N....,7)~.x..ll..:O=L""U"'-14-'--=E'---(=-O-* -'A.J'-Ti_,R..::.;:_D..:;L _______________ _ 5. (al Applicable Construction Code B3 l, 1 19__.f;i]_Edition, _ _.N.,../i:...A..._ ___ Addenda, N-1, N-1 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol *1~/14 SG, t'opes.,. Vulc-t,.., N/4-I(/~ 0/-{!./ FtV-llld> N4-Reo/4(!,eP AJl> r/l/r,,., S6T C!.qes-Vvlcflt-J NA A.IA Df-e/1-R!V-/lf,,O {~!'~ 9 fl&p/4eEM~lv + >../0 7. Description of Work H~DiJl'R Vn/111= ( 0J-'IL /~,M.v,.P"'S') I ' 8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure 0 Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 .-FORM NIS-2 (Back) 9. Remarks _f,_o._~(!~5c.....+V-~Z~t .... t~f-5~Z~--I __ Z~e=-~tf/d~f-/.F_r ___________________ _ Appllceble Manufacturer'* Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this,R&;>-'"*'d'&..!,.v,.-conforms to the rules of the ASME Code, Section XI. *

  • repair or replacement Type Code Symbol Stamp ___ N-"-""A;._

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

f. Inspector's Signature Date _____ *_._1_-_/_l

__ 19 q Commissions Va* 543 National Board, State, Province, and Endorsements

  • *
  • * * ------------Attachment II Page 9 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Date _4.ilfa..:...~-"-(,.L...!i£:...9

~.] _____ _ Nam* 5000 Dominion Blvd., Glen-Allen, VA 23060 Sheet __ /,___ of_....L _________ _ Addre11 2. Plant Surry Power Station Unit__.b..----------------- Nam* P.O. Box 315, Surry, VA 23883 Addreu Aep111lr Organization P.O. No., Job No., ate, 3. Work Performed by Virginia Power Type Code Symbol Stamp __ N-'/'-A ________ _ Nam* Authorization No. NIA P.O. Box 315, Surry, VA 23883 Expiration Date __..,N~/_.A;o..... ___________ _ Addresa 4. Identification of System (;./....04 0L4&&m& /1,l;.4l[J6~ G.,J,~.,.,f-::;.r?,;4 5, (al Applicable Construction Code B31.l 19~Edition,_N_/_A ____ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 1980 W80 6. Identification of Components Repaired or Replaced and Replacement Components Name of Component Name of Manufacturer Manufacturer Serial No. National Board No. Other Identification Year Built ASME Code Repaired, Stamped Replaced, (Yes or Replacement or No) 7. Description of Work_~4=c:;)'-'&-4"""'...,(=-~.("--_.(1'"'--'-tJ""'µ=,G/::;...::c!:=-'Z.,,.r ________________________ _ 8. Tests Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure Other D Pressure JtJn) psi Test Temp, AIOY'. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8~ in. x 11 In., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) eech sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030) may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 < FORM NIS-2 (Back) 9. Rem~rks _p~(2~~-~u/~;_* -~J~J=-=-?"_,_/,.,_'J=L.,__,__6:..,.1 J"---------------- Appllcabla Manufacturer's Date Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this.k'c'k/.lc~.-<;.,(.,£1 ,./ conforms to the rules of the ASME Code, Section XI. repair or replacement N/A Type Code Symbol StamP------------------------------------ __ N_/_A ____________ Expiration Date ___ N_/_A _________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and tha State or Province of Virginia and employed by HSBI & I Co. of Hartford, CT have inspected the components described in th is Owner's Report during the period /j.

  • 11-8 9 to / 0 I LI -'J j , and state that to the bast of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inrS:"*:-:

~-ill~ -°'ir_._._..,,~1.:~=-=;:__---"---""rL--,--:~c7"""=-:'---------Commissions ___ V_A __ S_4_3 ______________ _ Inspector'* Signature National Board, State, Province, and Endorsements Date ___ ---'--'/ /_-_tj_19 C/ 3 ** * * -* *

  • Attachment II Page 10 of 93 serial No.: 94-194 Docket No.: 50-280 FORM*NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requ1r1d by the Provisions ot the ASME Code Section XI 1. Owner '/ i rginia Electric and Power Co -\ilam* 5000 Dominion Blvd., Glen Allen, VA 23060 ------------,-A-a-,a,-.-

.. -------'------

2. Plant Surry Power Station Nam* P.0-Box 315, Surry, VA 23883 AddrllU 3. Work Performed bv Virginia Power Name P-0. Box 315, Surry, VA 23883 Addre11 4. ldentific111on of Svn1m 721::A-c..7Z?rz.

CoOL(Ar;A([ Date __ ~s-4/w~S~/w'i._,f~--------- Unit---'------------------ /Iv ,o. # oo 7-rd, fJ'DC:,-o/ ~*12.:-:tt f'3 -1 '5 C::. Repair Or;aniratlon P.O. No., JoD No., ata. Tvp1 Coda Svmbol Stamp __ N;,;,.:.../,;;,;A;,_ ______ _ Authormmon No. HIA Expir111on D1te ___..H,..l""A""-------------

5. (11 Appllcao11Con11ruct1onCod1 B31.l :9§2.._Edition, __ N,;_/_A ____ Addlnd1,N-l, ll-1 (bl Applicao11 Edition of Section XI Utilizea tor Aepaira or Aeo11e1mant1 198 Q I 6. lden11flc11uon of Comoon1nu Aep11rea or Aeolaclld 1na Aeolec:ement Components . -. ASME COde N1tion11 A1P1irad, s ........ N1m1 of NMM ol Manufactur., I Board Otlltr Y11r AIPlaced, IY11 Compon1nt M1nufactur1r I S1ri1I No. I No. ld1ntific11ion Built or Aaplaclfflltlt or Not I 1"~1/o// -1 Al S 5E'n-t B c.. V /VA , fVA .VA l-!N-PtY-/l/<<4

/\/A T<t=Pl4c.~J:> /\.I 0 '77c/WI eope;-I J t l 11 ~5-* vi,, 6 l 1/ Vvlt1A.u I NA I l.991 7c ~t!Bl1,a.;r I ' I I I 7. 01scric,1ion of Work __ ::g_.__~1--/,._4._c .. 1a ............ E---a'-"1 ..... ..aA-.5 ..... _.s_e_M.....,$.._,'-,.,.Y------------------------

8. Tesu Conductld:

Hydrostatic Pneumatic O Nominal OP1rat1ng Pre11ur1 0 Othar O Pressure----- psi Ten T1mo.

  • F NOTE: Sui;,pl1m1nt1l shnn 1n form of li1t1, 1k11tchn.

or drawings mav bl una, providld (1 J siza is 8% in.* 11 In., 121 lnfonna. tion in i11m1 1 throuvn 6 on this report is includ1d on 11cll 1hNt, and lJI Heh 1hNt ii nu~blred and th1 number of lhNII ii recorded at th* toP of 11111 form . 112/B21 This Form IEOOOJOI m1v bl obt11n1a from,,,, Order Dept., ASME, 345 E. 47th St., N1w York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Backl :?. Remarks __ S;:a....k.J~T_3_s.;c_:o;..s-~~...::b:::._-LI ..JG~nul?'>:..!.!IM:::L...=A...,,<;.:2S~e'!M=..1,8~L,,4¥,.i.,)1-- ______________________ _ Aopllcallle Manutacturer'1 Data Reporu to r:,e anachad ~ERTi FiCA TE OF COMPLIANCE We cen1tv that the statements maae ,n tne reoon are correct and* this &:'ro11:"d*d:'!..,tSc,l'conform1 to th* rul" of the ASME Cod*. Section XI. '9'>alr or rei,iacement (? Tyo* Code Symbol Stamp ___ N_/_A _______ ....;... _________________________ _ Cenific1t* of Authorization No. __ N_/_A _____________ Exoir*tion Oat* ____ N_I_A __________ _ Signed(}~ ,L~ fl"£ . Own;~*1l9nH, Title oat11_.,.&;...L,AL..,:.:;y~C..__ _____ , 1s e:-t CERTIFICATE OF INSEAVICE INSPECTION I, th* undera1gnea, holding I valid comm1111on ,aulld by the National Board of Boilar and Pr1t1111rw V*nal lnsoec:to" and the Stet* or Province of Virginia end llfflOIOVlld by HSBI ' I Co. of ..cH;..;aca.r~t~f'-o_r_d_.,_C_T ________________ ....,..,..._..,._.,..., .... ---h-1nJiMJC1ed the comoonanu delCfibld in thi1 Owner*, Repon during tl'.le oerlOd /d ~t'-(-CfJ, 10 (l>-t':f, 'fJ,,, ' and ...... to th~ belt ~f my knowled91 and belief, th* Owner h* Darformect axam1nat1on1 and takan ~rectlW measurH daacribld In tflll Owner*,. R9$>ort in accordance Wllh tha. l'WQU1rametl11 of th* ASME Coda, Section XI. By 1i9ni119 thi1 cenificate n**thar th* lnsoactOr nor his amployer mak* any warrantv, *XCIRllld or impliad, callCllffliftt die exam1nat1on1 and correc:tiw meaaur* descnt,ed in thi1 Owner'1 R*pc,r1. Funhermor11, n11ithar m* lnSC>Ktor nor hi1 llftllllOI.* shell be liabl* in any manner tor any o*'10nal in1urv or prop11ny damege or I Ion of any kind arising from or connllC111d wltfl tfll1 in1DK1i~ f n (\ ---~ ............ ---~-----.,,.,...-~------------Commiuion1_----;.;;:V;A::;~5;:4;:3;;--;;;:;:--;;;:;;:;;;-;;;;;;.;;;;;;;;;;;;;;;;;-- 1 nsoector"1 Signature Natlonat Boanl, Stale, ~rovlnc11, anct Endo,..-. Dat11 _____ S_-_/ __ t) ___ . _19 '?f * * *

  • *
  • L____ Attachment I I Page 11 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. '.am* 5000 Dominion Blvd., Glen Allen, VA Addrua 2. Plant Surry Power Station Name P.O. Box 315, Surry, VA 23883 Addrftl 3. Work Performed bv Virginia Power Name P.O. Box 315, Surry, VA 23883 AddrlH 23060 Date ~b Is I l~~4 Sheet I of ( Unit Once ld,O. # oo Z7 BS'2S--24-(j4"w.011 Repel, Or11an1utlon P.O. No., Job No., etc. Type Code Symbol Stamp __ N...;/...;A_;_

______ _ Authorization No. -----NJ.1.L/..c.l\1._ _____ _ Expiration Date ..........,N...,/_.A:,.._ __________ _ 4. Identification of System --1-t . ...,.P_(._.,..:.",,_f.;:;;C. _ ___,,,5""'-'.pr-'-f)-"C\.-';)-+--------------------------

5. (al Applicable Conurucuon Code B31. l 19§2.__Edition,_N.....;_/_A

____ Addenda, H-1, ll-7 Coda Cua (bl Applicable Edition of Section XI Utilized tor Repairs or Reotacemenu 19::c8___:..'1 __ 6. Identification of Componenu Repaired or Replaced and Replacement Components ASME Coda N1tion11 Repaired, Stamped Nam* of Nam1of M1nufac:1urar Board Other YHr Replac:9d, IYaa Component Manufacturer Serial No. No. ld1ntific1tion Built or Replacament or Nol §' /g ':..1 / fj(Ul. <J') J-lu HtXT N /A-tV/fr tv/A-/-/l.S--f)- 2A rl/4 ~p/ocecl /VO -%-// Hel\vy l)>tl!r /1 /tClt/N5

  • I-fr 11 J JS1o 7Y I Ah) 'l,Pof>UCTS i.STJl..-Jt o-2o 1 713a /II IA-ftS-f-21}

I /J/ft ]-ep)t1£eYH~t H.e,1 AIL.t --r o i?-dnfl ft-fl o, I I s4-11 Jex t}-w.cl f'.A-P ,e_,. oe,.1 ;J//f iJ/A N/A /-[<.S-p-zlt I /11/lrf e.p/o.ce,,-I ~f) bfc, 11-il\i&)( rvoJfJ M/tC/-J//116 !fr# .576S/JSb rppoi:>1)0[5 .5w -11, o /, I '2.LL..= fkA /111,) 5cl'ew '11 r112. ~ll-rtot<I IV/A I,... f?.s-p-2ft ,,J/IJ Cleple1cem-e11{

Jo ' 8. Tosti Conductnd

Hydroat;tic Pneumatic O Nominal Ooararing Preuur11 0 *Other O Pressure----- psi Test Temp,

  • F NOTE: Supplemental 1heet1 in form of li1u, 1k11tch111.

or drawings may be uaed, provided 111 size ia 8% in. x 11 In., 121 lnforma* tion in item* 1 through 6 on this reoort i1 included on each 1hee1, and 131 each sheet i1 nu~bered and the number of 1hNt1 ia recorded at the top of thil form . I 12/821 Thi1 Form IE000301 mav be obtained from the Order Dept., ASME, 345 E. 47th St .. New York, N.Y. 10017 REPRINT 12/91 . *~.'£ .... -*,,.* FORM NIS-2 (Backl 9. Remarks _-,....,P~IJ_#-__._e"-"N'-L..C-....L..9:~f r'.~s?£.l,/:._,if"--4-~~.J_;;_: ...!,_µ..:;;.f....,,,r<....::f:....__ ___ _ \. --H" Appllcabla Ma"J,fajurar's Data Raport1 to ba anached raff (uC ft/Orto U,-: t...dj>set11:~h CERTIFICATE OF COMPLIANCE We cenify that the statements maae in the report are correct 11na this ~~..i:'A~<f4r&;itorms to the rules of tha ASME Code, Section XI. rapalr or raplacamant Type Code Symbol Stamp ___ N_/_A ________________________________ _ Canificat11 of Authorization No. __ N_/_A ____________ Exciration Date ____ N_/_A ___________ _ Signed ~L~~.t:,< ISX: ~~ero*eP. OatlQnH, Tltla Oate _ _..../6~~ ... _,_. __ /._,S.__:::: ___ , 19 2!;1 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid comm,ss,on iuued by the National Board of Boilar 11nd Pressure Vessel lnsoectors and the State or Province of Virginia end employed by HSBI & I Co* of _H_a_r_t_f_o_r_d ___

  • _C_T ________________

"""7~---:--:...-~---h11Yt1 insp~ed the components described in thi1 Ownar'1 Repon during the period _______ ....,.._ _ _.__. ....... to / D -{Lj -:1'!, . , and ltete that 10 the ban of my knowledga and belief, the Owner has performad examination, and teken corrective measures described In thl1 Owner's Repon in accordance with the ntQuiraments of tha ASME Code, Section XI. By 1igning thi1 cenificate naither the Inspector nor hi1 employar makn any warranty, expmlld or implied, conc:eming the examination, and corractive measur111 described in thi1 Owner'* Report. Furtharmore, naither tha Inspector nor hit emplover shall ba liable in any manner for any personal injury or propany damage or a 1011 of any kind 1ri1i1111 from or connected with thil i_n_ap_ect_Q~io,...n,1-.,4~1--'rl-U--,- ____ _.f""-_. __..~....:a- ~--...;.._ __ commi11ion1 ___ v_A __ s_4_3 ____________ _

  • lni;,.ctor1 Slgnatura National Board, St1ta, Provinca, and Endor1MT1ant1 Date ,,.g ....... cc::5.c.2:,~""'-, .,I( X\!** .l*"'.'-~

... u ... ,, iPQ.1,.tCL. ** *-.-: * * *

  • *
  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Attachment II Page 12 of 93 serial No.: 94-194 Docket No.: 50-280 1. Owner Virginia Electric and Power Co. 'lam* Oate _N.,__,e;;;..cb:.......:/_5__,,1--1

~fq~qf.,__ ___ _ Sheet __ ..,./ __ ot _ __,.....;/ _________ __ 5000 Dominion Blvd., Glen Allen, VA 23060 -----------,.A....,.dd_,.r-a-11----------

2. Plant Surry Power Station Name P.O. Box 315, Surry, VA 23883 Addrftl J. Work Performed bv Virginia Power Type Code Symbol Stamp __ N_/_A _______ _ Name Authorization No. _____ ,..H,,_I .... A..._ _____ _ P.O. Box 315, Surry, VA 23883 Expiration 011111 _...H..,.l""'A=>-------------

Addre11 4. Identification of System __ :f-......_e __ c.,=-'*~i"'."""C'...."---=O~ft9:_._-:J+---------------------------

5. (a) Applic11bleConstruct1onCode B31.l ;9§2._Edition,_N_/_,A,,__

___ Addend1,H-l, ll-1 (b) Applicable Edition of Section XI Utilized tor Rep111rs or Reolecements 19_8_'} __ Codi Case 6. Identification of Components Rep11r1d or Replaced 11na Replacement Components ASME ., Code National Repaired, Stempea N1m1 of N1m1 of M1nufectur1r Board Other Y11r Replar:9d, IY11 Component Manufacturer Serial No. No. Identification Built or Rep I ac1mant or Nol Stt -II /1e,;x /lead rJ/1-r JVfe A) /Ir /-/!.S -f-2]!, JV/4 tep/oa~ ;.Jo f'no ..,:;aew sJs "-11 f-/e,x: Heac/ //)o 11/t !1tklJ/NG-

  • lfr# ~7'/,.SISJD ,o(k I No t_f2.of>u e, D /-/l-s-f-zf) I ?e,p /6.ceMe,rl

(!a,.p ~e,v /1.

  • Po.tZ. 17 *1" ID,.J ',/k:tt o 6 /86¥Jl ;JJ/} 5/rc"-I/ f/ecw') Hex rJu1 ;V fa ;)/ft ;JfA I -rz.~-p-z~ f)/11 (iZep/ae,eJ rJo :5/r-JJ f/ev1vy /JOiJ/j_ M~1,ve t/TIJ /IS-fo7f 2 e j)lo.oewient

~o 'P~'i>Ll TS JJ/IJ-/-{<$-p-2-f> ;J/1} H_~ NU7 fl,,,RPOl!.trr1orJ STklr o zo l?93o -8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp. "F NOTE: Supplemental sheets in form of lists, 1ketch111, or drawings mey be used, provided (1) size is 8% in. x 11 In., 121 lnforma* tion in items 1 through 6 on this reoon is included on each sheet, and (JI each sheet is nu.:nbered and the number of 1hHt1 is recorded at the top of this form . (12/821 Thia Form IE00030l mey be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Backl 9. RemarlCI _P~(}:.._#_~C-1..</=l:.._-_..:o/':++~.s.!0~6',--J.l:.L.O~G.L,,t-)--=-; -1.C-Ad.~t~su..:c-M-W-+f--------- 'l'F Appllcabla M?'f81turar'1 Data Aeport1 to be enliched ffl e v,r ¥?/P:624 (Z 7 l ; <<110 CERTIFICATE OF COMPLIANCE We certify that the statements maoe in the report are correct ana this ~~nforms to the rules of thll ASME Code, Section XI. repair or replacamant Type Code Symbol Stamp ___ N_/_A ________________________________ _ H/A ---------------Expiration Cate---------------- CERTIFICATE OF INSERVICE INSPECTION I, tha undersigned, holding

  • valid eommimon iuued by the National Board of Boiler and Pressure 1/euel lnsPectors and the Stet* or Province of Virginia al'ld employed by HSBI & I Co* of Hartford*

CT have inSPec,ea the components described in this Owner's Report during the period / 0 -/t..l .. '.f '.3 10 / D 'It..( -L lo , and 1tete that to the best of my knowledge 1nd belief, the Owner has performed examination, and taken corrective maasur111 described in this Owner's Report in accordance with the n,quirernanta of the ASME Coda, Section XI. By signing this certificate neither the inspaetor nor his employer makes any warrantv, expl'ISlld or implied, eonc:11ming the examinations and corrective measures described in this Owner's Report *. Furthermore, neither the Inspector nor his employer shell be liable in any manner for any personal injury or property damage or a 1011 of any kind ari1i1111 from or connaeted with this Jo~oa,o~ f 004 I napec:tor-1 Signature Commiuion1 ___ V_A __ s_4_J ______________ _ National Soard, Stata, Province, and Endonamant1 Date Q.-15 19 'ff * * * ----------

  • *
  • Attachment II Page 13 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. '<1me Date _0::.-.:ae;;.,.:b'--'-/...._5"__,, 5.......J/L-.Jq....:....q4-_,_*

5000 Dominion Blvd., Glen Allen,* VA 23060 Sheet __ ,../ __ ot":""-_______ .,.-__ _ Addre11 2. Plant Surry Power Station N1me P.O. Box 315, Surry, VA 23883 Addreu 3. Work Performed by Virginia Power Name P.O. Box 315, Surry, VA 23883 Addr111 Unit One.: w.o. -:/t oozbzBoi -o/ U411-eiY'.)

A9"*1r Or9an1utlon P.O. No., Job No., ato. Tvpe Code Svmbol Stamp __ N_/_A _______ _ Authorization No. ____ __.N..,{ .... A..._ _____ _ Expir111on D1te .........,H""/""A...._ __________ _ 4. 1den,ific1,,on of svuem __ ..,c.3_A .... F_G_--r-'-+Y _ __._J_tJ"""'J=&;...;t!:=T........_t=orJ __________________ _ I 5. (11 Applic11bl1ConstrucuonCod1 B31.l :9~Edition,_N_/_A ____ Addend1,N-l, ll-1 (bl Applic1bl1 Edition of S~ction XI Utilized tor Rep,;,. or Reol1e1ment1 19_8~'] __ Code Cua 6. ldent1flcation of Compon1nu R.eP1ir1d or Replaced and Rapl1cament Components ASME .. Code National Repaired, Stamoed N1m1 of Nam1ol Manufacturer Board Other Y11r Replaced, IYn Compon1nt Manufecturer Sarial No. No. ldantification Built or R1pl1eem1nt or Nol Cover Si'-1/) &t....T rv(r+-~iA-,N)A-/-8:1. t/AL-V& ~ll'r 'R,ep/({c.ed

VO .. I fi., Jer 5,v1D /!PLT CAAAJE ._ ~LO'jf o 1-f-ri i9o9 i tJ/1+ /-,SI-.5/,-

tlJl-v'G Iv'//} °?..-ep/O(fh'Jen+.. tV'O Cover 5;r"1() NtKT f'I/A-r,J/A-;v/,4-/-6L -..!/,-)/AI-V6 Al/A-j2,ep/tA~{ /\)0 f<>Ver S1'-'ID rJ1,q {!J2.'ftrJt -Awyta /11# cl,7/1 tJ/!t /-61-!i-//,41-JA$

,/11f ~/t>;tf~t tvD 7. Description of Work_--1,'X...a.£"'i'f~/17i""c""'e..'--___;;;;&~n.1.
Q..1,:e.._f.::......_....,/3::;;;..;;/J.,_/...:.t~:.;..;,1j~----------------
8. Tests Conductad:

Hvdro1t1tic F'neum11tic O Nominal Qparsting Pre11ure 0 Other O Pressure _____ psi Test Temp,

  • F NOTE: Suppl1ment1I lhee11 in form of lim, sketches, or drawings mav be used, provided 111 siu is 8% in. x 11 In., (21 lnforma* tion in items 1 through 6 on this ,econ is included on each sheet, and (31 each shift is nu;,,bered and the number of 1hNt1 it recorded It thl top of this form . (12/821 This Form IE000301 mev be obt1in1d from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 CERTIFICATE OF COMPLIANCE We cenitv that the statements mace in the report are correct 11na this ~~&~forms to the rules of the ASME Code, Section XI. repair or reo1acement Tvp1 Coda Symbol Stamp ___ N_/_A ________________________________

_ Cenificr,uthoriizt,o No. __ H_/_A ____________ ExPiration Date ____ N_/_A __________ _ Signedwt:._ d:::~ .,JJ;;£ bLi(p6{.b Cate___.h~~~d.._.. .... c ___ ,, 19 9~ Owner or 0~ OHlllnN, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holdin;, valid comm1111on ,uued by the National BOll'd of Boiler end Pressure lleuel lns;pacton and the State or Province of Virginia *nd employed by BSBI: & I Co* of Hartford, CT have 1nsoec1%! the components described in this Owner's Rf!QOn durin; the period r 6 -rq~ 1 Sia (D , IY-r . and nata that to th* bell of my knowledge and belief, the Ownar h111 perlormed examinations end t11k1n corrective meesures described in this Ownar*s Repon in eccordanc9 w11h the 111Qu1rement1 of th1 ASME Code, Section XI. By si;nin; this cenificant neither the Inspector nor his employer mek* any warranty, exprf!llld or implied, conc:arm1111 the examination, and corrective mea1&.1rf!I dncnbed in thi* Owner'1 Repart. Funherrnore, neither the Inspector nor hi1 employer shall be li1bl1 in any manner for any penon11 injury or property damage or

  • 1011 of any kind ari1in; from or connacted with this in1PC11on.~!. ___ ...... ~.._....;.........a-----..,,.,-~...a-=--=-=-

....... ----COmmi11ion1 ___ v_A __ s_4_3 ______________ _ lnac,ector"s Signature Natlonel Soans. State, Province, and EndorMmantl Cl ..... ( r-e::; L/ Date _______ .,.d--_ ......... ...a... __ 19----r-* * *

  • *
  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. ",1m* 5000 Dominion Blvd., Glen Allen, VA AddrH1 2. Plant Surry Power Station N*m* 23060 Attachment II Page 14 of 93 serial No.: 94-194 Docket No.: 50-280 P.O. Box 315, Surry, VA 23883 lv/o 7as/z. : roez8,5"'2.5-2Q ( R, R# rt-D3~j Addr9U Rapelr Org*nlutlon P.O. No., Job No., etc. J, Work Performed by Virginia Power Type Codi Symbol Stamp __ N_/_A _______ _ Nam* Authorization No. NIA P.O. Box 315, Surry, VA 23883 Expiration Date ........,Hu:1..r.A..__

__________ _ Addran 4. Identification of System -::--___ ? .... l<_,,e.......,c..,*>_'1.,,r...,c""__."--_ ... S""+,P-'t'-"'G\~j-+----------------------

5. (11) Applicabl1Connruct1onCode 831.l 19~Edition,_N_/_A.,.....

___ Addenda,H-1, ll-7 (bl Applicabl1 Edition of Section XI Utilized for Aep1m1 or Aeplacamanu 19_8~9 __ Code Cue 6. ldantiflcation of Compon1nu Aep11r*d or Replaced and Replacement Componenu Name of Component

8. Tesu Conducted:

Name of Manufacturer ,ii!/~ M1nufectur1r Serial No. JJ/(J National Board No, ;tJ/;J ;J/1) ,-J/fi JV/ft. Other Identification /-1<.S -f-Jlf J-c-f$,-f-1A /-p.s-f-JA Hydrostatic Pneumatic O Nominal Operating Pre11ur11 0 OtherQ Pressure _____ psi Ten Temp, "F v .. , Built !U/;9 N/IJ tv/lt /vlft ASME Code Repaired, Stami,ed Replaced, IYn or Replacement o_r Nol x.e /4~ 11lo !Vb /\JU /'UlJ NOTE: Supplemental shatl'tt in form of lim, akiltchn, or dniwings may be uaad, provided 11 I size is 8% in. x 11 I~ .* 121 lnforma* tion in item, 1 through 6 on this repon ia included on aac:h 1heet, and 131 each shNt is numbered and thll number of 1hN11 i1 recorded at the top of thi1 form . (12/821 Thi1 Form IE00030l may be obtain1d from the Order Dept., ASME, 345 E. 47th St,, New York, N.Y, 10017 REPRINT 12/91 FORM NIS-2 (Backl 9. Remer1c1 _ __._Pt_..~...__~____,._,C/.l~C___.'11c~J1....wc.f2:....i. CERTIFICATE OF COMPLIANCE /J., We ce"ify that the statements maoe in the repon are correct ena this ~onforms to the rules of the ASME Code, Section XI. rei,elr or replecement Type Code Symbol Stamp ___ N_/_A ________________________________ _ Ce"ificete of Authorization No. __ N_/_A ____________ Expiration Data ____ H_/_A __________ _ Signed C).,. (.. jJ ,L/' £sf ~nhr ~""* Title Date _ _.....~--8'- ... -... b ... 1". ... _____ ,, 19 'b{ CERTIFICATE OF INSERVICE INSPECTION I, tha undersigned, holding a valid comm,ss,on issued by the National Board of Boiler and Pressure Vessel Inspectors and the Stat* or Province of Virginia end amployed by HSBI & I Co* of Hartford* CT have insp~tl!d the componenu described in thi1 Owner*, Repo" during the period / b ~, t.(' er J,o ID-14 -9" . end ltllta that to the best of my knowledge and belief, the Owner has performed examination, and teken correct11111 measures describac:I In this Owner's Repo" in eccorc:lance with the requiremenu of the ASME Code, Section XI. By 1i9ning this ce"ificate neither the Inspector nor hi1 employer makn any warranty, expmllld or implied, concaming the examinations and correctiwt mea1Urea described in this Owner*, Report. Funhermore, neither the Inspector nor hi1 employer shall be liable in any manner for any personal injury or prope"V damage or

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

___ V_A __ s_4_J ______________ _ National Boara, Stete, Province, and Endoruments Date ____ _,i~,_,,/_,l=---_19 ? tj: *-* * -**~ * ***'*-*--*'*~°""-""'°"'*-""'**"*""'.:.cr.,=:,,*=-<"**arS.,,...;l,.,..::::,-=-*"'K":'.,,.-.,=-,-:-*

  • ~=c'c~~=S'!*=c, .. =-C,it_c,,,,,,_,,,,.-,c.================,c,~

.:~Y.TO,,.."lll*Cl==<'==*a!*'"====

  • *
  • Attachment II Page 15 of 93 serial No.: 94*194 Docket No.: 50*280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ,sME Code Section XI ,. Owner Virginia Electric and Power Co. ',om* 5000 Dominion Blvd., Glen Allen, VA 23060 ------------:A--,d~d'-r*-11------'-----
2. Plent Surry Power Station N*m* P.O. Box 315, Surry, VA 23883 AddrHI J. work Performed t,y Virginia Power Name P.O. Box 315, Surry, VA 23883 AddrH1 Date _...,_Fc=-=c~b=---:....:/

{,'-1-J--~{ 9-'--9+~--- Sheet_--'-/~_ of __ /_. _________ _ Unit 0 w/o T~: 0027f35"25-22 (R, (<jt r+-085 j Repair Organization P.O. No., .Job Na., ate. Type Code Symbol Stamp __ N..;/_A _______ _ Authorization No. _____ N..,._I_A.__ _____ _ Expira11on Date __.,H.,.{ .... A.._ __________ _ 4. Identification of System ---*~.......,.e=c=-'-:_._c-'~=---'S=-*F-i) ... V"C!--'-l;j-il / 7 5. (11) Applicabla Construction Code B31. l ::dition,_N..;/_A.....,,.. ___ Addenda, H-1, ll-7 (b) Applicabla Edition of Section XI Utilized for Repairs or A eolacemenu 198-"--C/.,___ Cod* Cue 6. Identification of Components Rep11red or Replaced and Replacement Componenu ASME Code National Repaired, Stampaa Nim* of Name of Menuf acturer Board Other YHr Replaced, IYes Component Manufacturer Serial No. No. ldantification Built or Replacement or Nol b/g ;~II Hea v 'j JJ/fr !f!J-!V/1/-J-As-f-16 tJ/!}-J?-ep{ o. ce~ ;Vo H~ /VIA,, ,, sft/'--il

Je.-.vy /Vo v~
  • N tW-iJNc: i/-rlJ "/l.51a7'1
t)/,1--I -f,S-f --/~ Ret lo. (.,e,w)°l?}1 i ~i)ue,7S rJj!}-/VO l1ex Nu, floe. PbR /t11CYJ 5TK
=# o:Zo J 1'i3t .!>&'1-11 ;-lex Hee,,;/ C.o.p:s crevJ ~/Ir ;v/A-;J/ft / -(<.r;-p-1 B ;i//19-7..-ep/o, l-Pd ;h 5/&-11 lfo< 1-/eu.c/ tJDWt H /JCf-1/Jtle t/1/1 51651330 R-ep/o.ctmen{

'ffl-O"{)l,1£.,73 Nffe / -f.S-f-1B

Vj/f /V'J <!a.ose.vevJ (Joli Onti,J'.J.1DN

'(;Tf..# o6J.3IA-5D

7. Description of Work __ J2-+>-e-=""-"'("1)j..,/

e..__-r;_.....c'_.b:;;.-t.;..' _r ... () .. &,=->>ij+C ... -'----'/'---'---J..;_-n;.:.,""-Y-f..:;,.:a:;..:.:.II __ JJ..:..0.:.:Ci..:..111:.i;f::_=--~£-li..:a.""4':..;J;;.i..,...e ____ _ B. Tuu Conducted: Hydro1titic Pneumatic O Nominal Ooereting Pressure 0 Other O Pressure _____ psi Test Temp. °F NOTE: Supplemental sh111n1 in form of lists, sketchet. or dniwings mav be used, provided 11) size ia 8% in. x 11 In., (21 tion in itema 1 through 6 on this reoon is included on each aheet, and (JI eech shNt ia nu;r,bered and the number of 1hnt1 i1 recorded at thll top of thia form . (12/821 Thia Form IE00030) may be obtainad from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 -.-*-----~ A":":"'~*tt.,,i FORM NIS-2 (Backl 9. Remarks _f'CJ-'=--~---=~:......7';...__:_'/..!...1,~rS;!:....!./.....!:o/:.._(j.i.....:2..::;.£,2.-:~"....L.llr-JU'4..L.,,rJ'~---------- CERTIFICATE OF COMPLIANCE Wa certify that the statements maae in the report an, correct ana thi1Afr!r._,.,g.ghl,conforms to tha rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___ N_/_A _______________________________ _ H/A H/A Certificate of Authorization No. ---------------ExPiration Date---------------- /, d:?~ ,--,. C L Sign~~ ¥ ..Lf'.:T' .e:..:.-v4,,ptf?6L.: Owneror6.... D11lgnff, Title Cata _ _./ul"""""~'-/.._p _____ , 19 '£ If CERTIFICATE OF INSERVICE INSPECTION I, tha undersigned, holding* valid comm1111on iuued by the National Board of Boiler and Pre11ur11 Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co* of Hartford* CT have inspected thll component1 described in thi1 Owner*, Report during the period / cg ... ('4*7'0 //J,f~ ... q4, , and 1tata that to th* belt of my knowledge end belief, tha Owner hes performed exanunations and taken correctiw measures describad in thi1 Owner's Report in IICCordanc. with the requir11ment1 of the ASME Code, Section XI. By 1igning thi1 certificate neither the Inspector nor his employer mak11 any warranty, expmlld or implied, conc:aming the exami1111tions and correctiw measures described in this Owner*, Report. Furthermore, neither the Inspector nor hi1 employer shall be liable in any manner for any personal injury or property damage or

  • 1011 of any kind arising from or connected with 1h11 ;*-~~{~ ~lg nature Commiuions

___ V_A __ S_4_3 ______________ _ National Boara, State, Province, and Endonamantl Data * *',*~****~~,'S,;;"! ... '(_, __ ,.,,;:;:, ... ,.---"-..t,i"'t,.t.~c:*, * *

  • *
  • FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Attachment II Page 16 of 93 Serial No.: 94*194 Docket No.: 50*280 1. Owner Virginia Electric and Power Co. Date Ho..rc-fv

/7, /qqf '<1me 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet / of ------------ AddrH1 2. Plant __ s_u_r_ry~_P_o_w~e_r_s_t_a_t_i_o;...n ________ _ Unit .......;:Q:;...N_..:..;;/2:;..._ ___________ _ Name P.O. Box 315, Surry, VA 23883 W,iJ,# Oo283tf3 1?.. :R~# 94~/oB AddrHI Repair Organ1utlan P.O. Na., Jab Na*.,.etc, 3. work Perfonned bv Virginia Power Type Code Symbol Stamp __ N...;./_A_.;._ _____ _ Name Authorization No. NIA P.O. Box 315, Surry, VA 23883 Expiration Data ~U~(..:A...._ _________ _ AddrH1 4. Identification of Synem,i<:/t.=.:.,.,,..(""'l-:;..)?"""'-::...cf<:t.A..u...l ,J:....:.. ____________________________ _ 5. (al Applicable Construction Code B3 l. l 19 §.2..._ Edition,_N_/_A ____ Addende, R-1, ll-1 (bl Applic1bl1 Edition of Section XI Utilized *for Repairs or Aeplec11menu 19.::8c..J9~-

6. ldantification of Compon11nu Rep11red or Aepl1clld ana Replacement Co.mponanu l .. National Nim* of Nemeaf Menufecturer_

Board Other Component Manufacturer Serial No. No. Identification S/g 11-//~/1Vf fl5X WT rJ /A-rJ/A .Al/,tJ-61-~-TV-fuM-5/g -11 JIG/It' y fl~ Nol/A t1//Clfl/J*: ... IIT:/1 y;s=,.071 tv//t o J-TX 1-Tlf-f uflft NUT I 77B oi;>t,1c1s 6~P ¥i -1; l/et4v'/ f/e;x ,J/fr ,J/A rJ/1t o/-'t>0 -Ttl-MII !1)1,v'"t' V,,-ts ;./eMy f/e X NO r/ /J N ftGf/1,/B 111 # "PBM z z. IV/fr o/-'l>q-Tl/-foSft r.lv.-r ?Pol>l-\Cl'S lo ~p Repaired, Y11r Replaced, Built or Replacement Nlfr '.{2-:f:f }u.c.e</ ;J/11-~-epl tlCe/fl&i-1:... /\I/fr 'i?.~p/t\c..eJ N/lr 'i<*ep JLA(_~M-Dt,t

7. Description of Work ~{ac:e, $bL 7//1/c.7 o El Cl,.y\J' $ ,' pock,1,,.J 6 G7/.,M C> .S. l'TI\J j) 8. Tesu Conducted:

Hydrostatic Pneumatic O Nominal Qp11rining Preuure 0 Other O Pressure _____ psi Test Temp,

  • F Code Cue ASME Code Stamped IYH or Nol /Vo Alo !Vo ND NOTE: Supplemantal 1hee,u in form of lists, 1ketchet, or dniwings mnv be used, provided (1 J size is 8% in. x 11 In., (21 tion in items 1 through 6 on this reoon is included on each sheet. and (31 eech shNt is nu~berlld and the number of 1hHt1 i1 recorded at the tOQ of this form . (12/821 This Form IE000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91
9. Rem11r1cs

-~-() __ P-_~~'-'----,,-....,,-.. ....... .._.,__._..e..;..-=c...-.-+---------=-------~--~-- ......... __.--...,, J>o4 CERTIFICATE OF COMPLIANCE We cenify that the statements mace in the repor1 are correct 11na this -~onforms to the rules of the ASME Coda, Section XI. repair or replacament Type Coda Symbol Stamp ___ N_/_A _______ ~------------------------------

~:a*a:;t A __ N __ /_A .-/---A-~-J.--

-~--({,-/_,{/._;;i:~~:n_0_11/% .... te_ ......... ~-N .. / ... Ar..... ......... /_.>....__, 19 9-,( Ownar or Owne~ltle CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid comm,ss,on issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Pr011ince of Virginia and employed by HSB:I & I Co* of Hartford* CT have inspected the compon11n11 described in this Owner*, Report during the period lb-/~' q-to l f>-f L\ -Cf .6 , and 1t'ata tlm to the best of my knowledge and belief, the Ownar has performed examination, e~d. taken correcti1111 measu_res described In thl1 *Owner's Aepon*in accordance with the requirements of the ASME Code, Section XI. By 1i9ning thi1 cenificaht nei~her the lns,Pector nor his employer maka any warranty, exprauad or implied, concaming the examinations

  • and correc:ti1111 me111ur111 described in thi1 Own11r'1 Report. Funhermore, neither the Inspector nor hit employer shell be liable in any manner for any personal injury or propeny damage or a loss of any kind ari1ing from or connected with thl1 inrpei:tior\.

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

____ commiuion1 __ V_A __ S_4_3 ___________ _ I napactor'1 Signature Nattonal Boara, State, Province, encl Endonamen11 Date 3-1 <g. 19-1#--** * *

  • *
  • Attachment II Page 17 of 93 Serial No.: 94*194 Docket No.: 50*280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Proyi1ion1 of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. 'lame _S_O_O_O_D_o_m_i_n_i_o_n

__ B_l_v...,.d_

  • ....:*_G_l_e_n

__ A_l_l_e_n....:,_V_A __ 2_3060 She1t ___ z __ cf_,1,,.goiiiL. _________ _ AddreM 2. Plant Surry Power Station Name P.O. Box 315, Surry, VA 23883 Aelat-J. Work Performed t,y Virginia Power Name P.O. Box 315, Surry, VA 23883 AddrHa Unit __ 0;...N__.;S=:-------------- Lu .o. # oo2SBt4S-D'2.

V<..,f?,#g4-(D

J/i.._..'fi.A_""""'J,.J;..,,.. _____________________________ _ 5. (11 Applicabl1Conmuc11onCoda B31.l ;9§2._Edi1ion,_N...,;/_A ____ Addenda,N-l, U-7 (bl Applic1bla Edition of Secuon XI Utilized tor Repair, or Reolacam,nn 19.::;8_.C:, __ 6. lden11flc11tion of Compon1n11 Repaired or Reolacld ana Reolacament Component1 -AIME ,, Code National Rap1ired, StamPed N1maof Nameof Manufacturer Board Other Y11r Replaced, IYn Componant Manufacturer S1ri1I No. No. Identification Built or R IPIIC9ffllfl1 or Not 'M6'~,.,. /-eQ~y lk,x JJ,!R tJ/,4 AfA o/-})&i-711-/flr3,4 ~/}J-JZep/CICec/ ,Jb Nt.A7 71/-11 HCAvy f.Je,x It t c., l:IV"1/AJ~'t,.. r,, ~'ii d;z./, 1/h tJ /ft "r'PlrTv-/oM .N'/tt ~Ja.ce~ ,J6 ,.Jv,7 J1, :t.Nl. 0/-f 4 7"(1/lCJ1/)(;,:/) ,<DJ) l"'/A ~/ft-rJ;1r cJl-lX1 -Tv-to'r31r .,J l!r R-ed' (IICeol ~b ~'!..ii rlfAEri1*!> I\Jo tlli Jl/1t/JIIV6 !fr# t;a {;s92:, I v1-1>r:,---rv-)fott /Vffe ~'f(i' f o..cel"lext ,,Jo '\<oi, I ~l>IA',c, CoPI', 3/;.g. 8. Tun Conducted: Hydrostatic. ?n1umatic O Nominal Oc,aratlng Pre11ure 0 Othar O Pressure _____ psi Tut Tamp,

  • F NOTE: Suppj1m1ntal 1hnu in form of lim. 1k11tch111.

or dl'llwings mav bl und, providad C1 I 1iZ1 is B% in. x 11 In., 121 lnfomw* tion in items I throu9'1 6 on this reoon is included on 11ctl 1hNt, and 131 aacn lt'llft ii nu.:nber9d and Iha number of 1hNti la recorded at th* top of thl1 form . (12/82) Thia Form IE00030l may be obtainact from tlll Ordar Dec,t., ASME, 345 E. 47th St., New York, N.Y., 10017 REPRINT 12/91 FORM NIS-2 (Backl 3. Remar1<1 ----~ii,=..:~=------------------------------------------ ,\ AoPllcabla Manufacturar*1 Data Aeport1 to be anached CERTIFICATE OF COMPLIANCE We cemtv that the statemenu mace ,n the ~DDl'l are correct ana this Af)~z:: ;onfom,1 to the rutea of thl ASME Coda, Section XI. repair or replacament S N/A Type Code vmbot StamP----------------------------------------- N/A H/A Can1fic1t1 of Authorization No. ----------------Expiration D11t1 ---------------- Signed~ ,J . . _7s;z:-~+/-1, or O~Tlt11 CERTIFICATE OF INSERVICE INSPECTION I, th* unde'.1i;nld, holdin; a 111hd comm,u1on 1uuld by the National Boera of Boiler and Pressure 1/11*1 lnsoectors and the State or Province of Virginia end 1mp1ovld by HSBI ' I Co. of ..cEl;..a__.r ... t_f ... o_r_d_, ___ C_T _____________________ ..,,...,.. ___ have insoectep the compon1n11 dltCflbad in thi1 Owner*, Repon durinCJ the period /O .. (LI ~f 1 to (b-( Y -1.k ,. and HIia that to thl 1>111 of my know1.oge and belief, the Owner na p1rlorm1d 1xam1nat1on1 and t1k1n correcuw m1nur11 described In tht1 Owner*, Repon in accoraance wnh the l'IQU1remen11 of the ASME Codi, SectiOn XI. Bv 1ivn1119 thil can1fica11 n11ther th* tnsp1e1or nor hi1 employer maka any w,rrantv, IXDrtllld or imc,lild, conCllfflifll the exem1na11on1 end correctiW m111aur* dnenbld in th11 Owner*, R100,1. Funhermore, neither tt,1 lnSQeCtOr nor hi* amptoye, shall bl liable in any manner for anv personal injury or propany dlffl'CJI or a 1011 of any kind ari1i119 from or connactld wltft fflll in1D1C1~n~ f)* ---..J~-..;._----~-l:-----~=-' ..... """"-~---CDmmiuion1 ___ v_A __ s_4_3 ______________ _ I nac,ec:1or1 Slonatur* Natlonel Boara. 51111, Pro111nc1, ana Endor.....-.

  • *
  • *
  • Attachment II Page 18 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions of the ASME Code Section XI Oat11 _ _,_J1J.la=yc...:C..:....J...=-..:../..:....7~, .+-/9,..L.1i....1:'-------

5000 Dominion Blvd., Glen Allen, VA' 23060 Addreu , . Owner Virginia Electric and Power Co. ~*m* 2. Plant Surry Power Station Nam* P.O. Box 315, Surry, VA 23883 Ades, .. J. work Performed by Virginia Power Nam* P.O. Box 315, Surry, VA 23883 Addren Unit_..._O~N;..:e~----------- w.o.ffooZ33ff3-oZ R.R.# 94-/ort, Repair Orgeniretlon P.O. No., Job No., eto. Type Code Symbol Stamp __ N....:/_A _______ _ Authorization No. NIA Expiration D*t* ~Hul...cA:i.__ __________ _ 4. ld11ntific1t1on of Synem ,.,~aaa'IJ/'.a.<-1, ........ J?""l -<M.;...;.al.:.;N..._ ____________________________ _ s. (1) Applic11>11Conmuc11onCod1 B31.l :9~Edilion,_N....:/_A _____ Addenda,H-l, ll-1 (bl Applicable Edition of Section XI Utilized tor Repair, or Reolec1menu 19.::8.......:...'I __ 6. ldent1flcetion of Componenu Repaired or Replaced ano Replecement Componenu AIME Codi* National Repeirad, s ........ Name of N..,.af Menufectur., Board Otfltr Yea, Replaced, IV" Component Menufecturer Serial No. No. lden1ilic1tion Built or Reptacemlftl or Nol (a, 11-( > f/e(),Vy i-1.e..'J( rJi,.; "-'A "1/ ,4 rJ/lt o/-lX1-1ll-/tJ8ft tJ/IJ-7<,Jc.ce&/ AJo 4?z -/) 1/~vy fl) o II It ti /1/!,IJ fAJt t11.:Jt 'f::ldU, z z. /V/!r of-JX:;,-Tv-l"BAj 1!r 'l<.-f'f I v.(f r,tt?,\-t. No He.x Nu, ?~buo,; fl.o/l.P ,1_,J 7lfflcff)'IE-P ,Jjfr rJ If+ tvlli c)j-'Jxr Tv-lo9>1t rJ/A-'kf}c,..cec/ /Vb 'i2o1' $/J'~,, -rll/2eAWi> tJoiJ't l'IACHIN8

f.,l/ffo417 l'J//1-111A-l<.'fp/oce1t1e,,,.1
Jo ?t> --Pll.tihu-rt
. (b~ I) of-'J>c.,-Tv-ldM 7. o,scriDtion of Work J2.-cp/0<,-t...

t';,o}t~3

8. Te111 Conducted:

Hydron1tic Pneumatic O Nominal 0Dtrlting Pre11ure 0 Other O Pre nu re _____ p1i Ten T1mD. 'F NOTE: SuDplem1nt1I lhNU in form of li1u. 1k11chn, or dl'llwin91 mev bl u1ed, provided 11 l size i1 8% in. x 11 In., l:ZI lnfONN* tion in item, 1 through 6 on this reoon i1 included on each 1hN1, and 131 each lhNI ii nu.:nt>ered and the number of lhNII It recorded at the lOQ of mil form . (12/821 Thi1 Form tE000301 may be obtained from the Order DIDI., ASME, 345 E. 47th St., New York, N.Y, 10017 REPRINT 12/91 FORM NIS-2 (Backl 3. Remarks _ __.~~u:.::::.... _________ _:_ ________________________________ _ AcPllcaDI* Manufacturar*1 Data Reportl to De attached CERTIFICATE OF COMPLIANCE We cemtv that the statements mace ,n the reoori are correct ena this S-)~r: .:onformr 10 the rulea of tht ASME Code, Section XI. repair or replacement N/A Typ1 Code Symbol StamP----------------------------------------- H/A N/A Cenifica11 of Authorizet,on No. ----------------Exoirttion 01111 ---------------- Sign£:)_ L ;J;;sz-Ownar or~nN, Tltte Oat, _ __._~ ......... .... ....,..q-.__./_7_.__ __ , 19 fffe{ CERTIFICATE OF INSERVICE INSPECTION 1, the unaeraigntd, holding a 1111td comm,uaon ,uutd by th1 National Boara of Boiler and Preuu,. IIH*I lnsoec:ton and tht Stitt orProv,~of Virginia *ndtmp1oytdby BSB:I ' I Co. of _B_a.c,..r .... t __ f_o_r_d_. ___ c_T ____________________ ...,....,,....,..---h-1nt0ee~Ltht compon1nt1 dncribld in 1hi1 Owner*, R~n during the parroa / 0 -/ t-f--Cf 'J; to f O -{ 1 T *

  • 1nd 1tata thtt 10 the best of my knowtecsg.

and belief. the Owner ha performed 11xem1ntt1on1 ana tlktn corrtctiw menurt1 decribld In thll ; I *

  • Owner's Rei,on in accoraance with the 1'9Qu,,.mtnta ol the ASME Codi, Section XI. By 1i9ni119 thi1 ctn1fic1n neither the lnsPtetor nor his employer mtk* any warrantV.

txPfftlld or implitd. conCMftint tht exam1nat1on1 and correctiw* metsur111,dl!'SCnbld in th11 Owner*, Rtpon. Funhermora, neithtr tt,1 lnsc,ecu,r nor hi1 tfflPtOVtr shall bt tiabl1 in any manner for any personal injury or prootrtV d.tmllQI or. t 1011 of iny kind arising from or conntcttd with this inapeciH>n 0~ D'

  • It)* (\ ----..1~~"'"-...,.,=..._,_.__J.

__ ...,.... *-~"'------------Commiuion1 ___ v_A __ s_4_J ________________ _ ln1Pac:tor'1 Signature Natlontl Boera. State, Prov,nca, ,na Endor....- Datt 3-( s 19 1f * * *

  • *
  • Attachment II Page 19 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. ';1me 5000 Dominion Blvd., Glen Allen, VA AddrHI 2. Plent Surry Power Station Neme P.O. Box 315, Surry, VA 23883 AddrHI J. Work Performed by Virginia Power Nem* P.O. Box 315, Surry, VA 23883 AddrHI Date _/1_...;..CA,_r_c"-_...:../...:..7..._, ~f 'f.:....J£J'L------

23060 Sheet ___ ,../ __ ot _____ / ________________ __ Unit Of\Je LJ,O, #coz.&444:-0/ '/?..?..# f/4-ol?.. Aepalr Organization P.O. No., Job NO,, etc, Tvpe Coda Svmbol Stamp __ N_/_A ______________ _ Authorization No. NIA Expiration Date __..ij""/..&.A.._ ____________________ _ 4. Identification of Svstem _.......a./_/lJ_:S'-'-7/l __ U._M_c_N_7 __ A ___ IR...__ ________________________ _ 5. (111 Applicable Construction Code B31. l 19~Edition,_N_/_A~------Addenda, N-1, ll-1 (bl Applicable Edition of Section XI Utilized for Repe1rs or Replacements 19""'8_'"1...__ CodaC11a 6. Identification of Components Rep11red or Replaced ena Replacement Components . ASME I Code National Repaired, Stamped Name of Nam1of Menufacturer Board Other Year Replaced, IYn Component Menufacturer Sarial No. No. ld1ntilic1tion Built or Replacement or Nol fig -11 f/ex MAT CS A91"N A/9.tf ,J/A /IJ/lt o/-:I.tJ-Tl/-fc)o f,) /,4 'K-ef)ac.ec/ A}o 116;< IVIAT ~-II //ex ,v~-t H.4C/~i,/;

Jrl<J,/J,{'oM,G{)

llfifcJ" fJZHf::tJ JJJ,. o/-II/ -TtJ-/oo ,J/1} W:fb(eJtfent No ~.-(I -f/lJ<(:;/l/)5-P ,.J/;;--0A-/11/!f 6/-JIJ -7(/-/oo 1\/'j,4 'i<e, la cec/ ,Jc, 7-01? -% '1-1/ 7'1/l<BJPGD 11)011/J-/'1/JCl.f/AI& lfrlt t;'2.,f77 .;J/4 o/-.IA-Ttl-1°0 /Vlh-t<ep/r;.cem-eA -f ;Jo ~!> n~i~ro~ {}-,-J,,,A) STK,.i ."!7'18%~, B. Tests Conducted: Hvdro1t1tic Pneumatic O Nominal Qpereting Pressure 0 Other O Pressure ______ psi Test Temp.

  • F NOTE: Supplemental sheets in form of lists, sketches, or drawings mav be u111d, provided 11 I size is B% in. x 11 In., 121 lnforma* tion in items 1 through 6 on this report is included on each sheet, end (JI each sheet is nu~bered end the number of ahfftl is recorded et the top of this form . (12/821 This Form IEOOOJOI mav be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 CERTIFICATE OF COMPLIANCE We cenify that the statements mace in the report are cor.rect 11.na ~his ~-~At:ccintonns to the rules of the ASME Code, Section XI. rapalr or replacement N/A Tvp* Code Symbol StamP--------------------------------------

Cenificate of Authorization No. N/A Expiration Date ____ N_/_A __________ _ Signed r:-) i:. p / ..fS:Z-~?£(~ D11t*--'~"---4"""""..:Z.""'c'-'6(~ ... /~?'----, 19 9¥ ~~.Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a 11elid commission iuuad by the National Board of Boiler and Pressure Vessel Inspectors and the State or Provinc:a of Virginia and employed by HSB:I & :r Co* of Hartford, CT have . inspecJl(I the compon1n11 dHCribld in thi1 Owner*, Repci" during the period /!)-/U-C/3 to /D-14-'t~ .. and ltate that to the best of my knowlltdge ind belief, the.Owner has perform~d examination, and t11k11n correcti111 m11sures described In thl1 Owner*, Repo" in accordance with the miuiremen11 of the ASME Code, Section XI. By 1ignir19 thi1 ce"ificate neither the Inspector nor hi1 1mployar makes any w111T11nty, 11xpreslld or impliad, concemt"11 the examination* and corractiw measur111 described in thi1 Owner's Report. Furthermore, neither the Inspector nor hi~ employer shall be liable in any manner for any personal injury or propeny damage or i 1011 of any kind 1ri1inv from or connec:ied with this ' . . in~ectionj~ !. ---~l'--"""}d.__..,.,,~.....;;.. ....... -... £._....,...,.-1,~- ...... =:a""""'----Commiuions ___ V_A __ S,;;_;4;,,;3 _______ .......,,,.............,---- 1nepector1 s111n*ture National Soans, State, Provine*. and Endor.-nenu . v.) ... /f . c:fti Date*-------""'U...__._ ____ 19~ * * *

  • Attachment II Page 20 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. 'lame 5000 Dominion Blvd., Glen Allen, VA AddrHI 2. Plant Surry Power Station Name P.O. Box 315, Surry, VA 23883 Addrea 3. Work Performed bv Virginia Power N1me P.O. Box 315, Surry, VA 23883 Addra11 23060 Date /1arrch, /11
  • lj'J1 Sheet L I of Unit {)fl)& /,,J.D, #ooZ7b738-o/

'g.~# 7'4-Jo( Repair Organlntlon P.O. No., Job No., ate. Type Codi Symbol Stamp __ N_/_A _______ _ Authorization No. NIA Expiration Date-H,..I .... A'"------------

4. Identification of System _.,.YJ=_,_-

__ PC ___ '."'T __ O......,..g. ____ ~_VD_l-fl__._N_""t ________________________ _ I 5. (al Applicabl1Con1trucuonCode B31.l 19~Editio'1.,_N_/_A=- ___ Addanda,N-l, ll-7 (bl Applicable Edition of Secti~n XI Utili~ed 1 tor Rep1ur 0 1 or Repl~ements 19..c.8_2.___ Code Cua 6.

  • Identification of Componanu Repaired or *Replaced and Replacement Components ASME ' Code National Rapeirad, Stlffll)ld N1maof Namaof Manufacturer Board Other Y11r Replaced, (VII Manufacturer

' No. or R1plac1m1nt or Nol Component Serial No. Identification Built : ,, 4 ,~IM tt~Mt3l-Y N//r : N/A rv/1} /-1<e-/c,tl-!f ss/?J ;Jj/r 7..-e;;bee/

  • ~ f"-fl</11

/155"EHIJL 1 (!ofGS-~!JIii, ttrt/ f6 Z/Sf "'iA-tJIA ttlo 1fr1f_ (. +113 1-;<c-rcv-tf .f5'3 'i:e11k c.em&i1 ::INl. rlt1' Bt. 51 l:li '. *.*:1, ' 8. Tests Conducted: Hydrostatic Pneumatic O Nomi~al Operating Pressure 0 Other O Pressure _____ psi Test Temp, 'F NOTE: Supplemental sheets in form of lim, 1ke'tch111. or dnswings may be uaed, provided 11 I size ia 8% in. x 11 1'n., (21 lnfo~ma-. tion in items 1 through 6 on this recon is included on .each sheet, and 131 each lhllft ia nu~berec:I and the number of ahim ii recorded at th* top of this form . (12/821 Thia Form IE000301 may* be obteinad from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 CERTIFICATEO.F COMPLIANCE We certify that the statements maae in the report are co~~ect aria thisil!)~..(d,.....- confomu to th11 rules of th11 ASME Code, Section XI. repair or replacement Type Coda Symbol Stamp ___ N_/_A_"--------------------------------- Certificat11 of Authorization No. __ H_/_A ____________ ExPiration 011t11 ____ H_/_A __________ _ ("/~~ --Signed -li,r .pt,,/ --d= ner or Own90..ii,,.., Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid comm1ss,on iuued by the National Board of B0il11r and Pressure Vessel lns;,ectors and the State or Province of Virginia and employed by HSBI & I Co* of -'-B;;..;aca.r.....;;t;.;;f_o_r_d_, ___ C_T ____________________ ,..... _____ h11119 in~ted th11, comp!)nents,,described in this Owner's Report during the* period ______ _._/ .,.D'-........ , .. u ... ,_q.,.., .. '.3 ..... ,_to I O' /I.\ ... q b , . and stet* tlm to th* belt of my knowledge and 1>4!1ief, the Owner hes performed examinations and taken correctiw meaiures described In this Owner's Report in accordance with the n,quiremen11 of the ASME Code, Section XI. By 1iQning this certificate neither the Inspector nor his employer makes any warranty, eJtPrnled or implied, concaming the examinations and correctiw measur* described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a 1011 of any kind arising from or connected with this inspeae:\~ o_ ---IB....:;.. ... ~:.....------J ...... _ . ...,.,'~=-<""-"'=-------Commiuions ___ v_A __ s_4_3 ______________ _ I nepec:1or'1 Signature Netlonal Board, State, Province, and Endor.-nenH .. Date_~_-3.-...-_* /..:..CZ_19!1!/-

  • * *
    • *
  • Attachment II Page 21 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. 'lame 5000 Dominion Blvd., Gleri Allen, VA Addreu 2. Plant Surry Power Station Nam* P.O. Box 315, Surry, VA 23883 Addreu 3. Work Performed by Virginia Power Name, P.O. Box 315, Surry, VA 23883 AddrHe 23060 Date Hcircf\._

171 {j'tf Sheet /.. of I Unit QtvE t,.),o,lt oo f2b76f3-o/ R#" 94-0/, Z A"'elr Organlutlon P.O. No., Job No., etc. Type Codi Symbol Stamp __ N_/_A _______ _ Authorization No. ____ __.N'~/A...._ _____ _ Expirauon Oate _H_,./_A, ___________ _ 4. Identification of System __ ........ ""--"--C:z-'-o"'""/2...,_* ___ () ... ti_D_L._A __ N1"_..__ _____________________ _ 5. (al ApplicableConstruct1onCod1 B31.l 19~Edition,_N_/_A=- ___ Addende,N-l, ll-7 (bl Applicable Edition of Section XI Utilized tor Repair, or Repiace~enu 19..::;.B_C/ ___ _ CodtCut 6. Identification of Compon,nu Repaired or Replaced and Replacement Componenu l;., ASME I:,, Codi Nation11 Rep1irtd, Stamped Nam, of Name ot Manufec:turer Board Other Y11r Replaced, IVft Component Manufacturer Sarial No. No. ld1ntific1tion Built or Replacement or Nol 1.11 ,PJM ftSSG/11~'-Y Al)~ ;J/;1-;vj, ;. /le..-fe1h+ 5.,e.,, K-<;fooeJ Alo 27PJM A55ef1f3LI d,fGs-,/ui.eAJI / /It"# 68~9f ;J/!t 1-/<t.ittl-ffjft ,.;jJ '1.-ep/a~n-l: No rJ/t 11,{f'zt i,+tJ,t  : .. NOTE: Supplemental 1heet1 in form of lim. sketches, or drawings may be used, provided 11_) size i18% in. x 11 In., 121 lnformt* tion in item, 1 through 6 on this reoon i1 included on each 1heet, 11nd 131 each lhllft is numbered and the number of 1h1111 i1 recorded *t the top of thi1 form . (12/821 Thi1 Form IE000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91

1. FORM NIS-2 (Back)
  • 9. Rem11r1t1

--1-8~ff'--#---'{!_=S....,*

  • ,f-i_-....;:2.;._;f';.._)_o_?~1

____________________ _ 7 APPl.lcabl*e Manufacturar'1 Data Reportl to be attached CERTIFICATE OF COMPLIANCE , We cenify that the statements maae in the reoort ara correct 11no this AiP~c~&r-conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___ N_/_A ________________________________ _ :.~:*,.zr~tJ __ H_/_A ____________ Expi::::n __ D_a ... ~'"'e ......... .. ~---~ ... H ... / .. A ....... /__,Z.._ __ , is$ty'. Owner or Owne~le CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission iuued by the National Board of Boiler end Pressure Vessel Inspectors end the State or Province of Virginia and employed by HSB:I Ii I Co* of Hartford* CT have inspect tl\e

  • compon1nt1 described in 1tii1 Owner's Repon during the period to lb-'/4 ...q , and 1tat1 that .... to the best of my knowled99 1nd belief, the Owner has performed*.examinationi and taken corrective me1sur11s*deicribld In this Owner's Aepon in accordance with the' requirement~

of the ASME Co~'. s.;;tion XI. By signing this cenific1te neither the Inspector nor his employer mak* any warranty, exprlllld or implied, concarning the examinations ind corrective measures described in thi1 Owner*, Aeoort. Funhermore, neither the Inspector nor hi1 lfflPloyer shall be liable in any manner for any personal injury or propany damage or a 1011 of any kind arising from or connactld with this i_"_IPect __ VC,..1,jio~n..1,."'Jd--' ..... ___ f, ____ , -,-6i._ ..... ... ...._ _______ Commiuion1 ___ V_A __ 5_4_3 ______________ _ Inspector-a Signature Natlonel Boel'CII, Stata, Province, and Endonementa Date.,...*. __ __,.._.'?..........._"_.* (:"""'g""' __ * -* *

  • *
  • Attachment II Page 22 of 93 serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. ',am* 5000 Dominion Blvd., Glen Allen, VA .. 23060 Addre11 2. Plant Surry Power Station Name P.O. Box 315, Surry, VA 23883 Addr"' 3. Work Performed bv _v_i_r_g_i_*

_n_i_a_P_o_w_e_r ________ _ Name P.O. Box 315, Surry, VA 23883 Addra11 Date Ho,rck (7, ,~1t Sheet L of I Unit Orve {),<). -:/tDOZBl7SB-o/ 7,.R.#" </1-062-A*P*lr Organization P.O. No., Job No., ato. Type Coda Symbol Stamp __ N_/_A _______ _ Authorization No. NfJ\ Expiration Data.....,H.,.I.A~-----------

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

____________________________ _ 5. (al Applicable Construction Code B31. l ' 19§..?___Editio~._N_/_A ____ Addenda, N-1, ll-7 (bl Applicable Edition of Section XI Utilized* to*, Repair.* or Reol1e~menu 19..c.8_9.....__ Codec ... 6. Identification of Components Repaired or Replaced a~d Repl~ment Componenu ASME . . Code National R1Paired, Stamped Nemaof Name of Manufacturer Board Other v .. , AIPlaced, (Vea Component M1nuf1eturar Sarial No. No. ldantification Built or Raplacemant -or Nol "-to 1ilflc-lJPc-f2. 12-0 I.) ti/~ ~11r i?-1/A-J-41-Z76-t/lfl..Vb µfa ~p/~e/ Alo ~"-to T"fl/l.J:/t-PISP.. pt""° NACll!llla 1/r:ff ISf tJ6 . ;)/It f tlf-Z76-t!Alf/6 /1/fo Pef/o.cef"l-enf NJ Ct(lf. .>11<.iJ. c/'177~') B. Tesu Conducted: Hydro111tic Pneumatic O Nominal Operating Pressure 0 Othlr O Pr!ssure _____ p1i Test Temp. "F NOTE: Supplemental sheets in form of lim, 1ketchn. or drawings may be uaed, provided (1 I size is B% in. x 11 In., 121 tion in item* 1 through 6 on this repon is included on eecli sheet, and (31 each 1heat i1 nu~bered and the number of ahNtS ia recorded 1t the tOI) of this form . (12/821 This Form IE000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 '(Back.I 9. Remarks ___ ;g __ ~_, c=-* >"--r-Y-t-f-+-<-ltf:.__.'i__,_~=--.r-'c---'(~) ________ _ r I Appllcabla Manufacturer*, Data Reports to be anached CERTIFICATE OF COMPLIANCE We certify that the statements mace in the repon are correct ana this *,e4~.!WCconforms to the rules of the ASME Code, Section x I. repair or replacement Typo Code Symbol Stamp_;.. __ N_/_A ________________________________ _ Certificate of Authorization No. H/A Exciration Dete ____ H_/_A __________ _ Signed(}_~ ~,/ .£s£ h/4,~ Cate ~4;d / 2 ¥w.ie, or O~DfflgnH, Title ,19 zY CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid comm1mon iuulld by the N11tion11I Board of Boiler and Pressura Ves111I Inspectors and the Stata or Province of Virginia and employed by HSBI & I Co* of Hartford, CT have inspected the components described in* thi1 Owner*, Repon during the period to D " ~Cf.(,. and nata that ' ' ., , . to the best of my knowledge and belief, the Owner hes performed ~xanunations and taken corrective measures described In this Owner*, Report in accordance witl'i the reQuiraman11 of th11 ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, 11xpmlld or implied, concaming the examinations and corrective m1111ures described in this Owner's Report. Funh11rmor11, neither the Inspector nor his employer shall be li11bl11 in any manner for any personal injury or propeny damave or a 1011 of any kind arising from or connected with this in"'ectnnj _ D. /J (\ --~~~-"---="-""'----~-...,,.,.-~----....aa.--------COmmission1 ___ v_A __ s_4_3 ______________ _ Inspector-, Slgnatura National Soaro, State, Province, and Endor.-nenta c;>ate * ,:,

  • T~ -* .-~.~ ** M\ 0 * *
    • *
  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Attachment II Page 23 of 93 Serial No.: 94*194 Docket No.: 50-280 ,. Owner Virginia Electric and Power Co. ~*m* Dat*~r.~1,~~~b~f~-----

5000 Dominion Blvd., Glen Allen, VA 23060 Sheet _____ 01 / AddrHe 2 Pl Surry Power Station . ant _____ ..... __________ .,._. ........................................ Name Unit ....,O...._ .... y .. c _________________ _ P.O. Bez 315, Surry, VA 23883 AdGr-Repair Or11an1ratlon P.O. No., JOit No., ato. J, Work Performed bV Virginia Power Type Codi Symbol Stamo __ N_/_A _______ _ Name Authorizetion No. -------'Na..ft..&a... ______ _ P.O. Boz 315, Surry, VA 23883 Expiration 0111 _.N._/._.A..._ _______________ _ AddreH 4. ld11nt1fic111on of Synem ,Wd'Tf µac. [20 ,v S. (1) Applicable Connrucuon Code B31.1 :9~Ed.ition, __ N __ /_A ____ Addlnde, N-1, ll-1 (bl Applicable Edition of Section XI Utilized tor Aep11r1 or Reolac1man11 198 9 6. ldanuflcetion of Comoonanu A11>1ired or A11>l1ced ano Raplec:ement Compon1n11 ,, AIME Coda*' Netion11 Reoaif'ld, StafflPld Nem1 of Nlffll of M1nufecturer Board Odler v,., Replaced, IYII* : Component M1nufec1urer siri,1 No. No. ld1t1t1fic11ion Built or Replaceffllft1 or Nol VA'Li/6-A/ J;_ tt/ '4_ . ,.., kl_ ~Ji ..f.*JJ=q1l) I-S.I*e/ t 1J ,R._t'l:)A,£ ,Al() ', i ' ,. .,,*, 8. Ten, Conducted: Hydrostatic Pneumatic O Nominll Oo,rettno Pre11ure 0 Other O Pressure------- p1i Test Temp,

  • F NOTE: Suppi1m1nt1I lh11t1 in form of lim, iketchn. or drewin91 ffllY bl u1ad, provided C1 I sin i1 8~ In. x 11 In., C2) lnfom,a *.. tion in it1m1 1 thrau9h 6 on this rtoan ii includ*d on. IICII 111111, end 131 Hell lhNt ii numbered end 1111 number Of fflNll*il
  • recorded It thl 100 of this form . (12/821 Thi1 Form IE000301 may bl obtained from 1111 Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 ---*-----------**------**------

FORM NIS-2 (Back) Acpllcabla Manufacturar*a Ona Recorta to b* attached . CERTIFICATE OF COMPLIANCE t We cenitv that the statements mace ,n the ~can are correct 11na thia h-J.4..,,t

onforms to tne rulea of the ASME c*~dll, Section XI. repa,To
replacement S S N/A Tvo* Code vmbal tamP-----------------------------------------

N/A H/A ~nifica11 of Authorization No. ________________ Expiration 011t*---------------- Signed <il,<:a~*lanN~~ CERTIFICATE OF INSEAVICE INSPECTION I, tn1 unaeraigned, holding* v111d comm1n1on ,uued by the National Board of Boiler and Preuura Vtswl lnsoec:tors and the State or Prov,nc:9 of Virginia end 1mo1avec:1 by HSBI ' I Co. of _H_a_r_t_f_o_r_d __ ._C_T _____________________ ...,,...,,,.. __ ..,..have ,n~t,ct the compon1nt1 deterlbed in 1ni1 Ownar*a Repon during th11 period / D -/ 4 -'l :3 10 /D -IL/ -'1 b , and at** that to tn* bin of mv knowledge and belief, the Owner na performed 11xam1na11on1 and taken correctiw mH1UrH dHcribed In thl1 Owner*, Aai,on in accordance with tha ,-qu1rament1 of the ASME Code, Section XI. By 1i9n1119 thi1 cenificatw n**ther the Inspector nor hi1 employer mak* any warrantv, expmad or imPlild, conCllfflint the exam1na11on1 and corrllC'tiw me1111r111 dncribld in th11 Owner*, Repart. Funhermore, n11ith1r the lnspec10r nor hil efflltloY*r shall bl liable in 1ny manner for anv personal injury or propenv damage or

  • 1011 of anv kind ari1ing from or connected with tfll1 inn~_/).~

-...i~i-:;.i.i~...._--_.._ ... d_ *--~~---=--'---------Commiuion1 ___ v_A,;.__.;,S_4,;..3 ______________ _ lnepectora Slon*tur1 Natlonll Boara, State, Prov,nca, ana EndorNfftaflfl Oate-___ ___.5..._-_/ ? __ 19 'f f * * * ,... *. ,.,,;=*;twt,;;l;;1lfft-i&'ieJ,!f-<>,r*;r;:;,;*g**ei,~,;1*et,lwA;:-µ.t1~,Ee1.~~;t&i.1\4.~1.?i;;:j~~'91~~~ft~~~.-.~¥r,.~~~~~-~~~;(;~~*~i~-~:~',l~-_.::'~,-._,,'t~t2 1.::.:'.°;. Attachment II *(--.. 7~ ' . \ . * ( * ......... IIIOlffHCIRUUIIIA~---- To . W.D. Grady From M.A. Ringler Memorandum Supv.-NDE Mmerials Engineering February 19, 1994 ENGINEERING EVALUATION YALYB 1-Sl-410 SURRYUNUI Page 24 of 93 Serial No.: 94-194 Docket No.: 50-280 Engineering was asked to evalUllle t~ indications on NDE Report No. 94-0()7 for valve l-SI-410. All the indications are 1/2 inch from the toe of the weld on the valve side in the region where the prepped surface interfaces with the as-cast surface condition. The valve material is CF-8 (304), an austenitic stainless stul casting. The surface of the valve conrains numerous su,face discontinuing such as inclusions, porosity, and cold shuls formed during the manufacturing process. The mtllerial specification (A351) requires the su,face of the casting to be visually inspected and free of adMring sand, scale, cracks, and hot tears. The original construction specification NUS-20 (which dealt with material selection, fabrication, and erection), required the valve installation to be radiographed and liquid penetrant examined. The worst indicanon (approx. 1

  • long) QI the 225" position repaired l,y grindi'fl&.

The excavanon measured approx. 3132

  • deep x . 7 wide x . 6 long. 'ihe area was NDE PT examined and found code acceptable.

No welding was required just blend grinding as the repair is localed in one of the thickness sections of the valve. In conclusion the surface condition oft~ valve 1 /2 inch from the toe of the weld is not suitable for a meaningful NDE interpreiation. The indications are not service induced but rejectable surface discontinuities resulting from the manujactUring process. Engineering finds weld W-1-AMF, dwg. 11448-WMKS-0127G2, line 10*-sJ-6-153 acceptable/or service. pc: T.R. Huber W.F. McCloskey File -M.A. Ringler . -ANI/ANII R.L. CODER NB7009 , 6,9M .

  • *
  • Attachment II Page 25 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI ,. Owner Virginia Electric and Power Co. ~*m* 5000 Dominion Blvd., Glen Allen, VA Addren 2. Plant Surry Power Station***

Name P.O. Boz 315, Surry, VA 23883 Addreu J. Work Performed t,y Virginia Power Name \ P.O. Boz 3!5, Surry, VA 23883 AddflH Date _f1..,,....th.&.,.;:.l<~cffL--.;;'Z;...:::3~)-1-I-L.'fil-/.t:..--- 23060 Sheet __ ,..[ __ ct ___________ _ Unit _O_N_c _____________ _ W,o,# oo 2(p9ot;,o-ol

J?.~4 y4-03'f Repelr Oroen1u1lon P.O. No., Joll NO., 110. Type Cede Symbol Stamp __ N_/_A _______ _ Authorization No. ____ __..Nut ... A..__ _____ _ Expiration 01tt _..H~/..._A....._

_________ _ 4. lden11ficat1on of System --""8 ... A ........ ff; ... __ T ... J--'-NJ-~E ... c_l]..., ... 1=6_,J ______________________ _ 5. (1) ApplicableCon1truct1onCod1 B31.l :9~Edition,_N_/_A-=- ___ Addendt,l:l-l, 21-7 lb) Applictble Edition of Section XI Utilized for Rep11r, or Reolacem,nu 19_8_.9 __ CodeCaa 6. ld11n11flc11tion of Componenu Reoa,recs or Replaced ana Replacement Compon1n11 I ASME Codi N1tion11 Rep1im, StlfflCMd Nam, of Nemtof M1nuftc1Ur1r Board Otlter Y11r AIPIIICld, IVtt Component Mtnuftcturer Serial No. No. ldentiflcttion Built or R1placlffllflt or Nol ~1:> i> li,:XTJ;tJ!, I ON /J/A-N/lr ;) /If f&I-$5-2flf N//t ?P-p/oce~ Ah, /;WNl7/i ici) 1'11"-G]~JNN&iL. N//J #/IJ fSI-f/S~-21-IJ I Nfi ~/e:,,,ceP1ettt. No ~op lNE: stvu88e~ \ I -c::,t..'i 2-/0/A-A,i/lr ~/Ir f s:i-//&5-21-A .,J/A-K. -e.p4 a C£ e{ No .. / +"s;Ju tJ,/jG-~ J-r-r-C7t1AJ1Vi;LI-,JJ/r N/IJ-I-SJ:~flsS:-2f!f Al/11-V'f) ttCf'IMnf A.Jo 1/-D '2.0 2-K ~fllb / 'BP.~ /+1.1.e. .J,v(!_. I-If# 801 i'&.s -,J/,4 1-sz-//ss-21-,4 JV/,4 7<-e,ke:e111&1-I:. Nu 7. Description of Work _ __.ffe~p .... ( ..... G.-""lf....._fa?........_ .... J..__ __ G ... x .... fe .... n-<;-;c, __ n ___ ty......,i_f...,b...___* __ G~x...1.+-e~n~d-e..::;J_]<....i.,.;.;J.~-G .... 7'""'e,. __ _ 8. Tesu Conducted: Hydronatic F'n1um11ic O Nomintl Ootrtting Preuure 0 Other O F're11ure _____ p1i Ten Temp,

  • F NOTE: Supplementtl lh1t1ts in form of lim, 1ketch111.

or drewinga mtY bl uatd, provided 111 size ia B'li in. x 11 In., 121 lnfa,11111. tion in item, 1 througn 6 on 11111 reoon is included on 11eh ahNt, end 131 etch shift ii numblrtd and the number of 1h1111 i1 recorded et tht top of 1h11 form . (12/821 Thi1 Form tE000301 m1v bl obttaned from tlle Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 ... -,~--~..,**-*. ---***---- ---.---*---*-----.------****

  • *----**~----

.---.--:.-.;--*~--~~~~~.--~:-:-,:O~~T--"'---.--:-.....-*, -~*- FORM NIS-2 (Backl CERTIFICATE OF COMPLIANCE We cemtv that the natemenn mace ,n the ~con are* correct ana this 4,ef!)eAet{iy(fe ~onforms 10 tl19 rules of th* ' ASME Coda, Section XI. repatr ar raplacaman, N/A Tvpe Code Symbol StamP----------------------------------------- N/A H/A Cartificat* of Authorint1on No. ----------------Exi:,irerion Date---------------- Signed ~czt~~ 4J.? wner or o:...ro..i;,;..:11111 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a veltd comm1111on ,uuec:I by the Netionel Board of Boiler and Pressun Ves*I lnsoec:ton and th* State orProv,nceof Virginia 1ndemp1ovec:lbv BSB:I' I Co. of ..=H:..;a;;;.r;;;...;;t:..;f;..;o;;.;;;r.;;d;..;*a..--C_T ___________________ __,,...,,...,,-----have '"j.>?tld thlt comi:,onents dltCl'ibed in 1hi1 Owner's Repon during the period /0-/t.{_-q) to / Q-11.{ -'-( , 1nd 11a* ltlat

  • 10 th* best of mv know1aoge and belief, the Owner nn performed exam1nat1on1 and taken correc:uvw mHturH dHcribad *1n thll Owner*, R~on in accordance w1tl'I the requ1nmen11 of the ASME Code, Sectl0n XI. Bv 1i9ni119 tl'lil cen1fican netther th* Inspector nor hi1 emi:,loyar mak* any warranr,, expnllld or implied, cionciarnmt the exam1nat1on1 and correc:tiW meaaur111 d91Cnbld in 1h11 Owner'1 Report. Funhermora.

neither the lnspec10r nor hi1 ~., shall be liable in any manner for any personal injury or prop1ny damage or a 1011 of any kind ari1ing from or connected wltll 1h11 inss,ection. n 0 -0 n (\ -----~-t---:----~~-J- ---~......_ ______ commi11ion1 ___ v_A __ s_4_3 ______________ _ lna0Kt0r'ISl11natur11 Natlonet Boera, Stlta, Prav,nca, ana Endo,__. Date-_ __...3a..---~ ........ )--19 qy * * **

  • *
  • Attachment II Page 26 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. ""*m* 5000 Dominion Blvd., Glen Allen, VA AdC1ra11 2. Plant Surry Power Station Name P.O. Box 315, Surry, VA 23883 Addr .. J. work Parfonnld t,y Virginia Power Nama P.O. Box 315, Surry, VA 23883 Addre11 4. ldent1ficat1on of sv1111m S/Jir=&Ty I rJ,,I a7 Jc,,J 23060 Shea, ___ / __ ct _ __, __________

_ Unit __ O_N_E: _____________ _ l,J.o. # oo Zb9D(oB-oJ \K,R,#; ff-04;0 Repair Organization P.O. No., Job No., ata. Tvp1 Codi Symbol Stamp __ N..a./_A _______ _ Authorization No. ____ .......,N"'/"""A------- Expir111on 0111 _..H..,_/.,..A.._ _________ _ 5. (11 Applicabl1ConurucuonCoda B31.l ;9~Sdi1ion,_N_/_A ____ Addlnd1,N-l, ll-1 Codec .. !bl Applicable Edition of Sec11on XI Utdized tor Ae_oa\*.* o'r Reo_11eamanu 19.c=cB~'f--

6. ld11nufle111ion of Componanu Aeoa1red or Replaced ana Replacement Components ASME Code National Replil'9d, StafflP9d N1ma of Nameof M1nufacturer Board Ottlar Y11r Replaced, CYII Component M1nufac1urer Serial No. No. lden1ific1tion Built or Raplll:lffllM or Not .. \:> G;x"(GN!>

11.1"' r,J/ I+ rJ/A-I N/lt /-SJ:-/fSS-2f /3 ;J;4 R-eplo.ce-/ AJo t;,l.41J<-7A-r1o:D ~P I"11-(q/q/11,JEt,L. II/ /It /V !It-I-SI-IISS-'2f ?.off f ace{f14!!1-t' ~() 5y& I'll/II-SN11S8tr~ ,Lo52& Njl} /V/ft Njlt /-SI--1/Sr '2,f 6 N/IJ-'i<-ep/o.cec/ Alo ,f "J( ; 5tv"{/j/)&j( 1i7-fi/f.Jl>/tvEL-L.

v /A-Al/A-/-sr-HS
r2/f8

,,J/lr 'Aep/o. lf fl1llr{ /Vi) V-o3tq 2-~" '°jq),.uil> ).)vi(> Itvl. rfrl 8 bf466s ;J/A, 'k;)ae£h1*e,tt: IU6 '"E>A(l... 1-sx-Jfss-2-,13 ,v//f-7. Oescriotion of Work ~/o.c.e. <ud exfe11S,or.., Lllft. 8. Tesu Conducted: Hydrostatic Pniumatic O Nomin11 OPtrating Pressure 0 Other O Prenur* _____ p1i Test Tamp, "F NOTE: Supolamanttl lhHtl in form of lim, skinchet. or drawingi mav be u11d, provided 11 I 1iu ia B% in. x 11 In ** 121 lnfOffllll. 1ion in itema 1 through 6 on t1111 reoon i1 included on Heh 1hNt, end 131 each 1hNT is nu.:ribered end the number of 1hN11 ii recorded " th* top of lhil form. . 112/821 Thia Form IEOOOJOI may be ob1a1nad from ,r,e Order OePt., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 *-----*-~---. ----~.---__ --*-*- FORM NIS-2 (Back) I CERTIFIC4TE OF COMPLIANCE We cenitv that the statements maae in the ~oori ara correct ana this ~~W~nforms to the rules of the ASME Code. Section XI. repair or **0 1 acamant S S N/A Type Code vmbol tamP---------------------------------------- N/A N/A Canificate of Authorization No. ----------------Expiration Date---------------- Signed a~ .£S,.L Owner or o.:.~ulgnH, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holdin9 a valid comm1111on ,uued by the National Boera of Boiler and Pres111re Venal lnsoectol'I and the State orProv,nc:eof Virginia *ndamp1oveabv HSB:I' I Co. of .=B:..:a=r..;:t:..:f:..o=r..;:d;:..:.*_..;C:..T;;;_ ________________ ..,..,,....._~ ..... ----have 1nso~t11G the components dacrlbad in 1hi1 Owner*, Repon durin9 the oeriod ______ __./._0.. ___ /l\;_.-_'t __ :3_,o / O-t'-t -1 and 11** thet ta the belt of my knowledge and belief, the Owner h81 oerlormea exam1nat1on1 ana taken correc11va menur11 dHcribed In thl1 Ow111r*1 Rei,on in accoraance with the requ1remen11 of the ASME Code, Section XI. By 1i9ni119 thi1 cenificau n11thar the ln1oector nor hi1 employer malca any warr11ntv, 1xl)rellld or imptied,.conCllfflffll the exam1nat1on1 and corrective measur* described in th11 Owner*, Report. Funhermore, neither the lnspectc,r nor hit emptoyer shall be liable in any manner tor any personal injury or propany damage or a 1011 of any kind ari1in; from or COMIICted with 11111 inaoection, ---~~..,.__.. ........ ~--~ ..... --__ ~-=----------Commiuion1 ___ V_A __ s_4_J ______________ _ ln11P1Cto,., Slgnetura Natlonel Board, Stile, Prov1nca, enG Endo,_,,. Date ____ 1 ___ ... _~ __ J __ 19 C/ * * *

  • *
  • Attachment II Page 27 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS A1 Required bv .the Provisions ot the ASME Codi Section XI 1. Owner Virginia Electric and Power Co * .,,me 5000 Dominion Blvd., Glen Allen, VA 23060 --...:.....:.......;.

______ ...;.... ______ ..;._ ___ _ Aooreu 2. Plant Surry Power Station Name P.O. Boz 315, Surry, VA 23883 ACla,-J, Work Pirlormed bv Virginia Power

  • Neme P.O. Boz 315, Surry, VA 23883 ACIClrHI Oat* _..,.,&--'~'""-4t/~L--"~=r..LI-Lf..L..f-L'[

____ _ Shee, _ __./,.___ot _ __:./ __________ __ Unit Oo)G-lJ,<). # WZb9/o5'-o/ 1, .{<. # 94:-/IS'" A-<<1elr Or9en1ret1on P.O. No., JOO NO., eta, Type Code Symbol Stamo __ N_/.;..A...:.. ______ _ Authorization No. -----.lllN.i;{..1:&.._ _____ _ Expiration Date ~H1.,11{~A:i....-----------

4. ldent1fica11on of Syn1m __ ..;.t/i_...,_~

... f."-0'--'.5~:r."-6A......,~V':f..._ __________________________ _ 5. (1) App11c1011 Construcuon Coo, B3 l. l '.9~ :;dition,_N_;_/_A;.... ___ Addenda, l:l-1. ll-7 (bl APPlic1011 Edition of Section XI Ut1lina tor Aeoeirs or Aeo1ac1menu 19;:8_9,.__

6. ld1nt1flc11t1on of Comoon1nu Aao11r1a or Aaolacld 1na R1placem1n, Component1 ASME Cade National Reoairad, Stamoea Name of Nemeof Manufacturer Board Omer v,., ReolKN, CYII Component Manufacturer Serial No. No. ldffl1tfica1ion Built or RIPIICefflNt or Not 5*,.;14~DG~

/I/Ir tv/lJ-/ol//} /-11 s-//ss-33~ rl/#-1<~/o.c.ec/ ND V-051/ _5,vt.4e~(;~69(.. IiT-C-f(l.1/llt,J&,Ll.. N/11-IV/A J-l1S* J/55-,3!(!, I N/IJ. G<oefkMflft A-b '. 8. Test1 Conducted: Hvdro1t1t1c Pn1umat1c O Nominal Operating Preuure 0 Oth*rO Prenure _____ p1i T11nT1mo. "F NOTE: Suppj1ment1I "'"" 1n form of li1u, tketclln, or drtwinge mav be u1ed, provided 11 I 1in i1 8~ in. x 11 In., 121 lnfOfme. tion in it11n1 I throuQfl 6 on t1111 reoon i1 included on Hell thNt, and 131 Hell 1111ft II nu.:nbel'9d and 1111 number of IIINII ii recorded 111111 ToO of thi1 form . (12/821 Thii Form CEOOOJOI mav be obt11nea from,,,. Order Dept,, ASME, 345 E. '7th St., N1w Yorll:, N.Y. 10017 REPRINT 12/91 *"*,*,,I,._, ,*,, -*-*-* *-***-~

  • FORM JS-2 (Backi ~-Aem11rk1 _*...,.*h

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

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

N/A H/A Can1ficat1 of Authorization No. ----------------Exoiration Data _______________ _ Signed (2 /J JY ..:Z:Sf Ownar or O~Oa111nN, Tllla CERTIFICATE OF INSERVICE INSPECTION I, tha unaaraignad, holding a valid comm1111on ,uuad by thl National Boera of Boiler ana Prnaura 1111*1 lnsoec:tol"I and the State or Province of Virginia encumo1ovec:1 by HSBX ' I Co. of Hartford. CT have ,n!D/Ctaa th* compon1nt1

  • decrlblld in 1h11 Owntirt Aepon auring,.tfte oa,;Od /,6-./4~q~

10 /D .... flj~'.71.,

  • 1nd 11a*mn ta thl t>an of mv 1tnow1aaqa 1ne1 belief. the Owner ,, .. oartormad ax~1n111on1 ana t~li~n corr~11w manur~il a~~med In thl1 Owner*, AeQon 1n accoraance with tti1 ,wq~1rarnan11 of thl ASME Code, Section XI. By 1i9n1nt this c:en1fican n11th1r the ln1oac:1or nor his amDIOyer mall* any warnintV, uPrlllld or ,molied, co,,.,._.

the exam1nat1on1 1nd correctiw meaaur* dncnbld in th11 OWMr'1 RaDQr1. Funhermore. neither ma 1nsc,ec10r nor hil ll'IIPIO,er shall ba liable in anv manner for anv personal injury or oroo*rtV dameve or a 1011 of any kind arising from or coMac:tld wilft 11111 intDKtion. 0~ f.. /,) (\ ----~.--.... ~--------~~--~---------Commi11ion1 _,;;;;V:;:A:;:;-; 5: 4:;3=-c.::;:--;;;::;::;:-:;:::::;.~i;;;;;;;;;;;;:-- 1 napector1 Sl1natura Na11one1 Boera, Stata, f>ro111nca. ano Endor-* Data ____ , 3~..:..-~~3c-19~

  • * -
  • *
  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions ot the ASME Code Section XI Attachment II Page 28 of 93 Serial No.: 94-194 Docket No.: 50-280 , . O....ner Virginia Electric and Power Co. 'lame Dat1 M/Jj.cfl '2 .3, 1191 5000 Dominion Blvd., Glen* Allen,, VA-' Aaar1u 2. Plant Surry Power Station N1me 23060 Sheet Unit I of ' I ()/\){:. P.O. 8oz 315, Surry, VA 23883 Gt) '.D, # Oo 2~8CU3-o I R.f.. # i4-Jlb Aeoalr Orven1ut1on P.O. No., Joo No., ato, J. Work Performed bv Virginia Power N1me Tvpe Code Svmbol s,emo __ N __ I_A _________

_ Author1z1tion No. _...._ ___ ol.llN"f..i:l\.._ _____ _ P.O. 8oz 315, Surry, VA 23883 Exoirerion 0111 ....JJN1,1{;..il\:a,._ __________ _ Aaare11 4. 1den11fic1t1on of sv111m _ _._t/...,.,f, .... ti..,,J_.5__,,lj'"'G,..fb,_t1.a.-----------------------------

s. !al Apphc101eConmucuonC001 BJl.1 *;9~;dition

..... N...;../_A ____ Addanaa,N-l, U-7 (bl Applicable Edition of ~;d,,on J('I Ut1li;*e'a ior Re~~;;~*~rAeo1~.,,,:~nt1 19:::8_.1~- ' '. ' . *: i 1 ', ,' '. 1 . i -:: ;': .' . . . ; . . . ' .* ,, ,. ,, . ,. . 6. ldllntrflcetion of Ccmoon1nu' A1p1ir,cfor A~i,i~i:eci -~-~ R~i,*,~-m~nt"Com~on,nu .. . ,., .. . , AIME ,.,*.* Code ... Nttional Reoeirea, StafflCMd Nema of N-of *, Menufacturer B~rd OUltr Yea, Reol_., (VII Menufecturer*'

  • S1ri1I No. .. , ..,, Component No. ld1t1t1fic11ion Built or R IPllll:9ffllftt or Nol ' .. _$Nl,f/J~6-/( 1/-oSI Z ;/fir . /1/ /It I ~IA-: /-/'1_$-fJ;,S-3flt ,J !It 'J.e,kCP1
JD StvcA80c...P,.

\I -oi.q7 I ~7T-&tf!./N~'- I dl!r r!lr 1-MS-llt.~-:J.'fll I AlfA-~rla~ /\/;) . , *.' i_i:i;. ,, . ' ,. ': ' ' :., 8. Testl CondUClld: Hvdro11atrc Pneum1t1c O Nominel Ooe.ra1in9 Pre11ura 0 Othar O Pre11ure....;,,. ____ j:11i Ten T1mo. "F NOTE: Suol)lem1nt1I "'"" rn form of lin1. aknchn, or drawin91 mav bl udd, provided C1 I aiu is 8~ in. x 11 In., (21 lnforme, tion in itlmt 1 througn 6 en 1h11 reoon ia includad on Hen 1hNt, end 131 Heh shift it nu~blrecl and the numlHf' of lhNa ii recorded et the too of thl1 form . (12/821 Thii Form tE000301 m1v bl ot1ta1ned from 1r,1 Order 0101., ASME, 345 E. '7th St ** New York, N.Y. 10017 REPRINT 12/91 --~----------------

*-----

*

\**, I 1 *', ' I *,I' 1*
1,r l ~.I I * . \*:, ' . . . .FpRM NIS-2 (Backl 3. Rem11r~1 *-1t'-'o"--*-#----'c=*

IV=.*-<-r_* ..Ly..:;;2,_f"l....;:rJ;_;;r'-"J'~t.:...l,,"-l-,-....i$=//0=Yi=d~,d.='.,t:..~~;_------------- AopllcaDle 1111anufacturer*1 Oat* Report* to De anacneo CERTIFICATE OF COMPLIANCE' We cen1tv tnat tne statemenu maae ,n 1ne recon are correct ana *1ni1 ~dc<Eiif:5:r/l"';onformt 10 tne rulH of the ASME Code. Section XI. repair or r*P*acement '* T N/A vP* Codi Svmt>ol StamP----------------------------------------- C.n1ficat1 of Authorintron No. __ N_/_A _____________ Exoirauon Cate ____ N_I_A __________ _ Signed Q~ j -Owner or Own~ CERTIFICATE OF INSERVICE INSPECTION I, thl unaen1gned, holding a v11od comm1111on ,uued by the Netional Boercs of Boiler and Preuure 1111*1 lnsoec:ton and the Stet* or Prov,nc:. of Virginia 1ncUmoloVed by HSBJ: ' I Co. of Hartford. CT have ,n~fld the comoonent1 dfllCfibad in ,tn,, Owner*, Reoon durin1,1 'tne'oer1od /0~ i':[~'13 to (0 fCf ~q (c:,

  • _ind na* thn to the belt of mv knowledge Ind l>fllief, the Owner nes performed exam1net1on1 e~a t"aken cor'rectiw menure~ 011cribad In fflil Owrwr*,1 Repon 1n 1CCOrGance'w1th ti,i ~uirernent1 of the ASME Code, Section XI. ' Bv 1ign1ng this cen1ficete neither the lnsDKtor nor his employer m*** env wernn1V, uo,eued or 1molied. conClfNIII the exem1nat1on1 and correctiw mHsura d111enbed in th11 Owner*, Reoort. Funhermo,., neither me lnspec:10r nor hil .,.,a.,., shell be liable in any manner for anv pert0na1 injury or orooenv dameve or a 1011 of any kind ar11ino,a from or coMected wiltl 1h11 i_n_lP9Ct

__ '°~~n .... =--------... £~-~---BIL ..... _______ commi11ion1 ___ v_A __ s_4_3 ______________ _ ln111ec:,or1 Signature National aoara, Stata. Prov,nce, *"" Enlllor---.

  • * *
  • *
  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions at the ASME Code Section XI Attachment II Page 29 of 93 Serial No.: 94*194 Docket No.: 50*280 1. ~ner Virginia Electric and Power Co. 'lame Date -tl-/Ji,.._/<..._C.._Jf_._rz-=.)-. .....,i....;...,99t..r.f

___ _ 5000 Dominion Blvd., Gien Allen; VA 23060 Sheet __ / __ of __ _... _________ _ AOClreM 2. Plant Surry Power Station Name Unit ()/VC: f.J,o. # 00269og;-oJ ~, Ii. tJ 9,q-J/7 Aeoalr Orvenintlon P .0. No., .Joo No., eta. P.O. Boz 315, Surry, VA 23883 ACICIHU 3. Work Performed t,y Virgin.1.a Power Type Codi Svmbol Stamp __ N_/_A ________ _ Nem* Authorization No. _____ ..,N._l .... a,..._ ______ _ P.O. Boz 315, Surry, VA 23883 ExDir1t1on 011, _u .. t .. A------------- ACIClrHI 4. ldent1fic1t1on of Svnem ___ /'t._',4..a.,.;/,J __ _..S~L.::cfr .......... M ...... -----------------------------

5. (al Appllc1011ConmucuonCod1 B31.l , :.9,~:dition,-,-N_/_A

____ Addanda,H-1, ll-7 (bl Applicaola Edition of s,it,:on !~I u1.'iiie~"t~r ~~~~.;.' ~r' ~e~.*.;;~*,,.;.,;,', j~B;::;;c..;t-1--, l* 'i','1 i:*I ';1 , *qJ !" .-',. !'i, f*;t .'1; , .' ' 6. ld~'~11flc1mon of Compo'n1.n11' ~11>1ir~~'o,* ~:~o;ii;~*i~~ '*~~-~t~;~-n~i:bmpo~1nt1 ~emeof Component. StJ~ IJ/)G-/<. v-o ,;;-JI tJ NI.A f) /;61',. : V -069 !), 'I . ,,,, .. , ;.-}:\' ,-, ** *t '*'.'

  • N1tion11 . Neme of Manufacturer Board ':M*nu**.:turer:,\

' ; s~iiai No.,, ,I*',*, °'\"*"No'. . . ::** ", . . ,. ... ' \* :i:_.i:, ' .:, .* ,,' 'a,, t ** ';'.: ., ** , ** , *, * .,,, *,., , *** _-v/,1-...

  • ll!At * ... ',"'t *.*",i,"'I,)
  • i' *,'**, :\ *,,!; *..'(,_; *:,*,,'f * .. **,i**,,.,.

.. . Ottler lden11fic*1lon .. v,., Built AIME, Coda Reoeired;: ,. s~ Repl ... ,' Ii IYN . or ReplacetneM or Not I. ' 7, Oescrrotion of Worll_._,1,_..~..,* ,-.l ... ~~9Q,f!..._-:'._ .. , ...... _$.::;.cWkf~ .. ~* ...,tJ .... :~...:**~:;;., 1 :*...,* ' ..... ::', __ :::_.j_.*~--:-.--~-' f_** ~4'=-i:/..1:Zf~"lf"---~=~'U:a:::~:..:::;.r..;:;_..:;,)_-_o_* 6 ... 9 .... ' s_* __ 'i 8. Tam Conducted: Hydrostatic rn1um1t1C O : ~on,i~'!I ,(!P,1r1t'in9 Pre11ur1 0 Other O Pr~uuri ' psi *, Ten, +.~mo. ,

  • F ,.:.:, *I I NOTE: SuoD11m1mat

"'"" ;~ iorm bt!'i°im. ,iinchn. or d111win~ mev be u1~. provided C 1 I 1iu i1 Bli in. x 11 I~ .. 121, Inform.. tion in itllTII I thrauV,, 6 on thr~ rebo" i1 included 'on each lhNt, 1nd 131 Heh lhNt it numbered and thl nuri,ber OfllhNtl it recorded lffhlfoP of .thil form. ,, ' *'* . ..:,: ' (12/821 Thii Form .tE,000301 mii\.:'be obtiunea *,~om' t,,,**order Daot,, ASME, 345 E. '7th St., N-York, N.V, 10017 ,\. REPRINT 12/91 ,

  • FORM NIS-2 (Backl 3. Remer~, ___._P ___ t) ___ :;tf=_ .........

0v""""---"* r_** * ........ ~-"'-z..--'-?1......;;o ......... s-:_'-"J...........,__;(---=>,,_) ---~;.:;..:N'"""'tLd- ...... ~~~--;e _________ _ Aoollcaola Manufacturar:1 Cata Aaoort1 to oa anacnaa CERTIFICATE OF COMPLIANCE We cemtv tnet !Ml! mnemenu maoe ,n IM l'l!OOM an, corre~t 11na 1ni1 &?~~Conform, 10 !MIi rutH of the ASME Code. Section XI. rei,a1r or reo1acamant T N/A vo* Coda Svmbot StamD----------------------------------------- Cemfic11a of Authorirat1on No. H / A Expiration Date ____ H_I_A ___________ _ SigneaQ _j}_ 'HL/. Js-:z:-b&urVf'b Cate l%4c¢ 2-.? Owner o, Ow~ltla , 19? j( CERTIFICATE OF INSEAVICE INSPECTION I, the unaarsi;nec:t, holding* valid comm1111on ,uuad by the National Board of Boiler and Pre11ura llas*t tnsoacton and the Slate o, Province of Virginia end emotovad by HSB:I ' I Co* of Hartford* C'l' have ,~tld the ,ccimi:,onant1 dlllCl'lbed in* th11 Owner I Aepon au'rin; tiui oe,;oa / 0 L 't Cf3 ,o /D-..(L{ 'A . . ,. 1nd 1111* thn to the belt of mv know1eoge 1nd belief. the Owner nn oartormed e~am1ne11on1 an'd ,*a'ken ~~r~act1vw mitnurH aacribed In thl1 Ownan Rapon 1~ ICCOn:I~ w11n th11*;..qu,rament1 of the ASME Code, Section XI. By 119n1119 thil centfican neither the lnsoector nor hi1 employer mall* any warranrv, ul)rftlld or 1mc,tied, can..,.... the 11111m1nanon1 and corr~iw m1111Ura dlllCnbecs in thll Owner*, Res,ort. Funhermore, n11ther the ln"'9CU)r nor hi1 .....,., shill be llabte in 1ny manner for anv oenonat injury or On>Denv damave or* 1011 of any kind ar11in; from or connected with 1h11 inroecuon.o i. ----11~""~"'---.....,---_ ....... ___ ... ~...___. ______ commiuion1 _1;,V;;A;:::;-;5-;:4::3=-;;::;:--;;;:;;;:;:::-:;;::;-;~;;;;;;;:;;;;-- 1 naoec:1or1 Slonatura Nattonaa &oara. siata. Prov,nca. ana Enaor...-. Data * * :eear: amra1..-:::.a.

  • *
  • Attachment II Page 30 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requ1r1d bv the Provisions of the ASME Codi Section XI 1. Owner Virginia Electric**, and Power Co~ , ~*m* 5000 Dominion Blvd-, Glen Allen*,* VA 23060 AaarH1 2. Plant Surry Power Station Name P.O. Boz 315, Surry, VA 23883 Adelr-J, Work Performed bv Virginia Power Name, P.O. Boz 315, Surry, VA 23883 Adara11 Oat* _/i..-..A:~f.

....... ctf:...__Z--"3=-+--, f ....... ~"'-'it __ _ Shee, __ /_* __ ot _ __. __________ Unit ()IJ~ Uio.f 002/J, o/S-o/ f .{l.:/t f/9-J(g R~alr Orgen1ra11on P.O. No., Joo No., ato. Tvs:,1 Codt Svmbol SttmD __ N_/_A _______ _ Authorization No. --------N-(,..1',.._ _____ _ Expiration Oita ~H._./_.A,.._ __________ _ 4. ldent1ficat1on of Svnem __ 1'1._tt_t_rJ _____ .5Tc-. .... s4 ......... M ___________________________ _ 5. (11 ApplicaottConnrucuonCoda B31.l '.9~~dition;_N_/_A,,,_ ___ Addtnd1,N-l, ll-7 (bl APolic1bl1 Edition of Section XI Utilizea tor Aeo11r1 or Aeoltctmenu 19""'8_Y ___ _ cocac .. 6. ldenuflcation of ComDonenu A1011r1a or A1011eea 1na RtPlacement Compontntl AIME ,*. .. ,, Codi N1tion11 Rtc,aiNd, StamPed N1maof N-of Mtnuf11C1Urar Board Other Y111 Rtc,IICM, cv .. Component Manufacturer Stri11 No. No. ld11111fic1tion Built or R eplaceffllftt

  • or Nol f)NIA,(Jl!,e'/<. ,t -os1.r tJJA. r!l1r l"IIJ-l-1'15-HSS-3J't3 rJ/11-~ep(c,.ce/

~b :, N ,.,.. r;r;e/l. I r11-u,R,~~lr/A- ' I /V/IJ-..Jo v-oMf ~/Ir tv'J}. 1-11s-11%-:J7/!, I 'lef) }ao6/fvJ/tf

8. Tesu Conduct.a:

Hydro1t1t1c: ?n1um1t1C O No~inol Oc,er1ting flre11ur11 0 Othtr O Preuurt _____ psi Ten Time,.

  • F NOTE: Suc,D11mtm1I

"'"" ,n form of lists, 1ketchn. or drawin91 mav bl us.a, providtd C1 I 1iu is 8~ in. x 11 In., 121 Inform.. tion in ittmt 1 throulJII 6 on t1u1 reoon is includtd on tech 11\Nt, 1nd 131 ttch 11\ffl it nuinblrea tnd tl\1 number of lhNtl it recorded It tha loc, of thi1 form . (12/821 Thii Form CE000301 mav bl obt11nta from tn1 Order D*Dt,, ASME, 345 E. '7th St., Ntw York, N,V, 10017 REPRINT 12/91 t ,, **,* .... ***----~-.-*

      • ------*----

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

  • *
  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions of the ASME Code Section XI Attachment II Page 31 of 93 Serial No.: 94-194 Docket No.: 50-280 1 . Owner Virginia Electric and Power *co. Date ___ _,/1.'-£~Y~f?c.;;:..:...r...tf,__..::'Z::....,::3.._,_

1 ..... /r-t.T.J.9_4.L..----*m* 5000 Dominion Blvd., Glen Allen, VA. 23060 Sheet _ __./ __ ot ___ .-/:._ _______ _ ACIClrau 2. Plant Surry Power Station Name P.O. Boz 315, Surry, VA 23883 J. work Performed bv Virginia Power . Name P.O. Boz 315, Surry, VA 23883 AC1Clra11 Unit ONE lJ,Q. # C)?28/727-o/ '?,.(l...ft 9f-!ZO Aeetelr Organ1utlan P.O. No., Job Na., e1c. Tvp1 Codi Symbol Stamp __ N...;/....;A~------- Authorization No. -----N~/,gA..._ _____ _ Expir1t1on D1t1 ~Hi.ct~A1-- __________ _ 4. Identification of System -,-----<fb...;_..;..'fl:.,,.1/l)~..;;;S;...';1.;...e1:l;;;...;.:.,_M....:..;'_*

5. (al Applic1ol1Conatruct1onCoc:11 B31.l ::9~Edition,_N...;..,/_A;......

___ Addlnd1,N-l, ll-1 (bl Applic1bl1 Edition of Section XI Utilized tor Aep11r1 or Aeol1e~m1nu 19.:B-'9 __ 6. lden11flc11tion of Compon1n11 Ae1111red or Aeplactc:1

  • ana Re1>lec1ment Componenu AIME Codi Nation11 RIPlired, StamPecS N1mi.of Nem1of Manuf1etur1F Botrd Otll1t Y11r RIPlaced, (Yn Compon1nt M1nuf1e1ur1r S1ri1t No. No. ld1ntific1tion Built or R1placem1M or Not 7-,cp GrfG N/fr AJ/tt ;J/11-. J-11s-11ss

-(g 13 N/,4-72-ep/acee{ A/o Z Vz.. 11 J;Lo!Jt,A'1E:.O 17'1-C7t./NNEU. S1l<.:li +605, ~D 'lb:> b cS-V G Ill IA-1-11s-f/S5-bfJ N/lt '7.-ep/ace,,,enl

7. D*scrii,tion of Work __ _..../A/__....9

.... rz ... 11 .... t.._L _ __.;E,;;.;L() .... ' --~__.C;z_M ___ B_D __ J2o __ l)_§;'-+ .... e..~-~------------ B. Tesu Conductld: Hydrostatic Pn*um11ic O Nominal 01>1teting Pre11ur1 0 Other O Pressurt -----psi Tut Tims,.

  • F NOTE: Supl)l1m1nt1I 1J11111 in form of lim, sketches.

or drawings mav bl used, providld 11 I size i18'.i in. x 11 In., 121 lnforme. tion in iteml 1 thr0U9" 6 on thil reoon ii includld on *ach thfft, and 131 aach lhllt it numblr9d and thl numblr Of fflNtl it reccirdld at 1h1 top of tt,i1 form . 112/821 Thi1 Form IE000301 may bl obt1in1d from,,,, Ordar Oei,t., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 ------------,.-----~~*--**----- ..

,-'I ' I I ' ,I, i ,: 1:* \', ' .'. ,l FORM NIS-2 (Backl 3. Remer~* __ r_e;_# _ _,,S"-+V--'0""-'Qi.<....L.9.IL.jj--1,!6:_.:? ___

  • _____________

_ / Acpllca&::1\* Manufacturer*s Oat* Aeport1. to &:la anachacl CERTIFICATE OF COMPLIANCE We cemtv thet the mnemenu maoe ,n the n!DOrt are correct ana tnis &Qe.e&#h""'Eonforms to tllf! rules of the ASME Coda, Section XI. rapa1r or reciacament T S S N/A yp1 Code ymbol tamD----------------------------------------- N/A H/A Canific1t1 of Authorization No. ----------------Exoir1tion Oat,---------------- Signed ([}. ,J} V' JS f Owner~ Tltla oate __ h:4.......,.....,.A...""""'f!H ... ~,A=-/.__ __ , 19 f 1: CERTIFICATE OF INSEAVICE INSPECTION I, thl undersigned, holding I v111d comm1111on 1uued by th1 National Soares of Boiler ind Prf!lsure v, .. 1 lnsoecton and the Stet* or Province of Virginia Ind employed by BSB:I

  • I Co. of Hartford*

CT have insoectlCI the component1 dHCtibad in thi1 Owner*, R~n during tne period / 0 -f <-J-'l 3 to IO' 14' 'I ,b . and st** that to th1 best of my knowtldge ind beli1f, the Ownar ha p1rformecs exammeuons 1nd tak1n corr1e11w menures a11etibad In thl1 Ow"9r'I Repon in accoraance with th1 requ1r1rnen11 of the ASME Code, Section XI. By si,Jnino this c:antficate nenher the Inspector nor his employer makes any warnncv, uprnaa or imolied. collCllfflint the examinations and correctiw measur* described in th11 Owner*, Repart. Funhermora, neither me lnq>1Cu,r nor hit 91ftPIO¥er shall be ti1bla in 1ny manner for any personal injury or propar,y damage or* 1011 of any kind arising from or coMacted with tl'll1 inll)K10~ .D_ n {'\ ---~..i...4,1~--------cl. __ -__ ~......:::--------Commi11ion1 ___ V_A __ S_4_3 _____________ _ lnapactor, Slonatura Natlanal Boan,, Stata, Provine*. and EndO,-ellft Oat* * * **

  • *
  • Attachment II Page 32 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPO.RT FOR REPAIRS OR REPLACEMENTS Aa Required bv the Provisions ot the ASME Code Section XI , . Own*r Virginia Electric and Power Co~ "'*~* 5000 Dominion Blvd-, Glen .Allen, VA 23060 ------------,.A""'a""'ar--.-

.. -----------

2. Plant __ s..;u;..;r;..;ry~...;;.P_o_v_e_r_S__;.ta__;.t;..;i;..o_n.;.....

________ _ Nam* P.O. 8oz 315, Surry, VA 23883 Addr-J. Work Performed t,y Virginia Power Nam* p_o. Boz 315. Surry, VA 23883 Aaa,a11 Dall _.,__.H-Jl-.r..;;.t...;;..Lc I Shaet ____ ct ____________ _ Unit ....-:0:;..IJ..;;.;:;;'/E ____________ _ . 02 ,D,:# ooz 8/726-q/

  • R.# 94-n;:l Reoalr Organ1ut1on P.O. No., Joo No., eta. Typa Coda Symbol StamD __ N_I_A..;;_

_______ _ Authorization No. _____ _.N;a.l'-!,Q... ______ _ ExDiration Oat* .......1.H..,li:....At1....------------

4. ldent1fic1uon of Svu,m ___ ,,,_./.1._...IJ......_IN:...:...__...S~"ba.:~:a.tl:.J.<.M~.....,.----------------------
5. (11 Appl1c1011 Connrucuon Cod* B31. l :.9~ ;,diti9n,_N_/;_.,A

____ Addllnda, l:l-l, ll-1 1 r ii JI , .: 1 , ; ' ':( ~*. 1 1 r \ i '~ ',t* i 1 'j, ./ ; :, , : , ' : \° : f j , ', , "L ; ,r

  • Codec .. (bl Applicabll Edition of Se'ct1on X,I _U11liz11ci tor Ae!)*"~:~r A~C?l~1ni1~t1 19.::8_9~--
:' l:**i ,, ,(. t ,. ':1\*ir!:
  • r . . ' . . .. . . : :*,,.,:: . I,::. r :.: :::,1* .,,' .. 1*:, .. >.\.r. .. ,:./t:<:,,;;*:::r~.:*,.*

.. *~.::*.,,: ,,* .. ~:._:::Ii: i{ I 6. ldint,1flcat1on,of Ccm,Don11nu A101ir1d or Aaotacld 1nC1 R101ec:em1nt Comoo.n*ntli Name of Componant

  • NMMof. Mlinufacturai'

'. JNLIM!,E:({ /J.-ofj;J ~IA-' .. M1nufacturer S'1ri1I No:* .. . -, .' j '" '**~*i tw/,+ . ' . ~,(ff."** "r ,* I,,,,, . ; ii, ~: . /' ,,. *(~ <\*: N11iona1 Board ""*No.* ~~.,.,1c ~lk N/A-\:.,, ,,, Ot1111 ld1n11fication 1-11s -f/ss-/2. /-11$-1:/.51:r / '2. ' I* v,., Built ,.)Pt ;..l!lJ-Raolim,:

  • Raouiceca, or AICIIICfflllftt

'I *AIME Coda, StamPICI CV"* or,Not 'tephc.-e~ ';,.I, 0 .~kcf;,~ ,1Jo 7. Ol1CrlDt10n of Work --1:Sf~-1'-JQ\_C..:;,a: 1 e:::a..*:, ..,..;..;; .5:;;;;..;;,J....;y~/3,;;:;;tJ_p(Z~* _. ,~*1/_-_o

.6i~( -~"'~~ t..:A..~....;*.==..S::;::~.:..:;.ll:::.:/J.~B~l;;(~:.;.*....;*;..ll_-...;o....,_i3_0_.

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

  • F . ' ',' ' ' 1,' o I NOTE: Suol)lam1n111 Ulffll 1n to,m of lists. 1k11chn. or drewin91 mav bl Uled, provided 11 I 1i11 ii 8'1i in. X 11 In ** 121 *lnforme.

tion in itlmt I throuvn 6 on tPIII reoon ii includad on Hctl '""'* and 131 ,acn '""' it numbared and '"* number of lhNII ii recorded at thl IOD of thi1 form. . . . . . . .. .. '* . ( 12/821 Thii Fo 0 rm IE000301 may bl obt11;,eci from,,,, Otdlr DIDI\. ASME, 345 E. 47th St., Naw York, N.V. 10017 '

  • J ' \
  • REPRINT l 2/9 l *--~-** ----

FORM NIS-2 (Backl ~-Remar1<1 __,_f~O_#-.._;;;S--S_* ,+-V_,.J......_9;...;:...J._S-:.;..__;;;_:J_J~(:-?)::......'

~J,a./'-1:11:t.( ...... d~dE.=,;~~---------

Aopllcatlla Manufacturar*a Oat* Raoana tao* anacr,ea CERTIFICATE OF COMPLIANCE We cen1tv tr,at tfte n1nemenn mace ,n 11,e reoon* a~ *correct 11no ~hi~~,.-.onforms 10 the rulH of the ASME Code. Section XI. ,apair or raoiac:amant N/A Tvo* Coo* Svmt>ol S111mP----------------------------------------- H/A N/A ~nificat* of Authoriur,on No. ----------------Exairation Dat*---------------- Signed ~-;;,_ &<-::::'.'.'

rsf Ow~;OHl9nN.

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

  • have ,i,.n~tld.

th1 comaone,111

    • c:1ncrlbed in 1h11 Owner*, Repo" durino th11 *01rioa / t>-It.{-qg 10 /fl .. I 1.(:-'1 . * .. and n** lllat 10 the bllt of my knowledge Ind belief, the Owner r,91 01rtorrn1G 1xanuna11on1 and tik1n* correct111e menur11 Olieribed In 1h11 . Owner:, R~on ,n accoraance w11n in,' ~u1nmen11 of 1n1 ASME Code, Section XI. By 1,gn1ng thil ce"tfic1m n111her the ln101Ctor nor hi1 employer mak* any w1rranry, uoraaaa or 1m01iec:I, c:oncaflWII the exam1na11on1 and corrK'tiw me11ur* c:1111enbec:t in 1h11 Owner*, R1c,or1. Fu"h*nnore.

n11i1h1r th1 lnsc,ecu,r nor hil shall be liable in eny manner for 1nv person11 injury or proc,1ny damage or* 1011 of any kind 1ri1i119 from or connected witll ttlll ina,eci,on.

~'------'"".f~---&-""~'""'--""""""--Comm1ut0n1_-;~V;A;;;;,;5~4::3:;-;;;;;-;;;;;;;;;;:;;--;:;;;Tn;i,;';;;;;;;--

1naaec,or1 Sl9nature National &oara. Stat*. f'ro111nc*. encl Enelor-n * * *

  • *
  • Attachment II Page 33 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR. REPAIRS OR REPLACEMENTS As Required by the Provisions.

of the ASME Code Section XI 1. Owner Virginia ElectriG and Power Co.

  • Nam* 5000 Dominion Blvd., Glen Allen, VA 23060 AddrHI 2. Plant Surry Power Statio.n Name P.O. Box 315, Surry, VA 23883 Addr ... 3. Work Performed bv Virginia Power Name P.O. Box 315, Surry, VA 23883 AddrHI Date <1hht1 l Sheet of ( Unit I tfr'.,(), :;/ rJ()t'3 '-15<? to/ 72-K-:It q f-Io 7 Rapalr Organization P.O. No., Job No., ate. Type Code Symbol Stamp __ N.;.:/_A...;;.....

______ _ Authorization No. NIA Expiration Date __.R..,lc.aA::a....------------

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

... C..a.,V_l'2. _____ CO--=O'-L"-14-,tv_( ________________________ _ 5. (al Applicable Construction Code B3 l. l 19 §2_ Edition, _H_:_/_A ____ Addanda, H-1, ll-1 Code Casa (bl Applicable Edition of Section'XI Utilized for Repairs or Replacements 198 q 6. Identification of Components Repaired or Replaced and Replacement Components ASME Codi National Repaired, Stamped Name of Name of Manufacturer Board Other Veer Replaced, IY11 Component Manufacturer Serial No. No. Identification Built or Replacement or Nol li?r'<CICEt N/J.. /\14 ,._; A,. (-R.e.-Pt-1-MIZ'fAI~ IV~ 7Ze-p4'ic~ -0 . ' r-Jr~e.1<e( &~INN~ t I IV~ fv'A -fl.(1-fll-,t( I l'/14./, 3 l<f'f 3 :Pi.:/JAi centeNi -.,._,.J : *' 7. Description of Work __ ~L,;µ'->:£-f'f'-'/."-'1""'(!:a.-'e=----&:;;;..;.r_'1...::C..,t::-._e_f- ________________________ _ 8. Tesu Conducted: Hydrostatic Pneumatic O Nominal Qparating Press~re 0 Other D Pressure _____ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches. or drawings may be used, provided 11 l size i1 8% in. x 11 In., (21 lnforma* tion in item, 1 through 6 on this report is included on each 1heet, and 131 each sheet i1 nu.inbered and the number of 1heet1 i1 recorded at the top of this form . 112/821 This Form (E00030) mey be obtained from the O;der Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT '12/91 FORM NIS-2 (Backl 9'. Remarks -'-N .......... r_4_4_5_i_q_'5_-_1_(_~ .... ff.__11::;;."Ef:_,.;..;;:qc;:c;.;.(G...:e:..:-f-_"Z--==-c)...,..)'-- __________________ _ Applicable Manufacturar's Dlitl!I Aeport1.to be nn11chad CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct end this~,.A?5v&..1[' confqrms to the rules of the ASME Code, Section XI. rapelr or replecament N/A Type Code Symbol StamP-------------------------------------- Certificate of Authorization No. __ H_/_A ____________ Expiration Date ____ H_/_A __________ _ . /111 r--/' Signed * ':/f ._ _.k~ _,., S 2 cdJrdk'4: wne~own..-,;;J.ofllgnff, Title Date__..4"-'o-'~=,.6:a:..'_.,.y'".__ ____ , 19 7 ::( CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel lnspecton and the State or Province of Virginia and employed by HSBI & I Co* of Hartford, CT have inspected the components described in this Owner's Report during the period / 0 .,.., _ er .3 to It) -( L.(

  • 9 b . and state that to the best of my knowledge .and belief,.the Qwner hes performed examinations and taken corrective measures described In this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer mekes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a 1011 of any kind arising from or connected with this i_n_Sf:)_ect_~l..,.;:io;!,n,:;;.;...::__.;;.._

_ __,.f~,--'~=-.::;...--------Commission1 ___ V_A __ S_,.4_3 ______________ _ lnap1etor'1 Signature Netlonel Board, State, Province, and Endonement1 Date ______ /A ____ -_(_/_19 Cff * * *

  • * * .,* Attachment II Page 34 of 93 Serial No.*: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT.FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions ot the ASME Cod* Section XI , . ~nu Vi rqinia Electric and Power Co. '11me 5000 Dominion Blvd-, Glen Allen, VA 23060 -----------A.-0-0,-.-

.. ----------

2. Plant Surry Power Station Neme P.O. Box 315, Surry, VA 23883 A.CIOlea J. Work Pirformed t,y Virginia Power N1me P.O. Box 315, Surry, VA 23883 A.OOrHI Date ( I Sh1e, __ ... / __ of_..__ __________ Unit --.L----------------

l,,J. DIF Z ~4 4 70-0/ ~72. ii= 94 -110 Rectelr Or91n111tlon P.O. No., Joo No., eta. Tvpe Code Svmbol Stemc, __ N_/;..A..;._ ______ _ Autllorizetion No. -----Na.t.t~a.._ _____ _ Expire11on Date .....uHy:l..cA.._ __________ _ 4. ld1nt1ficet1on ol sv111m __ K..._fi .... ~~I\_C._TDa.-..;;.n. __ C_o_O_L_A..._~-,-'-------------------------

5. (al App11c1111e Conmuc11on Code 8 31. l ~,9 ~dition .. _N_.;../_A;.....

___ Addenda, l:l-1, ll-7 lbl Applic11>1e Edition of S~c,;on x1 LJ1ilii~~ Aep~,~~*b~ 1 A1~1~.n:~~~. is:::a_,,q __ Codec .. ' , I , ; *,

  • i ' '1 )' ( ' ... *".'] ': ', '1 ' '
  • I , *:./ 6. ld1n11flc1111on of Componenu A1p11r1a or A1placea ena Replacement Components Nam* of Component*
8. Tuu Conducted:

Manufec:turtr . National Menufacturer .. "., ... ..Board ' Serial No: No. tv4 ,.; 11' I, ,' 1, Otller lden11fic1tion Hvdronat1c Pneumatic: 1 0 Nominal 0peratin9 Pre11ure 0 Other D Pre11ure _____ p1i Ten T1mo. 'F v,., Built or R111lacament or Not NOTE: Supplemental lhH11 1n form of 'li111. 1knclln. or d111win91 mav be uled, provided 111 1iu i1 8.,.. in. x 11 In., 121 lnfor11111° tion in itlmt I throuvn 6 on tr111 reoort i1 included on Hc:tl 1hNt, end 131 each 1IIH1 ii nui'.nbered end tlle number of lhNII ii recorded II tlle toe, Of 1h11 form . lt2/821 Thii Form tE000301 mav be Obtained from tl'II Order OIPt .* ASME, 345 E. <67tll St., New York, N.V. 10017 REPRINT 12/91 . *----*-----****** ... ------***---- -. __ -_--*_--_-_:::- __ ----_-*_* _-_*--~==--- _,_,. __ . ~-.:-*-:-:::~-. ___ .----__ -----*-*--* I J I, FORM NIS-2 (Backl 3; Rem11r11:1 _....,Nc....:.....,[.___4_,S:;..~--'7_3.:..:C..~-t./.L-f{tc....i::;::...Jl~"'u-r~JF~~i;~.::_.:..~....;;i.'f~ll-l(;...:;.3_r._.;' (\/ T ¥'15 93-/ . co;;*~,M;;::;]m'I Oat* Aeoorta to Da,anacfteel CERTIFICATE OF COMPLIANCE ,* , , . We cemtv v,11t tr,e st11temenu mace ,n u,e ~oon. are 1 correct-1ina tni1 ;elij~ ~ontorm1 10 tne rul111 of the ASME Code, Section XI. rei,air or **oiacaman, T N/A vo* Cod* Symbol StemD----------------------------------------- Cen1fic1t1 of Authorization No. __ N_/_A _____________ Exoiretion Oete ____ N_/_A __________ _ Sign U~ ,I _;;£tf 6/64~ ~.;,,;,;~.;. OHlgnN. Tltla Oate __ 4>..._,._\<;!t_c __ z _____ , 19 2¢' CERTIFICATE OF INSEAVICE INSPECTION I. th* unaar1ignea.holding11111td comm1111on ,uuea bV ,n, National Boera of Boiler ana PrNsuR 1111*1 lnsoac:tol'I and the State orProv,nnof Virginia enaamo1oveabV HSB:I' I Co. of Bartford. CT ,,...,.. ,nsoectc th1 comc,on1n11 GIICribed (O-!L./-9 . * * ,1nd11a*111n in, 1_n11 Owner I Reoon d~rin9 tne par,oa ___ __,/'-'~"'-'~.._..f..:tf_.._-_q..._'.3:....--to 10 tn, belt pf mv knowleGIJfl_ ana. belief. tt,e, Ownar nn parlormed axan11na11on1 and taken corrac:tn,e menur11 a11c;.it.d In thlt

  • Owrwr*, Al$>Ort ,,; aci:ora~ ~;t*~ tha-~u,,.men11 ol tha ASME Code, Section XI. By 1ign1ng thie can1fican na,thel' *the lnsoac:tor nor hie employer mall* any warrancv, exll'ftlld or imDlied, col"IClffllftl the ilxam1na11on1 and cor;ectiwme~w-raa
  • a~nbea in 1h11 Owner'e Repart. Funhermore, neither the lnsc,ect0r nor hie ._10,w shall be liable in 1ny manner for 1nv personal injury or progeny damage or a 1011 of any kind ar11ing from or coMac:ted witll ttllt i-nllMC'l---11()1--"'~-------:------f-::'.

~~----Commiui0n1_~VA;;;;;;-;5;::4::;-3 -;;;;;;:-;;;;;;:;;;:;;-:~:;;;;;;;;;;;;:-- \Jtd~o,., S~ Natlonet Soara. Stlta, l'rov,nc*. ana Enelor--. Data ______ t)..__-.... 7 __ 19 fy .. * * *

  • 1. Owner 5000 Vir9:inia FORM N1S*2 OWNER'S REPOR'T FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions of the ASME Code Section XI Electric and Power Co. Datt 4/7/qc/ ~*~* r
  • Dominion Blvd., Glen Allen, VA 23060 Sheet I of l-ACIClrHt Attachment II Page 35 of 93 Serial No.: 94-194 Docket No.: 50-280 2. Plant Surry Power Station Name Unit--------------------

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

4. ld11nt1ficatron of Sy111m ____ S __ A_F_fE__.[Y_,__,_,-.i_..1

.. t::.._C. .. t ...... (O:o.aN-. ______________________ _ 5. (al Applicab11Con11rucuonCod1 B3l.l :.9~.Sditi4;)1'.1,_N_/_A ____ Addenda.N-l, ll-7 (bl APPliClbll Edition ol S~c~1on )(I u,,'n~~c,\l~r A~o;,;~ ~/Ae~i~;~~~i. 19°.;;;;B ... 'i __ coac .. Ntme of Component.

  • I II S"fuj)} Jq J..11 NUiS ' q ',W'P S I{ Nu+-' ' ,, ~. l\.lu+ *I I " , , I I ; ' , '., ; /', > ; ( t'/ / ' ;, ') '>" 't
  • t ', ', < *1 J t :, :" "~' .::, , 0 .i,., *',.1*,-*"' N1tion11 Name ol * , Manufacturer B~rd Manuficiure~'

"' Serial No.'. :* ' ' . . No. 'i: ******.****-*-1,'*"", ,** '. NA. ., I*. I : I_ " :,, ' . l'f Pl* . ,*', H~ \,/;:**.:, *.! .'/:'}'. r-:,JA r , , ' \\' , ! ! .'1 ~:\ '* !(, ! ', / ',',* \ i'/ ' *; *, / ,I* Otlltr ldent1fic1tion 1-.s 1-2.40

  • I-S1-24o I -s I ., z.~ c:. I ~1'....zt,to, 7. 011eru:nion of Work '°K1crl4.c.E' 1 ,', '&~1>::, ,*AN'D* t.J\JTS,*

B. Ten, Conducted: Hydro11111c Pntum.11,c O *, 1~omin11,0,ctr11tiri9 Pre11ure 0 Otlltr D Pre11ure*. . psi : T*,n, ,Temp. 1 F v,., Built I 'i ~, 1'111 ASME ** Codi RIOlirad,' ... $tamped R9"1aad, (VII or ReplcetNftl .' or Nol °f?e-p{ Cp,t~T ,._,-a '4-pkJ.W!lf!JJ° ,..,,0 1 t

  • I ' I I I "\ ' .' :; ' * ' ' \-\ * * ' * ' ' '~
  • NOTE: SuDpjtmtnttl 0 IIIN11 1n form .. ol li111; *1lc1rtctl~.

or drawin91 ffllV be used; provided f1 I 1in ii 8~ in. x 11 In., 12111'.'fOftN. tion in it1m1 1 tllrou!Jtl 6 on 11111 r~oon ii included *On HCtl 111Nt, tnd 131 Itch 1111ft ii numbered tnd 1111 number Of IIINII ii recorded It tllt lOD of ml1 form. : , ' . -. , ,, ,,, I ' , * , 112/B21 Thii Form IE000301 mav,i>> ot111in1d from ,i,, Order Oaot., ASME, 345 E. 47th SI., Ntw York, 'N.V'. 10017 **-Ii,, r-. I/.,._\._.' i'*. REPRINT .12/91 FORM NIS-2 (Backl AopllcaDla Manufacturar*1 Data Aec:iorta to 1:ia anacnecs CERTIFICATE OF COMPLIANCE . We cenitv that the statemenn maae ,n tne reoort are correct ana tni1d~i<4b~bC;ontorm1 ta tne rulH of the ASME Code, Section XI. repair or rep1ac:eman1 Tvpa Cod* Symbol Stamo ___ N_/_A _________________________________ _ __ N_/_A ____________ Exoiration Oat, ____ N_/_A _________ _ CERTIFICATE OF INSERVICE INSPECTION I, th* unaer11gnld, holdinQ I valid comm1111on ,uuld by the National Boera of Boiler ana Pre11ure 1111*1 lnsoec:ton and th* State or Pr0111nc:e of Virginia end amotovld by HSBI ' I Co. of _H_a __ r __ t_f __ o_r_d __

  • _C_T __________________________

have 1nsoect1C1 th* comoon1nt1 dncrlbld /r,' /y-*'j J 10 I lJ ("(-L . 1nd eta* that in 1n11 Owner I Re'i>on aurinQ

  • tne oiriod
  • to tne bell of mv knowledge 1na belief. tne Owner ,na oerlorm1d exarn1net1on1 ana taken correc:uw menurn aHcr1tiecnn thla Owner*, Ripon 1n ~,a.,_ ~.~ri thl 0 l'IQU;remen11 o; the ASME ~. Section XI. By *iQn1ng thil cen1fic1n n11th1r th* ln1oacior nor hi1 employer mak* any w11T11ntV, uPf'IIIICi or 1mD1ied. concafflllll the u1m1na11on1
  • ,~ ~-~rec:t"'9 me1sura aescnbed in th11 o-,** Rec,o,1. Funhermore, neither tt11 lnsc,eaor nor Ilia ~., shill be liabl* in 1ny manner for 1nv person11 injury or oroo*nv aamave or* 101.1 of anv ki_nd atlliftQ from or connected wlttl 11111 i.;.n_llPK'l

__ '°...;*_nn.i.i-* _..* ,. ___ n' ... _* .. *..._ -4..._ ... f.._._* .... ~---"------' -*-Commi11i0n1 _,~Vii;A;;;wii5~'

4
;;3;-;
a;;;--;;;;;;;;;;;;:--;,:;-~;;;;;;;;;;;-Slgnatura National Boera. State. l'ro111nce, and Enelor-Oat1 ______ vf .... -_1.___193i--
  • * *
  • * * .\.:-. 'I FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requ1r1d bv the Provisioni ct the ASME Coda Section XI Attachment II Page 36 of 93 Serial *No.: 94*194 Docket No.: 50*280 1. Ownu Virginia Electric and Power Co. "lame Datt _--:,4a__:/

7~/..:....i'i Cf _____ _ 5000 Dominion Blvd., Glen Alil.en. VA 23060 Shett ___ z.. __ ct -z_ Ad Cira.. -------------

2. Plant Surry Power Station Name P.O. Box 315. Surry. VA 23883 ACIClt .. J. Work Performed bv Virginia Power Name. P.O. Box 315
  • Surry, VA . 23883 ACICltHI Unit--------------------

Repair Orgen1ut1an P.O. Na., Joo No., tta, Tvs,1 Codt Symbol Stamo __ N_/_A _______ _ Authorization No. NIA Exoir111on 0111 .....,H..,./._.A<L-------------

4. ldent1fic1t1on of SVsttm ----'S-"--4.._F':.....;;E'T;;..;._,V

__ _...:(_(\J_J_E'i~Ca..'T __ I_O..;.,.J _______________________ _ 5. (al Applic11>11 Construcuon Cod1 __ B_3_l_._l ____ :9~::dition,_N_/_A ____ Addlnda, l:l-l r ll-1 !bl Applicabla Edition of Section XI Utilized tor Aeo11r~ or Aeo11e1m1nu 19.aB __ _ 6. ldent1flc11tion of Compon1nu Atoiir,a or Atolaced ana A1olacam1nt Compon1nt1 ASME Code National Rec,a.red, StamPN Ntml of Nlffll of Mtnufecturer SOlrd Otl'ltr v,., RaolKN, IV11 Component Manufacturu Serial No. No. ld1ntific11ion Built or RaollCflNffl or Not ~luf (kt,, C,. rz.1;>,1,1A-{ I ' fv'A f-/ 4 ' ( -5 ( --z '?C (C,?f 72f!'p~C(f'lu (?'Al 'i-11./0 I . I ' I ., . 7, DtlCrtPtion of Work __ ~-"'a.i;~~o.ulA<~G:i.ef"-......s:8~:TV:..;..JaD.::;5;;::_~A.~N~"D~' .;..;~::.:ll::.T.1..;S~-----------------=-~ I 8. Tuu Conducted: Hydrostatic Pneumatic O Nominal Qp1ratin9 Pr111ure 0 Oth=rO Pre11ure _____ p1i Ten T1mo. "F NOTE: Suppltmtntll lhlftl 1n form of lisu. 1k1tchn. or drawin91 mav ba u11d, provided Cl I sin is 8~ in. x 11 In., (21 lnforme. tion in it1m1 1 throu!Jft 6 on 11111 reoon is included on 11c:f'I 1hN1, end 131 each 1h11t ii nu.:nblrld and tha number of. 1h1111 ii recordld It thl lOD of tt,11 form . (12/821 Thii Form .1eoo~301 m1v bl ob111n1d from,,,, Order Deot., ASME, 345 E. 47th St., New York, N.V. 10017 REPRINT 12/91 *-*** *-------------------*** -* -----------------.**. ----r--.-~-. -. . -**--* ------------*

. ----------

  • I' ~-,-, I I
  • FORM NIS-2 (Backl 3. R~m11r~1 --5"--\.,_/_~_*

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

*

---,---------- ' I I. 1 ' AcpllcaDla Manufacturar*1 Data A~Port* to Da anacnecs i412fot-Z.. (t...Jvr I J,-.. /') . . ... 5y sy CERTIFICATE OF COMPLIANCE We cemtv tnat tne natemenn maae ,n 1ne ~oori ara ~~rr~ct ena tni1 ,2,,i:-J~ ~nformr 10 11111 rut111 of th* ASME Code. Section XI. '9'1 111 rar rapiacamant Tvo* Codi Symbol Stamo ___ N_. _I_A---------------------------------- H/A H/A Camfica11 of Authorization No. ----------------Exoirat1on Cate---------------- Signed c;;:) _ Ownar or Own . -:5' f .Eu4**be I DHltnN, TIIIII Cat*---~~,&;;a;\4.cr~~2----* 19 :z( CERT1g.,1,r::ATE OF INSERVICE INSPECTION 1, 1111 und1r1igned. holdin; 1 v111d ct1mm1111on ,uuaa by the National Board of Boiler end Pr"a,,. llas** lnsoec:ton and the Slete or Province of Virginia end emoloved by BSB:I ' I Co. of Hartford. CT in 1n11 Owna,*1 Reoo" durinQ the oer10d IO -/4-'f 3 10 I hrn . ,nqftea 1111 comoonant1 ducrlbed / D -/ i../ -'f , Ind 11** that 10 tll1 belt of mv know1110C19 and lleliaf, 1h11 Ownar na oarformad exam1net1on1 and taken correc:uw maaur11 a111eribed In 1h11 Ownen R~on 1n ICCOrdlll'ICe with tha raqu1,.men11 of the ASME Coda, Section XI. By 1iQn1r19 1hi1 c:e"1ficate n11thar th* lnroeaor nor his emotoyer m*k* any warrancv, uDrnlld or 1molied, conCllfMII the 11xam1nat1on1 and corrac:uw measur* descnbed in th11 0-r'I Repart. Funhermore, neither the tnsoecn,r nor hi1 llfflPf0¥er shall ba liable in 1ny manner tor 1nv panon11 injury or prope,ty darneQe or e 1011 of 1nv kind lrilil'IIJ from or cannac:tad willl this in101Ct7> ?. /,) n ---""~i...;;...;;,....,;::;...=...;..--L.._ __ ~..;a.-------COmmiuion1 ___ v_A __ s_4_3 _____________ _ I naoec:,ar, S19n1tur* National Boara. Stata, Prav1nc11. ana enaor-Date, ________ L(,_-_7..__ __ 19 9 Y I 1*tttb. Ht:O , .. , ---,,.--*::zg , .. , *-*P?R" * * >rC -*---

  • * , I ' ' Attachment II Page 37 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions ot th1 ASME Codi Section XI 'I' , . Owner Virginia Electric and Power Co. 'lam* 5000 Dominion Blvd'., .t;:;len Allen, VA Ac:1c:1raaa
2. Plant Surry Power Station Nam* Oat* 23060 Sh eat Unit thlrv r.*
  • I of I I P.O. Box 315, Surry, VA. 23883 flv.o# 0() 2'iZS"~7-o/

]!12_ 11 ?Y-lo.5 Repair Organ11at1on P.O. No., Jotl No., ata. Adc:11"8 J. Wortc P*rformed bv Virginia Power Typ1 Cod* Svmbol Stamp __ N...;/...;A;,,;;._ ______ _ !llama Authorization No. -----N~f.cl\.__ _____ _ P.O. Box 315, Surry, VA 23883 Expiration Oat*__..H.,./.,.A.__ __________ _ Ac:1c:1ra11

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

__ "------------------------

5. (1) Applic101*

Conmucuon Cod* B3 l. l ;9_§2..__:;djtion,_N ___ /_A ____ Addlnda, N'-1, ll-7 (bl Appliclbla Edition of Section J(I Ut1li~11a:t~r Reo~,;~'*o~ 1~eolac~,,;

  • .,,~ 19::::8_'["'-_

COdeC ... ' I l,; , , ' '. ! : !, '.' . ): '/ , i ' I~; : ::l r ; 'I ' ~: I '; !,, < * ',: ; *, ' ' ,:. : . :. *' .. -,/,.,.;, ::.:'.,:,:*,::--:* '.:-;*,: ' .. ~'.,.,*'\*.:: ...... 6. ldent1flc11tion of Comoon*n11 Reoair*CI or Rii;1taced an,q R1placem*nt Component1 . ***: * ,.i \**,*':* ,, ; I AIME ' , .. ,: ... '*. *. Codi . '. ' ' .. .,,, *'"* *.* National Rat,ail'9d, 's ....... Nam* of Name of Manufacturer Board ' Otllar v,., Rat,leced, IVII 's,,1,, No: *** '. Compon*nt M1nufecturar No. ldantificaiion Built or R at,la:etlllftl 1*,or Not '. '**:' .... ' ' ' 5 r, STtfl>S 'P N" . ' .*.NA (-51-,q, 1ley/4c,:-J> }-,Pt ,._,u 5 ,, ,. I ; ', Nu1; f.JA (/.IA fJA /--51-/'(Z. /.IA P.~p/4 Q;""i) k) % ,, MovA rt'9>hc ~*"NT f)D STU'D5 tv/,A NA /-51-1 t/'l /'??c/ ,,.., Nvrs .% -ie;' A) Qi.I,<\ ,* A/Ir-!1 I ,',,.'*.N~ .! . l-5/-ft/2 /'lf3 ~/~C~El\;1 f/D ' ,. ,,, I .,., ' 7. 011criotion of Work _-...,172.~=c;f'.f)"lo/,;.;:4i.::4;::(;~.:::;~.:.11/,.;..::D:;.' s~' ~A,.:.tv:,;_,i2>~..;.* lf~11:;.f5.i._..,_ ____________________ _ a. Test, Conducted: Hydro,tatu: Pn~u~a,,c,Q

  • Nominal PDl~llting Pr~11ura D Otllar O Pre11~ra' psi Test T,,;:.o,
  • F NOTE: SupD1*m11ntal

"'"" 1n form of lin,. 1katchn. or drawin91 mav be u1ed, provided 11 I 1i11 i1 8~ in. x 11 In .. 121 lnfonne. tion in ittffll 1 througfl 6 on 11111 reoon i1 includ*d on Hctl 1hNt, and 131 ,acn 1hNT ii nui'.noa'9d and th* number of lhNa ii recorded It th* tOD of thll form . ( 12/821 Thli Form CE000301 m1v OI obta1n*a from,,,. Ord*r 01ot ** ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 -** --*------* -. '-*------*. -. -**-----* -. ____ ._.-------*-*--*- =-==~--

    • ,:* 1' ,;, 11 i' \ FOAM NIS-2 (Backl ~-Remer11:1

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

  • I Aopllcaole Manufa,1urer*1 Data Reports to oe anacftaa C t.JT 44 ~514-Z... ( 1'f vt5 '.J CERTIFICATE OF COMPLIANCE . We cen,tv that tl'le natemenn mace ,n tne ~cart are co~rect ana 1~i1 @<.&~ ;onforms 10 11111 rulH of U1* ASME Code, Section )(I. rape1r or rapiacamant T Cod N/A vo* , SvmbOI Stamo-----------------------------------------

N/A N/A Cen1fic11a of Authorization No. ----------------Exoiration Oeta ----------------. Sign.aw~~/ £5£~,&+f.6& Ownero~...OUlgnN. Tltle Cat*--~'ff-~Af~t-* --,,~2---* 19 ~,:( CERTIFICATE OF INSERVICE INSPECTION I, th* undaraignad, holdinQ a valid comm111lon ,uuad bv tha National Board of Boiler and Pre11ura llas*t tnsoacton and th* Stat* or Prov,nc:9 of Virginia encs amotovea bv HSBI ' I Co* of .:EJ:..:a=r:.;t:..:f=..::o;.:r:.;d=*-C;;;.T.;:.. ____________ ...... _____________ hm ,-,nmectlJI tha comoon1n11 dHCribld in ,,;,, Owner*, Reocm during 1n11 period {() -IL{ -'13 to / 0 -/ 4-1-' . and 11** ttln to 1na oau of mv knowtedl)a and -belief. 11111 Own*r l'ln oarlorm*d

  • xam1nat1on1 and t1kan corractn,a maa,urH a*a1ermild In 1h11 Owrwr*1 R~an 1n ~raance w:~,,' t~I ,.q~1raman11 of th* ASME Coda, Section XI. By 1ign1ng thil can1fican na,thar th* lnsoactor nor hit amptovar mak* any warranrv*.

uDfWllld or 1mD1iad, c:cinCllffllfll lhl 11xaril1nat1on1 'and correctaw mu~r* descnbad in 1h11 O-r'1 R*c,an. Funhermora, neither m* lnSQKtOr nor hit en11110,er shall ba liab*II in 1ny manner for 1nv oar10n11 inju,v or oroc,1nv damage or

  • 1011 of any kind ar11i119 from or connac:ted willl 1h11 i_n_*.IIMCI_*_*

_w-"* _* ... --~.l=*""u-"',n~ac,-* _ec:.._,a_f ...... ,-~-lg_n_a..,(i)A_re""""-"------CommilllOnl-~Ni;1;j:;j;:;n;a1;'iaii: 5 o;;~;:!;;;-,,5;tt:;a;;,e;'".'jjp;;,a;;:v;,,:;;n";ca;.~a;;na:;;"ie";;n:;;c:li;;o;,_,;;;,..; ... ;flft;n-Date ______ l{'-'--------7 __ 193!/--* * *

  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions ot the ASME Code Section XI Attachment II Page 38 of 93 Serial No.: 94-194 Docket No.: 50-280 Owner Virginia Electric and Power Co. "<am* Oate __ 4~/-'-1 /.....:....q f;.....__

___ _ 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet ___ l __ 01 ____ ( __________ _ AOClr*II!

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

of. ...s.. P.O. Bez 315, Surry, VA 23883 l..v, u. 1F ooZ.j> z:z1r 7Z.12.--'t</-093 AOCSHU Aeoalr Or11en11at1on P.O. No., Jotl No., ato. J. Work Pirformld bv Virginia Power Name Type Codi Symbol s,amo __ N_/_A _______ _ Authorization No. ------N.u.l..ci'o~------- P.O. Boz 315, Surry, VA 23883 Expirauon 0111 _.H._/._A.,._ ____________ _ AOClrHI 4. Identification of Sy111m __ .. C-=o"-N"'-'-r:""A"'tN.,...M.:..uG.-u.N>>-&.L-:-.-'.:""S:;.:,P~,:..;:12;.:A=)(-------------------------

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

__ 6. ldent1flc11t1on of Comc:ion,nu Aaoan1CI o'r R1olacld Al 0 Dl~~*~~i Compon1n11 N1m1 of Component

r._ ,, '5,TI.,1) s ¥ s" LI, 1C, -r;;-'S " S71Ji'I<
; s ,, NuT'=> 7 N-of Manufec:iu~r.:; , N*~ I,,.{,,,.

Nov4 , MActcso µ M1nufactu~r Siri1I No. '*;;:1 .-NA** ',,.,,.fv'6.*,;,"**, N1tiona1 Board . . No: .... ,.,,., Otller ldlftllficatiori . /.;.., CS-52 .. ,., .. ,* .. fJ.A, **, ' .. , :.I~ Cc; -;, l_ v,., Built

  • MA
  • AIME' coca Repaired, s ........ ReolK9d, CVN or Replai:etNM or Nol. l 1 * ,il 7, o,scriotion of Work ...-.....:'1Z=e:;J;(?~{i.:;A~Cf-.-s=m.t::J:P:..*:.S;_,""-~'.:..'*'.:.'r-.l.;::" :.:YI:S"

'-,.;' *~!/"_-* .. _ ... _ .... _,.,_._ ... _. ,_, .. ,_ ... _ .. , .;;;-'*'-....;:...:._.;_; _________ _;. _____ ..;. __ 8. Tests Conducrtd: Hydrostauc Pn1uma11c O Nomin11 Ooeratin; Pr111ur* 0 Other O Pressur11 ______ p1i Te11,Ji1.mo. "F ,:11 j' * ,, \*;.: 't* ', ,',, ",I I * : ;,I NOTE: SuoD11memat lhlfll '1n *form of liits. akatchil. or arawinge mav bl ulld;,providld 111 aiu i1 S'ti in. x I I In ** 121 lnforn,e. tion in it1m1 I throu9"1 6 on 11111 reoon is inc1ua1d on Heh 1hNt. ,na 131 Heh 1hlft is nui'.nt:11rea ind th1 number of lhNII is . . , . . . .' . I recorded It thl too of 1h11 ~orm. ., :' :,,,' . i' (12/821 1 , 1 1 ,'l, .;:.,,, , , 1 1, .. ;:-:, :.*, .. , ': ** : *. ,. , 1 I ' . , : Thii Form tEOQ0301mey c,e:obraui1a't'rc:im tP11 Order 010,:, ASME, *345 E. 47rh St .* N1w York, N,Y.-10017 I . . ' . , \ '. ',I

  • I *11 * * * \', ** ,.,1 *.i*, REPRINT: :,t,2/91 ,:1,1 I / i', ',',' * " ' , " ~-q I,'*,>, 'I,,,,, t '>I ' 'I ',! i*J' ,;: .;**', J ' ,, ______ : ***:_.*_.,_***A~

.. *' __ ___ *.~--,..--*-.', . *--*-**** -. . :-------**----~-

  • FORM NIS-2 (Backl (".s:" ) ~-Remarks ..........:N...;....;.T_4_

3_2_7_4_* _4_-_4_..,.L_--"'-Y__,_/./.~e;i;f....wN,:..;;u..:.f..,:....__ ____________________ _ , (, ioncaPla Man)ui°~cturar'I Cata Raborn 10 Pa anacr,aa, x *srun CERTIFICATE OF COMPLIANCE We cenitv tnin tne mnemenu maae '" the n!~~n-~;,, correct' ana tni~ A~~JfdlT ;onform, 10 tne ruin of th* ASME Code. Section ,I( I. rapair or **otacamant T N/A vpa CQda SvmbOI Stamo ________________________________________ _ N/A N/A Cen1fic1ta of Autllorizat,on No. ----------------Exoiration Oete ---------------- // ,~ ;J -.. -c' ' Sign.J4/... r;_A~ .:I >,.L c;;;::1£kvllR! Owner 0~1111nN. TIiie; Cate --4"'+' ... Vl,.__.,~- ... 2-------** 19 9'. f CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding

  • valid comm1111on ,uuad by the National Boera of Boiler 1na Pre11ura \111*1 lnsoec:ton and the Stat* orProv,nc:.ot Virginia ena1mo1ovadbv HSB:I ' I Co. of .:;H;.;a=r.;;t;.;;f;.;o=r.;;d;.;*:;.._.C_T

__________________ ,..,.. ____ =-___ have ,n~tea the comoonan11

  • dlltCl'lbad in 1n,, Owner'I Reoan during th* oarioa /()~IL\_ q 2 to ID-14 -'le., , ana et** tlln to the t>an of mv know,ac,qa and belief, the Owner na oertormad axarn1na11on1 ana taken corractiw mHsurH dHctibad In 11111 Ownen RtQari ,n accoraanc:.

wnll tlla raqu1raman11 at tlla ASME Code, Section XI. By 119n1ng this can1fican nanhar th* lnsoeaor nor his amployar mall* any wananr,, uornaa or imoliad, conCllffllftl Ille 11xam1N11on~

  • ,na ~rrect"'9 measurail dnc:nbad in 11111 Owner*, Reoort. Funllermore, neither ma tnsc,ect0r nor lli1 .....,., shall be lieble in 1nv menMr for 1nv parsonel injury or ciroo*nv damage or
  • 1011 of any kind ar11ing from or connectad willl ltlll i_n_.-,_._'°~~-=*'*~*--*-~--~1

... *~---~----------Commiui0n1-~-V"".'"'"A __ S;._;4_3 _____________ _ tn-.,ector'1 Slonatura National Boera, State, l'rov1nca. ana Endo,_. Date <<-7 19 C/ t.f ------------------ 7 * * ><

  • * * ~-------***\! ,* : {, 'i:,' i* ' i. . I Attach~nt II Page 39 of 93 Serial No.: 94-194 Docket' No.:* 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provision~

of the ASME Codi Section XI 1. ~ner Virginia Electri'c::: and Power Co. 'lame 5000 Dominion Blvd., Glen Allen, ;o/A: 23060 AaareM 2. Plant Surry Power Station P.O. Boz 315, Surry, ~A 23883 Date Sheet Unit y/&>/9</ ,. ( ct 2. I AOO, ..

  • Raoelr Organ,utlon P.O. No., Joo No., eta. J. Work Performed bv Virginia Power .TvP* Code. s.vmbol s't1mo __ N_/_A _______ _ Name Autllor1ntion No. _____ ,1;1N~/.z.AL..------

p_o. Bez 315, Surry, VA 23883 Exoir1t1on 01t1 ......,Hul-'A:a..._ __________ _ Aaa,e11 4. ldent1ficat1on of Sv1t1m __ "fZ......_._e_A_'-_T_o_rz. __ CO_o_1.._A ___ AJ_J_. -------------------------

5. (al Appl1caOle Construction Coda B31. l :9~:;dition,_N...;../_~

____ Addlnda, N'-1, ll-1 (bl ApplicaOle Edition of Section XI Ut,lizea tor Aeoair, or Ae~lac:1m1nu 19;::;8_'{..__

6. ld11nt1flc11t1on of Comoon1nu Repaired or Aeol1Cld ana A1placemen, Compon1nu ASME Codi N1tian11 R1t,atred, s......-N1m1af Nameof M1nu'f1eturer Board Otller v,., R1t,lacecl, CY11 Component M1nufacturtr
  • ' S1ri1I Na. No. ld1,111fic1tion Buill or R 1t,IIC9ffllffl or Not ' lfey Nvt ,!, 1/ I /-/Z.<!:,, IG:.o 'le:pf4c~ VA NA NA. p.-1,<J. Nt> £"_ ,, ' ; I I *, "j 1l-'t> "g /VA-N4 '. fJA. (-llC-l(pO N;J fr()l4c~ ('/t> VAt.riE 3 *1 N4 NA tv1\ l-fl.c-1&:o fv~ ~cp/4c~ f,/() /-lu lllvf 5-,, Mt+C(C5f1N t,;4 i tvA, I-Ile -tfoi> trr~ 12.!:i /4.(eM@.i

,_ ~() i:: 4 {'4n...1)1 A.I,+( f\/14 N'~ I -fl.(-/<d> .. I 'i"I.J &f)i4 CFM~MT fJO $1Vl) 'if 7. D11er1o,ion of Work __ 7Z..1.f_E'~p~/tJ,~,~~=---l'/M.a.!:L.111/.s;;*-.1.A:lltv~b~ ...... fa~o_l-1'G..:.'L.l:N'-l(.c.c: ____________________ _ B. Ten, Conducted: Hydrau1t1c ,/ Pneumatic 0 Other O Prmure I..ZQ~"iH Nominal Op1i/1t.in9 Pr11~ure 0 pai T111t T1mo. ,1,,.,4,,r.,...,

  • F NOTE: Suol)l1m1nt1I stints 1n form of lin1. 1k1tchn; or dl"lwinge may be ulld, provided 11 I 1in i1 8~ in. x 11 In., 121 lnfonna* tion in itlffll 1 tllrOUIJh 6 On tllll repon ii included on IIICl'I 1IINt, Ind (31 lldl IIIHt ii nu.:noerect Ind thl number Of fflNII ii recorded ,, ,11. tOQ of Thia form . 112/821 Thii Form IE000301 m1v tie obtli1n1d from,,,, Order Oaot .. ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 .------. *-__ ____:___ **------------.-_-.. -~~*-.--_.-_ ----

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

  • I '3,. Remaro:1 -,---'-N---'T

__ ~_..;;..g_7;.......:1_.3 ... J._,* .... (,...: H"""""'~..,.e_/1.J_ . ..;;(.);...;rc.... -.-~--S:.:;.w_'-,1,):......_~. -. -,-, ----:--. -----,---"-------- \ 1 :; . l , 1 : I ** *Ao 't,cabl* ~*nu'.fac urer*1 081:8,*A*oarta to c* **nachecl

  • *
  • r 4 3 8"fe o5 -4 5TZ.J "
  • PT/:: 5£= 119 001. A. o l CG. ti= SG"t 1'1001, J. o / CERTIFICATE OF COMPLIANCE We cemtv tr111t u,e netemenu mace ,n the ~oon a~ correct 11na tni1 ~)~&:cYC::onfom,1 10 tne rulH of the ASME Coda. Section)( I. '~1" or replacement Type Codi Symbol S111mp ___ N_. _I_A----------------------------------

N/A H/A Cen1fic111 of Authoriut1on No. ----------------Exoiretion Oete _______________ _ Signld /1 / 44 / _:Ij L ~-+/-~. OHlgnN, Title 01te _ _..4....,. ... '4 .... ,.-?__..'7..__ _____

  • 19 2 f' CERTIFICATE OF INSERVICE INSPECTION I, 1h1 una1n19ned, hotdin; 1 vet id comm,11,on ,uued by thl National Boera of Boiler end Prnaure 111 .. 1 lnsoec:torw end the State or Province of Virginia end emoloved t,y BSBl: ' I Co* of .cH-a=r ... t_f""oa..r~d...;..:;*-C

___ T ___________________ ..,..,,_ ____ have ,n~ted the comoon1nt1 detcribed in 1n11'0wner*1 Reoon durin; tne period ,1. L.1-3 I~ /0 -/q-<j .

  • Ind 1te* thet 10 1h1 bin of mv knowledl)e ind belief, the Owner nes performed exenunet1on1 end taken corractiw manure, aecr'ioed In 1h11 Owner'I A~on ,n eccoraance With the reQU1remen11 of the ASME Code, Sec1ion XI. By 1ign1119 chia ce"lfican ne11her the ln1oec1or nor hia employer mlik* eny we"11nry*, uorllllCI or implied. 'conclfMII the t1xem1ne_tio'n1 end correc:tiw meaiur* descnbld in tlu1 Owner'1 Report. Fu"hermore, neither tn1 lnSO.KtOr nor hi1 emp ..... ., shell be liable in any manner for anv oerwonet iniurv, or progeny aameoe or e 1011 of 1nv kind ar11i119 from or c:0Mect11iwlth ltlll
  • in1P1Ction:

--'---'.;..._.i~.__..._~--~:":'/_.*_~---=----Commiui0n1--;;;;;Vi;;A:;;;;,5;:;:4:3;-;;;;;;-;;;;;;;:;;;;:;;-;:;;~:;;;;;;;;;;;;;;-- 1n1Dec,or1 Signature Netlone1 &oera. State, f>rav,nce. ena Encsor-Date* ______ vf._-._;.,7 __ 19 ? t * * *

  • ' * *
  • 1. 2. J. 4. Attachment II Page 40 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the _Provisions ot the ASME Code Section XI Owner Vir9:inia Electric and Power Co. 'lame Date 1/rtht I I 5000 Dominion Blvd_, Glen Allen, VA .23060 Sheet z_ cf 2 AC1drH1 Plant Surry Power Station Unit I . Name p_o_ Box 315, Surry, VA 23883 Addi-Reo11, Or111n111t1on P.O. No., Joo No,, 110. Work Perlormld t,y Virginia Power Type Cod* Svmbol Stamo __ N_/_A _______ _ Name Aut,:ioriz1tion No.,.------Na.1:/~A:i._

______ _ p_o. Bo::ic 315, Surry, VA 23883 Exoiret1on Otte __..H,../""J\"'-------------- Addre11 ldentificauon of svn*m 7Z ~4 C. 7?:>'tZ.. C se, c.. A-,Jf" 5. (11 Appl1c101e Conmuc119n,Jo~1 ~3,\,,~,; , 1 ,' ;;~A.~,~ 1 1 1\~i 1 ti 1~~,:-* -.* -N ... (_A __ ---.-,,-Addenda, N-1, ll-7 (bl APPiicabie Edition of Section XI Uulirea'tor Aeo11r1 oi,.A11011eem1nt1

  • 198.:;_'l-=----

CodeC111 ,. . . : .. :* I. :. ,_: .:'. .. : *.**.:_;*:;,:::~/!,;'.\/;:i:**i.'.: '..:.: : .',*., 6. ld1nt1flc1mon of Corr\c,on,nu Aao~ar,a.or A1ol1cea 1na,A1011e1m1nt Componenu ,* ~\ ASME .' ~::--' .: ;,,] Codi N11ione1 A~airect; s ...... Neme of .NMMof Menufacturer Soard Ot111r V11r Aaolll:90, IV11 Component

  • Meriufac:tuier.

1

  • seri11 *;..o:* . ' . ... N"o: ld1t111fic11ion Built or RaollCfflllftl or Nol /kl VF 3 I/ /v14"v,.;jC./N

/fq 't ~h~e.i lv.4-f-/Z.C -ffoo J-,D *.* *: ;:' .. *'i1*,***, ..... *.: / 7. Oescriotion of Work-1?2....:.e.f',au./,.t1~C.ll_.11;/fi.;.;14.L..:l/.::*:._..*.;.A...;.IV~7)~* --'~~-. *:;.;,:;.;;.*

..1".
.;f"".;;. . .i.;Cr;:;....

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

  • F NOTE: Suppl1memel lhN11 in form of ,;i.~~: .~~chn.* or *d~~in91 ffllV bl Ulld, provided 11 J aiu ii 8~ in. X 11 ,~ ** 121 lnforma. tion in itlffll 1 throu!Jh 6 on t.1111 n1oon .ii included .on IICtl lhNI, Ind 131 IICh lhffl ii numbered Ind the number Of lhlftl ii recorded It thl 100 of thll form. , . .. . , I 12/821 Thii Form IE000301 ma\, 'bl ob111n1d from,,,, Order D11;>t., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 .. . --**--*--*-**

--* -**---*---~:..-.-.-~::..:--=-- .. *-----*--~-----*--~~ ~--~*-~ :.~--... _*_* . *----*-* . FORM NIS-2 (Backl / I-I-el( -) ~-Remar1<1 __ N __ T_4_3_7_9_3_/_~_f\/_...,_t __ ~_1_:.c-1------------------------ Ac llcaa1a Manufacturar*1 Cata Recoru to a* anacnaa -4 ~,, 1? 17!= 'S ~I/ '1 ooi. 4c:, I C(;/IE 'Sti://'700/.40/ CERTIFICATE OF COMPLIANCE We cemtv tnat tne statements maoe ,n 1ne reoon are correct 11na tni1 d.~,}e&ki::'i',"'...-;onformr 10 tne ruin of th* ASME Code. Section XI. ,ep,[., or repoecement Typa Coda Symbol Stamo ___ N_. _/_A---------------------------------- ~nificu, of Authorrzat,on No. __ N_/_A ____________ Exc,iration Date ___ N_/_A __________ _ Signeo {J_ '£/ 6;/1 <,-iLXSf 4G,v~ c5wn.i~~e1lgnN. Tltll Date-4...., ... ...... < ... *-... k-------* 19 29( CERTIFICATE OF INSERVICE INSPECTION I, th* unoersignld, holding, valid commrnoon ,uued by the National Boera of Boiler ana Pre11ura 1111*1 lnsoecton and the State or Prov1nc:9 of Virginia end amplayed by BSB:I ' I Co* of .=B:.:::a::.;r=t-=f~o;;.;r::.;d;;;.:.*_C;;.T;;... ___________________ ..,,.. ..... ___ n ..... ,n~taa th* comoon1n11 dea:rlbed in* 1n11 Owner't Reoon during 1n11 oarooa /6 -/4-'t 3 to I 0-(4-'( b

  • and 11** thn to 1n1 bait of mv know1aaqe and belief, the Owner na oerlormea exam,nauont ana taken corrac:tiw menurH oatcritled In thl1 Owner*, Report ,n ,ccoraance wrth thl rwQu1ramen11 al the ASME Code, Section XI. Bv 1ign1119 thi1 cenlficate neither thl lnsoector nor his emc,1ovw mak* env werrantv, uDr9111d or ,molied, co!ICllffWll lhe exam1nat1on1 and correetaw measur* descnbld in 1h11 Owner*, Rec,or,. Funhermore.

neittter the lnspectOr nor hi1 ..,...,. shall be habll in anv manner for 1nv personal injury or 1>roo1nv damave or* 1011 of anv kind ari1ing from or coMected MIii 11111 in~n~ !. u /'\ --~.:l..ll~--""'-----'L-~~~---------Commi11i0n1 ___ v_A __ s_4_3 _____________ _ 1nap~or1 Slgnetur* National Boera, Stat*. l'rovrnca. ana Endo,_. Date ______ l{ __ -_7 ____ 19 ?tj '* * * *

  • *
  • Attachment II Page 41 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-~ OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requ1r1d bv the Provisions ot the ASME Code Section XI 1. Owner Virginia Electric and Power Co. "*"'* 5000 Dominion Blvd_, Glen Allen, VA 2. Plant Surry Power Station Name P.O. Box 315, Surry, VA 23.883 .a.aoreu I 23060 Datl 4/cPlt'I ' . Sheet of I Unit ., ~.o.# ooz~o,2~-o, /2..72..::1:l:.CJ'f-tJl'j Aeoalr Or9en111t1on P.O. No., Joo No., ato . J. Work Perfonnld by Virgini!a Power! iypi Code Symbol Stamo __ N_/_A _______ _ ~*'"* P.O. Box 315, Surry, VA 23883 Authorization No. ------'Na.(t..&a...

______ _ Exoiratron 0111 __.H..,I ... A...._ ___________ _ Adar111 4. ldentrfic1t1on of Syuem __ S_/9....._Pi ..... '*__.Q_...,.I __ I __ N __ J..aE'::.Ca..Ti ........ lE:i==-,-)-------------------------- 5_ (1) Applic1011 Conmucuon Code B31. l :9~:dition,_N....;../_A ____ Addlnda. N-1, ll-7 (bl Applic1011 Edition of Sec11on XI Utilized tor Aeo~ir* or Aeolacamenu 19.=a_q...__ __ 6. ldentrflcation of Comoonan11 A1p1u1a or A1ol1ced 1nci R101ecement Compon1nt1 AIME Codi N1tiona1 RIPetrN, StamPed ' Nem* of N-of M1nufacturer Boera Olher v,., Replai:ect, 1v .. Componan, M1nufec:turer

  • . ' S1'ri1I N'o ...... .. , . ' No~ or AIPIK9fflMl1 or Not ld1n11fic1tion Built (* *1. : *, ... ,* ., , .. )1 ' * . ,: 'I ; I*** 'J21cp~ACE "J) s-n.., I>, N~ I\JA, .,., NA /--"5/-/'lf O V-/'1.<,,t/A

/vA . *., I .. I .. ' . *, ,I N1.J15 4" /VA I ivJtl , , I 1/Ze-pl~c~.1> ',!. ' I ,'! 1 ', I* ',7';*, ,.:-'**,"' NA -J/-11,fOV- / 'i,!./A. NA A...,t, h" {)" ,r_p~,vkL ' ,.It/~"*"' !<ttrc K.,:pl,qc.E?U@J T Mb <;-ru -o...; *1. *fJ*A. *, {-SI -111<011-l'dtot/A -t .f AfZi>tM.4.t ~t>4~eJl,1 I :. ;,,,4-' ' ' . ' '(.IA-/-.fl~ '1,fov-111ro'I A tn:? 1'I I:) ~()~ '. I -',( ,i*!J,i:\' j .' *~ 1 "' j ,, ., :/. r i ** *,1 ... ! I . *'* .. .. . ! :** * ;,/.,*,1:,1)' ,./ , .. ' '

  • 1\1 7. Dascr*Dtion of Wor11 __ _.72....,9.,12

... L .. A.C=:fi., ... *_1:s;.1:, =.,;;=--'* L,_-*.+_,*,_-,..,_}-~ .. ~* ~* * *-* _______ :.;,__....,. _______ ..;... _ _.. _____ _ 8. Tesu Conducted: Hydro1t1t1c .~n1uma11c O Nomin*a1 Ooera11n9 Pre11ure 0 011'11r O Pre11ur,. ______ psi Ten: :r,emo.

  • F NOTE: Supplemental lhnn 1n form of'liiu. 11ietc:hn.

or drawings mav ba used, provided 11 I 1in ia 8~ in. x 11 I~ ** (21 ll'fOffllll* tion in illml 1 thrDUCJfl 6 On trlll,FIPOM ii includ1d:on HCII lhfft. and 131 IICh lhlft ii numtllred ind thl number of'thN11 ii recorded It tha tOO Of this *foffl'.I.

  • 1
  • I" .' .:* .. ,* .... ,.**!.-, '* .,"* ' , : l ,
  • I' . . .* I , (12/821 ihii Form iEOOCi301 1 may 'oii otlta1ri1cdrom*,;,i,'ord1r 01c,t ** ASME, 345 E. 47th St., New York, N.Y. 10017
  • r I ' 1, I .,.,.,* .. ,,,,,,, REPRINT 12/91 'i" ,, S' ,* I I ,!* ***-****----------------------*-----

.. !' *'1/, :1,' i --:*:---:--.,.-*

'--~:~.~~:-~-':"'"~~"'."---::-_~_.,...-_-*~-

  • -,-~*.-'

--*r--~----

  • -

FORM NIS-2 (Backl ~-Remer~* __ 5__._y_.q_* 2_7~?_'1~?_-_t..... _ ___,...G...:..Ha..:e~r_/..J;..:;;, -='-'c.:..-t_h::;..s_,:_,_'2_...,._...,.,~. _____ * --------' Aoollcatlla ManufacturaJ:* Cata Aaparta to aa anacr,aa 712'10 _ i (:,,n/i> J§ "_ . / CERTIFICATE OF COMPLIANCE We cen1tv tt,at 1r,e statemenn maoe ,n 1ne ~con *an, correct ana tni1 £~,>~.:!.v,..--;onforms 10 tne rulH of the ASME Code. Section XI. repair or reo111eamant Tvo* Coda Svmbol St11mp ___ N_. _I_A---------------------------------- ~n1ficua of Authorization No. __ H_/_A _____________ exairation Date ____ H_/_A __________ _ Signaa C]_ rrf~ ,J/_ * / _:zs_;:-&efir~ Owner o~. Tltla Oate _...,4,__,, .. ~......,L ...

  • __.6..._ ____ ,. 19 9':t CERTIFICATE OF INSERVICE INSPECTION I, 1r,a undersigned, holding* valid c:omm1111on ,uued bv the National Boera of Boiler ana Pressure I/as** lnsoacton and the State orProv1nceof Virginia 1naamo1ovaabv HSB:I ' I Co. of _e_a_r_t_f_o_r_d

___

  • _C_T __________________________

have 1nsoecl.aa tna comoonan11 detcrlbed in 1n11 Owner*, Reoon during t'111 parioa @-f'{-Gf"J to /D,(1-f:-'l , 1nd n** that 10 tna belt of mv know1~ and belief, ,r,e Owner n .. Perform.a axam1nat1on1 and taken corractiw manurH dHcriaed 6ft thl1 Ownen Rapon 1n ac:coram wnn the requ1ramen11 of the ASME Code, Section XI. By 1ign1nt thi1_cen1fic~te na~thar the lnsoactor n~r hi1 employer m*k* anv warranty, ui:,rnaa or 1molied, C:OnaaftW'I the e'xaminat1on1 and corrac:tiw 0 measur* ciesc:nbed in th11 Owner'* Repart. Funhermore, ne1,ner ma lnlPIICtOr nor hi1 ernptoye, shall be liable in anv manner for 1_nv pa1"10na1 injury or property ciamege or* 1011 of any kind 1r11ing from or coMec:ted wttfl tlllt i_n_llPICI __ '°_~.&...;; ................ ~-* __ f._~:~ .. ~'""'-----------Commiuion, ___ V_A __ S_4_3 ______________ _ lnaoec,or, Signature Natlona1 Boara, Stata, l'ro111nca. ana endorNftl-11 Oate _____ t{.._-_1 ___ 19 'Ij * * *

  • *
  • Attachment II Page, 42 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions at the ASME Cod, Section XI 1. Owner Virginia Electric and Power *co 1* Name I 5000 Dominion Blvd., .Glen 'Allen,* VA , 23060 ACIClrHI 2. Plant Surry Power Station Name P.O. Boz 315, Surry, VA 23883 ACIGr .. J. Work Performed bv Virginia Power
  • Name* P.O. Bez 315, Surry, VA 23883, ACIClrlll
4. ldent1ficauon of Sv111m I-IA.RG lt-.l Cr 'S 'f~°TcM, Oat, ---'-4+....::.,~'+l-'-f

'f"--.----- Sheet_....._ __ of_-'------------ Unit--....:..'-------------- W. 0, ()olfi?023't-OI 7272.. #=-9'f.-o5S Reo11r Or111n111t1on P.O. No., .100 No., eto. Type Code Svmbol S11mp __ N_/;...A~--------

  • Authoriu1ion No. _____ _.N 14{~A--------

Expirauon 0111 ~H 14/~A-------------

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

Edition of Section XI Ut,lind tor Rep11,a or R1101ac1men11 19;::S_f.__ __ 6. ld11nt1flc11tion of Comoonenu A101ir1d or A1olacld 1na' R101ecem~nt:Componen11 Nem1of Component ,\.) u f-'5ruD 4i.l. lt:D + &I+ NOVA! M1nufacturer S1ri1I No. kJA .I National Board No. t*.iA, /\(/4 N/4 Ottltr ld1r111fic11ion {*lH -MoU-llfi7C!.I ASME Codi Rec,aired, St81111Md Yee, Rec,lacecl, CYII Built or Rec,IIC9IMM or Not NO ,-;o I) 0 7. Descri1>11on of Work __ T<: ___ 1=_ .. _P_L-:A.~C.:.~:-..:<=:,;a:.;ru:..,:;...i:;D__.A-;..:.;,l-'_l>;:::;_.;..N .. ... T.._S _______________________ _ 8. Tens Conducted: Hydro1t1uc

  • Pneumatic O Nomin11 Operating Preuur* 0 Other O Pre11ura _____ p1i' Ten T1mo. 'F NOTE: Sups:,41mem11 lhntl '" form of li1u. 1k1tchn, or drawin911 may be u1ed, provided C1 I sin i1 8~ in. x 11 In., 121 lnforme. ,ion in i1em1 1 through 6 on 11111 reoon is *included on HCh 1hNt, and 131 1ech 1hN1 is numbered and the numt,er of lhNII i1 recorded It thl toe, of mi, form . 112/821 Thii Form tE000301 may be ob111ned from ,ne Order D*Pt .* ASME, 345 E. ,1,h St., New York, N.Y. 10017 REPRINT 12/91 .. __ ------...---**-

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

  • CERTIFICATE OF COMPLIANCE . We cemtv that the statement~

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

1. the undersigned, holding
  • velld comm1111on ,uued by the Netional Boara of Boiler ana Pre11u,. 1/enel lnSPec:ton end the State or Prov,nc:e of Virginia 1ncumo1ovea by HSBI ' I Co. of Hartford*

CT have inSOtctlG the comoonent1 dncribad in 1n,1 Ownar"I Aepon durin9 tne oeriOd I Q -IL.I -~3 to IO -f Y-Cf b , 1nd 11** thn I to 1ne belt of mv know1eage end belief, the Owner nn oertormad exam,netton, ena tell:en corrac:tn,w measurH dHcribad In thl1 OwnenAepon 1~ eccoraanc:e*~11~ ,the ~u1r9men11 of the ASME Code, Section XI. Bv 1ign1nv thi1 cen,ficat9 neither th~ lnsoector .nor his emo1over mek* env wananrv, UorwlllG or 1motied, co~ the 1x11m1nai1on1 and correctiw miiasur* descnbed in 1h11 OwMr'1 Reoon. Fu"hermore, n111her the tntQKtOr nor hi1 .....,.., shell be h1ble in eny manner for 1nv 01rsone1 injury or proc,er,y dam~ or* 1011 of any .kind ar11i1111 from or coMec:ted with lttlt . t *

  • i-"-~-~ ..... -;:;0 ,.:'_' ... * "-------i"'""'._"'"~--

...... ----' ...... ----Commiuion1_ 1~V;A;;;;;;-;5;:4;;3;;-~;;;-;;;;;;;;;;;;:7r;;j~;;;;;;;;;;;-- 1 napec:tor"1 Signature N1tlon .. aoara. State. f'rov,nc*. ana Ene10,_ Date* ______ tf...__-..aab_19 'f i * * * . -*** ............ _-..... -,"--:-':"<'T:'7,-\-. ... -L**a** t&.~~-:;-~*--SE_,~,_.,_ _____________ ..,._,__. --*~*-"'--- --*----~-"'---~-*-*

  • *
  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS ,As Required bv the Provisions ot the ASME Code Section XI Attachment II Page 43 of 93 Serial No.: 94-194 Docket No.: 50-280 1. Owner Virginia Electric and Power Co. "*me Date __ ... "ff-/s 4 ,f~'1-1.Y:

_______ _ 5000 Dominion Blvd., Glen Allen, VA 23060 Shae, __ .,.;/;...__ot / .i.aarel8

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

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

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

_~ __ lO_c_<..._A_*r,J_-_1

5. (11 Appllc11>11ConurucuonCod1 B3l.l :,9~:;dition.,....,.N...;../_A

____ Addenda.N'-1, ll-1 (bl Applic1DII Edition of s~~tion x.1 'uioi'i~1~fi6~ ~~'Reol~:,.,;~~~. ,:s;;:B;..1~* --Code Cua If\/.' ,i 1;{ 1 1~' I :,'1.P' Y,*(! .',;,.i:/:\i ,9\ *;**.1*1 . ' .'., . -::_ :*,i**':,;,\;,::*.1 \.~.*:.:-.: .. :;, . * .. ;*,**:*\:~~*: ,~--,:, : ,* ' 6. ld~n,1flc:11tion of Compone"'u Rao11ritd'or' R1c,t1c:ld Ind Rac,tecement Coms,on1rit1 Nam* of Component j(Liwf t\SSEM,l;?l V ' ~-of Manufacturer; to1&E'S-, , 'VvLC~N * ,*/* ..... ,, .. ,, Manufacturer s1ri11 No.* ,,NA.-,*1 \'I"" ** 1 N11ion11 Board No:* t,s j,\,, Oltler ldlftltficeiion i -12 c.-ui:\l-1;s7c_ v,., Built NA .,,.-.ei t\.( * *coPB...;. ' t -t2.c-1-1cv-1ssric.l r 9 9z. ASSe,,Ai3t. Y \J ,l l(l\:V ~"' I\ f::' A... *. i . ,*,.,, :*:*, :l'i."' \ I i: ! , : , f '~t 't '.,, . *,,'** I i ,* AIME Codi s--. ':,v .. or AIOI~ o,r, Nol 12~(' ll\le l> ..i A. !Zepl"ct.M~T ('Jt\ 7. 011er1puon of Work _ ___,i]Z;;.c:;;.-*+r.;..I J\.;.(;;.. 1 ~;;..*_* ---~,.:.;t;.I;;:.* ~M~*...:A..:.;;SS;.6:;.'_M..;.*.:;;B'.;t_.yt..*.,..:

....:--

B. Tests Conducted: Hydrostauc P~1um1t1c CJ :

  • 111.o~ina!, 01:11r~tin9 Pr111ure 0 Other O ,Pre11ur1
  • psi* Te~t Te.mp. "F NOTE: Suppjamemll shifts 1n form of'1 li111, 1knchn. or d1'11win91 mav be u1ad, provided 11 I 1ize ia 8'1i in. x 11 In., 121 lnforme. tion in it1m1 1 throulfl 6 On t1111 r11:1on ii inCIUdld 'on IICh lhNI, and 131 IICl'I Shift it numl>erad and tha number Of fflNtl ii recorded It tha 100 of .tl\11 form. , . . . . . . . (12/821 Thii Form tE000301 ~,vioe ob11inad from 1111 Ordar D1Pt., ASME, 345 E. '7th St., New York, N.V. 10017 REPRINT l 2/91 -------*-------

*-~-------*~--* ---

' .l FORM NIS-2 (Backl :l. Aemaru __ ....a:t:;..:.t.J;:;._T_s~'l-=-'l...;;:,'5_1,.....:._-_D-!....\ 4(C--Luf2~1~M~A.:....:.*..;...S....;;_s_~ __ R_L_\.....,,.0'-------------- AopllcaPI* Manufecturar*1 Data A*Port1 to Pe anac11eo CERTIFICATE OF COMPLIANCE We cert1tv tri 111 trie n11temenu mace ,n tne rl!ocrt are correct 11na trii1 ,4->Mt:ecfwt:::

onforms ,a trie rules of the ASME Code, Section XI. ,~air or **Placement Type Coda SymbOI Stamo ___ N_/_A _________________________________

_ H/A H/A CArt1ficat1 of Aurhoriut,on Na. ----------------Expiration Dare---------------- /} _/J~ )J,,t{k,( t SigneoctcA W

  • XJ' .Z-4'(tftlT/6fL Date ¥ ,r/!yJ,L.{.19,.9_,S( __ Owner orawerio..lanN, Tltl* , CERTIFICATE OF INSERVICE INSPECTION I, tha undersigned, holding a v111d comm,mon ,uued by tha National Boara of Boiler ana Preuura 1111*1 lnsiiac:rors and the State or Pro,,,nr:9 of Virginia and emoloVed by HSB:I " I Co* of Hartford*

CT have ,nsoectlG 1111 component1 dltCl'ibad in 1nis Ownar*, Aeoon during trie pariOd IO-(tJ-i'.~ to /0-( 4' qb , and 11** that ta tri, bin of mv know1eage and belief, the Owner ri11 parformaa exanunat1on1 1ne1 tak1n corractlVI m1nura1 ctHcribad In thl1 Owrwn RtQon 1n accora-. Wllh Thi l"IQUll"lfflllnH of the ASME Code, Section XI, Bv 119n1ng thil cen1ficate n111her the lnse>ector nor his employer mek* any warrant¥, IXDr9119G or 1mD1ied, concanw11 the exam1na11on1 and corractiw meaaur* Clftenbea in th11 Owner*, Repart. Funhermore, n1111har me lnsoect0r nor hi1 amptoyer shell be 111ble in any manner for 1nv person11 injury or oroo*nv damaoe or

  • 1011 of any kind ar11ing from or connected wllll ltll1 inn:~!. /1 11 -~-'-~'-""~'"-----

-~--"""'.""~~---------Commiuion,_"""'.""_V_A __ S;;...;4.;;3;._ ____________ _ I napector1 Slonature National Boara. State, 1'rov1nce, anG Endo,.....,... Date 4-5-. 19J./-* * .I I I *

  • *
  • Attachment 11 Page 44 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS A1 Required bv the Provisions of th!! ASME Codi Section XI , . Owner Virginia Electric and Power Co. 'lame Oa11 __ .L.-ftJ--.~l-/ct...:_f

_____ _ 5000 Dominion Blvd., .Gl'en Allen, VA 23060 Shoet ____ ct_.......;~---------- Ae1e1reu 2. Plant Surry Power Station Name P.O. Boz 315. Surry, VA 23883 ACI0,-3. Work Performed bv Virginia Power Name P.O. Boz 315, Surry, VA 2388,3 ACIClrHI Unit-:------------------- 1)/dJ. 4F ooz ~0215-0~ Reoalr Or9an1ut1on P.O. No., Joo No., ato. Type Coda Symbol s,ama __ N_.;.,/,;;.A;._ ______ _ Authorization No. -----,.,iN;a.(,aA.__ _____ _ Expirauon Olla .......,H._.I ... A-..------------

4. ldent1fic1uon of Sy111m __ C;;;;';..!-1'.:'E'-M_.;.,_1(....;::'.)_.*

,;;;;L;.._~ll-o_L_u_M'"-;;;.~_* _<?-_o_;u_Tf2.-_r_o..;;L;;;_ ___________________ _ 5. (al Apphc101a Con1trucuon Cod, B3 l. l : 9 :edition, _N_/_A ____ Addenda, N-1, ll-1 Codec ... (bl ApplicaOII Edition of Sec,,on XI Utilina tor Aeo11~1 or Aeo1ac:1m1nn 19""8_Cf..._ __ 6. ldenuflc1mon of Comoon1n11 A101,r1C1 or A1olacld*1na R1Dlac:em1nt Compon,nn AIME Cade \ N11ion11 Rep1tred, SllmCMG Namaof Nameof Manufactu,., Boerd 01111, Veer Replll:N, CY" Component Manufacturer Sari1I No. No. ld1nt1fic1tion Built or RIOIICIIIWllt or Nol : fie'/ A/ut 1 I/ flJA 7?,z /J /,,,c El> %,'" (VA. I !IA /-~H-'1011-11151:: A.IA /v~ 511.17) %'( /&, MA NA' f',I ft /-{!(-/-'-f/1011-11/'i (i I tv,4 'lqJ/IICcO tJO Hey Af/Jf I/ 1Vo .// ,<;t A//(} 72Efh Ce?uovT Cf;;1,, /,NJ. . NA-. / -{!JI-Mdl/-111<,~ /Jo t~ r/ A/ovv1 5r//7J 1,.1/.J-jvA /.-(! -111011-,11:,* /vPI K'cp/,.q{EU!vJT . IJO " ., ' .,.,' .,. '.* *' 7. 011eriotion of Work ___ 72..;.,/.-'iii:i""p_)_"t.;.,~.;;;.(;;-.....;* 5.;.,* rv,;.;..;;,p..;§;;..._* ...;A_tv_,:;,_, _µ_l_lT....;l.5 _________ __:. _____ ...,._..:.---------- 1 8. Tut1 Conducted: Hydro1t1t1c ?neumauc O Nomin11 Oi:iar1tin9 Pr1111ura 0 Other O ?rmur11 _____ p1i ien Timi:,.

  • F NOTE: Suoc,l1m1nt1I lttfftl ,n form of li1u, 1k11.chn.

or drawings mav be ulld, provided 111 ain ia 8~ in. x 11 In .* (21 lnforme. tion in it*mt 1 thraul)h 6 on 0111 reaon ii included on 1ec:h 1hfft, and 131 11Ch lhffl is numDlrld 1nd the numbll' of'""" ii recorded It thl tOQ of thia form . (12/821 Thii fo;m IE000301 mav t:ieobta1n1(! from '1~1 Order Deot ** ASME, 345 E. 47th St ** New York, N.Y. 10017 REPRINT 12/91 1

  • FORM NIS-2 (Backl 3. Remar1:1 __ s_v_,___s..,a:3;;_q

___ z_3_0_-_;._, c-+(--'tt+,kL.Jl,""g-' 1_.i.,1+..::e;.<;1;...,.;Nc..,,..1,._f:...)~--.

AgpllcaDla Manufacturar*1 Oat Raoorta to oa anacftaa SI :525 37<'o-? tr,, CERTIFICATE OF COMPLIANCE We cemtv tnat tne mnemenu maae ,n tne r!!oon are correct ena this ~YCtf#'2!t-;onformr 10 tne ruin of the ASME Coda, Se.ct1on XI. rapa r or raoiacamant N/A Typa Codi Symbol StamP----------------------------------------- H/A H/A ~n1fica11 of Author1zat1on No. ----------------Exoiration 011t*---------------- SignOc:1 I,}-~ d ~4---73'f ~.k:o~o .. 1;nN. Tltla cate _ _.4,A._..,~:tt ... , .. ,_, _____ , 19 9 f CERTIFICATE OF INSERVICE INSPECTION I, thl unaar11gnea, holding I valid comm1111on ,uued by tha National Boera of Boiler ana Pre11ura 1111w1 tnSPacto" and the State or Province of Virginia end emo1ovec:1 by HSB:I ' I Co* of ..:;B;.;a=r...;t;.;f:..o=r_d.;..;..*_Ca..T.;;.... ________________ ...,..._~--:::~---have ,n~tea tha comPOn1nt1 dncrlbed in '"" Owner* Reoon during the pariOCI f 6-/t.j-9 .:3 to f 6 * /':! -7 '-, 1nd et** thn to ,,,, oen of mv knowledge and belief, the Owner nn performed exenune11on1 ena taken corracuw manurH oaecrloed In thl1 Owner*, Repon 1n accoraenc. with th* requ1raman11 of the ASME Code, Section XI, Bv 1ign1119 thi1 cent1icne n11thar the ln1oector nor hie amotoyar m*** env we1T11ntV, uoreued or 1mD11ec:t, co!ICl9ffllftl the exam1Nt1on1 end correc:tn,w meesur* descnbld in th11 Owner*, Report. Funhermore. neithar the tnlC)K10r nor hi1 .,..,a.er shall be habta in anv manner for anv p1f10na1 injury or oroo*nv damave or

  • 1011 of 1nv kind ar11ing from or connecied with lflll in11MC110n, t.* ----+~-----~

...... -----::-:----~--------Commi11i0n1_ 1;;;V;;A;;;;;;'ii5";4:;3;;-~;;;-,;;;;;;;;;;;;;--;;;;'i~i;;;;;;;;;;;-- 1tHPecTI1r1 Signature Natlona1 Boara. stall. Prov1nc1.

  • nG endor-Oate _____ H_-_..&;,...___19 q~ * * * -------------------*--
  • *
  • 1, 2. 3. Owner 5000 Plant P.O. Attachment II Page 45 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM N1s-2iowNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Vir9:inia Electric and ~*m* Dominion Blvd-, Glen AddrHI Surry Power Station Name I Box 315, Surry, VA Addreu Power Co. Allen, VA* 23060 23883, Date ____;:'"3-1-A;..;:..,'/S~-,.._./9!:......l."f:

____ _ Sheet_......:/..__of __ Unit .........,()N"""'-' .... C~----------- i\),O, # oo2B/7,S-o3 1<.f.. #94-ozr Repair Org1nl11tlon P.O. No., Job No., ate. Work Performed by Virginia Power **Type Coda Symbol Stamp __ N_/_A ________ _ Name Authorization No. _____ .1:1Nul~A:s._ _____ _ P.O. BOlC 315, Surry, VA 23883 Expiration Date ......&JUuL""A:2.------------- AddrlH 4. ldentificetion of System _ ___.' a .... ........ -t< ..... ,~IIV..:.;::;6,J.- ___________________________ _ 5. (al Applicable Conmuct1on Code B3 l. l 19 Edition, _H_;,_/_A ____ Addenda, 1(-1, ll-7 (bl Applic1bl1 Edition of Section XI Ctilized for Repairs or Aec11e11ment1 198 'j Codec ... 6. Identification of Components Aep1ir1d or Replaced ano Replacement Component1 ASME Code National Repaired, Stamped N1m1of Name of Manufacturer Board Other Yt1r RepllC9d, IVn Component Manufacturer Sarial No. No. Identification Built or Raplac1ment or Nol *, t1c11fo11Je,JT 6i.4p~ /J/Pr ,1.1;,4-"'/It H,(WC1~1<

  1. CJ N/A i-e,,c. *, y-ed NO I :J 7. Description of Work Cui r,ofcb, (n Jo.Ive. 8. Tesu Conducted:

Hydrostatic Pneumatic O Nominal Ocerating Pre11ur11 0 Other O Pressure _____ psi Test Temo.

  • F NOTE: Suppl1ment11I sheets in, form of lim, 1ketchn, or drawings may be used, provided 11 I 1ize is 8% in. x 11 In., (21 lnforrna*

tion in i11m1 1 through 6 on thi1 repon is included on each 1hfft, and 131 each shift 11 nu~bered and the number of 1hfftl ii recorded at thll top of thi1 form . (12/821 This Form fE000301 mey be obtained from the Order Oept,, ASME, 345 E. 47th St:, New York, N.Y. 10017 REPRINT 12/91 I'

  • I l FORM NIS-2 (Backl 9. Remer1ts -----~-*-"-"'_..,,.__

_______________________________________ _ Aopllcable.Manufacturar*1 Data ~eporu to be. enachecl CERTIFICATE OF COMPLIANCE We cenitv that the statements mace in the repon ara correct ana *this ~b~;pr confonns to the rules of the ASME Coda, Section XI. repair or rapleceman, N/A Type Coda Symbol StamP--------------------------------------- Cenificate of Authorization No. __ H_/_A ____________ Expiration Date ____ H_/_A __________ _ Signed Q _iJ // fS' _:z:--Dwner or ~gnH, Tltle Dat, __ __._~ ................... c .. ¢' ........... /-:Z""---. 19__.f __ ef __ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holdin; a valid comm,mon iaued by the National Board of Boiler and Pre11u111 Vessel Inspectors and thl State or Province of Virginia *nd 1mptoyed by HSBI & I Co* of Hartford* CT have .inspected the. i:cimpon1nt1 discribed in thi1 Owner', Repon durin;' the period / b -,..(-'f ') to {O ,/ 1..,{ -'i (. , and 1tata that to th* best of my knowledge and belief, the Owner hes performed examinations and taken corrective measures described In thi1 Owner's Repon in accordance with the 111Qui111ment1 of the ASME Code, Section XI. By ,~ning thi1 cenificate neither the Inspector nor his employer makes any waR11ntv, exp111111d or implied, conceming th1 examinations and correctiw measures described in this Ownar'1 Report. Furthermore, neither the Inspector nor hi1 employer shall be liable in any manner for any pal'10nal injury or property damage or a 1011 of any kind ari1in; from or connected with thl1 inspect~{. ---~ ..... ---'----=-:-----:""":::-:----'~=-~-=-----Commiuion1 ___ V_A __ s_4_J ______________ _ ln1?ecto,.s Signature National Board, State, Provinca, and Endorsemant1 Date ____ __..3 ___ -_./_r __ 19' £1 * * *

  • *
  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As ReQu1r1a bv the Prov11ion1 of the ASME Code Section XI Attachment II Page 46 of 93 Serial No.: 94-194 Docket No.: 50-280 1. Ownar *; i rginia Electric and Paver Ca. '.Ja11 __ -4tJ~z_z+-/.:....tj

'f.J--____ _ ',.am* 5000 Dominion Blvd., Glen Allen, VA 23060 Shett ___ /_~1--l-/ __________ _ Aaaran 2. Plan, Surry Power Station Unit---'-----------------

  • -ieme P.O. Boz 315, Surry, VA 23883 £...). 0 , .if OD Z& 7 Ca I II ~o 'f 7Z 12. 1r q '-I -o 7e,, Aaa, ... Aao11r Organ1Ht1an P.O. Na., JaD NO., lta. J. Work Perlonned i,y Virginia Power "*m* Tvp1 Codi Svmbol St1mo __ N_/_A _______ _ ~u1hor1u11on No. N{A P.O. Boz 315, Surry, '/A 23883 Exoir111on 0111.....1,,H1,;lr...Aa.....

___________ _ Aaar* .. "* ld1nt1fic111on of Svn1m ...;.*__.H....._A_._IN.;;;* __ s_.(F..._4~1:1.,_ _____________________________ _ 5. l1l AopllclDII Con11ruct1on Coa, B3 l. l

  • 9§.Z,_ ;dition._N...;../_A

____ Addlnde. H-1, ll-1 ibl Ac,p11c1Dl1 Edition ot Sec~1on .<I Ut,iaz~ tor Repair, or Reo11e1m1nu 19.=a:...-1.___

6. ldan11flc111on of Comoonanu R1111ir1a or R1plac1G ana R101acem1nt Compon1nu i I I I I I AIME I *1 '* I i Code, i ' I I N1tion11 R..,.fWd, s....-Nemeof I Nlffll at Mtnufecturer I Boera Otfler V11r Reot..O. IYN ' I orRaotll:9f'MM o,Not Component M1nufectur1r Stritl No. I No. ld11111fic1tion Built I I "DI'S(_ I ! 1'-JA. I-. l'uti. I-MS-17 (o ! "','. TZ1=.c, I A CC{') *'"*,,1,., I WD ((; ! I 1 ~! 1 I -L ~/:\P sc.re,. 1 'o : "-1~ 1\1.4 I ' l)tsc . J A~cLiorz-/DMl1'1j

/JA-I /qq3 R1:l'llo.c.i::::.ud .3 I tJt Ace 1c.s D /V I I Jo/q'f 1 (' ,\ I) .V~Et.1 =g rJA *,1, ,!/ ,I/ I* I ' 7. DIICFIPtion of Worll _ _..{?_.e.,~ .. 1-~ ... f. ... 5;;__,p_.1_.$..,(_ ... A;wN=b-< ... '>-tP--S ... c£.e ... w ..... __________

.._...;..

____________ _ B. T1111 Conducted: Hvdrost111c "~eumat1c 0 Nom1n1t Ooer111n11 Pre1sure 0 Otlllr O ?r!11ur1 -----p1i THI T1m1:1. ------* F . . NOTE: S1.1PQ1lffltn1al sl'llftt 1n form of lin1. 1kftchn. or drawin91 rrwv tie uled, providld 11 I siH ii 8~ in. x 11 In., (21 lftfontw. tion in illffll 1 through 6 On !1111 rtpon 11 1nclud1d On IICII lftNt, Ind 131 IICl'I llftlft ii numtllrwd and thl numDet Of ....... II racordld at thl too of tl'll1 form . ' 112/821 Thi1 Form !E000301 mav 1:11 ot1111nea from 1n1 Order 010, .. ASME, 345 E. 47th St., New York, N.V. 10017 REPRINT' 12/91 FORM NIS-2 (Backl ?. Remar1<1 _...,_\\.,,.) ... I.___g_.*_3"-'l_G:::_Y.~L,.._.*_.(l:--'-D"'1 ... s .... ~oa11ca1>1~ 1111anutacturar*1 Data Aaoona to De enacnea f\,-r 4sGS"4G (s<-re,di (,>\f) .:ERTIFICATE OF COMPLIANCE We c.n1tv tllat 111e natements maae ,n tne l'ff)On al'9 correct and tlli1/26M,-M&C;cnform1 ta ,11e rul*ot Ille** ASME Cade. Section XI. Tvpa Coda Svmt>ol S11mo ___ !i_. _I_A----------------------------------- N/A N/A Can1ficata oi Au1horr1111on No. ---------------Exoira11on Oat*---------------- Signecl (l ~Li_ . . 1_J .,C Owner or 6w~. TIU* c.,._..,,,..4_42-<_,.; ___ L.=2-_____ , 111 9<( CERTIFICATE OF INSEAVICE INSPECTION I. tlle under11onec1. lloldino

  • vat,d comm,111on ,au.a t,y tlle Netional Board of Boller and Pl'fllUra lies** lnmecton and Ille ..... or Province of Virginia 1ncumo1ovaa t,y BSBI ' I Co* of ..:;B:.;a=r.:t;..:;f;.,;o_r;;;..;;;d"",_c_T

________________ ,...,.. ___ ~.,...---"ave ,ntD!CJ90 ,11e comooMffla ._1,1*-in 1ni1 Ownan Raoon aurine u,a aarlOCI / D -.14 , 't .3 ,o I D I ':f 9' b and to ,11e belt of mv knowtae199 ana belief, 1ha o-, "* oarformed exa,,una11oft1 ancs taken correctiw me...,.,*= 1111 * ..... ,. a-** Reoon '" Wltfl tfle '"" ......... " of tile ASMI Code, &anion XI. By 1i9n1"' tflil c:antflale na,tflar ttla lfllOeCIIW nor tlil amc,toyar mall* MV wamimv, * ._.. or imolied, canca,-. Ille** exam,na110111

  • net corractiw meaa,ra delCflbed 1n tt111 o-r*, Reoon. Fu"tlemlore*

nannar me lnl08C10r nor t1i1 *:*11. **

  • shell ba liable ,n any mennar for any oenona, in1urv or oroo*"V damage or* 1011 of any kind *1111111 from or coMacmd ... 11111* inllMCt~ ! VA 543 ----~11,-1----~---'L-~-~-----~----CommillioM-1;.;;;;;;ii;;;;:siia;:",;;;;;i;;;;:-;;;;..i;;;;;;;;;;;~

1naaac11H"1 Slenan,re

  • Natlllnat aoa,a, s, ... ,.rov1nca, encl ando.-***, Date * * *
  • *
  • L _ ----------* ---Attachment II Page 47 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Reau1r1a bv the Prov11ian1 of the ASME Code Section XI Owner '/ i rginia Electric and Power Co_ .... ,,... 5000 Dominion Blvd_, Glen Allen, VA 23060 ------------,.,..-a-a;...,,-

.. ------~----

2. Pl,nt Surry Power Station 'lam* P.0-Box 315, Surry, VA 23883 AGGIIU J. Work Performed tlY Virginia Power .... ,,... P.O. Box 315, Surry, '/A 23883 Aaar,11 Ja11 __ __,_,'(;/.__2_2-+-/~q f-'--------

ShHt __ ....;,../ _ ;it _ __,_( __________ _ Unit ---1----------------- l.u .O. :ff 061.,h 7~ I lP -o<f 7Zl2. 1r f'-1-077 Reoear Or9an111tton P.O. No., JoD NO,, ate. Type Code Symbol Stamo __ N_/_A ________ _ Au1horizat1on No. NIA E xoir1t1on Date --"Nulc.1A.~------------

  • . ldentJficauon at Sv111m _ _.M.......,A~1

"-la::'c..* _-... s .. l];-~: .,A:;i.i.t:\.:,_ _____________________________ _ 5. 111 Aoo1icao11 Consvucuan Coa, B31-l *-9~:;du,on._N...;.../_A ____ Addende. N-1. ll-7 lbl Aoo11cao1a Edition of Section .i<1 u1,1irea for Aeo,,rs or Aeo1ec,m1nu 198"'--1...__

6. ldent1flcat1on of Comoon1n11 A1011rea or A1ot1cea 1na Aeotac:em,nt Components

' I I 1* I I "*, AIMI I l Coda* I I NHionet I Reoairw, S1affll*I Nem* of I 111-ot , Menufectu,.r 1 Boerd I 0,11., Yee, ReollC9CI, fY* Menufecturar ' I orReol-o,Not Component Serial No. I No. ld1nt1fica1ion Built I I "DIS(_ i t t,Jf\ I *IA I 1\16 (-"-{S-/g-2. I f'JA TZ1::.!:llAccr, I.JC, 3, 11: i I 1 z; ! : I I I 1--~--i ~AP s<..re,., 1s , N~ NA ' ' I Atvc.11.ort/ .I I D le, r . °D4.(UffVt:,.., NA /993 Ren[4.c.i;::.ud C' tl D .VR.E1..1 ~cl *IV) l\l,i::.c;o f'J I tJA . I ,, N?L/ 1 ,11 'n '1, I -, 7. Oescriotion of wo,111_..,.f2;.ie~p .. l..;:~1.11l;liiie; ...... P-...1 ... sl.,}<-* -4N=b:....i<.:1~pf-* _ .... S11oc/'-li.fH~d-------~---.;...-...,.. __________ _ 8. T1111 Conductld: Hydrostatic 1t"1UmM1c O Nom1nat Ooarn1nt ,,.,au,. 0 Otller n Prenur; -----p1i T11t Ttmo. ° F NOTE: SuoDlementat sn_, 1n fOl'm of lists. *,knc:tlft, or drawin91 mev be uMd, provided 11 I size ii 8~ in. a 11 In., t21 *lftforffle.. tion in ittffll 1 tllrou911 6 qn 1n,1 r1oon 11 ,nctuded on Hett 1tlN1. and 131 eactl lftffl it nu~tle'ld and the number of.._.la recorded It the ICID of 1h11 form . (12/821 Thl1 Farin IE000301 mav tie ot1ta1n1a from ,ne Order Oeot., ASME, 345 E. '7tll,St., N*w Vora, N,'I', 10017 'I --=-.. -----~*--..... FORM NIS-2 (Back) Remarks -~\\ ... ) ... I~_'.9_=3~7_0_Y.~G~* .... (r"'D~i *-,c....,..) _________________________________ _ I\,' *-. .>.oolicaDI". Manutac1urar*1 Data Flecon* 10 De anacnea 9 'SG 5 i./ G ( su-p,o* c,. f) C:ERTIFICATE OF COMPllANCE

  • We eenitv tllet tlle n11tement1 meae ,n tne r-econ an, correct and tlli1~d.c1Z::

.:ontorms to tlle ""of me ASME Code. Section XI. '90 "or '901-1

  • Type Cod* Svmoo1 Stamo ___ ~_I_A __________________________________

_ H/A N/A Can,ticat* ot Aut11oriut1on No. ---------------Exoirauon Oat*---------------- Sign /l j -1 ;rs.£ ~Mr0~19nN, Tltle

  • 111 ....... f ... f' __ CERTIFICATE OF INSERVICE INSPECTION

'* tlle under11gnad, lloldinQ a 11a1,d comm1111on ,au.a t,y tlle Netional Soard of So,ler end Prftau-. lles*t lnmec:10" and die ltne orProv,nceot V'irqinia

  • ncumotoyeat,v BSBI' I Co. of _El'-a_r.;;..;;t

..... f_o_r_d __ ,_c_T _______________ ,----,---=-=----.h-,nmecna 1 th* comoonema 111111,111111 in 11111 Ownen Reoon aurinQ tll* i,ar!Od //)-/4,,-'f 3 ,o / t:> -{ L\ -'1 S-and .... -to ,1111 ben of mv llnowtec199 ena belief, 111e Ownff Ila oertormed

    • am1nn10ne ana taaen cornctn,e mewuw, aawilllll Ill tllle
  • owner*, Aeoon ,n ecc:ardance w,111 the reQu...,.,...11 of u,e ASMli Code, Senion XI. Sy 1i9n1119 thil cenrflcne ne,ther the lnsoecntr no, llil amo*ov* mall* any wwnnw, * ...,... or imOlild, eat...,..
  • ._ exam,ne1ion1 Incl c:arrect"'9 meaa,ra descnbad 1n tllll a-,*, Res,on. Funhennore, netttMr me lnsoec:mr nor llie as***.** !hail ba liable ,n 1nv menner tor 1nv penona, in1urv or propeny damage or I lou of any kind *111"1 from or coMecmd ... dllt in-,ection.

--~~~,;;;...a-- ......... _ .... f ....... --~-=--....;;;; ____ comm1uiona-~i.iiv;A;i5;4;;;3;:-;si.~i=;;;;.;;;;;:-;,;ji';;;;;;.- 1"1011C10r, s11n*1ure Nettonai aoara. Stata. f'rovlnce. 1na 1ne101u IJI* oate, ____ .... Jff---~-S-_19 9~ * * *

  • *
  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Reou1r1t1 bv the Prov11ion1 of the ASME Codi Section XI Attachment II Page 48 of 93 Serial No.: 94-194 Docket No.: 50-280 Ownar "/irginia Electric and Power Co. °"lam* Ja11 ___ _,_,Y;/ ..... 2_2.-+/_;c;__,j"--------

5000 Dominion Blvd., Glen Allen, VA 23060 Shea, ___ / __ 01 _ __._/ __________ _ .. aan .. 2. Plant Surry Paver Station "lama Unit------------------- P.O. Box 315, Surry, '/A 23883 1...J .o. :if=-062,0 7 e:, r J-o I 1Z 12. lr C?</ -078 Aaoalr Or91n111t1an P.O. Na., JaD No., 111. J. Work Parformed bY Virginia Power "lam* Typa Codi Svmbol S11mo __ N_/'--A'--------- Au1hor1z1t1on No. HIA P.O. Box 315, Surry, '/A 23883 E xoir111on 0111 ........ ~-------------

.aar*H 4. ld1nt1fic1t1on of Sv1t1m* __ ... H ...........

A..,1 .... 1\..l ..... ' _ ...... S ... fE,.__,4_..t:\ _______________________________ _ ' I i 5. (al Apghc1101eCon1truct1onCodo B31.l '.9~:ad1tion._N_;../_A ____ Addlnd1.N-l, ll-1 lbl Aoi:,11c1011 Edition of Sec11on Al Util,na tor Aeo1ir1 or Aeo11e,m1nt1 19.=8 ...... 1.___ 6. ldent1flc111on of Comoon,nu Aep11rao or A1011c1<1 1na A101acem1nt Comoonanu I AIMI! I C:O.* N1tion11 AIO&irN, Staui,1d Nam* of N-of Manufacwrer 1 Board Otller v,., Aeol..O, IVn I I or Not Comoonant Manufactur,r ' Serial No. I No. ld1nt1flc1tion Built orAeollC9ffllftl I I I '* ' I 1 Dl'S(. ,kl A

  • i 1-JA I\J fl f-MS-"/1 'g f,-1,.1, fZ1=..c. I A C cl'> '-'D 311: I I ' JI ~A.P %1 [VA I I 1---sc..re,. 1 if : f\J-'\ ' Ptsr ' I Arv Ll.-.0t2-/ PAfZ-L lfvG-I NA I 1qq3 ~;.c[o.c.i;:;:-.ue:

1" tv'/,i.e~sul--l I N/!r {I (C/9 'I-.t (' h D V~E1.1 '</ ,1, 111 I 7. o,scricnion of wo,11 _ _.\?;:ie~p;i,Jl,;::~i,lit.i.g:~pc..1i..;$;i..i&-,.l::l,4N=l:>:.......J<.::1~p~-S~s .:..f fi..':k'-.------------------------

8. T11t1 Conductld:

Hydrostatic ?neum111c O Nom,nat Oc1ret1n9 Pre11uN 0 01r1erQ ?re11ur1 _____ p11 Ten T1mo. "F NOTE: Suoc,lemtnt* .,,_, ,n form of lius. 1knchn. or d111win91 mav bl used, c,rovided C1 I 1i11 it 8~ in.* 11 In., 121 lftfomw. tion in itlffll 1 lhrou9"1 6 On trlll r1oon 11 1nclud1d On lacft thNt, Ind 131 lld'I ltlNt it numblred Ind thl number Of lhNa ii raco,ded II u,1 too of tfti1 form . 112/821 Thia Form IEOOOJOI mav bl obt11n111 from ,n, OrdlP 0101., ASME, 345 E. 47th St., New York, N,Y, 10017 REPRINT 12/91 FORM NIS-2 (Backl ' :l. Aemaro _ __.N ....... I~_-S_._3~1'-0_4-.....,<,.,=*--(1:--'-b""i ... :a .... <...,)----------------------------------. . ~oollcai:,1~ Manutac1ura,_** 0, ata Aeoon110 oe an_' acnea (\, l q 5 (., S" 4 G C SU-P,,,; (_ ,'\ f) .:ERTIFICATE OF COMPl.lANCE We c:en1tv tllat tile n1t11ment1 maae ,n tn11 reoon are correct and 1rii1 12.,!-)e.Ae,ld,l..n:::.onform, to tile rul11of die ASME Coae. Section XI. *eoair or *eo*acam-, Type Codi Svmt>ol St1mo ___ ~_/_A __________________________________ _ Can1fic1t1 ot Au1llorrn11on No. __ H_/_A ____________ Exoir1t1on Oete ____ N_I_A __________ _ Signed /7 / a fi V£ kwePA Oat* ;{",0;_ ~M~111nN, Title

  • 19 9,,( CERTIFICATE OF INSERVICE INSPECTION I, the unaen,gnecl, holdin9 e v,1,d comm,11,on ,au.a by tile N1ti0ne1 Board of Boiler end Preuure IIH*I lnroectort and tM ltate or Province ol \l'irqinia
  • na emo1ovea by BSBI ' I Co. of Ba rtf o rd, CT have _ ,,,mecuo tile comoonet111 dllsallll d in tll11 Owner*, Reoon durint the oerlOd I l!) .. /1:f-q' ,3 to / (j' f '-{' Cf le, and ---to the best of my knOWMICl99 ena belief. the o-, 1111 oertOffl'led
    • 1m1net10n1 1na turen correc,ive me-..n, csaw 11111* Ill ... -OllWIWt'I Aepon 1n eccoroance w,111 ,ne IWQUll9ffl9flll of'"* ASME Code, Section XI. By 1i9n1ft1J tllit canrflcaw ne,tner ttle IMOeCIDr nor tlit emotov* mall* any waminlY, *XOIWIIICI or imohed, OQC.-c**llle ulffllnatiom ana corr1e1rw me..,,. dnc:noed in ,n11 awn.r*, Rec,on. Funtlerfflore.

ne1tller me lnl09C1ar nor n11 *u***.w -shell be liable ,n any manner for any oel'IOnel in1ury or orooenv damage or 1 1011 of any kind *illftlJ from or connecad .-11111 in11MC110n. ---~~~~~-ln _____ f~~-.-s~~~n*.~~~u:,.~------CommllSiON-iN~.:11.;A~-~.i~; 4;.!~.ssa,.; .... P~~r~~.~~-~-~-~M~E~M;.;, ***** -** -* * *

  • *
  • Attachment II Page 49 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, VA 23060 __ ..;..; ________ A_d_d.:...re-,-,----'----'------
2. Plant Surry Power Station Name P.O. Box 315, Surry, VA 23883 Addr ... 3. Work Perlormed by Virginia Power Name P.O. Box 315, Surry, VA 23883 Addra11 Date __ __,<fi+-0_,f-h~Y--------

1 Sheet __ _.__of_,__ __________ Unit __ I _______________ _ /,v,<J,1:t-Ooz.;,zct'3l/.D-o/ 7272. Cf'f/--0¢7 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp __ N..;/..;A..;..; _______ _ Authorization No. _____ ...,Nu{uA _______ _ Expiration Date ~tt""'/'-'A~------------

4. Identification of System _:....?J._'4"-1_1U_-=5'-1i_E.:;.-~:...,-

...;/1.--1._..;=----------------------------

5. (al ApplicsbleConstruct1onCode B31.l 19§.Z__Edition,_N-'-/_A

____ Addllnda,N-l, ll-7 (bl Applicable Edition of Secti~n XI Utilize~:!or A~p111.~* or 198' 1 Cod* Cua 6. Identification of Compon11nu Repairad or Replaced and Aeplac:ement.Componenu .. ASME .. Code National Repaired, StemPlld Name of Nlfflll of Manufacturer. Board Other Veer Replaced, IYIII Component Mtnufacturtr " Serial No. No. Identification Built or Rtr,lecement or Nol ltLv~ /( fVA 7kp/,ieel> µ,:) q ~A NA /-,'vf 5-1-s 'i( ,VA \ )IJ;ll/ [ Y fvkru t.1¥:-11.J Iv A-,->/t !-MS -15~ /7"ic/ '7!r;;/)/,,l{,bWeiJ° "-'O *' ,, ,. ; *I 7. Description of Work __ 72 .... /_6""p'""t~A,.,_~_E_-:.;~.:.L:;;~~-----"'"'."""---------------------

8. Tesu Conducted:

Hydrostatic /'Pneumatic O Nominal Ootreting Prenitr* Other O Pressure l,L,Cf~P*i Ten Temg, dl'Yd,rtfclf'". °F llllr' Alor NOTE: Supplemental she~* in form of lim, 1ket~h111. or dniwings mev be u111d, provided 111 size is 8% in. x 11 In.; (21 lnforrne* tion in items 1 through 6 on this repo" is included on eech sheet, end 131 each 1h1111t is nu~btrtd and the number of 1hHt1 i1 recorded at the toe, of this form . (12/821 This Form IE000301 may be obtained from the Order Dept., ASME, 345 e. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) 9. Remarks __ s_, .... l ___ o:....:..g-=2=0:.,.1 ... a.._-\,( ........ v~-1-='-..1.V.>=*'--,)~------------------------ Appllcabla Manufacturar'1 Cata Aaporta to be ettecnecs C,e CERTIFICATE OF COMPLIANCE We cen,tv that the statements maae in the repon are comtct and this ~4~d-<Cconforms to the rutu of the ASME Code, Section XI. repair or replacement Type Coda Symbol Stamp ___ N_/_A ________________________________ _ Cenificate of Authorization No. __ N_/_A _____________ Exoiration Date ______ H_/_A __________ _ Signed /7 £._ ,4 -. ,/ f~f ~er or O~H, Title Date _ _.~~'.:JAtr::1<:s:::._.(t,""'r=--b=..&./ ___ , 19 9y' CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding I valid commission issued by the National Board of Boiler and Pressure Vessel lnspectol"I and the State orProvinceof Virginia -endamployedby HSBI & I Co. of Hartford. CT have inspect? C,.he components daa:rlbed f D ,J Y -, and nata mat to the best of my knowledge end belief, the Owner hes performed examinations and taken corrective measures described In thl1 Owner's Repon in accordance with the n,quiremenu of the ASME Code, Section XI. By signing this cenificate neither the Inspector nor his employer makes any w111T11ntV, exprnlld or implied, conCllfflint the uemiNtions and correctiw meesurill described in this Owner's Report. Funhermore, neither the Inspector nor his employer shell be liable in any manner tor any pal'10nel injury or propeny damage or a 1011 of any kind arising from or connected with thl1 inspacti~f !? ---~-4-----,-----~""'u_ .... JJ-c,LA.r-..__ _________ commiuions ___ v_A __ s_4_3 ______________ _ lnapector'1 Slgnatura National Boans, State, Province, and Endonernanu Date*--.a.+<<-- ......... ~...._.7 __ 19 rt &L)U * * *

  • *
  • FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Req~ired by the Provisions of the ASME Code Section XI Attachment II Page 50 of 93 Serial No.: 94*194 Docket No.: 50*280 1. Owner Virginia Electric and Power Co. Oate _ _.:..,r),__15,.J...;.~';.;;..I

_____ _ Nem* 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet __ ! __ of 2 AddrHI 2. Plant Surry Power Station Neme Unit / P.O. Box 315, Surry, VA 23883 IAf.O. if ooz1ao3Z<?-ol 72."ll-# 9'1--dt? Addrftl Rtpelr Organlutlon P.O. No., Job No., eta. 3. Work Performed by Virginia Power Type Code Symbol Stamp __ N....:/_A;.;;.. ______ _ Name Authorization No. N/A P.O. Box 315, Surry, VA 23883 Expiration Date _.,H...,l.s.A.._ __________ _ Addre11 4. Identification of Syste~ _____ fll._A..._..IN..._$.,.JE:"!-:-/>..,...M......_ ___________________________ _ \\, 5. (1) Applicabl1ConnrucuonCod1 B31.l :s§.!__Edition,_N.....:.../_A ____ Addenda,N-1, ll-1 Coda Cua (bl Applic1bl1 Edition of Section XI Utilized for Rep111rs or Replecemenu 19..=8_j...__

6. Identification of Componenu Repaired or Replaced 11na Replacement Components I ' ' ASME Codi National Repaired, StlmC*I Name of Name of Manufacturer Board Other Y11r Replaced, (Yh Component Manufacturer Serial No. No. Identification Built or Replacamant or Nol VA.we lo (I ANcl-iotz.

V.<1tu1N6- "',. NA /-A.fS-lll, ,V(J. f(l1Jl,,ct;D NO 'E.lbOv..J ~4 ( ( ( ( I PIPE ~fir J I \ \ \ .i \/AL\/* (/ A.vlhoa feof~t,vr (o l7>11~t1/\JC-l'r'? *' I //vb ,v~ j If?! & I t=,/k-w V \J *' 7. Description of Wor1c __ '1Z.=f:F=p&=c .... g,__JL(~.:;;.'A:..:l:.:ll~E"=-- 1 --------------------------

8. Tests Conducted:

Hydrostatic Pneumatic 0 Other O Pressure PD ? Nominal Ooerating Preu~re psi Ten :rems;;* &a Z:::

  • F NOTE: Suppl1ment1I sheei1 'in form of lim, akin~'~es.

or dl'llwingi may be used, .provided (1 J size ia 8~ in. x 11 r'ri., (2) 'lnfor~~. tion in items 1 through 6 on this report is included on each 1heet, and 131 each sheet i1 nu~bered and the number of 1hH11 i1

  • recorded at the tOQ of thi1 form . (12/82) Thia Form (E00030J ~11y be obtained fro,,.; t,;e Orde~ Dept,, ASME, 345 E. 47th St., New York, N,Y. 10017 REPRINT 12/91 FORM NIS-2 (Backl 9. Remarks $ SE"E 'B'A.CK. OF f'4.GE -Z I , APPllcabla Manufacturar's Data R11port1 tP be anachlld.

CERTIFICATE OF COMPLIANCE We camtv that the statements mace ,n the report are correct and this lhftl, dc:~Z:-conforms to the ruin of tht ASME Coda, Section XI. rapalr or raplacement Type Code Symbol Stamp ___ N_/_A ________________________________ _ Certificate of Authorization No. __ H_/_A ____________ Expiration Date ____ H_/_A __________ _ Signed {1 L £1 'AA/ fl ,C Owndo~~. Title Oat*---~-F'---t-~-;....,5"~----, 19 9¢ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission ,uued by the National Board of Boiler and Pressure Vassel Inspectors and tht Stitt or Province of Virginia and 1mp1ovlld by HSBI & I Co* of Hartford, C'r in thi1 Owner', Report during the period have inspif1d the components described ( () I t.f -J. , and ttata mtt to tht belt of my knowledge and belief, the Owner has performed examination, 1nd taken corrective m111sur111 described In fflll Owner', Aepon in accordance with the raquir1men11 of th1 ASME Coda, Section XI. By 1igni119 thi1 certificate neither the Inspector nor hi1 1mploy1r mak111 any warrantY; exprtllld or implied, conCllffltftl tha 11xami1111tion1 1nd correctiw measures described in thi1 Owner', Report. Furthermore, neither the Inspector nor hi1 1111PIO¥tr shall be liable in any manner for any personal injury or property damage or a 1011 of 1ny kind 1ri1ing from or conntcttd with thll i-n-1Pect--~-11oni--~--------f._._..,Q_~ __ .12_+...._ ____ commi11ion1 ___ V_A __ S_4_3 _____________ _ lnlpec:tor-1 SlgnaMe Natlon11 Boan:I, St1t1, Province, and Endorsemenft* JJ._,.5 oc1 Oate _____ __.1.f..--.,,J..----19 LT * * *

  • *
  • Attachment II
  • Page 51 of 93
  • Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS.

As Required 'by ttie Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power *co. Name Date __ ....;4=,-:/1..:::S:1-h.:...r.fL*-*

_S_O_O_O_D_o_m_i_n_i_o_n

__ B_l_v...,d...,.----G_l_e_n_A_l_l_e_n--'-,_V_A __ 2_3 060 Sheet _......;z.......;_ of_2 ___________ _ AddrHI 2. Plant Surry Power Station Nam* P.O. Box 315, Surry, VA 23883 Addr-3. Work Performed t,y Virginia Power Name P.O. Box 315, Surry, VA 23883 Addren Unit---=------------------ w.D. '1f 002.eoosi~- 0 1-7l..1L"=/t (N-orn Repair Organization P.O. No., Jot, No., etc. Type Codi Symbol Stamp __ N-'/_A ________ _ Authorization No. H/A Expiration Date __.H..,luA.._ ___________ _ 4. Identification of Systam __ _.M __ A ___ 11u _ _.S.,.1E~A.._M..a..a.. ____________________________ _ 5. (el ApplicableCon1truct1onCod1 B31.l 19§.Z__Edition,_N_;_./_A ____ Addand1,H-l, ll-7 (bl Applicable Edition of Section XI Utilized, for Repairs or Repl1e1ment1 198 1 6. Identification of Comoon1nu Repaired or Replaced and Aepl1e1ment Componenu ASME Code National Repaired, $umped Nam, of Nam, of Manufacturer I Board Other Y11r Replaced, IY11 Component M1nuf1etur1r Serial No. No. ldantification Built or R1pl1e1men1 or Not P.() e (1Z1S tWICDtefV Nf+. NA t-M5-ll"' tcti 7 fl.er/A e*AJ/5"1vl 1,(-o I 7. Description of Work ___ 'tZ.._/ ..... 1:_p__./ ... ,11._c...,e_\""/A=L'{,._.e".__ ________________________ _ 8. Tesu Conducted: Hydrostatic Pneumatic 0 Other O Pressure A/(/ P Nominal Operating Pressure psi Test Temo. ,/f;IA t ° F NOTE: Suppl1m11n11I shefts in form of 11111, sketches, or dr11win91 may be used, provided 11) size ia 8% in. x 11 In., (21 tion in item* 1 through 6 on this repon is included on each ahNt, and 131 each 1hH1 is nuinberld and the number of lhNU*l1 recorded It th1 top of this form . (12/821 Thia Form IE00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 --'---,. ~----~-~ -***---=========*=**=***=***=--= .. =~~-===--------- -~~--------~~~~ I,' I 'I FORM NIS-2 (Backl 9. Remarks _ ... N ......... T __ 3_'t...._9_2._,5'-5~- ..... L .... U~(p-'_1 f/.._,4.;...t....c.l/..:..G~) ____________________ _ cpllcable Manufacturar's Data Aeporta to be anached I ~S" '6 7'?-1( t;lloow CERTIFICATE OF COMPLIANCE We cen1fy that the statements mace 1n the repon are correct 11nd this #$<<:'.'.2@ltitCconforms to the rules af the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___ N_/_A ________________________________ _ Canificete of Authorization No. __ N_/_A ____________ Exoiration Date ____ H_/_A __________ _ Signed (/J_ tt..-p :oA+::::: fs,k Own.;o,~;:. DHlgnH, Title Dat*--..4-)a=M,....___,_/_..,L..._ __ , 19 9 if CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding* valid commission ,aued by the National Board of Boiler and Presllll'9 Vessel Inspectors and th* State or Province of Virginia end employed by HSB:I & I Co* of Hartford. CT have in~t,CS the components clftcribed in_ this Owner*, Repan during the period / () -l'-1 -1s 10 / C, .. / 4 -'1 L

  • and .... tttn to th* best of mv knowledge end belief, the Owner has performed examinations end taken corrective measures described In thlt Owner's Repon in eccordance with the requi ... ments of the ASME Code, Section XI. av signing this cenificate neither the Inspector nor his emc,loyar_maka any wamintV, expreued or implied, cancemintth*

examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shell be liable in any manner for any personal injury or property damage or a 1011 of any kind arising from or connected wldl this in~O~f. tu I\ --~:t,...-:;.:::a.....=--- ........ --...,.,..-~_... _______ commiuion,_,;;i.;V;A;;;;i"'ii.S;. 4:;3;;-;~;;-;;;:;:i;;:;;--:;;;.;:;;;;;;;;;;;:;;;;-- 1 napeetor's Signature National Boera, State, Province, anc:I Enc:lor--19 Data, ___ ........ 'f,__-_Q.._5"" __ 19 Cf~ wz. * * *

  • * * ( Attachment II Page 52 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. ~*m* . 5000 Dominion Blvd., Gien Allen, 'VA AddrHI 2. Plant Surry Power Station Nam* P.O. Box 315, Surry, VA 23883 J. Work Performed bv Virginia Power Name P.O. Box 315, Surry, VA 23883 Addre11 23060 Date __ -'-li.//....:..1...:...f"-'/c,-'-y

_______ _ 2. Shee, ____ of ____________ _ Unit-------------------- IAIO, -#-QD1..7Q((?5--0t 7U2--tJ. <N-rcc, Repair Org11n1ntlon P.O. Na., Job No., ato. Typ1 Codi Symbol Stamp __ N_/_A _______ _ Author1za11on No. _____ ..,N.,.{:.,A.,._ _____ _ Expirimon Date ___..H.,.l..,A..._ ___________ _ 4. ldentific1t1on of svuem __ "-M..__A...,,AJ=-""""'S""'& .. -...,4._.M......._ ____________________________ _ 5. (al Applic11Dl1 Conmuct1on Code B3 l *. 1 . , .. , '. 9_,fJ} ... Edition,,_. ,_N_/,...A.,..... __ -,-Addln~*r l:l-1, U-7 Code C... (bl Applicable Edition of -~ec:";io'/, XI ~;~i1\'~,~*v-~~-~

~.~-P~.
~~

.~r: f .!1 fli;~~:e*J~1 19'.;:;8 ...

  • _.1.__ * ' , ,* i, ,,'\.'* t ',i:) *.,: .. , ,*r, :/"'.-.,'.*:":r:.

.. :;,:,_:,,,,.,*._:-*~.:~*,; .. \_' .. :~;*:::_.::*::;:*,**~ _;,, ;I *, 6. ldent1fic11tion-of Coini:>on,nu Aep11r11for Aepl1cee1 ind Aes:,laceme,nt Componenti

  • N1m1 of, Compon1nt*. . 1/ /_) e.x IV J T k/ Nam1of Miinut actimr . ,, /JA ALl..lt:D Ni.JI' LIN/) ~oi,.1-; , .'-'~n~f!IC~U~tr

... , .*.. S1ri11I No. I '! ',. ! 1 *** , ... ,, .* ,. -*** '.':".,;,. .' '.'! *, ,* )., -I-.. *~**.,

  • r* N1tion11 .. B~rd No. :,, ! I! .*.,, . ') *, Ottlar. ld1ntific1tion

/-rv{~-SV -/()/A / I 1993 ASME Code Stlffle*1 (VII /* 7. Description of Work __ _.{Z_ .... *+'()._A,..1...,(t.::.,*_.,_Fi_.L;;,;;:'\o. . .., ... * .... ,~ .. --... *~, ... A ....... ... a_** ... & ...... , ... r1:..._ ...... */...:;~ ... :S ... ,1;7".,..i6:..:;v::;;.:_6.;;.'4-"-"-[------------~--) . ' 8. Tesu Conducted: Hvdro1t1tic ~neum1tic O *.' N~mi~l'II Qp,;a,ing Pres~ure Othar O Pressure P~1) psi Test Temp. Alt;>r'" "F NOTE: Suppl1ment11* shnn 1n form o*f lisu, aketclln, or dr11win91 mav be used, provided 11 l size i1 8~ In. 11 11 In., (21 lnforma. tion in item1 1 through 6 on trii1 reoon i1 included. on eacll 1hNt,,.and 131 each shllft i1 nu~blrld and the number of 1hN11 ii recorded It the top of thi1 form . (12/821 Thia Form IE000301 mav be obtained from trie Order Dept., ASME, 345 E. 47th St., New York, N.Y, 10017 REPRINT 12/91 FORM NIS-2 (Backl 9. Remm, --Y: St:E {34(1C. c,f R'AG-c 2.. Aopllcabla Manufacturar*, Data Aaoorta to ba anacnad CERTIFICATE OF COMPLIANCEhA~ We cenity that tM statements maoe ,n tne recon ara correct ana this d' ~w4..{c;'nforms to the rules of the ASME Code. Section XI. r~alr ~r **1>1 acam*nt Type Code Symbol Stamp ___ N_/_A ________________________________ _ Cenificate of Authorization No. __ N_/_A _____________ Exciration Date ____ H_/_A __________ _ Signed ,2 t: ,+SEC ?dfvfir~ Owna, or o~lo.; ... Tltla Cate_._4.....,..~ ....... /..,.~---/~9-----* 19 9(': CERTIFICATE OF INSERVICE INSPECTION I, the und0ni9ned, holdin9 a valid e1>mm1111on 1aued by the National Board of Boiler and Pressura \lesml lnspecton and the State "'or Provinc:9 of Virginia encUmployea by fISBI & I Co* of Hartford, CT .,cs the components dell:fltled in thi* Owner*, Repon durin9 the period D -( -3 to .b

  • and etale met to the best of mv knowledge and belief, the Owner hes performed exarmnations and taken correct1w measures described In dll1 Owner's Report in accordance with the requ1rament1 of the ASME Code, Seciion XI. By 1ignint this cenificatt neither the Inspector nor his employer male* any warrant¥, uprnted or implied, canoemiftt the examinations and correc:tiw measures described in thi1 Owner's Repart. Funhermore.

neither the Inspector nor hie employer shall be liable in 1ny manner for anv pel'10nal injury or property demaQe or a 1011 of anv kind ari1i119 from or connected with dll1 i_n_CMCt __ *_*o_n~~I--- ...__0 ........................ __ *1..._. __ ... ~""""------=- .......... --COmmiuion1 ___ v_A __ s_4_3 ______________ _ ~1~1Slgnatur* National Board. State, Provine*. and Endo,_..... Date .. * *

  • *
  • 1. 2. 3. Attachment II Page 53 of 93 serial No.: 94-194 Docket No.: 50-280 FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI O.,.,ner Virginia Electric and Power Co. ,'llam* Date __ '-}...,,_,/f-10.;.J./.,;....01f-

______ _ I 5000 Dominion Blvd., Glen Allen, VA Addr111 23060 -------------,:-------------- Sheet ___ Z-__ ot __ z ___________ _ Plant Surry Power Station Unit-'------------------- Name P.O. Box 315, Surry, VA 23883 1,J,0, "=# i>O'Z. 7o"I 75-o I Addrltll Aap11r Or;antntlon P.O. No., Job No., ate. Work Performed bv Virginia Power Tvpe Code Sv'mbol Stamp __ N_/;_A;...... ______ _ Name Authorization No. _____ _.>>..,lt..A~------- Expirat1on 0111 ___...N..,{_.l\,._ ___________ _ P.O. Boz: 315, Surry, VA 23883 1 Addr111 5. (al Applicabl1Construct1onCod1 B31.l :s~Edition,_N...;../_A ____ Addlnd1,H-l, ll-1 (bl Applicable Edition of Section XI Utilized tor Rep11r1 or Reol1e1ment1 19-=.8_1.....__ Code Cue 6. Identification of Compon1n11 Repaired or Replaced and Rapl~ment Components ASME Codi National Repaired, StlfflPld Nam* of N1m1of Manufec:Nrer I .Boa~ Other Y11r AIPIICN, (YH "* Compon1nt Manufacturar

' .Stri*I. No. *. f No. ld1ntific11ion Built or Rll)IIClffllflt or Nol SouTrnBrk.J
  • .* '" .1 fJ., .f. .f-ptz. f,,v F,4Sft:I\JE:i!.S AND 1 t-Jti *' tvA hus-sv -,01A ,VA T<'E"p {,q (£JJ, QI t-NJ '5 U P'f'L 'I' ' . ;t;.,.,£-r ,ld!AMll:

>),~ ~~:; ;/,?, A;_-?)l7 .,'4 -u~-<',/-,n,A .<.I /;{I J7 b>.4. .*L} ,L,J .,..,,.. I .1 .. "* ' . i ,, ',' ; .f' , .. 7. 01scription of Work _ __.lZ.:_i.fi-1'(>~01,1.1.l*,rL.:::..-l..F~<...:1~hi.i.H..;01..1..,.,..,.,1;,~=~a.<l~~::a* ,;.,f:..:c~.6.::.,_.,/~Zd(=..e.76:a.c./~,if,a:::¢.:...~C--------------~- B. Tesu Conducted: Hvdronatic ?n1um1tic 0 Nominal Oc1r1ting Pres.sure Othlir D Prenure µo e psi Test TtmD. MC C ° F NOTE: Suppl1m1nt1I 1he1,n 1n form of lilts, 1k111chn. or drawings ffll!V be u11d, provided (1 I sin is 8~ in. x 11 In., l:ZI tion in items 1 through 6 on tni1 repon i1 included on eecn shN.t, .and 131 each 1h11t is numbll'ld and th1 number of 1h11t1 ia recOfdld at th* top of this form. ** "'**, I 1 :Z/821 This Form IE000301 mev bl ot;,tain1d from the Order Deot., ASME, 345 E. 47th St., New York, N.Y. 10017 i

  • REPRINT 12/91 ______j FORM NIS-2 (Backl I 3 ,A 9. Remar1e1 _.......,.N._T.....__<4"--"<.j_9"-'-/ .c..0 ..... 4-_..,L ... /:11.>E):;a.,...*

Aopllcabla M*:ufacturar'1 Data Reporu to ca attachad SS' Y Y.o zy 09 (tieK N" i-/-q. 'l CERTIFICATE OF COMPLIANCE ~r.4;,e/ We ean1fy that the statements mace in me repon are correct and this ,;£,~d;d,,;.;,ft',f'.P'J'confomns to the rulu of the ASME Code, Section XI. ,-.,air or replacamant Type Coda Symbol Stamp ___ N_/_A _________________________________ _ Canificate of Authorization No. __ N_/_A ____________ exoiration Oat* ____ H_/_A __________ _ Signed (1.//! . -/ _ZSf ?-r&t1/-rL Ownar o~~""* Tltla Cate--,,,'ll'r{qH"~""d?- ... -,.,.1,.......,./"'"""<if-----* 19 $?!I CERTIFICATE OF INSEAVICE INSPECTION I, the undanigned, holding a v111d comm1111on issued by the National Board of Boiler end Pressure Vessel lnsoecton and the Stet* or Province of Virginia and employed by HSBI & I Co* af Hartford. CT in thia Owner*, R~n duririQ tha perioa _____ .....,,_/..,().._~,_/_/J __ -_.1..,'.3....__,o have inj~t~ the componenta described /() -!LJ -'b . and atlta thlt to the best of my knowlfJG99 and belief, the Owner hn oertormed examination, and taken corrective measures described In thl1 Owner's R~on in ICCOrdlnCI wnn th11 raqu1rernent1 of the ASME Code, Section XI. By 1igning this eenifie111 neither the lnspec:tOr nor hi1 employer m1k* any warranty, exprnlld or implied, eonelfflinf thl exam1nation1 and eorrectiw me1aur111 described in this Owner's Reoo,t. Funhermore, neither the Inspector nor hi1 employar shall be liable in 1ny manner tor anv personal injury or propeny dam999 or a 1011 of any kind 1ri1inv from or connected with thll insoectiO~ J)_ ;{) /'I ---~-------a,.----~--------Commiuion, ___ V_A __ s_4_J ______________ _ I napec:tor'1 Slgnetur* National Board, Stata, Provinca, anc:t Endo,-U Date '* * *

  • *
  • Attachment II Page 54 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric ,and .Pm,}er ,Cb-~ Neme
  • Date ---,;-4+/,_2..L.( q~'f:.___

____ _ I . I _S_O_O_O_D_o_m_i_* n_i_o_n_B_l_v__,.d...,.

  • .,:.'-G_l_e_n

__ A_l_l_e_n~,_V_A __ 2..;..3~060 ., She~t ____ of ___________ _ Addre11 2. Plant Surry Power Station Nem* P.O. Box 315, Surry, VA 23883 AddreA 3. Work Performed by Virginia Power Name P.O. Box 315, Surry, VA 23883 Addre11 Unit--'---------------- Repair Or;anlntlon P.O. No., Job No., etc, Type Code Symbol Stamp __ N,;,.:/_A..;;._ ______ _ Authoriz 0 ation No. NIA Expiration Date ~tt""/""'A ___________ _ 4. Identification of System _ _.B.._l;.;;o;;..;.c.J.....,..p=o""'u..>---'-rJ-------------------------------

5. (al Applicable Construction Code B 3 l.l 19§I__Edition,_N_;../_A

____ Addend11, H-1, ll-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19~8__,9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ' ASME Code National Repaired, Stamped Name of Name of Menu f actu rer Board Other Year Replaced, (Yea Component Manufacturer Serial No. No. Identification Built or Replacement or Nol 2.J..,1 VALVE. f'../oli/ (\JA NA NA I-BL>-14 !VA ]?epJ A ('.el> "'i::> , .. v,. I If Al VP (-r/,.J,,,, 2'i C ON\/1\ L . I h ... 64L-/oir N~ I-~D-1~ l'fl7 fZ~/~cEJ4ENT I 7. Description of Work l<ep/Ac E i VALV e B. Tesu Conducted: Hydrostatic Pneumatic 0 Nominal Operating Pressure [3' Other O Pressure M01' psi Test Temp. Nol ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings mav be uaed, provided (1) size is 8% in. x 11 In., (21 lnforma* tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is nu-~bered and the number of 1heet1 i1 recorded at the top of thi1 form . (12/82) This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 --l FORM NIS-2 (Back) 9. Remarks _....,s=-y&....-_.-'-/ 3=--7_,,9_/_'2._~__,_/ +G-~ .... ..;_A;;..:.l-....,V....::~'---=2::;.._,,~..._~ 1 Appllcabl11 M11nufacturar'1 Data Reportl to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this,4><<:?G-tt4Wf'.'.' conforms to the rules of the ASME Code, Section XI. . repair or replacemant N/A Type Coda Symbol StamP------------------------------------ N/A "H/A Certificate of Authorization No. ---------------Expiration Date--------------- Signed Q._~ ,/) 'AL/ _23:r M,u--~# Owner or~Dulgnn, Tltle ./-. t Date rr~< tl ,19 9.J CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Boerd of Boiler and Pressure Vessel Inspectors and the Stet* or Province of Virginia and employed by HSB:I & I Co* *. , of Hartford* CT have inspected the components described in this Owner's Report during the period /O--(l.f-'t3 to /D-14-c:r b , and state that to the best of my -~~pwledge and, ~lief, ,the, Owner has performed examinations end taken' corrective meiisures described in this Owner's A*eport in lic:cordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any menner for any personal injury or propeny damage or a 1011 of any kind arising from or connected with this in~rs~f. --~~::....!::::==~_,_ __ ,.._,:--::~~-~ ..... =;..:...----Commissions ___ V_A __ s_4_3 _____________ _ lnll)ector'1 Signature National Boera, St111ta, Province, and EndorMmant1

  • ' Date _____ lf....._-..... (_1-=--__ 19 q f * *
  • *
  • Attachment II Page 55 of 93 Serial No.: 94*194 Docket No.: 50-280 1. 2. 3. FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Owner Virginia Electric and Power Co. Nam* Date 4/i"5/c,~

' 5000 Dominion Blvd., Glen Allen, VA 23060 Sh~et of I AddrHI Plant Surry Power Station Unit ( ' Name P.O. Box 315, Surry, VA 23883 Addrftl Repair Organization P.O. No., Job No., etc. Work Performed by Virginia Power Type Code Symbol Stamp __ N...;/_A _______ _ Neme Authorization No. NIA P.O. Box 315, Surry, VA 23883 Expiration Date_..H.,l""A._ __________ _ AddrHI 4. Identification of System __ _.1..,S:""14._F'i.::l=';;..;.T-tY'----:..;/NJ--=-E'"-C.:..,.f7_0_A.I ________________________ _ 5. (a) Applicable Construction Code_B_3_1_

  • ..,..l....,.

__ 1,9~Edition,_N...;.../_A ____ Addend11, H-1, ll-7 Cod* Caw (b) Applicable Edition of Section XI Utilized tor Rep~irs or Replac~ments 19..::;8_9....__ ' ' ' 1, 6. Identification of Components Repaired or Replaced and Replacement Components ' ASME Code ; National Repaired, Stamped' Name of Nem1 of Manufectur~r . Board Other Year Replaced, IYta Componant Manufacturer Serial No. No. Identification Built or Replacemint or Nol Co V*1Z Srvb 7ZGl)~Cf:P /\I(/{ !VA I,; ,4 f(JA r-st-47 µA lvO tVvf I (I ' -. . ' tJA l->l-4 7 P~,A Ct l> *, ' 1' .. , VA-Vil /UA-,I,,! 0. ' {!,ove,e ~l>v ... N I (} ,iAue -AlrsitC'o J\;A NA I~ 5/-'/-7 l't9Z e/)Ac@1(*)1.i[ ~o li/c,d ( ALLl~D fl/ 1.flr: {VJ4 I~, /-t./7. IP Fp/.qcf" M{A;'.( t11(/r<>1-60/f I I I '19 i. I . 7. Description of Work ____ JZ-"/'--~ErP'"". 4,..(!""'E:::......,.,d..::O,.:v.:..ie..o:lf"---"'5o:..;o:..;*l:..;7:..:l.;,;N:;.J&.z:.,. ___________________

_ B. Tests Conducted

Hydrostatic Pneumatic O Nominal Operating Press~re 0 Other O Pressure _____ psi Test Temp, ° F NOTE: Supplemental sheets in form ~f lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 I~ .* (21 1 lnforma*. tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is nu~bered and the number of 1heet1 i1 recorded at the top of this form. 1 * (12/821 This Form (EOOOJOI may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 / FORM NIS-2 (Back) 9. Re.marks _ __,S~Y--'3=.....;C:>a..._5_5_~_~_~__,,?__,0.....::e~o....:.,..:...f---=G..:..o..:..IJe.:...;.._r_sru __ i>_lv_v_T.,<;,) _______________ _ Appllcable M8nuf*:turer'1 Data Reportl to be 11nached S5 l/ 5'64 lb?l -z ~ur !~'2

  • CERTIFICATE OF COMPLIANCE,*

We certify that the statements made in the report are correct and this J!-L,),A:t:,~lconforms to the rules of the ASME Code, Section XI. repelr or replacement N/A Tvpe Code Svmbol StamP-------------------------------------- Certificate of Authorization No. __ H_/_A ____________ Expiration Date ____ H_/_A __________ _ Signed /J~ /j ~t14/' .:£5 _r::-~~nar or~;, 0111lgnn, Tltla Oate __ A.......,,'"'2"'-d=,L...__,.,/_(._~ ____ , 19~?/ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co* *

  • of Hartford, CT
  • have' inspected the components described in this' Owner'* Report during the period Jo~ 14-q '.) to IO -I H-9 (, . ' . and state that to the best of my knowledge and belief, .the,Owner has performed examinations and taken corrective measures described in this '* I ' Owner's Report in accordance with the requirements of the ASME Code, Section ~I. By signi_ng this car:ti~icate neither the Inspector nor his employer ~ekes any war~ntv, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, ~either the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a 1011 of any kind arising from or 'connec:tea with thla inspect!) ---'~1--><--"'-----

...... -_p'\:P-....... -~..;;...---------'l'"'---COmmissions ___ v_A __ s_4_3 _____________ _

  • I nspec:~ Slgnatura National Boara, State, Province, and Endonementl Date ___ _,_t{:_-..... /-=,3 __ 19 L:j * *
  • *
  • Attachment II Page 56 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI t. O.Vner Virginia Electric and Power Co. Nam* 011t11 __ ....J...(/..f.!h::.::D~(!...Lf~-------

5000 Dominion Blvd., Glen Allen, VA 23060 Sheet __ .___01 __ ...,_ _________ _ AddrHI 2. Plant Surry Power Station Name P.O. Box 315, Surry, VA 23883 Addreu 3. Work Perlonned bv Virginia Power Name P.O. Box 315, Surry, VA 23883 Addreu Unit _ _._ ________________ _ Repelr Or;anlutlon P.O. No., Job No., etc. Type Code Symbol Stamp __ N...;/_A ________ _ Authorization No. NIA E xpirimon Date _.,H._./:..,.A1- ___________ _ 4. Identification of svuem ___ _.S ... A""F'"i'""'r;:;:::....:..T...,,Y_.c:.ltJ;;..;-.1""'-E"'""'c..,,--'1:..;;DA)=---------------------------

5. (al ApplicableConmuc1,onCod11 B31.l 1s§l__Edition.

__ N.;../_A ____ Addenda.N'-l, ll-7 (bl Applicable Edition of Section XI Utilized for Aepa1r1 or Reolacemenu 198 J Cod1Cua 6. Identification of Componenu Repaired or Replaced and Replacement Componenu ASME Code National Repaired, StamPld

  • Name of Nameol Manufacturer Board Other v .. r Replaced, 1v .. Component Manufacturer Serial No. No. ldentificetion Buill or Replacement or Nol I I I/ I l\LJ 11 /Jf'. I ~(A.c:eD NF< . fJA I-SI -14~ NI\ f--)6 3 ,, ( ( / L I. <.-rv l) I %t. Nf!I lvA l~tt ~\uf ). I/ (!A;z.DtNAl

\ \ 199] lfeofc.cEMt:=d I~ \ I~ ALLIGb NVT 1 \ Jf\)\') of-f]olf lJ n 19,3 I i 7, Description of Work __ .._\Z_.64"'\>"'"l!\'"'""<!£...__.'Sj..,iilJ...;;..:;C>:;...;;;.S_.../W=-t::>'-. _,_"1..,\ ... Jr ...

  • _$..._ __________________

....,. __ _ B. Tesu Conducted: Hydrostatic Pneumatic O

  • Nominal Operating Pre11ure 0 Other O Pressure p1i Ten Temp.
  • F ' 1 * ! , ; , , : ' '* ' I ! \ ; NOTE: Supplemental sheets in form of 1i1u, 1kirtch111.

or drawings mev be used, provided 11_) 1ize 'i18% in. x 11 In.; 121 lnfor~-, tion in items 1 througn 6 on tnis repon, ii included on each 1hNt, and 131 each ahNt is numbered end the number of 1hHt1 i1 recOl'ded at the top of this form . (12/821 Thia Form IEOOOJOI. may be obtein~d fro,,; tne Ord~r Dept,, ASME, 345 E. 47th St .. New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Backl G /3"',A 9. Rem11rk1 _...,.S._'/-1---_,3. .... _,4._.,2-,=._19..,_9.....__,...,tls.iau~_J"~'.la!u:t..L.-...!..:r..:z*:t:,.,l:.__ ______________________ _ / APPll~b)I\ Manufacturu'1 011t11 Raporu to ba ~ttached , Sy q zst 3'2 -1 l,...2rub I'! ..I CERTIFICATE OF COMPLIANCE We c11rt1fv thet the statements maae ,n the report are correct and this ~C9¥Alz":°'confonns to the rules of the ASME Code, Section XI. rapalr or raplacamant Type Code Symbol Stamp ___ N_/_A ________________________________ _ Certificate of Authorization No. __ H_/_A ____________ Exairetion Date ____ H_/_A __________ _ Signeda 9f< ,d ~/ f5£ b4(/<,1E.6'.&; Owner or ~lgnN, Title D*t* 4a~;_ z.. (') 1s 9 if u ----....... ..,_,.._-=._ ... _=-"-----* / CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding* valid comm111ion ,uuad by the Netionel Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co* of _H_a_r_t_f_o_r_d ___ ,_C_T ____________________ .....,.. ____ have inspected the components described in thi1 Own11r'1 Repo" durin9 the period /6,fl.{ ,9f 10 /0,(tJ,7'=. , 11nd 1t1ta t1lat to th* belt of my knowledge end belief, the Owner has performed axaminetion1 ind taken corrective meaaur11 described*ln dlfl Owner', Report in accardanc:e with the requirements of the ASME Code, Section XI. By 1igning thi1 certificate neither the Inspector nor hi1 employer mak* any w1mintV, axpresled or implied, canCllfflinf*dl* 11x1miN1tion1 and carrec:tiw meaaur11 described in thi1 Owner'1 Repart. Furthermore, neither the Inspector nor hi1 amployer shell be liable in any manner for any personal injury or proae"V damage or* 1011 of any kind ariainv from or connected wldl dll1 Commiuion1 ___ V_A __ s_4_J _____________ _ National Board, State, Province, and Endo,.._n Date q-:;..r 19 9f * *

  • *
  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by thfi Provisions of the ASME Code Section XI Attachment II Page 57 of 93 Serial No.: 94-194 Docket No.: 50-280 Date ----'+tf-1.1A'--r_'I

5000 Dominion Blvd., Glen Allen, VA 23060, Sheet __ -_! __ ' -f AddrHI O --...L.-----------

I. Owner Virginia Electric ,and Power Co. Nam* 2. Plant Surry Power Station Unit_....;/ ________________ _ Name P.O. Box 315, Surry, VA 23883 t.v. o. # 00'2 7~?. I -ot 7Z,.72. #-'f '{ (J 6 Addreu Aepelr Organization P.O. No., Job No., etc:. 3. Work Performed by Virginia Power Type Code Symbol Stamp __ N....;/_A _______ _ Nam* Authorization No. N/A P.O. Box 315, Surry, VA 23883 Expiration Dete ........,H..,_I ... A..__ __________ _ Addr111 4. Identification of System _ __.Li.__.E...,.f="..eO<-<IIVl:.!..::4uC1...:G'°:;..cfc,:$.__ ___________________________ _ 5, (a) ApplicableConstructionCode B31.-l .19§2._Edition, __ N.;../_A ____ Addenda,N-l, ll-7 Code Caso (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 198 2 6. Identification of Components Repaired or Repla~ed and Replacement Components ASME Codi National Repaired, Stamped Name of Nam, of Manufacturer Board Other Y1111r Replaced, IY11 Component Manufacturer Serial No. No. Identification Built or Replacem,nt or Nol 81VDS j 1'..IA tv A tJA I-Fw-72 NA itt:I) / ,4,e-D I\.;() '* .. NuTS 1 PvA r...JA t..,A /, r:w-12. tvA '2e:o/4 ce'l> N7) ,, tA1ZDIN4L rrze fJ IA. c£;/,f(l J S-n>DS I r.J NA. I-Fw,1z. 1991 NO 1/ t An.l> /NA.( l'ffo t'Et:pl.qccMc"1f /JV NUT~ I l/A, NA r -PN-12 Nu,s I I/ II 10>/(I/ AL NA N~ f -p 1111--72. ,qqz µP/4.ccP-'lf:AJi ,..; 0 J., 7. Description of Work ___ ~,_1;;_-p_/,_A._e£=---""s;_'1V,_b'--S_....;.4....;.,r;_l:>_j __ /.)_t/TJ_3' __________________ _ 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp, ° F NOTE: Supplemental sheets in form of lists, sketches, or dn1wings may be used, provided (1 l size is 8\i in. x 11 In., (21 tion in items 1 through 6 on this repon is included on each sheet, and 131 each sheet is nu~bered and the number of 1heet1 i1 recorded et the top of this form . (12/82) This Form (E00030) may be obtained from the.Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) 9, Remarks _s~y_4..;,;;oa..;=,a..,2_'1_ 7_..,,,(.l.,/'_,' 1-1..:..:e...,IC'--'-'Ni..::u....:.+,<...) ________________________ _ ( ,, Applicable Manufacturer*, Data Report, to be attached cs Y 5 3 33 74-/ _t sru:i:>) CERTIFICATE OF COMPLIANCE,: ---. We certify that the statements made in the report ara correct ~his .l~M""~;":?:'.'.'conforms to the rules of the ASME Code, Section XI. repair or replacament N/A Type Code Symbol StamP------------------------------------ Certificate of Authorization No. __ H_/_A ____________ Expiration Date ___ H_/_A __________ _ Signed'2 sf~~ ML .,:e-s Z:::: Ownar oTO-;Z\a~. DHlllnH, Title Oate_.,.~=7"';;,d_""'""f,t""'L""'<'--'/...,,,.?...._ ___ , 19 7$( CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding II valid commission issued by the National Board of Boiler end Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co* of Hartford* C'l' have inspected Jhe ~ompon~nts described in this 'Owner's Report during the period IO-IJ./-1:S to //J-/4 -'.7 '=, -, and state that ' ' to the best of my knowledge and belief, th~ Owner has performed examinations and taken corrective mee~res described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By 1igning this certificate neither the Inspector nor his employer makes any warranty,' expressed or im~lied, ~nmrning the examinati~ns an*d corra:ctive

,e~sur111 described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury pr property damage or II loss ofeny kind arising from or connected with thl1 i-nsp-*ect_. G ..... -*-~~~=---

~iF---. -..... ~-=--:; ..... *""-----COmmissions __ vA __ s_43 ________ _ lnspactor'1 Slgnatura . National Board, Stata, Province, and EndorMmentl Date * *

  • *
  • Attachment II Page 58 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name Date ---=-<f,t.-,h:....:::i...t....h.:.-1 c./t...._

____ _ 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet ___ , __ of ) AddrHI 2. Plant Surry Power Station Name P.O. Box 315, Surry, VA 23883 Addrftl J. Work Performed by Virginia Power Name P.O. Box 315, Surry, VA 23883 Addren Unit --f----------------- W,0, 1f OOckJ?Oi.//o -0/ Repair Organluttan P.O. Na., Jae, No., etc:. Type Code Symbol Stamp_...;N,;.;/...;A;.;;... _______ _ Authorization No. NIA Expiration Date ___..H,..1-'A'"'-------------

4. Identification of svnem __ .,_A-'6_,l;;;;

.. -... Pa..W~'4""""W=-12,.. _____________________________ _ 5. (11) Applic11bl11Conmuct1onCoda B31.l 19~Edition,_N......;.../_A ____ Addlnde,H-l, ll-7 (b) Applicable Edition of Se~tio~ XI Util)~~~ tor *Ae~~1rs or Reol~emen;~ 19°.=BC-.J1....__ Cod*C... . . ' . ' . 6. Identification of Comoonenu Repaired or Repiaced and Repl~ment co'mponenu ASME Cade Netional Repaired, Stamped Name of Nemeof Manufacturer Board Other Y111r Replaced, IVN Component Manufacture~ Serial No. No. Identification Built or R1placement

  • or Nol* ?/, J II r P '{ J.J, , f-/q. lvA fvA lvA 1-r-w-~-101e__

lvA '/ZEp/;;JccD tub S-rVD J;;; II q {VA ( 1 r . I '1 ti JV] MKsofJ . 1 1-1 {J y flfr, f I 1qq3 KEd-4a*MALJ p ,, 1 SiV!) hj . /\/ f)lli.-II ' '111 it /1q3 s , ,, ,, 'I ' *,, 7. Description of Work __ --:.72..=E~p:::..!.:;/A,:1.1aa<.!t::~--~9{l~/.:::'D:.....S~* .....;;i'.:li;..;N;...t::,:a;:;.._,N~U~T .... C1-.. ___________________ _ B. Tests Conductld: Hydrostatic

  • Pneumatic O Nominal Operating Pre11ur1 0 Other O Pressure _____ psi Test Temp,
  • F NOTE: Supplemental 1hnt1 in forrn of lim, sketches, or drawings mav be used, provided (1 I size is 8% in. x 11 In., 121 lnforma~ tion in item, 1 through 6 on tnis repon is included on each 1heet, and 131 each 1heet is nu~bered end the number of lhffll i1 recorded at the top of this form . (12/821 Thi1 Form IE00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) 9. Remanc:1 _..,_/y ........ r_....,4'-3

....... 5._4-.L.;...J4.....:S'~--:....... .... Appllcabla Ma~~facturar'1 Data Aaport1 to be attachlld !VT 4'5/'SC/fe -I {swl) h 0 J CERTIFICATE OF COMPLIANCE We certify that the statements maae 1n the repon ara correct and this 42&-t'ztCc-0.f&c'onforms to tha ruin of the ASME Coda, Section XI. rei,elr or raplacament N/A Type Code Symbol StamP--------------------------------------- Certificata of Authorization No. __ H_/_A ____________ Expiration Dete ____ H_/_A __________ _ Dete __ 4._ .... & ...... ? ... c__../....,,r::::..__ ___ , 19 '3"j/ CERTIFICATE OF INSERVICE INSPECTION

  • I, the undersigned, holding* valid commission issued by tha National Boerd of Boiler and Presaira Vessel Inspectors end the State
  • or Province of Virginia *nd employed by HSB:I & I Co* of Hartford, CT in thi1 Owner*, Report during the period /D-{ Lf _q 3 10 have inspec& the component1 described lb, I Lf -Cf
  • and ate* mat to the best of my knowledge end belief, the Owner hes perlormed exeminetion1 and teken corrective m11sur11 described-In this Owner's Report in eccordanc:e with the requiramenu of the ASME Code, Section XI. By 1i9ning thi1 certificate neither the Inspector nor hil employer mek* any w1m1ntV, exprnlld or implied, conc:amtnt die examination, end correc:tiw meaaires described in thi1 Owner*, Repart. Furthermore, neither the Inspector nor hi* lfflPloyer shell be liable in eny manner for eny per,onel injury or property damage or a 1011 of env kind eri1ing from or connected with dll1 Commi11ion1

___ v_A __ s_4_J _____________ _ I n9')ecto,., Signature National Board, State, Province, end Endol'temenft Date * * ,c;.:;a..;zailllfj'.f

    • *
  • Attachment II Page 59 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM N1S*2 OWNER'S REPORT F'OR REPAIRS OR REPLACEMENTS As Required bv the Provisions of the ASME Code Section XI 1. Owner '/ i rginia. Electric*

and Power Co. "'.Jam* Date __ -L-:~f--':./z::.!..,/ ,f-!.h-!...c/ ___ __;_ __ 5000 Dominion Blvd., Glen Allen, VA 23060 She1t __ ..___ot _ _./ ___________ _ AOClrHI 2. Ptent Surry Power Station Name P.O. Boz 315, Surry, VA 23883 ACIClr ... J. Work Performed bv Virginia Power .'*,reme P.O. Boz 315, Surry, VA 23883 ACIC1re11 Unit-..!------------------ l,U. ()1 ::it DoZ75'iZ7-o/ 1(..7l# <t<./,-t2S-Re11111r Or;11n111tlan P.O. Na., Jab No., eta. Type Cade Symbol S1amp __ N...;/c..A...;c.. _______ _ Authorization No. NIA Expirarron Datt ......,.H..,/_.A"'-------------

4. ldentific1tron of Svsrem, ___ ."---.;:f;~1
c. ....... , &"':,~c __ S-"-1f'=D=-"'1"'""'<a~C:---------------------------
5. (1) Applrc10111ConsrructronCod1 B31.l :9§.l__Edition._N

___ /_A ____ Addlnda.N-l, ll-1 (b) Applic1Dl1 Edition of Section XI Ut,lina tor Aeparrs or Aet1lec1menu 198 1 6. ldenriflcatron of Componenu Rep11r1a 'or Aaplaclld 1na Aeolacement Components Nam* of Component

7. 011criP,tion of Work 8. Tests Canducted:

Nameof Manufec:turer (V,4 .. Manufacturer Sarial No. AJA-: -1 '"* i; .... _ National Board No. Other ld1ntific1tion (-R.5-P/.{-l'l.fll3NI; Hydrostatic Fl~eumauc O Nominel Oo1r1t1n9 Pre11ur1 0 Other O Pre11ure _____ p1i Test Tamo. °F v .. , Built AIME Code* Aepaif9d, StanlC*t AIPlacN, (Yn or Aeolacenwm or Not /v() J NOTE: Supplemental ltr11t1 rn form of lists. 1knchn. or drawin91 mav bl und, provided 111 size i1 8~ in. x 11 In., 12t lnfonne. tion in itama 1 through 6 on this report i1 included on eacn 1hfft, and 131 each 1hNt is nu~blrld and the number of th.a ii recorded at the toP of 1h11 form . (12/821 This Form IE000301 may bl obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/9 l' FORM NIS-2 (Back) :!. Rem11r1<1 _ ___:.N.J:.T...___'-l-...:....4-.:......:.'l_t ..::.o..;.i./-~{-'1'-'-f..,,e"-"-t.S.......:.N~0..!...f-.....:...h~z-,:,L2 ______________________ _ Aoc,1ica1:11e Manutacturar'1 Data Aeoort1 to t>e enacr,ecs CERTIFICATE OF COMPLIANCE We c11n1tv tn11t tne statements mace ,n tne *~can an, correct and thi1£t:.>..,.,e,k:,p,c(AIC;onform1 ro tne n.iln of the ASME Code, Section XI. rei,e'ir or recuecemen, Type Coda Symbol Stamc ___ N_/_A _________________________________ _ N/A H/A Certificate of Authorization No. ----------------Expiration Date---------------- Signed /1_ ,/_ .&t< f$f ~r or O~OulgnN, Title Cat*--~-4-., ... :...__,_L ____ , 19_..,p.._../'-- CERTIFICATE OF INSERVICE INSPECTION I, the und11rs1gned, holdin9 a 11a11d comm1111on ,aued by the National Board of Boiler and Pressure IJ*-* lnscec:,on and the State or Provinc:a of Virginia end emotoved by HSBI ' I Co* of ..;;H;;..a..;..;;.r ..... t_f __ o_r_d .... _c_T ____________________ ~----have 1nsotet!CJ the comconenn dell:l'ibed in thi1 Owner*, RIIQOrt durin9 the oertOd / (!) 'f L4 "' j..1 ,a / 0"' -I -'/Co , and IUta dlfl to the bast of mv knowtlld9e 1ne1 belief, the Owner ha oertormed exanunauon, and teken c:orrec,,w meesurH decribed In ttlll Ow1111r*, ReQon ,n m:orctance with the requ1rwnente of the ASME Code, Section XI, By 1i9nint thi1 certificate ne11her th* lnsoeaor,nor hi1 emptoyei*maka'a~~ waminiv, ........ or implied,*cor.mrnil* ttle examination,. and correctiw mHsur* .. dnc.nb-.a in thi1 a-,*, R**t. :F*urthermo,.:* ne,tfter: tt,e ln~r no; hi1 ..... ,., .n~i* be ii~ble in 1nv' ,;,.~na;*,o; an~ o*n:onai injury or propenv d*amave or a ton of any kind *iting from or connecild wlttl ttll1 *.. i* in-,ec,ion. /,) (\ __ *._* _*"-~ll-* -*olii\ r;..o..~ .. """""1.,._._'_* _-t"'-.--~--*------Commiuion1_ 1~Vi;A;;;;iiS;;;4;;3~sua.";;;;i;i.;;;~;;;ienc;;i.i.iin-1n1PKtOr'1 Slenature National 8oafG, Stace, f'rovance, end Ende..-Date * *

  • *
  • Attachment II Page 60 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by th* Provisions of the ASME Code Section XI 1. Ownar Virginia Electric and Power Co. !llama 0,11 --~.:...!'-'2"'-, 61,...!r...1.t

_______ _ 5000 Dominion Blvd., Glen Allen, VA 23060 She1t __ .:../ __ o1 __ Ac:1c:1r1H

2. Plim Surry Power Station Name P.O. Boz 315, Surry, VA 23883 Ac:lc:IP-3, Work P,rfarmld i,y Virginia Power Nam* P.O. Boz 315, Surry, VA 23883 Ac:lc:lr111 Unit_......_

_______________ _ ""' Q, -:;r o D Z Vl&:f.f 9 -01 tGl. ;n:: q 'I -c -~ D Reoalr Orgenlrettan P.O. Na., Jae. No., eta. Typ1 Codi Symbol Stamp __ N...;/_A..;.... ______ _ Authorization No, -----Ha1.f.1:IL...------ Expir1t1on 0111.......,Hw:l..c:Aa.,_ __________ _ 4. ld1ntific1t1on of Sy111m --......1?2......:<==:"1..::.'-.1.TZ?tw::1.<'?:=.-.i.(.:.9~9..i(..:cl;;u.;t'.Y:;J-...._ ______ -,-----------------

5. (11 Applic1bl1 Conmucuon Cod, 831.1 19~Edition,_H...;/;..A

____ Addlnd1, H-1, ll-7 (bl Applicable Edition of Section XI UtiliHd for Repa1n or Reo1~1man11 19.;:;8_1.L.._

6. lden11fic11ion of Comoonanu R1p1ir1C1 or R1placea 1no R1olacem1nt Componen11 ASME Code N1tion11 Repeir9d, StMIPed N1m1 of N-of Manufacturer Board Other v,., R111l..:t, (VII Component Manuf1etur1r Serial No. No. ld1ntific11ion Built or Replecemlflt or Nol -*-:*-*-I fr ,., I Nuf-NA I NA tvA-i-TU!-l-tty'-/5; td' ,V-4 1Z1;:pi~~t:D

~o J._ /I / I I / ( I srvP I '6 IIJA ! i ('o~>-Vvlu,v I I T ti/M Lj S';,E W1 t~L 'f ,JI ,I.> .~ I fs 'I A qc l-Nv, Etve:,,,-,ee.r, .v<y 1',IA. trE7 Ii el') l1CtFt11rEM . ,J.. ,f t.JL <-1"0 1.1 vr £ 5TU1) I 'if AND 'Boc.:r NA. lj . I qq7. ~" 7. o,scription of Work, __ ?2_;;1:..,./)"/.;.*i .. ¢.* ........ S:..zz .. ("",'>.:.~%,...:;:'-~' Y.:..B"-*¥' ..r7J!..:r=r'N~}) ..... ...;-r..,~~l:;:M;i.;,_f?::i..,.S:.zf.:.~.t.i4:t.a.eF:.=l~V:.... ____________ _ -r ? / ' 8. T11t1 Conducted: Hydroatltic Pn1um11ic O Nominal Ooereting Preuure 0 Other O Pre11ur1 _____ psi Test* T1mp.

  • F NOTE: Supplem1n11I lhnts 1n form of list,, 1katchn. or drawin111 ffllY bl u11d, provided (1 I 1iZ1 is 8~ in. x 11 In,, 121 lnfonna. tion in items 1 through 6 on tlli1 rac,o"* i1 inciud1d on ,ec:n lhNt, and 131 11Ch lhffl it nu~bered end the number of lhNtl ii recorded It th* top of this form . (12/B2l Thia Form IE000301 m1y be obt1in10 from 1111 Order Deot., ASME, 345 E. 47th St., New Yort, N.Y, 10017 REPRINT 12/91 FORM NIS-2 (Backl 9. Remaru --~---S-ff-~AA~_c._f-

__ o_F ___ t:> ___ 1>.. ... <:r'"'t:=---2.-------------------------------- Acpllc:abla Manufac:turar'1 Data Raporu to oe anac:r,ec:1 CERTIFICATE OF COMPLIANCE We c:en,tv thet the statements maoe ,n tlle n!Pon are correct and this ~,caec:1'!!rt'..clT'conforms to the ruin of the ASME Code. Section XI. r81)air or ,apuic:ement Type Code Symbol Stamp ___ N_I_A ________________________________ _ __ H_/_A ____________ Exoiration Date ____ H_I_A _________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid comm,11,on ,aued by the National Board of Boiler and Pressure va .. 1 lnsoacton and the State or Province of Virqinia end employed by BSBI " I Cn

  • of Hartford, CT have 1n1')eeted the comoonents decrlbad in thi1 Owner*, Repon durin9 the per10d _______ /.._..0.._-

... /_l/..._-.. 9-J .. ,o /1) .. /4 ~q' , and eta* mat to the best of my knowteoge and belief, the Owner ha oertormed exanunet1on1 and taken corract1w measures delCl'ibad In thlt Owner's Report 1n accordance with the rwQu1rarnent1 of the ASME Code, Section XI. By 1igni119 this cenificate neither the lnsoeaor nor his employer maka any warrantV, uprauac:t or implied, c:ancarntng the exam1na11on1 and c:arrec,iw measurm describad in this Owner's Report. Furthermore, neither th* Inspector nor hi1 .._toy., shall be liable in any manner for any oersonel injury or propenv demege ore 1011 of any kind ari1i1111 from or coMecud with dll1 inapec11on. ---~.\l,-~~--=---------l.~.--~-- ...... ------Commi11ion1 ___ V_A __ s_4_J _____________ _ i,,;;;;or'.si;nat~ Netlonel Boara, StHa, Provinc:a, and Endor...-ai Date _____ L{._-__.._a;""':5: __ 19 Cf¥ * * * *' '--.. '.--:--.; ... ~--*--'":"" .......................... -.. ~-..------*~-

  • *
  • Attachment I I Page 61 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As ReQu1r1d bv the Prov11ion1 of th* ASME Cod, S1ct1on XI O,,.nar *Jirqinia Electric and Power Co * ...... '". 5000 Dominion Blvd., Glen Allen, VA 23060 -----------cA-a-a-,.-

.. ----------- '.)at1 __ _.t/-'..J./.::;'41//~'1.:.....z'."----------- ShHt ___ z_ ot __ z. ___________ _ 2. Pl,nt Surry Power Station "'*m* Unit------------------- P.O. Box 315, Surry, VA 23883 Aacsreu Fleo11r Orgen1ut1an P.O. Na., .lob No., -J. Work Perlormld i,.., Virginia Power Name Tvi:,1 Codi Svmbol S1amo __ N_/_A _______ _ Autl\orizat,on No. _____ ..i;Na..ft...&D....------- P.O. Box 315, Surry, VA 23883 E xr:,irimon 01!1t1 ......,N .... LuAia.....------------ Aaar*11 ... ld1ntific1uon of Sv111m _.....,:k:i__,. .. A,..c..,w ..... g,=-~c ... ooQ,,,;.;L/=l ... 4._1-... , ---------------------------

5. (1) APDIICIGII Construct,on Codi B3 l. l '. 9~ Edition, __ N.;../_A;;....~

__ Addlndl!. N-1, ll-1 (bl Aco11cao1e Edition of Section XI Ut1li110 tor Aeo1ir1 or Aeolec1ment1 19=8~11.-_

6. ld11nt1f\c111on of Comoon1n11 Aeca,reo or A1011ceo 1na Aeo1acem1nt Comoon1nu

-'* * . AIMI Codi National I AIDeil'N, -*~** Name of I N-of I Mlnufacrurer I Boarct-I Otller Veer AIDIIICN, CY* I I orReollCeffllftl or Not Component Menufectunr Seri1I No. I No. I lden11ficeuon Built I I l'ores. -NC) 1-("R,M t\:,.<c"'IA A, Y I \It) le t..tJ-I tvA I µ~ [-12(-1,Kl/-l~I ( 992.. 12,e,.p/..._ce:N e,J-I I ; I I I I ! I I I : ' I I I I I .-B. T11t1 Conducted: Hvdrost111c Pnaumet,c O Nom,nel OD1rat1n9 P,.11ur1 0 Other O Pr11uur11

psi Ten T1ma.

  • F NOTE: Suo011mentll ltlNH ,n form of li1t1, 1k11cnn. or drawin91 ITIIY be uMd, provided 111 size i1 8~ in.* I I In., 121 lftfonna,.

tion in itlffll I throuifl 6 on 11111 report II included on eac:ft 11\Nt, and 131 eect, 11\Nt ii numtllred end the numDlr Of ..... 61 recorded at the top of mi1 form . 112/821 Thia Form CE000301 may 1:11 obtained from t111 Order Oeot., ASME, 3C5 E. '7th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Backl 3. Rem111r1e1 _ ... {!.,.s~y.__2_3_.:/c..;.1..:.IJ...:f'--'(...;..I i....._11.;.:H~e.:..~..:../I.J:..::u;;,.i.:.11/:.....- ________________________ _ / .o.0011cao1e Manufacturer*, Cata Raooru to cie enacnea S:NT 3c.% 3Gz7 (:.Jf!.*w A-.51:,wBt.'f) CERTIFICATE OF COMPLIANCE We ce"1tv tllat tile natemenn maoe ,n tne ~o" arw correct ana tlli1 ~stf'<c6rcck6ntorm1 to tile rulN of 1M ASME Coda. Section XI. rep tr or *eotecem_, TvP* Cod* SvmDOI Stamo ___ N_I_A __________________________________ _ Ce"1ficat* of Autllortut,on No. __ 9_I_A ____________ Exoira1,on Oata ____ H_I_A __________ _ Sivnaa /.1 &'-. /_ Ad .:£1::3:C be;,~ ~~,., OHllnN, Tltle D*t*--'+~W...;c:z.,,;<,..__-N-... _____ 19 f',e' CERTIFICATE OF INSERVICE INSPECTION I, tile unden,gned, lloldin9 e 11a11d comm1111on ,auaa by tile NatiOnal Boera of Boiler and Pres111ra V*-* 1nmec1on and tlle ltate or Prov,nc:9 ot Virginia ***motovea by HSBI , I Co. of .cB~a=r ... t ... f_o_r_d_. __ c_-r ___________________ ~~----h""' ,nlll!'Claa tile comoonana 111 1 11111 d in 11111 Ownen Reoon dt.mnv '"' oerlOd / 0

  • I c.( -:[ 3 ,o I ¢
  • f ':i -1 (. Ind .-... to tile bell ot my llnowteOIJe ano belief, tile o-r ll* oerfonnea exannn,11on1 and takan corncttw m .. .,,., csew:.ibl.a*

llltl Owner'I Report ,n accoraence Wtltl the '9QU1'9ffl9ftll of thl ASME Code, Section XI. By 1ign1ng this c:11nlficaa ne,dlet' the IMCMICIOr nor his emo1oyer mall* any -rrantv, ellOnllld or irnDliad, c:ow:*11 N exam1na11on1 Ind correciiw mua,r* dllCflbed in 1t1i1 Owner'* . Racaon. Fu"hermore. ne,mer ltle lnq,ec:tar nor hie acola.,., shall be I i1ble ,n eny manner tor any penone1 in1urv or propeny damage or

  • lou of any II ind *is*a,v from or coMected _.. 11111 i-nllMCl_'°_"*..ij.~-W-""--"..._..__-P.__..

...;;;;~;...:...._-=.;;..;..__Commilliona--;;.';iv;.A;.;5;;;43:;:-;i;;;;;;;;,;;,-;;;.,;;;;;;;;;;;- i,;;.;;,; sf;,;.,u,e National Soara, State, ~,ov,nc,, ano anc,01w1 u* Date Ll-3,.S-1s_'l_f_ * * * .. ,llkilllillfiiii __ ...... C-l&IIPl'IZQUt--t O"WWW-111!1 ____ .. __ t""< .--,,,,......

  • *
  • Attachment II Page 62 of93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requir1d bv the Prov11ion1 of th* ASME Code Section XI 1. O,..ner 'Ji rginia Electric and Power Co. "*'"* _S_O_O_O_D_o_m_i_n_i_o_n_s_l_v_d_._,_G_l_e_n_A_l_l_e_n_,_V_A

__ 2_3_060 ShHt ___ l _ ;;t_2. ___________ _ .. aareu 2. Plint Surry Paver Station Ner"e P.O. Box 315, Surry, VA 23883 J. Work Performed t,y Virginia Power Nem* P.O. Box 315, Surry, VA 23883 AaareH 4. ld1nt1fic111on of Sv111m "iZe-AC.rnlZ. Ceo LJ\A.I* Unit ......J ...... ----------------- l,,V.i). OOUZ5'17-oZ 72.72 .:L (N-BS Aeoe1r Or11n1ut1on P. .O. No., JOD No., 111. Tvpe Codi Svmbol Stamo __ N_;_/;;,.;A;,._ ______ _ Authorizauon No. ------'Ha..{r...A11... ______ _ Exoir111on 01t1 __.ij._l,..Aca...------------

5. (11 Aoo11c1011Con1truc11onCod1 831.l '.9~:;dilion.

__ N.;./_A ______ Add=ndc.N-1. ll-7 lbl Aoo11c1bl1 Edition of Secuon J(I Utoliua tor Reo11ra or Reo11e1m1nn 19:e...-..11 ...... _ 6. lden11fic111on of Compon1nu R1011r1a or R1pl1cld 1na R101acem1nt Compon1nt1 AIME Codi National RIDeirN, SllfflPld Neme of NMMof Manufacturer I Board* Omer v,., RIDlar:N, ,v .. Component Menufecturer S1ri1I No. 1 No. lden11fic111on Built or RIOIIC9IIWM or Not ,, I I I '"'A 3 V.u v~ ~A "I /1 NA , _ r;, C. -, ,n. gePl~cED t.Jo I /' I I I J ( I 3 ! ( I / ( I P,P* : i I ' I I My 111 * .1'1-.s: ,, re; I \ I $n,.,l) 5:

  • Pi" I I *. RA"1&E ! J J J ./ w~o /Je,k. 'I" ,J. ~IJ 7. D1acriouon of wo,11 __ 1<.._..e-+'pu.lA-C.1;.._

... V.[..,jA=:!:,::a;Y1.1e: .... _____________________________ _ B. T,111 Conduc11d: Hvdrott111c ~n1um111c O Nominal Ooer111n9 Pre11ur1 0 01t11,o Pr,11ure t1x}t!s,i11p1i Ten T1mo. d<'(d,;t:,vCF NOTE: SuoDlememll ui .. 11 ,n form of tins. 111nct1n. or dl'lwin91 mev be u..a, provided C1 I sin i1 B~ in. x 11 In .. 121 lnforme* tion in it1m1 1 1hrou9"1 6 on tr111 raoon ii included on 11cft 1t1Nt, end 131 1ecn shift ii nu~berec:I end 1t11 number of lftNll 11 reca,dld 1, 1t111o0 of mia form . (12/821 Thia Form IE000301 m1v be obt11nea from,,,, Order 010,., ASME, 345 E. 47th s, .. N1w York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Backl :l. Rem11r1t1

'( Se"7 B4l;IC Q/: fMCrlf 2. .i.ccllcaole Menu1acturer*1 Dua Aecoru to oa *necneo .:ERTIFICATE OF COMPLIANCE

'Ne c.rt1fv tnat tne n11temenu mace ,n tne ~oort are correct 11na tn11 .4q)~.d'"::'?:';ontorm1 10 1n1 ruin of 11'11 ASME Code, Section XI repair or **oiecement Tvo* Coda Svmt>ol S1amo ____ ~_I_A ___________________________________ _ H/A H/A Cert1ticat1 ot Authorint1on No. ----------------Exoir111on Oat*---------------- Signed Qt: ~-~* fS_f Owner or O~H1gnN, Title . Oat* d}:.4u--(C .19 ,Zif CERTIFICATE OF INSERVICE INSPECTION I, 11,, unaer11gned, holdin; a va11d comm1111on ,au.a by 1n1 National Board of Ballar ana Prncura v,1111 lnsoec:torw end the St11e arProv,nceof Virginia ,ncumoioyoc,t,y HSBI , I Co. of Hartford, CT h.,,. 1n~ea u,, comoonen11 dellCl'illad in 1h11 Owner*, AIPOn; durin; 1r,, oerlOd ______ _./_b __ -..,/_4..__-_'f..._J __ ,o /0-/tl *-:JJ2 , and naa mai to the 1>111 of my knoWf909t 1na belief, the Owner n* oertormotd 1xam1ne11on1 ana taken correctrw m1nur11 cs,crmd Ill dllt Owner'I Aeoon 1n accaraance w11ri tfle 1'8QU1ramen11 of the ASME Code, Section XI. By 1i9n1n; thi1 cen1fican neither the IIII08CIOr nor hi1 employer mak* any -rrancv, *~ or 1mD1iotd. conwM* Ille exam1nat1on1 1ncs correctrw m1111ur* Cll!ICno<<I 1n 1h11 Owfter'1 RePQft. Funhennore. n11ttter tt,1 ln1P1Ctor nor his ._. .. shall bl 1o1bl1 1n eny m,nner tor any 011"10n111 ,n,ury or oropeny C1ame91 or a 1011 of any kind ***!"9 from or connec:ted wldl dll1 i_*31w_-\-.a:;..::.

......,o~

__ _.f_._._~ ... -::.....:::o.'91'-..:;.;.. _____ comm1uion1_"""";::;;;'iV;:A:=iiS': 4::3~~;:-;;;::=::-::=:-;;:;;;;:;:;;;;:;:-- 1 n-,ecTor-1 Sl9nature NH10na1 lloal"II. S1a11. Province, ano Enoo, ......... Datt, _____ '::f ... -_~,.__-__ 19 qq

  • BM :* ~--* * *
  • *
  • Attachment II Page 63 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name Date ___ ~'f-(r.<..;~~j:.....!....rL-y

_________ _ _s_o_o_o_o_o_m_i_n_i_o_n __ B_l_v_d_._,;._G_l_e_n_-_A_l_l_e_n_,_v_A __ 2_3 060 Shaet __ _;Z::;.__ of __ z... __________ _ Addre11 2. Plant Surry Power Station Name P.O. Box 315, Surry, VA 23883 Addrftl 3. Work Performed bv Virginia Power N1m1 P.O. Box 315, Surry, VA 23883 Addren Unit __ ! ________________ _ Repair Organlutton P.O. No .. Job No,, eta. Type Code Symbol Stamp __ N...;/_A _______ _ Authorization No. NIA Expiration Date__..,H""l..c.A.._ __________ _ 4. Identification of System __ 72'--e:_...,Ao.:c;.:.n;;n=.;:;...._..:.C...;~=41=/.J~L--------------------------

5. (al Applicable Construction Code B31. l 19§.I__Edition,_N.....;../_A

____ Addend1, H-1, ll-1 (bl Applicable Edition of Section XI Utilized for Rep~1rs or' Re1;11ac:1ment1 19"'-B_j...__ CodlCIU 6. Identification of Comoonenu Rep1ir1d or Repl1ced end Replacement Componenu -I ASME Codi N1tion11 Repaired, StafflPld Nam* of Nem1 of Manufacturer Board Other Y11r Replaced, (Yn Compon,rit Manufacturer Serial No. No. Identification Built or R1plecement or Nol fl Mc:J VNf(t /4sp(4ce>t11:;..,r 3 I/At.I/~ /1114 I\JA I-{2.e -tt)O lf1er </ I.JO 3 /( p,p~ -/ I I fl., 5 c H {:.o/2.AJ /'tfJ s:_ 'I H{/( 11.lu+-'f (VI ~c,~-5orJ I 'ftr 3 !;' II ('4n,f)/A/AL 611/ !) -r l99'J FlAN(sE 7)v~o.ic J J MlrJ /1/ruK. 'j 1911, I t' 7. Deaeription of Work ___ lL_e.f-f-/4..;...;;:C*::--.1..&..;;:4.::t..:&.Yfi::~--'--------------------------

8. Testl Conducted:

Hydro1t1tic. ~eumetic O Nominal Operating Pre11ur1 0 Other O Pressurel {YJ/'<tatil psi Test Temp. l'!ttfda!-e,rc

  • F NOTE: Supplemental 1heeu in form of lim, aketchn, or d1111win91 may be u111d, provided (11 aize i18% in. x 11 In., (21 tion in item, 1 through 6 on this report i1 included on each 1hNt, and 131 each shift is nu~berld and the number of lhfftl i, recorded It the top of thi1 form . (12/821 Thi1 Form IE000301 mey be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) le Manufacturar'a Data Raportl to ba attached CERTIFICATE OF COMPLIANCE We cen,tv thet the statements maae in the repon are correct and thi1';.7)¢'4ctee;;,,eefonforms to the ruin of the ASME Code, Section XI. r8')a r or raptacamant Type Code Symbol Stamp ___ N_/_A ________________________________

_ Canificate of Authorization No. __ H_/_A ____________ Expiration Date ____ H_/_A __________ _ ,19 qej CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a velid commission ,aued by the National Board of Boiler and Pressura Vessel Inspectors and the Stet* or Province of Virginia and employed by HSB:I & I Co* of Hartford, CT have inspec~ the components detcnbed / D"' /t.,{ -b , and st** met in this Owner's Repon during tha period / D Y3 10 to the best of my knowledge and belief, the Owner h111 performed exeminetions and taken correeuw meesurudescribed In this Owner's Repon in accordance with th11 requiramen11 of the ASME Coda, Section XI. By signing this eenificate neither the lnspec:t0r nor his employer mak* any warranty," expraued or implied, conClfflffll*the exam_inations and corr11etiw meesur111 described in this Owner', Repc,rt. Fu"hermore, neither the Inspector nor hi1 employar shell be liable in any manner for any personal injury or propeny damage or a 1011 of any kind arising from or connectld with this inspection. J). --~-aa.oo ______ J ___ ........ ....... --------Commillion1 ___ v_A __ S_4_J _____________ _ lnll)eetOr'I Signature National Board, State, Province, and Endarternena Date Id-~ -s-19 ....... f-r-'/:_ I :;;: * * *

  • *
  • L 1. 2. 3. 4. Attachment II Page 64 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT ,FOR REPAIRS OR REPLACEMENTS As Required by.the Provisions of the ASME Code Section XI Date __ </.:..+(.:.::15<.+!..:..'1.L.'f

_________ _ Owner Virginia Electric and Power Co. Name -----------,...,..,'--------'----2-3060-Sheet __ ..;./ __ of_2.. __________ _ 5000 Dominion Blvd., Glen Allen,. VA Addre11 Plant Surry Power Station Unit__;/ _______________ _ Name P.O. Box 315, Surry, VA 23883 w. O, ,r oo 1.. 7'11.f o 7-0I Addr"' Repair Org1nlutlon P.O. No., Job No., etc. Work Performed by Virginia Power Type Code Symbol Stamp __ N...;/_A _______ _ N1m1 Authorization No. N/A P.O. Box 315, Surry, VA 23883 Expiration Oate__..H .... /.,.A...._ __________ _ Addr111 Identification of System 72 i;.A C..TD rz.. ( ec,L~ tJ[" 5. (11) ApplicableConstructionCode B31.l 19~Edition,_H...;/c..A ____ Addenda,N-l, 11-7 Codi Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 198 '7 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped N1meof N1m1of Manufacturer Board Other Vear Replaced, (Ves Component Manufacturer Serial No. No, Identification Built or Replecement or Nol ~ix Mvt I/ (2Ep/4(E'I) l~ NA fl)A t.J A. l-!Z.C-5\/-1'551~ tJA No I~ I/ ' ' . '( / ( ( $1VD 1s" NA ' No VALl(f? &>" C,iLoSB'{ \ I j \ \ 1 'IE.'::, lte~ f\L,t I II r C..Art:o,~A( ' ' 1qq2 l:?e=o/t\CEMG"1.J1 rv6 StvD I 7. 1/ N(9V4 iqti-, t NO ' " 7. Description of Work __ ](!....._.,1:,.,pl"-"'IA,..C_.E ___ s ...... ~::,,...F.:Ei":.;.*-iy_* _v_,<\;:.;;L_V'-1:~--------------------- B. Tests Conducted: Hydrostatic f:'neumatic 0 Nominal Operating Pressure G:r' Other O Pressu.re 2235 psi Test Temp, -':: 500 ° F NOTE: Supplemental sheets 'in form of lists, ,*ketches, or drawings may be u1ed, provided (1 I size is 8% in. x 11 In.,: 121* tion in items 1 through 6 on this report* is included on eech sheet, and (3) each 1heet is nu.~bered and the number of sheets is recorded at the top of this form . (12/821 This Form (E00030l may be ob~ained f~o;,:, ihe Order Dept., ASME, 345 E. 47th St., New York, N.V. 10017 REPRINT 12/91 FORM NIS-2 (Back) 9. Remarks ---*=-.....,:;SEE:=::...,.gccAi,,,C.."'lc:.,,__,,9...,F'--....;.~..:::.o..!:s:(;,,::.;E::......='2.;:..._ _____________________________ _ Applicable Manufacturer'* Data Reports to be attached CERTIFICATE OF.COMPLIANCE*

  • We certify that the statements maoe in the report are correct end this J>9)un?9'hl/conforms to the rules of the ASME Coda, Section x I. repair or replacement N/A Type Code Symbol StamP--------------------------------------

Certificate of Authorization No. __ N_/_A ____________ Expiration Date ____ N_/_A __________ _ Signed /) #.. J}_ <' _7s_f ~ro~~nH, Tltla Dete-.::..4A~~""'* "'"c,,,._.,-'/;....,:,_r- ____ , 19 f' '/ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler end Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co* of _H_a_r_t_f_o_r_d ____ ._C_T ___ ,---~---,--------------~~---have inspecteq the components described in this Owner's Report during the period /b-lU -Cf3 to IQ-l'.f-1I. ,, . and statothat to the best of my knowledge and belief, the Owner has performed examinations and take~ corrective measures de~ribed in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this ~rtificete neither the Inspector nor his employer makes any warranty, ~xpreued .or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a 1011 of any kind arising from or connected with this i_n_sp_ect_*_io_n_: _*_g!Wl.,.M-l:-a-ap-ac--:t-o-.r'-,f'::S':"l~-n'-~""tu"'r""'e~------Commissions __ N_a:-10_A_na_l_B_So_:-~-c:1-. -S-ta-t-a.-P-r-o-v1-*n-c-a.-.-n-d_E_n_do_r_Am __ e_n_t1_ Date ____ l:f ..... -~/ S-=--_19 C/'f * * * ~---------------~-~-- -* *

  • Attachment II Page 65 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Nam* Date ___ c./.;.+/;.,o, Su...{<1!,...LV

______ _ 5000 Dominion Blvd., Glen Allen, VA 23060' --------------,,A"""'d"""'d:...ra-11------'------

2. Plant Surry Power Station Unit __________________

_ Name P.O. Box 315, Surry, VA 23883 I\.J,O. #-0() Z 7'No ]-o I 121L

  • tj~ -o "27.. Addrau Rapalr Organization P.O. No., Job No., ate. 3. Work Performed by Virginia Power Type Code Symbol Stamp __ N...;.../_A

_______ _ Nam* Authorization No. NIA P.O. Box 315, Surry, VA 23883 Expiration Date __...H.,./'--'A'"'------------- AddrHI 4. Identification of System _ __,7Zi.=\8\ ... -.=..c ... :cr;,......,r2.,.._--'(...,,.*0,.....<-=t::.==="=::.Jr:.__ _________________________ _ 5. (a) Applicable Construction Code B31.l 19§2..__Edition,_N-:.../_A ____ Addenda, H-1, ll-1 Codt Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 198 ' 6. Identification of Components Repaired or Replaced and Replacement Components National Name of Namtof M1nufectur1r Board Other Component Manufacturer Serial No. No. Identification VA1\I,::' (o ti (P (ZoS/31/ N 'H't "5 q-oo -ooc,( N4. (-RC -S.1/-IS'51 A ,* I ; 7. Description of Work 12,epfoc!f 5,y-~ \h1..vg 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating P~essure Other O Pressure ,-~J ? psi Test Temp, 2. 61;)@

  • F ASME Code Reptirtd, Stamped VHr Replaced, IVta Built or Replec:ement or Nol /Cf 'r '3 [4;-d4(~M~f

/VD NOTE: Supplemental sheets in form of lists, &ketches, o.r drawings may be uaed, provided 11) size is 8% in. x 11 In., 121 lnforma* tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is nu~bered and the number of sheets i1 recorded at the top of this form . (12/82) This Form tE00030) may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.V. 10017 REPRINT 12/91 FORM NIS-2 (Back) I :3 II \ 9. Remarks __ S=-1-Y.,.... __ 3-..:'B..:3:...,...;......ct'f..,,__,,1,__,_I _=...:g'--!/'-"-le:::.!:ic=--..1N~u~:l;,1-J _______________________ _ sy (_ Appllc11bl11 Manufactur11r's .Data R11port1 to ba 11nachlld 4224tr3 _I ~,, snrt>) ? CERTIFICATE OF COMPLIANCE We certify that the statements made in the report ara correct and this .... ~,4qL,,.16onforms to the rules of the ASME Code, Section XI. r11palr or replac11mant N/A Type Code Symbol StamP-------------------------------------- Certificate of Authorization No. __ H_/_A ____________ Expiration Date ____ H_/_A __________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State

  • or Province of Virginia and employed by HSBI & I Co* of Hartford*

CT have inspected the components described in this Owner's Repon during the period lb-1':i-1~ to ,o ... N ... 'fl. . and stata that to the best of my knowledge 11nd belief, the Owner hes performed examinations and taken corrective measures described in this Owner's Repon in accordance with the requirements of the ASME Code, Section XI. By signing this cenificate neither the Inspector nor his employer _makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor hil employer shall be liable in any manner for any personal injury or propeny damage or 111011 of any kind arising from or connected with thl1 inspection~/. ___ -4LL....u~"'~'--...;:;...,-.a..... ____ -.--~""""-------COmmissions ___ v_A __ s_4_3 _________ __, ____ _ ln11>ec:tor1 Slgnatur* National Board, Stata, Provine*, and Endor1amant1 Data*-----'lf'-'----'/-'-~--19.2.!f_

  • * *
  • *
  • Attachment II Page 66 of*93 Ser;al No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Date --=t/i.,-;~;..:S-1-h..:..9,_'f

________ _ N1m1 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet ___ l __ of 2. Addr111 2. Plant Surry Power Station Name P.O. Box 315, Surry, VA 23883 Addr1t1 3. Work Perfonned by Virginia Power N1m1 P.O. Box 315, Surry, VA 23883 Addr111 Unit __ I ________________ _ J\I.O. 1f: ooz1ct'/09-J 7212 # 1~-CJZ~ 7X:.P q,24/ Repair Org1nlutlon P.O. No., Job No., ate. Type Code Symbol Stamp __ N_:/_A _______ _ Authorization No. NIA Expiration Date ......,H'-"/_,_A.__ __________ _ 4. Identification of System __ 13.:...:..c=.c.A...,;C:~W....:.~'-=-C"'eau..:L:::Alfe:>:.:...__ ________________________ _ 5. (a) Applicable Construction Code B31.l 19~Edition,_N-'/'--A ____ Addenda, H-1, ll-7 (b) Applicable Edition of Section XI Utilized 'for Aep~irs o~* Repl11eement1 198 9 Cod* Casa 'j ** ,, * *

  • 6. Identification of Compone~u Repeir~d or Replaced a~d Aepl~cem~~t co",npon~ntl

' . ASME Code National Aep1ired, Stamped Name of Name of Manufacturer Board Other Year Replaced, 1i'11 Component M11nufitctur11r Serial No. No. Identification Built or Aaplacemant or Nol ~/ei '3 I/ Nu-t (~ NA NA 1'.J'A. l'-~:..SV-15516 (\/A. l<eoLACED

  • ~D Stub II rv A ( ( ( I~ t,JA, NA *No VAL\/{: (o I/ CrtosBY NPr tJA \ l J \/ES II f.A.fl.D1rvAL Hel( t\lui 1\ Nt.. rv~ ) l'MZ Rt;;:p/4.c.e-ME"~it

,_ No I ?.. ,, I/' NAc ' I qq l 1 NO STu.D '&' A.iZJ>1N AL Nf"r 7. Description of Work __ __ , .:.;§"l'p ....... 11..,c ... ,F':"",* ___ $....,.;A;:.aH_,*fY:..1-i'--"""v ....... A_L..::,ll=f:'-------------,------------

8. Tests Conducted:

Hydrostatic Pneumatic 0 Other O Pressure 22 35 Nominal Operating Pressure psi Test Temp. '2.Sop "F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be uaed, provided (1) size is 8% in. x 11 In., (2) tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is nu-~bered and the number of 1heet1 ia recorded at the top of thi1 form . (12/82) This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) 9. Remarks ---*.u.......::;s_E_E=-.-:.B_A,,;,C.,;;,,1<:::::_.:::::o~t="-~P.:.A.::<:r:..=G:__2.=. ___ ~--------------------- Appllcabla Manufacturar's Data Aaporu to be 11n11chad CERTIFICATE OF COMPLIA~CE We cenify that the statements made in the repon a~ correct and this /!!?<49f~11,fvr' conforms to the rules of the ASME Code, Section XI. **P*lr or replac*m*nt N/A Type Code Symbol StamP-------------------------------------- Cenificate of Authorization No. __ H_/_A ____________ Expiration Date ____ H_/_A __________ _ Date-..::~~...,,,Q=//__./'--",L----, 19 21 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding II valid commission issued by the National Board of Boiler and Pressure Vassel Inspectors and the State or Province of Virginia and employed by HSBI & I Co* of _H_a_rt __ f_o_r_d_....,_C_T ___________________ __,=-----have inspect~ the components described in thi1 Owrier'1 Repon during the 'period f I)-IY-7 3 to / o-/ 'f -7' lo. , and statll that to the best of my knowledge and belief, the Owner 1 has performed examinations and taken corrective measures described in this Owner's Repon in accordance with the requiremen11 of the ASME Code, Section XI. By 1igning this cenificate neither the Inspector nor hi* employer makaa any warranty, expraued or implied, conc:eming the examinations and corrective measures described in thi1 Owner'* Report. Funhermore, neither the Inspector nor hit employer shall be liable in eny manner for any personal injury or propeny damage or a 1011 of any kind arising from or connected with thi1 inspection.*

  • * /.) (') ---'----i~l--""".""-*

... *-~~:-:----f._ .. _~~------Commission1 ___ V_A __ s_4_3 ______________ _ ~gnatura National Board, Stata, Province, and Endon*m*nt1 Data ____ ~J_()_-_(=-~--19#-

  • * *

.. * *

  • Attachment 11 Page 67 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name Date ___ 4-'-f-/::..;:IS-1-/_q'-'y.

________ _ ..., 2. _S_O_O_O_D_o_m_1._* _n_i_o_n_B_l_v...,.d...,.

  • ..,:.*-G_l_e_n

__ A_l_l_e_n~, _V_A __ 2_3_060 Sheet ___ .t-__ of ____________ _ Addre11 2. Plant Surry Power Station Name P.O. Box 315, Surry, VA 23883 Addreu 3. Work Performed by Virginia Power Neme P.O. Box 315, Surry, VA 23883 Addra11 Unit-..:...'---------------- w.*o . .4t ooi.7qc..fZff-t 721l. tt t('3-o7..3 r>c..-P q2-tJ'-I Repair Organization P.O. No., Job No., ate. Tvpe Code Svmbol Stamp __ N...;/_A _______ _ Authorization No. N/A Expiration Date......,H.,luA~------------

4. Identification of System __ ]:-=:::E":.::A~C:.:=TD.:.=..:."lZ-;;:...__.,C.,,:90::i,..;'-::;AI-Ir=::..,_--------------------------
5. (a) Applicable Construction Coda __ B_3_1_._l

____ ,s§.l__Edition,_N.-:..../_A ____ Addenda, N-1, ll-1 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19.:=Sc...-...,'=t:..-_ ' 6. Identification of Components Repaired or Replaced and Replacement Components ASME Codi National Repaired, Stamped Name of Name of Menuf11eturar Board Other Year Replaced, IY11 Component Manufacturer Serial No. No, Identification Built or Replacement or Nol VAi.."-~ &/ tr...os6y I\J <fil't Sq-:-oo -0002.. µA H2c.-sJ-1$15 \'l 1.3 12ep/4C.el\.t g,,, f-YF;:..s ! ' 7. Description of Work ____ A.__.-.,?~.1;./4""'(..,E=.._ ... s;,::Aa.i;E .... Ee=.*..:..:r:y.,...*

  • _V,.,.*.,_A-,_'

L;;;._Vt:_t:_* __________________ .......;._....;.,. __ B. Tests Conducted: Hvdrostatic Pneumatic 0 Other O Pressure t.J. 35 Nominal Operating Pressure (3" psi Test*lem*p. 50Q °F NOTE: Supplemental sheets 'in form of lists, ~kMch'es, or drawin~ may be UIBd, provided (1 I size is 8% in. x 11 I~ .* (21 lnforrrilis. tion in items 1 through 6 on this repon is included on each sheet, and 131 each sheet is nu.a'.nbered and the number of sheets is recorded at the top of this form . (12/821 This Form IE000301 ma~ be ot:it~i~ed from the Orde(Oept., ASME, 345 E. 47th St., New York, N.Y .. 10017 REPRINT i2/91 .... *, .... FORM NIS-2 (Backl 9. Remarks _ _.'$,y,__ .... 3..,%~3.,_77.L....!.--1Cz:..._....l.G...i;/.!L.:Se:!!x......Jr,J~u+/-.1.__..:../-'-ig~)-------------------- NT ( Applicable Manufacturer*, Ca.ta Reportl to be anachect L!'2.I I 4 2.. -V4t..V E. (o ) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are ~o;r~i:t and this ~C<W.ft~Jfconforms to the rules of tha ASME Code, Section XI.

  • repair or r11placamant N/A Typa Code Symbol StamP------------------------------------

H/A H/A Certificate of Authorizeti_on No.--------------- Expiration Date--------------- Signed Q Y Z£f Owne~a;ignH, Title ,s--, 19 £1: CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and tha Stat* or Province of Virginia and employed by HSBI & -:r

  • Co-. of Hartford, CT hava* inspecJed the components described in thi1 O~n~r*1 Repon during tha period I 0-/'::f , '7 }> to /0 (':( -'f I. , and state that to tha best of mv knowledge and belief, the Owner has performed examination, end taken corrective measures described In this Owner', Repon in accordance with the requirementl of tha ASME Code, Section XI. By signing this cenificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning tha examinations and corrective measures described in this Owner's Report. Furthermore, neither tha Inspector nor hi1 employer shell be liable in any manner for any personal injury or propany damage or 11 1011 of any kind arising from or connected with this inspection.

~+--=-..,..----".--:-,-1_.

__ ~------*--Commissions_"""'."'.'_V-:-A---::S-4_3 _______ --::~:------ ln1Pector*1 Slgnatur* National Soard, Stata, Provinca, and EndorMmentl td-tS-q,j Date ________ ,__._.=.. ___ 19--1....f-

  • * *

., * *

  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Attachment II Page 68 of 93 Serial No.: 94-194 Docket No.: 50-280 1. O....ner Virginia Electric and Power Co. Date __ __,'-/4-(i..._.(s_;l+-f..1...'f

{.,__ _______ _ Name 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet __ .,_/ __ of Z. AddraH 2. Plant Surry Power Station Name Unit---'--------------....,,.-- "[:)e,t> 92-'l-'f P.O. Box 315, Surry, VA 23883 t.v V. # 002 7/f</fO-b( -erz -*F 9 3-o,'f Addreu R11'1alr Organization P.O. No., Job No., ate. 3. Work Performed t,y Virginia Power Name Type Codi Symbol Stamp __ N-'/_A _______ _ Authorization No. _____ >>U,J./...c:J\1-. _____ _ P.O. Box 315, Surry, VA 23883 Expiration Date _.N..,{...,l\::o...... __________ _ AddreH 4. identification of System _ _,'12c=e:-.::;;A,...e,_.7'Z?'-""'/Z.=-_.(...,o,..o.uL..,5::zaU"<i]:'-- ________________________ _ 5. (1) ApplieabtaCon1truetionCod1 B31.l 19~Edition,_N_;../_A ____ Addende,H-l, ll-1 Codec ... (bl Applie1bl1 Edition of Section XI Utilized tor Repairs or Reolae1m1nu 19..=8__,_9 __ 6. Identification of Components Rep1ir1d or Replaced and Replac:ement Components 7, Nam* of Component J ,, Jt I~ J. II /rir ,. V. Aliff V l t I Description of Work Namaof M1nufaeturer llA fJA Ito CArtDINAcl Menufac:turer S1ri1I No. K.eelA.cf SAE1ffY N1tione1 Board No. t,.l/\ 1/r,.l'{f Other ldantifieation I-R<>~v-1551~ AIME Code Repeired, Stamped YHr Replaced, (Yn Built or R1pt1e1man1 or Nol () 0 1qq3 yr:s l'M'2.. B. Tests Conduetad: Hydro1t1tie Pneumatic 0 Nominal Opereting Preuura @' Other O Pressure z..2,35 psi Ten Temp, .i! 5 Do

  • F NOTE: Suppj1ment1t 1heeu in form of lists, sketehn, or drawings mav be used, provided 11 l size ia 8% in. x 11 In,, (21 lnforma* tion in items 1 through 6 on this repon ia included on 111ell sheet, and 131 each sheet ia numbered and the number of thfftl it recorded 1t the t~ of thi1 form . (12/821 Thia Form IE000301 mev be obtained from tlle Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Backl 9. Aemanc, _...;..* __ s_E_E:_B_A._c....,.)c:.

__ ol="" __ Pir>.._G-_E::::.....,.=2.. ________________________ _ Appllcabl* Manufacturar'1 Data ,Rapo_rts to b* .*nached CERTIFICATE OF COMPLIANCE We certify that the statements made in the repon are correct and this ~c4A4,:/ef(i-confomu to the rules of the ASME Coda' Section XI. rapalr or rap1acamant H/A Type Code Symbol StamP---------------------------------------- Certificate of Authorization No. __ H_/_A _____________ Expiration Oete ____ H_/_A __________ _ Signed CJ_L j/ -~L,./" fr,-z: Ownero~Onlgnff, Tltle Dat*--4"""'¥'-~ ... -... U ... --t ....... C ____ . 19 sr: CERTIFICATE OF INSEAVICE INSPECTION I, the undersigned, holding a valid commission iuued by the National Boerd of Boiler and Pre11ura Vessel lnsPectors and th* Stata or Province of Virginia and employed by HSBI & I Co* of Hartford, CT have inspecteg the components dascrlbad in this Owner's Repo" during the period .~, /t.f -q. to /()-. { lf -9 b , and atata that to the best of mv knowledge and belief, the Owner has performed examinetions end taken corrective measures described In thl1 Owner's Repon in accordance with the requiramenll of the ASME Code, Section XI. Bv signing this cenificate neither the Inspector nor his employer makn anv warranty, expraslld or implied, concerning the examinations and correctivw measures described in this Owner*, Report. Furthermore, neither the Inspector nor hit employer shall be liable in anv manner for anv personal injury or prope"V damage or a 1011 of env kind ari1i119 from or connected with this inspection. n /) -l)_ -----~~"""';.....;=-----""--*-...,~,,..:,: ...... .:a....----Commiuions ___ V_A __ S_4_3 ______________ _ lnt;lec:tor'I Slgnetu~ National Board, Steta, Provine*, and Endorument1 Date --.~.*-. * --~, '-< i** .. ~-. , ... ' * *

  • l .,., * *
  • Attachment II Page 69 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Oate __ 4"""'/'"'-1S..........,/t;...,'f'------------

N1n:,1 5000 Dominion Blvd., Glen Allen, VA 23060 Sheet_....;;;.2..;..__ot __ z __________ _ Addr111 2. Plant Surry Power Station Name P.O. Box 315, Surry, VA 23883 Addr111 3. Work Performed by Virginia Power Nam* P.O. Box 315, Surry, VA 23883 Addren Unit_..;.. ________________ _ w.o. :If Do1.,ql.//0-0( 1<12 t:I: q~-02'-I-"])t..P ",2-'l'J* R1p1lr Organization P.O. No., Job No., ate. Type Coda Symbol Stamp __ N..;/...;A...;.. _______ _ Authorization No. N{A Expiration Oate.....,R.,.l...,A.._ ___________ _ 4. Identification of System __ 'R;..( ,.;;e::c.4...aC.,;:;,!O="-'rz.=--._(_..cr,u.::'-:,:::A:.;;AJ=..1 __________________________ _ 5. (al Applicable Construction Code B31. l 19§1___Edition,_N-'-/_A ____ Addenda, H-1, ll-7 Code Car.a (bl Applicable Edition of Section XI Utilized for Repairs or Replecements 19.=8'"--..,C/'---

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code Nation11 Repaired, Stamped Name of Namaof Manufactur~r.

Board Other Year Replaced, IV11 Component Manufacturer Serial No. No. Identification Built or Replac1m1nt or Nol 1% y l'Jw A. NA. '/Z.ei>(A.C.cl-laJ° luO 5WD "14 I-fc(-SV-155/C l"r'1'3 ., ', 7, Description of Work ____ "12...;..;;..:e:1:a:ip~/A.,_,c.=E"=---~=:.:.&r,t-==--'"'Tf'--\).v..;;;:A.:L:..aV...;fi:'...;.. ______________________ _ 8. *Tests Conducted: Hydrostatic Pneumatic 0 Nominal Qpereting Pressure D Other O Pressure Z z.3 5 psi Test Temp,-:! SOD ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings mey be u1ed, provided 11) size is 8% in. x 11 In., (21 tion in item* 1 through 6 on this repon is included on eech sheet, and 13) each sheet is nu~bered and the number of 1haet1 i1 recorded et the top of thi1 form . (12/82) This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) .. I . Jk."\ 9. Remarks __ s=--"~-=~~i.:::3:..;7:_7~9.£..4~--1.H!t:e.!.K~N!LJ,~JtJ___:_.!!_ 6....:,)~--------------------- / Appllc11bl11 Menufa~turu'1 Data Report, to ba attached l\11 421142.. L<p Felaef"' V~ c..u~2 ( 1 II s V 42.2.ito 3 I 5nJv CERTIFICATE 0~ COMPLIANCE . We certify that the statemenu made in the report are correct and this ~,A.-:feM@vrconforms to the rules of the ASME Code, Section XI. repair or replacement N/A Type Code Symbol StamP------------------------------------- Certificate of Authorization No. __ H_/_A ____________ fxpiration Data ____ H_/_A __________ _ Signed /,;~ .,;/ -'.Ad/ ~~6Ž .... Tltla Date _ _.4i ...... .,._ ... ,'-":~,. .... J~------* 19 9,< CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding II valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co* of Hartford* CT have inspec;ted the components described in thi1 Own11r'1 Report during the period / D-ttJ-'f) to {tJ-fL{ 1 (.. , and state thet to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described In this Owner'* Report in accordance with the requirements of the ASME Code, Section XI. By 1igning this certificate neither the Inspector nor his employer makes any wamintv, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a 1011 of any kind 11ri1ing from or connected with this inspection. -P, /.) /) ____ ..,_~_,.;-~----rl..!."::':---'~=-"'--'----"'----Commissions...._~-V.,.A __ S_4_J _______ __,,--,------ lnapactor'1 Signature National Soard, State, Province, and Endor1amant1 Data ___ _._JJ+----L-/...,.S- ___ 19 C/ i * * *

  • *
  • Attachment II Page 70 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As ReQu1r1d bv the Provisions of the ASME Code Section XI , . Owner '/ i rginia Electric and Power Co * ..,.,me 5000 Dominion Blvd., Glen Allen, VA 23060 -----------A-dd...:r-.-

.. ------.:.._ ___ _ Oa111 ______ ~,',-,l?~2~~6....:.9.J...f ________ _ Sheat _ __.c___ of _ _._ __________ _ 2. Plant Surry Power Station Name Unit_.._ ________________ _ P.O. Bez 315, Surry, VA 23883 Addi ... Aei,alr Or;an1utlon P.O. No., Job No., ata. J. Work Performed bv Virginia Power Neme Typa Code Symbol S11mp __ N_/_A _______ _ Authorizauon No. _____ ..i;Na..tt..Aa..... ______ _ P.O. Bez 315, Surry, VA 23883 Expiration Dall _._H...,lc.aA~------------ AddFHI 4. Identification of Sv111m J?.*/11,CTlJR.. Coou9,.v1

5. (al Appl1cao11 Con1truc11on Code B31. l '.9~::dilion,_N...;.../_A

____ Addenda, l:l-1, ll-1 (bl Applicao11 Ed~tion of Section XI Ut,lizecJ for Repairs or Aeolac1m1n11 198 1 6. ld11nt1flcat1on of Comoon1nu Aeo1ar1d or Aeol1clld ana Aeol1e9ment Comoonen11 , .. '* AIME Code National Aegeirea, Stameied Nam, of Nameof Manufacturer I Board Other Y11r AeglecN, ,v .. CQ1119on1nt Manufacturer I Serial No. I No. ld1n11fication Built or A1plec1m1n1 or Not I fJvf 1 &Mv{ f 5TVD /JA. . , 1-fJ,4 . . I JJA 1-iz.C-MlHl-1590 {VA-]Zepf"'cec:1. J.J () -I AN<,t-101~/ i I J ! ('?'t? t r{ vl-1 6DrvJ.Je, S TV!) 1 VA /2-l.tAJVj_ I f.-4 /1/4-Ile If) 4c.EM f:i]t.11 fl I I I : 7. Description of Work __ _.E=-... 1?'-f'Q,../ ... .-1 ...... p.,,£~_3,....,o;. ... v.*,v._M_...('?;,..T __ s'-rv---"1:> __ N_u_+/-.._ ___________________ _ I 8. Te111 Conducted: Hvdrostaric ?~eumat1c O Nominal Ooer1t1ng Preuure 0 Othar O Prenure _* _____ psi Ten Tamo.

  • F NOTEi Supplem1nt1t 1h"u 1n form of li1t1. 1k1rtchn.

or drawingi mev bl ulld, provided 11 l 1iu is 8~ in. x 11 In., 12J *lnforrne* tion in i11m1 1 tllrou;n 6 on 1r,i1 reoon i1 included on ,acn shNt, and 131 aacn lt'INt ii nu~blm and the number of lhNII ii recorded It the toe, of thi1 form . I 12/821 This Form !EOOOJOI mav bl ob111n1d from,,,, Order Dept,, ASME, 345 E. *7th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Backl 3. Remaru __ S_'~Y~_l_5_L/-~2.-D~'i5----1-~-1%?~N~1'J'""'f......_t_S.,_fl/>..::.JJ?.c-..:.~=LJ:;..,zj ______________________ _ AoPllcat>le Manutacturar'1 Cata Reporu to t>* anacr,ea CERTIFICATE OF COMPLIANCE We canitv that tile statements maae ,n tne reoon an, correct 11na this L'~><t1ta#,',4Ccenfonn1 10 1n11 n,I" of m* ASME Cede. Section XI. ret)elr or ,..,,ecement Typa Code Symbol Stamp ___ N_. _I_A---------------------------------- Cenificata of Authorizeuon No. __ N_/_A _____________ ExPiration Oate ____ N_/_A __________ _ Signaa/1 ~~----~ ::a£ ~;;.;;;~""* Tltla Oat*--/fJ,.Q_..we=,.(Laa...-A-.1-----* 19 9 -;I CERTIFICATE OF INSERVICE INSPECTION I, tha undersigned, holding* va1,d comm1111on ,auad by 1na Nationel Boerd of Boiler and Pr1t1111ra v,-1 lnsoacto" and the State er Province of Virginia *nd amolovad by HSBI: I Co* of Hartford, CT have ,~ rha compan1na dt.,.._. in thi1 Ownar*, Repan during rna parlOd IQ ... I ';( .q.'.) ,o { D-. I '-\ ' , *nd nata diet to tha best of my lcnowl1G91 ana belief, the Owner ha D11rformld exam1na11on1 end taken COff9CIIW measures d11CribaO In 11111 Owner*, Rapon 1n eccaraence w,tn tha rwquuwn11n11 of the ASME Code, Senion XI. By 1i9ning thi1 cenifican neither tha lftlOICtOr nor hi1 employer m*k* any werrantY, expr'Blld or implied, co!IClllfflille*tlle axem1na11on1 1na c:arrac:trw mHsur* dllSCflblld in thi1 Ownar'1 Rapon. Funhermore, neittlllr th* lnq,ector nor hi1 shell be liable in any menner for any parsonel injury or propeny damage or* 1011 of any kind eri1ing from or connectld wtUI tlllt in1PK1ion.~ J)' -----t-----:-----,,~~--~-.._ _____ commiuion1_---;;;;V;;A;;;;iii: 5;;;4;;3~ii;::;;--;;;;:;;::-:;::;;.r.;:::;;=;::;-- in;ectori Slonature NatlOnlll Boera, State, Province, ana Endo1wo** I 1._Q\'6 qu Oata ______ v ___ t_<:::1-___ 19~ * *

  • *
  • Attachment II Page 71 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 'owNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. * .'llame 5000 Dominion Blvd., Glen Allen, VA 23060 ------------,A""'d'"°'d-,e-,-,-----------
2. Plant _Surry Power Station Name P.O. Box 315, Surry, VA 23883 Addr ... J. Work Performed bv Virginia Power Nam* P.O. Box 315, Surry, VA 23,883 Addren Oa111 ___ 4-+(_84--b!...!?f

_______ _ . I Sheat_--1. __ of __ "'"/ __________ _ Unit __ / _______________ _ W.o.-lv QQ'2.(q33'-{-ot -e.rz.4F 'f'f-05/ ~*P*lr O~ganlutlon P.O. No., Job No., etc. Type Code Symbol Stamp_:.;.N:.;./:...;:.:A;__ ______ _ Authorization No. N(A Expiration Date __.H.,.('-'A"'-------------

4. Identification of System _ _:.;.C!:.:.:f..l""'A"'~..,Cr,..l.:.;t.J:..C:r::a....

______________________________ _ 5, (al Applicable Construct,on Coda B.31. l 19 Edition, _N....;.../_A ____ Addende, N-1, ll-1 (bl Applicabla Edition of Section XI Utilized for Repairs or Reolac11m11nu 19.=8'--'j.___ Codec ... 6. Identification of Componenu Repaired or Replaced and F:leplacement Components National Neme of Nlffll of Men*ufac:turer Board Other Componant Manufacturar Seriel No. No. Identification VALVFE 3 ,, NII. NA*,* IJA l-c.~-201 ' 13rc..c1<~T 1,/1/,, 1\/A-f.JA ( VALV~ ,?" V~L.p;;.J d-::C,d tJA ) 8rQ.e1,ET

/ .,t.;
A "' J,4~ r'#:-tJf'c). -o{J,J-,:,1,;, I µt. l l .. 7. Description of Work 1<e:pl AC.'c VALVE" 8. Tests Conducted:

Hydrostatic Pnaum11tic 0 Other D Pressure /II (2 e Nominal Ooerating Pren~re ff psi Test Tamp, Altt:

  • F ASME Code Rapaired, Stamc,ed Veer RapllC9d, IYII Built or Aeplecement or Not NA Repl,o,,c.e-P l,JO £ / REp/4c~A41::A1T 'V NOTE: Supplemental sh1111ts in form of lisu, &ketches, or drawings mav be u111d, provided (11 size ia 8% in. x 11 In., (21 lnforma* tion in item* 1 through 6 on this repon ia included on eech 1hnt, and (JI each 1h111t i1 nu;,,bered and the number of 1hNt1 it recorded at the top of thi1 form . (12/821 Thi1 Form {EOOOJOI may be obtained from the Order Oeot., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Backl le Manufacturer'*

Date Reports to be anachea s =T CERTIFICATE OF COMPLIANCE We cen1fy that the stete.~ents maae 1n the repon are correct end this A?E°J<4<~AE: conforms to the rulH of the ASME *code,, Section XI. ,es,.'ir or replacement Type Code Symbol Stamp ___ N_/_A ________________________________ _ H/A H/A Cenificete of Authorization No. ---------------Expiration Dett --------------- Signed (1 c#/J./ 'A// ft? &,e'µ(J,.d;(~ Owne;4f,£~..iunN, Tltle Datt ~,; ' dC . ,s s::t CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by *the National Board of Boiler and Pressure Vessel lnSQecton and the State or Province of Virginia end employed by BSBI & I Co* of Hartford, CT have insc,ec1ecs the compon,nte described in thi* Owner's Report during* the pa~iod /() -J LI -:( ..3 10 I()* I Y * 'f b , 11nd m* met to th* belt of my knowledge and belief, the Owner has performed examinations and taken correctiw measures dell:l'ibed*ln ml1 Owner's Aapon in accordanc:t1 with the raquiramtntl of the ASME Code, Section XI. By signing this cenificate neither the Inspector no~ his employer maka any wal'l'llntV, exprnlld or implied, conoerninl*m* examination, and correctiw measur11 described in thi1 Owner*, Report. Funherrnore. neither me ln1peetor nor hi1 lfflPloyer shall be liable in eny manner for eny personal injury or propeny damage or a 1011 of any kind eri1ing from or connected wlm ml1 i-n-1P1Ct--~+io..an_,.,._ _____ f.~----~-*-* _________ commi11ion1_""".'"'_V""'."'"A_~S-4_3_~------------- in;.c:tor=; Slgnetur* National Board, Stet*. Province, and Endortamemt Date ____ __.'j_-_'l--"")_19 l:f t/: / AK**:ta& * * * .QQ.RCi9NO' ,a,;.na!.

  • *
  • Attecllaent II Page 72 of 93 Serial No.: 94*194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requirid by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. N1m1 5000 Dominion Blvd., Glen Allen, VA 23060 -----------Ad"'"d..:..r_H_I

_____ _..:._. ___ _ 2. Plant Surry Power Station *N1m1 P.O. Box 315, Surry, VA 23883 Addrea 3. Work Performed by Virginia Power Neme P.O. Box 315, Surry, VA 23883 Addr111 Oate __ 4..;,,/i,-,..;;..2_,/ ...... ,_._'/: ________ _ Unit_..:/ ______________ _ lrl[,D, l=I ool'fi/758'-oz 7Z1Z "¢ q</-070 Repair Organlutlon P.O. No., Job No .. ate. Type Coda Symbol Stamp __ N...;/_A _______ _ Authorization No. HIA Expiration Date __.N,....l:...1A1.... __________ _ .4, Identification of System _.....:C!.a..."1.:.;A..=12."'G-'-'!""tJ""(;,:..._ _____________________________ _ 5. (a) Applicable Construction Code B31.1

  • 19§2.__Edition,_N_/'--A

____ Addendl, H-1, ll-7 Codi Ca11 (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19.::;.8 .... '?....__ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Codi National A81)1ired, Stamped N1meof Nem,of Manufacturer Board Other Year A91)1aced, (Yea Component Manufacturer Serial No. No. Identification Built or Replacement or Nol (( 5 QUa!lt.'. VALV~ l\.lk. 1'1.IA "'/-\ I-(~ -2l(Q NA l:;>Ep/ AC.El> NO ' ,, \Je~'~*N 3c\tel1'-VALV'-Np. Ni&, l-c '-' 21ro 1q~l Rep/4(~M !:NT No 7. Description of Work 'Ke:plA CE CHEU'.. VI\ WE-8. Tests Conducted: Hydrostatic Pneumatic 0 Other O Pressure ti(') Nominal Operating Pressure psi Test Temp, A/a;C

  • F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 In., (21 tion in items 1 through 6 on this repon is included on each sheet, and (31 each sheet is nu-~bered and the number of sheeu is recorded et the top of this form . (12/821 This Form (E000301 may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Backl 9. Remarks _'5...:;.....L'( __ l 3_o_c_'i_l

_-_,.....,(.....;'3,,._'_,.' C..:..h,.._,ec."'-EK,..__.\l:.:;.)4.=l"=E)~------------- Appllcable Manufacturar'1 Data Reporta to ba 11neched ,.. , ,(/-4/ J UT,L-t i!-E) CERTIFICATE OF COMPLIANCE , , We certify that the statements made in the report are correct and this ;.tf/ldt:c.H.f!4!r'-- conforms to the rules of the ASME Code, Section XI. repair or replacament N/A Type Code Symbol StamP------------------------------------ Certificate of Authorization No. __ N_/_A ____________ Expiration Date ____ N_/_A __________ _ Signed (1 q_ _,/) AU .:£"Sf Ownar or 0~111lgnH, Tltla Oate__,A....,.)4'---, __ ,,,.._,_,t....._ ____ , 19 21'. CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co. of Hartford, CT have. in~~ted the -components described in this Owner~ Repon during th~ period ID-f';f -'f.3 to I ll-(Lf-11. , and state that to the best of my knowledge and beli~f, the ,Owner.hes performed examinations and taken ~orrective measures descriti:.d in thi1 Owner's Aep~rt' in ~ordance wi~h-the requirement, of the ASME Code, Section XI. By 1igning this cenificate neither the Inspector nor hi1 employer makes any warranty, expressed or implied, concerning the examination* and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor hi1 employer shall be liable in any manner for any personal injury or property damage or a 1011 of any kind arising from or connected with thl1 inspectioh /,) n ---~.l....~-....,..-----_.f._.., . .,__~--------Commission1 ___ v_A __ s~4.....,;.3 _____________ _ I nll)ac:tor'1 Signature National Board, St11ta, Province, and Endoraamantl Date _____ J+-e.--__.( ~"""--*-* *

  • * * ----~--Attachment II Page 73 of 93 Ser1al No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requ1r1d bv the Provisions ot the ASME Code Section XI 1. Owner '/ i rginia Electric and Power Co. '.1m* 5000 Dominion Blvd., Glen Allen, VA 23060 ____________

.:...._ ______ ....;.... ___ _ AddrHI 2. Plant Surry Power Station Nam* P.O. Box 315, Surry, VA 23883 Addreu. J. Work Perlonnea t,y Virginia Power !',lama P.O. Box 315, Surry, VA 23883 Addreu Dat11 _-,f,_2_zt-/-=-C/'f.__ _______ _ '2 Sheet ____ of ____________ _ Unit_..;._----------------- Aeo1tr Or91n111tlon P.O. No., Joi, No., no. Type Codi Svmbot Stamp __ N_/c.._A _______ _ Authorm1tion No. _____ _.H~l,..A...._ _____ _ Excirat1on 01t1 _.H..,lwAci.... ___________ _ 4. ld1ntific1t1on of Svst1m ................ C ... H.....,.A..._R'"'G.-....._J 1-j=(;,-""--------------------------------

5. (1) Ac,phc1011Construct1onCod1 B31.l :s~Edition,_N...;.../_A

_____ Addlnda.H-1, ll-1 (bl Apclic1011 Edition of Section XI Utilizet, for Aec11r1 or A11011e1m1nt1 19:::8'--'j.___

6. ldent1flcat1on of Comoon,nu A11011rad or Aeotaclld ,no A11011e1ment Comoonenu . :'.: , . ASME * .. Code National Reoaired, StanllNCI Nam* of Name of 1 Manufac:turu I Board Other Y11r Reolacect, IYft Component Manufacturer . I 5,.;., No. I No. ld1ntific1tion Built or A1placemet1t or Not \/ALV~ I 1-!DPe.l.

.,,,,,. fn-r:>,I i.TB-~--rJ>- H~IHtY-120"3 !<.;PJA(i::::D ~o I ... NII ~II\ i !\ID 'r.f,ll:: v AL\fE I i I I I\/ Ill I N4 I , I I hl<..C i

  • icr:o:r NA i 1, ,V \f p.L1/,:; C.12.oss,1 JN,Z3'te-oo

-0003 t-./A Re-p[A (! fl.\E'tJf ~O':c."'tl...Q. .\{~L\lt. CILOSl3V )../ 4. I, I l°r'n IZt=p/11 C~A,( E-,,r ' 8. Tuu Conducted: Hydro1t1tic Pneum.it,c 0 Nominal Ocerating Pr1111ur1 Other D Prmutl Hoi> psi Ten T1mo. ,1{/JC

  • F NOTE: Supc,l1m1ntal shnn 1n form of lin1, 1kcnchn, or drawings mav bl ulld, provided 111 1iu ia 8~ in. x 11 In., 121 lnfomw* tion in it1m1 1 throu;n 6 on tni1 reoon i1 included on 11cll thNt, 1nd 131 Heh thlft 11 nu~blrac:I and th1 number of lh9lftl ii recorded It thl top of thi1 form . (12/821 Thl1 Form IE000301 may bl obt11n1CS from tn1 Order Dect., ASME, 345 E. *7th St .* N1w York, N.V. 10017 REPRINT 12/9 l FORM NIS-2 (Back) 3. Rem11r1<1 $EE BACK Qi;: PA&E 2.. Aopllcat>la Manutacturar'1 Data Raoort1 to D* enac:riecs CERTIFICATE OF COMPLIANCE We cen,tv that tne mnemenu maae ,n tne ~con an, correct and this @c;t't!d-kCconforms to tne rul" of the ASME Code, Section XI. repair or reoiecamant Type Code Symbol Stamc ___ N_/_A _________________________________

_ Canificata of Autl'toriz11t1on No. __ N_/_A _____________ ExDiration Date ____ H_/_A __________ _ Signed (2 d erfd,, :z3'£ Own**~* DHlt1nN, Tltla oata___,* ~~1~?At-=""-=* ........ .?==.C _____ 19 ,P'-/' CERTIFICATE OF INSERVICE INSPECTION I, tne undersigned, holding* v111d comm1111on ,au.a by tne Netional Board of Boiler and Preuun, Vtual lnsotctors and 1h11 State or Province ~f Virginia *nd ernc,lovlld by BSBI " I Co. of Hartford. CT

  • have 1nT the comgon1na decribld f 0-(4 -L.
  • and .ma din in tl'li1 Owner's Repon during the* period { 0-..11.{ 'q3 to to the *best of my knowltd911 and belief, the Owner ha performed uam1ne11on1 end taken cornc:tn,w meesurH delCfibed Ill 11111 ow .. ,*, Report 1n ICCOrdance w1t1'1 tl'te l'WQU1r9fflllft11 of th* ASME Code, Section XI. By 1i9ning tl'ti1 canificata n11tl'ter the lnsoecior nor l'til employer maka any -rraniv, * ..,,...._

or implied, collCllfflint*tlle uem1na110.n1 and correctiW m1aaur* desc:nb_. in tl'li1 Owner'* Report. Funl'termore, neittter the lnspectOr nor hi1 IIIIPID\19f

  • shall be liable in 1ny manner tor any ger10na1 injury or oropeny demeve or a Ion of 1ny kind *i1ing from or connected wllll 11111 inlPIIC1o~~

!: n. A ---~~~~= ... ~'--'-""-...,r;L.~---'~:;......;;..~....;.;;._ ___ commiuion1_,:Wv;A;:;:;-;:5;;4::3~~:;;--;;;;=.;;;;;:-;;;;i~j;;;;;;;;-- 1napac:1Dr"1 Slgna1ura Na11Dn111 &Dani. Stat.a. ftrovinca, ano Endo,.,._.

  • * *

-~--*

  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As ReQu1r1d by the Provisions of the ASME Code Section XI Attachment II Page 74 of 93 Serial No.: 94-194 Docket No.: 50-280 1. Owner 'l i rginia Electric and Power Co. '\lame Da11 ---'#1r:z¢"7--'-'-?t1L----,------

5000 Dominion Blvd., Glen Allen, VA 23060 __ _;,.. _________

..._ ______ "'-----Sheet __ z. __ ot __ z __________

_ AO Or Ha' I 2. Plant Surry Power Station Nam* Unit-'------------------- P.O. Box 315, Surry, VA 23883 Adoreu Repair Or11an1utlon P.O. No., .Job No ** t10. J. Work Performed t,y Virginia Power Type Code Symbol S11mp __ N...;.../_A _______ _ Neme Authorization No. _____ _.H.,./1,.A..._ ______ _ P.O. Box 315, Surry, VA 23883 Expira11on Datt ~N ... tuA~------------ AddrH1 4. ld1ntific111on of Svu,m ..a.*-*-....aC_l;I.._A:-". rz...,.& ... l.._N;;,a(..,,:.._ _____________________________ _ 5, (1) Apphc1011 Con1truc11on Codi 831.1 '.9~Edition,_N..;../_A ____ Addlnd1, H-1, ll-1 (bl Applic10l1 Edition ol Section XI Utilize~ for Rep11r1 or R1olec1m1nt1 19=8'--'1.__

6. ld1nt1llc1111on of Comoon1nu Repaired or A1pl1cld and A1pl1e1m1nt Compon1nt1 I ' AIME-,. *-" .. *~ -* Code N1tion11 AIOairN, S1al11P1C1 Ntml of Nemeol Manufecturer.

I Board Other v .. , RIOlaced, cv .. Comi,on,nt I M1nuf1eturer I Serial No. I No. ld1n1ific11ion Buill or R aptai:amem or Not I D1se INS!;;l'l:f I C.rzo~ 13 \A, NA.*. ; I . ' NA l-~H-!ZV-11..03 /'t't'c/ '12e-pl,o.~~19,..,-t-NO I ' I ! I I I I I 7. o,scriotion of Work _ __..yA=L".._e;:..__-f'~ ... e; ... e .... t .. e~c~s: ... b~_.W.::..,11.:..:..H;...._.R_e._B..._u<.l/l,..T ..... ..:aD:;.:.tJ;;.,fl,.,,_~O~l'u~'""W=- P"'-l.* ..:ff:.__..::0;.:0::.. .. L.:;....,..:3::..'t.:...;;'=>;..G.;;.... ____ _ B. Te111 Conducted: Hvdro1t1tic

Pneumatic 0 Other o Prenurt Not Nomin11 0Dtr1t1n9 Pre11ure psi Ten T1mo. NO t'"
  • F NOTE: Supl)lern1ntll lhnn 1n form of li1t1, 1ketchn. or drewin91 mav bl uMd, provided 11 I size i1 8~ in. x 11 In ** 1:ZI lnfonna. tion in i11m1 1 throuvn 6 on this repon i1 included on each 1hNt, 1nd 131 each lhlft ii nu~blm end thl number of lhNts II recorded at the toc, of thi1 form . (12/821 Thia Form IE000301 m1v bl obt11n1d from ,n, Order Deot., ASME, 345 E. ,11h St .. New York, N.V. 10017 REPRINT 12/91

,I I FORM NIS-2 (Backl 3. Re.marks --'.S....._y_/,_3---"Zc.cg'-'3:;...;;.5_-_J-'U.,_N_o_a...:;e_L_E".,,_) ___________ ...,,... _________________ _ . A;,llcaola Manufacturar'1 Oata\,Aaporu*~o Oe anacfted t/-4socto-z (T?,sc.)

  • 11 ': * * * * ' * ' 1
  • CERTIFICATE OF COMPLIANCE We een1tv that th!! statements maae ,n tne reoon an, correct 11nd this #u,Gtecf.+..!',yrfonform1 to thl rulN of thl ASME Code, Saction XI. repair 0* *et:1 1 acement Typa Coda Symbol Stamo ___ N_/_A _________________________________

_ Cenificata of Authorization No. __ 9_/_A _____________ Exoiration Data ____ H_/_A __________ _ Signed /) ~44<<< $""['f ~** or o5.b .. 1onN, Tltla , 19 1::¥' CERTIFICATE OF INSERVICE INSPECTION I, th* und1n,gnld, holding* valid comm,mon ,auld by the Nttional Board of Boiler and Pres111ra lles*I lnsoac:tors and the State or Province of Virginia end 1mo1ovect by HSB:I ' I Co. of ..:;H:.;a ... r=....:;t..:;f;..:o ... r=d'-'._C ... T ____________________ ....,...,... ___ ..,...have ,n~IO the comoan1n11 de.,.._. in thi* Ownar*e Repon during thl period / 6, 1 ':(-'13 to / 0' IL{' j C-, and .... din to tha t:1111 of my knowlld9e and bali1t, the Owner h* c,ertormed 1xam1na11on1 and t1kan c:ornc:t"'9 ma1111r11 d11Crib1dln dll1 Owrwr's Repon 1n accordance w11h tha raqu1ramen11 of th* ASME Code, Section x'i. By 1ignint this canifican na1th1r the IMOAClOr nor hi1 1mo1oyer makn any w1rnntv, ,.,,,.._ or implild, cor.carllil**dte exam1na1ion1 Ind corractiW m111ur* desc:nbad in this O-r'1 Ripon. Funhennore, n1imer ma lnsc,actor nor his.,. .. ,., shall be li1bl1 in any mennar for any p1non11 injury or propany d1m199 or a Ion of any kind *ising from or connlCtld wtUI 11111 in~ion.~J I I naoanor'1 Signature CommiuiOn*-"""";;;;:V;A::;,5;:4;::3;-"';i;;;:;.;;::;i:::;::-;:::;'i::;;;;;;;;:;;;- N*tlone1 Board, Stell, l"rovinca, ana Enda,.,._* Data * * * .-*

  • Attachment 11 Page 75 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requirad by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Nam* 5000 Dominion Blvd., Glen Allen, VA Actc:lran
2. Plant Surry Power Station Name P.O. Box 315, Surry, VA 23883 Ac:lc:lrltl
3. Work Performed by Virginia Power Nam* P.O. Box 315, Surry, VA 23883 Ac:lc:lrHI
4. Identification of Synem CONfAl"'CYEbJt S1j?f2.A.)'

Date 4/,2.. / "t'f 23060 Sheet l of Unit I w.O, :#: OOZ73520-02. ]2.12 '/'f-O'iCp Repelr Organization P.O. No., Job No., etc, Typt Code Symbol Stamp __ N..;/;...A _______ _ Authorization No. N{A Expiration Oate.........,H.,.I.A.._ __________ _ 5. (al Applicable Construction Code B31.l :9~Edition,_-_H....;../_A ____ Addlnda, H-1, ll-7 Cod1Case (bl Applicable Edition of Section XI Utilized for Aep11r1 or Aeplacemenu 19.:::B..;'7;...__

6. Identification of Compon1nt1 A11p1irtd or Replaced ana Aapl1e9ment Componenu ASME Codi Nationtl Rei,tirtd, Stamped Ntmeof Name of MtnufacNrer Board. Other Yetr Rei,lactd, IYII Component Manufacturer Seritl No. No. Identification Built or Repltctmtnt or Nol 3. ,, '~-----Sn.>DS l\l I,. ,AJA. NA /-Cs-P-IB I. A ¥'.ep/ACE"J;)

uo Nute; II hf NA rJA NA (-CS -P-fB NA-Pii=LJA@ f,JO S'fl.ih<::. 'J,, II -3' Nov11 J..14 I NA 1-(5 -P* 18 l.;i9f IP~dACE~ JJD Jvts 3. t/ ..q M V-K<;ON IVA N l1r /-lS-P-1B ,~,3 'TZIJ /..,. c.~MoJ f-lD 7. Description of Work 'l<epf:,:c.e ,S!J,,J'?>:) ANl? Nor> B. Tesu Conducted: Hydronatic Pneumatic O Nominel Ooer,ning Pressure 0 Other O Pressurt _____ pii Ten Temp,

  • F NOTE: Supplemental 1heet1 in form of li1t1, sketches, or drawings may be uaed, provided (11 size is 8% in. x 11 In., (21 lnforma* tion in items 1 through 6 on this reoo" i1 included on Heh sheet, and 131 each ahett ia nu~berld and the number of ahem ia record&d tt the top of thi1 form . (12/821 This Form IE000301 may be obtained from tile Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) 9. Rem11rk1 ..... N .... r....__4__,.;:3"""5

__ 4_4_5_* ___ ,_G~14 __ e...a!....;N~u-t~-'~~')~-------------------- N 1" 4 550<oO-S C Aopllcabl* Manuf)cturer'1 STUt> S ~" . > CERTIFICATE OF COMPLIANCE We cenifv that the statements made in the repon ara correct and thi1 £6}4,:.,L.f1,(+::Cconfonns to the rule1 of the ASME Code, Section XI. repair or replacement H/A Type Code Symbol StamP--------------------------------------- Cenificate of Authorization No. __ H_/_A ____________ Expiration Data ____ u_/_A __________ _ t:~1f~. "'" £Aifiad# Dat1_...,,,...4;...,..'l.(1_; _ _...._t-t----* 199;,( CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission iuuad by the National Board of Boiler and Pressure \/an,I Inspectors and the State or Province of Virginia * *nd employed by HSB.I & .I Co* of Bartf ord

  • CT have insc,ected the component1 dhCribed in thi1 Owner's Repon during the period / 0 1 Y-'J 3 to / D
  • I 'f -Co , and ateta thet to the belt of my knowledge end belief, the Owner has performed examinetions end taken corrective measurH described in this Owner's Repon in accordance with the requirements of the ASME Code, Section XI. Bv signing this cenificate neither the I nspec:tor nor his employer makes any warrantv, expreued or implied, conCllffling the examiN1tions and correc:tiw measures described in this Owner'* Report. Funhermore, neither me Inspector nor hit employer shall be liable in any manner for any penonal injury or prop11ny damage or a 1011 of any kind arising from or connected with ttlla inspaction.

___ w_;:;u,~,,.J"""'=----£::::.;;.__,,~~ ........... ~;.;;:.a=----Commiuion1 ___ v_A __ s_4_3 _____________ _ I napec:tor-1 Signature National Boans, State, Province, and EndorAfflenu Date ____ t.f........_- ____ f 'l-. __ 19 9 7 * *

  • 1. 2. 3. Attachment II Page 76 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Owner Virginia Electric and Power Co. Name Date_--!i.j...:../t..:.../-/

/J....:.....:.1'f ___ _ 5000 Dominion Blvd., Glen Allen, VA __ ..;;.... ________ ....:_ ___ ;...__:.;;..._.:__......;.;;_....:i:.;3:;..;060 Sheet __ .:.__ of-------'-------- AddrHI Plant Surry Power Station Unit_-'/'----------------- Neme P.O. Box 315, Surry, VA 23883 1,<1, o, .:it-rJo 'L r.,Cto <,, 7-o '2 Addreu AIIP*lr Organization P.O. No., Job No., etr:. Work Performed by Virginia Power Type Code Symbol Stamp __ N...;/_A _______ _ Nam* Authorization No. _____ Hl>l,J..l.cA.._ _____ _ P.O. Box 315, Surry, VA 23883 Expiration Data -1.1H1.</J.A1- __________ _ Addra11 4. Identification of System __ .,.6--=e:..aE:c'i>c:..:..,'V,:.;A:..!.!.Tc-:=:.."R;:__ ___________________________ _ 5. (al Applicable Construction Code B3 l. l 19.§L Edition, =-N_/_A ____ Addenda, N-1, ll-7 (bl Applicable Edition of Sei:tion'x1 ~tiliz~d*for R~p~i~~:o/Repl&e~m.ent~ is.:::8_.?.___ Cod* Casa ' , ' , , ' , ' i 3 , ' ' ' ' L t" , ' i \ [ , , , j ') J r * ' , I . ' '! * , ' :  ;. ' t ; ; ',1 ',;"" j ! ', .' :;:/,; r , :l! '. ., '~.:,.; ,_' . *\ '., . ** 6. Identification of Componeriu Repaired or R'eplaced and Replacement Components Name of Component Pt.An: Nam* c:,f. ;1 Manufacturer

    • G4JC::'26Y A""!:>
  • Proc.e,5 ,,* *:1
  • I ' ' .. '. ".' . . .. . . ". ~-'. '\,' *.,: , ' ManufllCturer

'Seriel N~:* * ... ; ' National Board .. *,,*';* N~. 'L ,,*,,,, ,,, NA *,,, "/A . t,I'~ .. *~A . r-1~ ., t,JA ' ., :,1. 1,:**; *!,! ; *, ,,, : 'ir, 1 1:** ., ,, .,, ,,,, ., *,: '* 1)* ,' 7. Description of Work 'l<spfACE SNwBBEiz*:::?c....c.1c.~,. \' Other Identification I -FI\/-H s S-13 1-i:"\*H-lS.'; -*13' l-FN -H-5S-*1 ; 8. Tests Conducted: Hydrostatic Pneumatic O **'Nominal .Qper~ting Pressure 0 Other D Preuure ' ' psi . Test Ten,p, OF Year Built Rapairad, Raplaced, I ASME Code Stamped (YH or Replacement or Nol II.IC *f I I : . ) ! / ',,! ~-* , , ..:i ,* .. 1:1* < * ' 1 'I NOTE: Supplemental sheets in form' of lisu; 1ketchet, or drawings mey be used, provided (1 I size is 8% in. x 11 In., (21 foforma1 tion in item* 1 through 6 on this report is included on e~h lhlli!t, and (31 eech 1heet is nu-~bered end the number of 1heet1 i,* recorded at the top of thi1 form . (12/821 1 * '. I ,.. . :*i' i, . r, .' *,.,'** ' This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.V; 10017 REPRINT° 12/91 ,,1 FORM NIS-2 (Back) 9. Remarks __;N..,.__T,___~>-;:S;...r_,~\ ..::i:...----..!2.=-~\..::11-1~0,:!JUll..t,lp.,lL;i:f:~l"c.;lwCi"&-='--'"g~cut1""C,,i...lC.1!1,.S;eC!t).,1- _________________ _ Appllc11bl11 Manufacturer's Data A11port1 to be anached Nf 4s,qo2 -'3 (PLA...re) CERTIFICATE OF COMPLIANCE I We certify that the statements made in the report are correct end this ,*y}dc6:%W:conforms to the rules of the ASME Code, Section XI. rapalr or replacement . N/A Type Code Symbol StamP------------------------------------ Certificate of Authorization No. __ H_/_A ____________ Expiration Dete ___ H_/_A __________ _ Signed /,7 (~ .iJ f ef ~;, Haw~;,;..; Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the Stat* or Province of Virginia and employed by HSB:I & :r Co* * *

  • of .;;;H;.;a;;;.r;;;..;;;tc;;f;..;o;;..r;;;.d---'._C_T

_____ ~----------------,..-,,,----,-have in~ec;ted the com~onents described in this Owner's Report during the period / tJ-/y -'/J to /O-{Lf -':f.. L , and 1t11te that to* the best of my k~owledge and belief,* the Owner has performed examinations and taken corr"ective measures described in this 6wner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this. certificate neither the inspector nor his employer makes any warranty, expressed or implied, conce~i~g the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a 1011 of any kind arising from or connected with this inspection, --~.Ji....:=--:::;.... ___ f..:,;..;.;...a::~=-"'----------COmmissions ___ v_A __ s_4_3 ____________ _ lnlpactor'1 Signature National Board, State, Provinca, and Endonamants Date ____ l:f ...... -_11.. __ 19 <T~ * * *

  • Attachment II Page 77 of 93 serial No.: 94-194 Docket No.: 50-280 FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions of the ASME Code Section XI 1. O...ner 'lirginia Electric and Power Co. '.1m* Datl _ __;s~t-=~4-0.!..'t.1...'f:

__ SOQQ Dominion Blvd., Glen Allen, VA 23060 Sheet _ __.,:{~- AadrH1 2. Plant Surry Power Station N1me P.O. Box 315, Surry, VA 23883 Addreu J. Work Performed bv Virginia Powe*r* Neme P.O. Box 315, Surry, VA 23883 Addr111 Unit_'------------------- /;\,,J,(),.:{t ()027/['Uo-DI /22..:tr ?t/-Clil7 ReQ1tr Org1n1ntlan P.O. Na .* Jatl No., 1111. Type Codi Symbol S1amp __ N_/'"--A _______ _ Authorization No. _____ ...i;N1;lt.A~------- Expira11on 0111 ........ N.,.luA.._ ___________ _ 4. ld1ntific111on of svn1m _.,,6 .... =G"e".':JP::..iW=AuJi:.Ci2:1o._ ______________________________ _ S. (11 Apphcat1t1 Con1truct1on Coda B31. l :9~ Edition,_N.....;../_A ____ Addllnda. N-1, ll-7 (bl Apolicabla Edition of Section XI Utiliz~d for'Aep11;, 'o,' Aeot1e~~1nu* 198,;;;._1...__ , /.' ' 6. ldant1flc11t1on of Comoon1n11 Aeo1ir1d or Alipt1ced .~a R1101ac:emen~ Componentl '* AIME Codi I National Repaind, s ...... Name of Name of Manufacturer I Board Other Year Replai:ed, fVn Component Manufactur1 1 r. , I . Serial No. I Na. ldantification Built or Reolacement or Nol I '3 I/' ' .1. {)1(./F/(!.f: t:7 LJ.(V(..-£ NA: .. LJA ' Al A. 1-r::N-Fe-/"'"" 1. IA '?,e: Pl A.fl.t:'f', /JO 11 '1 51\.J.1) 1 I j ' ) ,J L I I II 1-fvb l3 Ot.1F'1e.r; .i:"L..d.All'...C: IVA t9B9 12 eo/4 d.c'l1.ff3<,1 (:otvStJ!./ l)~ 'le/:> 'Vt, J. -¥ I/ " .c:.n ,,...., u.. .. ,,r SuDDl ',/ , . . ,. ,~ ,u I 9.9z. . , ' *, ,, '* ' ' *,.' 7. Description of Work 12ePC.ACG° f.VEU>eD *3'l FlAl,llT;lf;s

8. Tests Conducted:

Hvdro1t1tic

  • Pneumatic O Nomi~al Oo1rating Pre11ur1 Other O Prmuro No j) psi Test *Temp. NO r
  • F NOTE: Supplemental ltlNu 1n form of li1t1, 1k1tchft.

or drawinga may bl ulld, provided C1 I size ia 8% in. x 11 In., 121 lnforma. tion in itlffll 1 thrauCJfl 6 on tr'lil report ii included on IICh lhNt, and (31 IICh lhffl ii numbered and thl number Of lhNll 11 reco,dad at the top of thla form . 112/821 Thia Form IE.000301 may bl obtained from tile Order Daot., ASME, 345 E. 47th St., New York, N.V. 10017 REPRINT 12/91 I '! * ,:.F,,ORM NIS-2 .(B~ckli . . C " 3. Remar1<1 _.:::C:...tv.;;..,:Sc._.;;;t..;.,3::.:CD""-'~=2;.:..'f1-** ....i,,.::.~~.::.Oc:.IZ.:;..:.:/F~. !..iC.::.c!i'fE;;._P~t..!!:A:N:m!..!ift:i;:::c=,.)'------'"-'------------------- 11 Aoollca1>1e,,M*~l('e<<;turer'.* .O*t1! Reoo,ru to oe .. ~nacr,ecs C I ' {Z.<>UND Eiw-) ' ' ' ' ' ' CERTIFICATE OF COMPLIANCE . We cen1tv that the statements maae ,n tne recon an, correct iinc:1 tliii* -&-?44::l<<.WGcnforms to tne rulN of the ASME Cede, Section XI. *~*Ir or replacement Tvc* Code Svmt>ol Stamc ___ N_/_A ___ -'------------------------------- N/A ----------------Exoiretion Oat*----------------

  • CERTIFICATE OF INSERVICE INSPECTION I, the under11gnad, holding
  • valid comm1111on ,auad by the Netionel Boera of Boiler and Pre11ur11 Vaswl lnsoactcn end the State er Provinc:9 of Virginia end amc,loyea by HSBI , I Co. of Hartford.

CT h .... ....... ---------------------------,,-----.rr-::,----.,.._ eve ,n~.a tne _ co_moonana, w,aaw in 1hi1 Owner*, Aepon durinQ tna.parioa** /t) ... /'-j -C/ :!, to /CJ .. f L( ,.'( I.:,

  • 1nd 11819 tftat \ .* *.* *'.*' 1*
  • 10 tn,* bait of mv lcnowtad9e 1na belief, th1 Owner na oertormed exen11netion1 ena tek1n C1m9CttW menur111 ae~lft,dllt Owner*, A~on ,n ecca~enc:e w,tn tn, raqu1rament1 of the ASME Code, Sec:lion xi: ' By *ivnint this c:enificate n11ther thl lnsoec:IOr nor hit emoiover mek* eny werrantY, elQlnlllld or imelild, cowni119.dle . ' *. ' . ~. 1xem1111~10/'IS.lnd correcttW mH11.1r* d111enbea in this* a-r*, Reoo,t. Funhermore, neither th*. lnSQKtor nor hi1 llfflPID\,er shill be *ii1bi1 -i~ *,ny manna, for 1nv p1110nal injury or c,ropeny dam* ~r
  • Ion of-'any kind *i1ing from or connected wtUI 11111 . *,1 i_n_-,ect

__ '_~._n_. * ..... _ ..... -......

  • ___ i __ . __ ____ * , ________ CommiaiDM

-,btV:;A;;;;;~5~4;3;:;-"i';;;;;:--;,;;;:=,;;:--;:;;;;~;;;;;;;;;;;;;=;"'- 1 napect0r'1 stonatura Natlonat Board, Stlta. Province, anCI Endo,..,...,. Da11 ____ £_ .... __ f_t) __ 19 T'i *

  • Attachment II Page 78 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions ot the ASME Code Section XI 1. Owner Virginia Electric and Power Co. '<1me 5000 Dominion Blvd., Glen Allen, VA 23060 ------------,A-c:l_c:l.;..r1_11

______ .....;. ____ _ 2. Plan, Surry Power Station !ll1me P.O. Box 315, Surry, VA 23883 J. Work Performed t,y Virginia Power N1me P.O. Box 315, Surry, VA 23883 ACIC1r111 Dat* __ o_<e/.:..i/f-o_s_,./_q_Y ________ _ Sh .. , __ / __ ot_.:L=---------- Unit-----------------..;...-- Repelr Or9en11111on P.O. No., JoD No., ato. Type Code Symbol Stama __ N_/_A ________ _ Authorization No. Expirat1on Datt _.N,.l"'Aa..-------------

4. 1dent,ticat1on 01 syn,m __ M'-A."'"'-1 flJ __ s_n:....;;-

__ A.._(\;\ ______________________________ _ 5. l*l lb) Name of Component: ' -C.011E:=I=\ 'f'it--l. 1)1sc Nvt. t!,;>TTWL 'PIN 1) tSL . *, .;_(' .. :'i*:,, ,t

  • I ... 't *. i ,,'[ii' '!'I ,., ** 11 ',hi'**.:

National * . ~-o.f,, ii Menu.!~~-'--, ., .. ,.J~,~ , Ma~ufeculr'._~::

*.' Seriel*No;
  • '* '
  • No.' NA ~A .. i; . * ..
  • ii,*_:"**
  • .. " -, I,,,' \.(l.,i*,, 1, 1 /I, I,*',\'.

,**,r. \*'.,. ' . ,: f,,A ,,., ,, ;, *',"~* ,,t-!J:\. IJ~ .. ' * ,J ' .i 1 Other .. , . ldlftt1fic1tion . 0h'V)_5 -SV-/0/C ;,i 'i {:_, *, -'i,,.*,,*:,.r,.i, :',,',/ .\'r*:.i!*/;1S'':';I*:**.

, 1'; _:I,,* 7, OtlCrlQtion of wo,11 fee l~c~ '""D15c : ,I",;, ."y';':*i,':,j*

! :'!( ;:'*,*::,:,: ,'* *, ,,,*, "I I ; '! :* 8. Tem Conducild: Hydro1tat1c, p'~~mauc, Q,i; N~m/nal ,Ql:l~J~t.in9 P~e11ure 0 Other O Pre~1~r,'* , : ; . 1 ' . . ,. ; p1,i T~~t J~f!!P. :

  • F ' v,., Built Codec .. . *~SME Code Rec,air9d;.
  • Stamoe0 Replac911, ,IY11' or Ric,I~. ,or Not REP,11..L$

,1--0 72!:"pi<\(£1) , ..,~ '"'i2*'P LAC ei) ,-.,D iZepl~ce1v1evT ~D 1Zep IA.teM1::id µo I , *. , ir*,. , :.1(,"

  • NOTE: Supplemental

.,..~. 1n t'orml;ot';n~~.j 1kitC~li. or dra~ingi mav bl Ulld, provided 11 I sin ii 8% in. ll 11 In ** 121 lnfonna. tion in itemt '1 throu9" 6, On. tll11 re~ort ii includtd 'on IIICl'I 1hNt, and (31 lac:tl lhllt is numDlred Ind thl number Of lhNtl ii recorded It th* .iCIQ of ffiil fomi.. \' ' : . ' . ' . ' " "'" ~-'*.' ' (12/821 . ,* ii ,, *,* ' Thii*Form tE00,0301 ~av.'DI otit11nacs from' tlle O'rdtr Oeot .* ASME, 345 E. ,7th St., New ~ork, N.V. 10017 .IL : f ,. . ,*1-** ---~* '---' .: __ . r,, ____ ---*---* REPRINT 12/91 . ( 1.* I FPRM N.IS-2 (Back) ?. Renii1r1c1 __ 1'-i ___ l'--4--5'-o----"1_- q---:.q_-_D ___ I _._C_<>_'l_7_&_1l-----P'--J t-J_* ---------------------- Aop11cao1a Manutacturar*1 Data Rapona to oa anaci,aa 1::ns c I I{ 14 HU 1\J,J( CERTIFICATE OF COMPLIANCE We c:enitv tl'lllt tl'le statements maae ,n tne reoan an, c:orrec:t 11na tl'li1~~:intorm1 ,a tl'III rulH of thl ASME Cade. Section XI. re,,a r or rapiacamant Type Coda Symbol Stamp ___ N_. _I_A---------------------------------- 1 I 1 H/A H/A 1 Cart1fic:ua af Authonzarron No. ----------------Exoiration Oat*---------------- Signed fJ o~n~U* fr£ CERTIFICATE OF INSERVICE INSPECTION I, th* unaarsignea, holding a 1111,d c:ommruoon ,uuea by th* National Board of Boiler and Pr1111ure \laswt lnsoacrors and the State or PrO'llrnc:9 of Virginia *ndernotovea by HSBI: ' I Co. of Hartford. CT I 12 --14-93 ,o have rnsoec11c:1 6 thl c:omoon1n11 deteribed f IJ -It/-9 . and 11e* 1h11 in 1h11 Ownar

  • Reoon during 1h11 oerrod to tha bait of mv know1aoqe ana belief, tl'le Ownar na 01rlorm1d 1xam1n111on1 and t11e1n c:orrec:trw ma1a1r11 d11C1'1bed In thl1 Owner*, R~an ,n eccoraanc:e with th* 1WQu1rernen11 of the ASME Coda, Section XI, By 1iQn1r19 thi1 c:en1fican na11her thl lnsoec:tor nor hi1 1mc,1ovar mek* any warranrv, uorwued or ,mc,lied, c:anaen11111 the 11xam1na11on1 and c:arrec:1rw m11111r* descnbld in th11 Owner'1 R1c,o,1. Furthermore, neither me lnsptC10r nor hi1 IIIIPNPI*

shall bl liable in any manner for anv 01rsonat injury or c,roo1rtY damage or 1 1011 of any le ind 11'11ing from or connec:tld wittl 1'111 in-,.ct~~ !. n ----~w.,~.::----~--~g:..:.,;,;-;._--~-= ...... ~--..............

Commi11ioni

___ V_A;.;;__S;;,, 4..;;.;;J _____________ _ I nac,ec:tor' 1 Slgnaiura Nttlonll 8oara. 51111, l'ra111nca, ana ene10,-Oata _____ 4 ..... -..... :J.."---'7 __ 19-¥ * *

  • _ .... .;:'..L-** ,._ .. .._. __ .,_ * .._ ~--* -~*=..,,.,.,.,_,._..,_

____ ... _____ """'_,_ _ _..._..

  • *
  • Attachment 11 Page 79 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions ot the ASME Codi Section XI 1. Owner Virginia Electric and Power Co. ~*"'* 5000 Dominion Blvd., Glen Allen, VA 23060 ------------,A,-CI_Cl.;.ra-

.. ------....;..-----

2. Plant Surry Power Station Nam* P.O. Boz 315, Surry, VA 23883 ACldreu J. Work Performed t,y Virginia Power Name P.O. Boz 315, Surry, VA 23883 Ac:IC1re11 Da11 __ L._,/,-l5"-,-(~1-1f

_________ _ / I Sheet __ z __ ct __ [ _____ -,-____ _ Unit-------------------- i,,,. o, -:ff OD'Z-7 DC/ 77 Repair Or9en11et1an P.O. Na., Joo No., 1ta. Type Coda Symbol Stamo __ N_/_A ________ _ Authorization No. ------NllLt{..cl\:i... ______ _ Expiration Oat* ~u ... t.._A""--------------

4. ld11nt1fic111on of sv111m __ M.~-'A.-'-t_l\J;;......S;.."1.;..;:;G_X\..;..;.,fv'_'\....;..

______________________________ _ 5. (11 App11c1011 Connruc11on Coda B3 l. l '.9~ ~d.iti.on.,_N_/_A _____ Addlnd1. l-l-l, ll-7 (bl APPlic1DI* Edition of 0 Se~,1~n XI ~tilir.~a"tor _Ae~~'if~ ~'r ~~~11<:~,,;.~;. 19'=8~J~-.:.. CodeC&11 : ' ', 1 , <:\, ' ;;'.,\':'.ii., : \,'.'._:*

. ' \;-I : ,,. ' 6. ldant1flc111ion of Comoon11n11 Aeoiiriia:.or R*1011eea 1na R1i,1acem1nt Compon1n11 Nam1af Componertt
  • IJ vT Nameof 1 M1nufec:tura~*J.';

',I, />,(.LIED ~IY.T-+-750:H; * : .. Manufacturer .

  • S1ri111'No.
  • t!t' ,,,,,,!1, National Board '*No~ r' J ... ,, 1*.*1 1 ,. !***":, '*I q" ,., ',' \ ,ti',*'*,*,'"* . ' ', ,-.;,**, 1 ,'.1:1:'1' '.::,*,,,,, .. , ,j .'I,:,, f) , 1*,,: ':'.,, :, ):!,\ P,: ,., :, I '{ ' .. Other 1 ld1nt1fic1tI0n
  • ,-, *!' v,., Built 'ASME Codi , ,, Stan1Ped IV" .or Replai:ltMftt or ""ot 72qi/,.1cP11~*, I t , ,' 7. 01scr11:nion of Worlc -~ ... -;;;;e:...~,.p~IA..i.;;;C.;:afc;..:,~°"C?..;.l.;;,SC.;;;..,..;.**

__ .. *:,.:> ".:.;'i* . ..;.1'*_._:...;._'..,.*'*-***-*-* ---:--..;..,.-------.;...;-----------

8. Tuu Conducted:

Hvdro1tat1c i i:i'n~ui:natic O > ;Nomin,al O~aratinQ P~e11ure 0 Other O l'renur,,' '

  • p1i T11at,:')"imo.
  • F NOTE: Suppj1m1ntal lhlftt 1n form of 1i11*1. 1kst~~~:*

or drewinga may be u11d, provi~d 111 iin i18~ in. x 11 In., 121 lnforma. !ion in illffll I throu91'1 6 on 11111 *reoon ii inclildld'on IKfl lhNt, and 131 IICfl lhNf ii nu,:,,Dered a~d thl numb<< Of lhNtl it rtcCll'ded It the fOCJ Of fflll form. 0 , I . ' ' , ' ' ' 112/B21 Thii Form iE00030(miv' l>li obt~1nea 1 frcim ,n1 Order Oec:it .* ASME 345 E. 47th St .. New York, N.V. 10017 ' . ' -. -----*------**-*

*--*

... .. ,",,* ',,,,' ...... _L ___ ,*: ' ~--------*-----** REPRINT 12/91 i' ,, .1'1, ,\ j, 3. Remer*; 'FOAIYI :N.1~-2 (Backl,' f'J, 4:Jo4'?'f'-o I, Cev:Bf p1f\J ,, Accllcabla Manufilcturar*, Data 'Aacort1 to oa anacneo. 7.-1D3'f Lo I u1c;c.. . I --& rr I N* *. ' I:(),.( .:./l CERTI Fl~ATE at c:cir.11P(1lNc'E . We een,tv 1n11t ,ne statemenu mace ,n tne reoon are c~rrect ana *,ni,*

  • 4:Y~/tt6'ntorms to 1n11 ruin of the ASME Coda. %t:!1on XI. reo**~ or rap1acemen1 Type C,:.." .* *:mbOI Stamp ___ N_. _/_A _________________________________

_ N/A H/A C.n1i>cc.:;1 ot Au1horint1on No. ----------------Exoirauon Oat*---------------- Sign:m /l c/ _// -. " / §Jr:-~*r or~. Tltla Oat*--,4~~ ... 4!-.:.'-""L.__~L..=-...._? __ , 19 CERTIFICATE OF INSERVICE INSPECTION I, 1ne undem;nec:t, holdin;

  • v111d comm,n,on ,uuec:t by the Netional Boara of Boiler ena Prenun 1111** 1nst1ecton and the State or Prov,nce of Virginia end emo1ovea by HSBI ' I Co* of _s:_a_r_t_f_o_r_d

__ ._c_T __________

  • -------------*

____ have 1nsoect112 1n1 comoonent1 deteribed in 1h11 Owner I A8'>0n durin; tna period /0-IU-9::J to ft> -fl./ -T (. . and tHW that 10 1n1 best ot my know1.aqe 1na belief, 1na Owner non oerlormed 1xanunauon1 ena 11ken correctiw menur** ae1crimd In thl1 Owrw,*1 Rapon ,n accoraance w,th thl ,.qu1nmen11 of thl ASME Code, Section XI. By 1i9n1no tt1i1 can,tica .. neither the lnsoector nor hi1 1mployer malt* any warranr,, uDf'lllld or 1molied, co~ the 11xam11\lt1on1 and correctiw me11Ur* descnbld in 1h11 Owner*, Repo,1. Funhermore. n1111her me 1nspec:10r nor hi1 ....,..,., shell be liable in any manner for any oarson11 iniurv or orooerr, damaoe or

  • 1011 of any kind 1r11i119 from or connlCted with ml1 ina>ee110h~

!. ----1~...;;.i ... ..... ------.......... ..... ---~----=---------Commi1110n1 ___ V_A __ S_4_J _____________ _ I n111ec,or1 Slgn11ura Netlonei Boera, Suta, l'rov,nc*. ana Endo,_. Date _____ tf ..... -..... J: .... 7 __ 19 9t{ * * *

  • *
  • L --~-~-----

Attachment II Page 80 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As ReQu1r1d bv the Provisions ot the ASME Code Section XI 1. Owner '/ i rginia Electric and Power Co. \lame Date -~--::.._5".f-p::::.,~~~!..../fr:__-,-------- 5000 Dominion Blvd., Glen Allen, VA 23060 Shett _ __.c_.._ot_..:.I:.._ _________ _ Aadreu 2. Plant Surry Power Station Neme P.O. Boz 315, Surry:, VA 23883 Addr ... J. Work Performed bv Virginia Power -~*m* P.O. Boz 315, Surry, VA 23883 Addre11 Unit--+----------------- eid?<< OC>270'f9C.-o/ 7Z7Z-# 9¥-127 Repair Or;an*utlon P.O. No., Job No,, eta, Type Codi Symbol Su1mo __ N..;/;...A~-------- Authorization No. NIA Exoir1t1on D1t1 ...... Hl.,jl:...A:,,... ___________ _ 4. ld1ntific1t1on of Svst1m ---"d41<.L.'A...._1 ... tv-*...:S=-'ng74-=""-"k1-+-----------------------------

5. (11 Apphc1011 Con1truct1on Codi B 31. 1 : 9 §.Z__ Edition. _N....;../_A

____ Addende, N-1, ll-1 (bl APPlic1bl1 Edition of Section XI _Ut,lizeCI tor Re~~ir* o*~ R111>l1e1m1nu 19.::B;..._j.___

6. ldent1flc,mon of Compon1nt1 Aep1ir1d or Repl1clld ana Re1>lec:em11nt Componenu I .. ,, . ASME Code I N1tion11 AIDaired, StamPN Nem1 of Nameot ' Menvfecturer I Board Oth1r Y11r AIDIIICN, IVN . I' Comi,on1n1 . M1nufec:1ur1_r . i S1ri11 No. I No. ld1n1ific1tion Built or AIPIIClfMflt or Not °PISC Ptee-~s~.

I ,I. ' 1 AARi.&*2 ~A I-"1 S-Sil-/02.4 WA {2~/4~6)> No ! ABl\.178' I J J I l t>,sc. 1) /2.f?S5*R_ , / /.990 P,m/4 ~Eitll:Xl"" I I I

  • 1 7. 011eri1nion of Work_....,.7?.e.__-.;;,,p='-'/A;..:.::C!..,.e=--.:;;'J;:>...;l.;::S:;.;C.:...

_____________ ..;_ ____________ _ 8. Teu1 Conducted: Hydro1t11ic ?n~matrc O Nomin11 Oo1ra11n9 Pr1111ure 0 Other O Pressure----- psi Ten *T1mo.

  • F NOTE: Suppjem1n111 1hN11 ,n form of lin1. sketches.

or drawin91 mtY bl und, providtd (1 I 1iu ia 8% in. x 11 In., 121 lnfOffllll* tion in i11m1 I lhrouvt, 6 on tP1i1 report i1 includ1d on 11cll lhffl, end 131 Heh 1h11t it nu.:nblrad end the numb<< of lhNII ii recorded 1t th* toe, of 1h11 form. , (12/821 This Form IE000301 mav bl obt11n1CI from tPII Order Oeot., ASME, 345 E. 47th St., New York, N.V. 10017 REPRINT 12/91

,\* l I.' ' I I. ,. ,, I *1*l',1 i, ~. I : , Ii'. :I***, 1, I i'.i,.'. ' * **.:i I ! ,, 1' * . , ... ',;. \ :,.'.(\ ','if, : ;:, ,'\i 'i '1 {\.'/\:Ji!

/I;"°\ ' ; 1 ,'. ,I 1* 'I' * **,!. ,, Ii f;?,1RM;N1S;2:,(ij~c~), **r. ***'.'. **.... '._::i,i_ ' :i:; ! , :1 '. '.Y:>1:*::. 1 ,,,,.' ,:*;:r* * ... '.q'. *:*.:,:i* i.:*!1) t(1i: ! :i.* R,eme~*ta ---'s~s""~:1<-<-*....; .. 2=::.i_,9,_2=2.'-'7--'-.....,_, (1-1'1?::.i{ .... s~* c.._)'--,-,-~,,-.~,.-..;.*,...;*,.,..~,--. Ao1>llcaDla

l\/lanu tacturar'1 Oat* f:leppru to Da anaclled' i:i,~r.t*:-.:.:
i:1 *,.,,:.:.
*<-i1 1~\:*: '!;*. J * *:*!
  • CERTIFICATE OF COMPLIANCE We cen1tv that the statements maae ,n 1ne*recon are co,;,c~,*and thi1*#,~.tv[7onfonns to the ruin of the ASME Coae, Section XI. repair .or regiacamant I*' Type Code Symbol Stamp ___ N_/_A ________ _.. ________________________

_ N/A '* N/A Cenificate of Authoriz1mon No. -----------------Expiration

  • oate -----------------

Signed Cl"=-/ _

  • Nf 6(£1u~ Owner or O~nN, Title , 19 l:t CERTIFICATE OF INSERVICE INSPECTION I, lh* under11gnaa, holdinQ a 11111d comm,mon ,aued by the National Board of Boiler and Prflsura Ves*I lnsoecton and the Stet* or Provinc:9 of Virginia end emc,loved by HSBI ' I Co* of _H_a_r_t_f_o_r_d

___ , ___ C_T _____________________ ,,.., ____ have ,nq?:'ea the companent1 dlac:nblld in 1hi1 Owner'I Repon durinQ_ II)*' perlOd_; _______ ..;/:...::.d_~'-1;...;.,.'--:*, 1 1Cf (/J ~tlf-* . and sma ttlet to :1h~ belt ot my know1ea;e and belief, the Owner has oert.ormed exanunat1on1 and taken c:onectiw menurH dHcrimd Ill ttlll Owner*, Rai,on ,n accoraanc:e with th1,r9qu1ramen11 of tha ASME Code.,~~ XI. ' ,\ ',.*.. *. By 1iQninQ thi1 canificat9 netther the l~r nor hi* employer mall* any warrancv, *llPf'811N or im.l)lied, concamint die exam1nat1on1 and correc:tiw measur* descnoed in. thi1 awn.,*, Repc,rt. Funhennore, neither me lnspactOr nor hi1....., shall be liable in 1nv manner for anv pal'IOnal injury or propeny dam* or a Ion of anv kind a,i1i1111 from or connected wldl 11111 in~io~!:. ---~...._-=--=------'~'--~~='-===-----Commiuion1_,;;;V;;A;;;;;;ia5;;;4;;3~;;;-;;;;---;;;;;;;;;;-:;:;i~i;;;;;;;;;;;;-- 1"1Pector'i S19na1ure Natlonel aoara, Stata, Province, ena Endor..-Oate ______ S;.._-_(0 __ 19 Cf f * * *

  • *
  • FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Attachment II Page 81 of 93 . Serial No.: 94-194 Docket No.: 50-280 1. Owner Virginia Electric and Power Co. N1!"e Date ---=s+:A...;:i.:)~L~9t/'---------

5000 Dominion Blvd., Glen Allen, VA 23060 Sheet_....:.../ __ ot / Addre11 2. Plant Surry Power Station Name Unit_...._ ________________ _ P.O. Box 315, Surry, VA 23883 7272. :tr '1¢-ofS Addr ... Rapalr Organlutlon P.O. No., Job No., ata. 3. Work Performed by Virginia Power Type Code Symbol S111mp __ N....;/....;A ________ _ Name Authorization No. NIA P.O. Box 315, Surry, VA 23883 Expirauon Date _..,H.,/'-'A""------------- Addre11 4. Identification of System _ _,.,f(t..J.:.,A.:.,l"'"N;:...-..:§&'-=,A._.M=1-------------------------------

5. (1) ApplicableConstruct1onCode B31.l 19§2._Edition,_N_/'---A

____ Addlnda,H-l, ll-7 (bl Applicable Edition of S~~t.ion XI Ut.ilized. for Re~ ** ~r Re~i~emenu 198 1, Codec ... ' I;( . . . ' . . . 6. Identification of Componanu Repairad *or Replaced end Replectment Components ' ASME " Code National R11>1ired, StlfflPld N1m1of Name of ' Manufacturer Board Other Y11r R11>laced, IY11 Component* Manufactu rar ' Serial No. No. Identification Built or Replacemant or Nol ,, 0/7.F ,at=

  • NA-,* .VA . JJIL /-,US -Fl:-tOO N4 7lGP/4 (!,l:i"'O ,lvt:) .. OIZ-Plef J J t /.J90 1Ze,l4~lF/.A

/; . ' ' .. r* ,, ,., 7. Description of Work __ 72_6f','f!~4....;a....;~;;_,..::Ote~P;....:./..::e..::'="~*

,------------------

8. Tests Conducted:

Hydrostatic 'Pneumatic 0 Other O Pressure /VQ ' Nominal Operating Pressur~ psi Ten Temp, A/0 L ° F t ',' NOTE: Supplemental 1hell't1 in form of lists, ,*kincfln. or drewi~91 may be used, provided 11 I size is 8% in. x 11 I~ ** (2J lnformt* tion in item1 1 through 6 on this repon ii included on each 1heet, 11nd 131 each shNt i1 nu~blred and the number of 1hHt1 i1 recorded at th* top of this form . (12/821 This Form !E000301 m11v be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT* 12/91 FORM NIS-2 (Backl Acpllcable Manufacturar'1 011te Aaporu to be enached CERTIFICATE OF COMPLIANCE We cemfy that the statements maae in the report are correct and thi1 #t:i>~l'4'..fUr: conforms to the rulH of the ASME Code, Section XI. repair or raplec:ement Type Code Svmbol Stamp ___ N_/_A ________________________________ _ Certificate of Authorization No. __ H_/_A _____________ Expiration Date ____ H_/_A __________ _ Signed ()_ ,t}_ '.A...t./ E,r d'uwu~ oat, h4,t 1 . 19 2 )(' Owner or Own~. Title _ _....._ .. ,..._, ________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding I valid commission 1aultd by the National Board of Boiler end Presa,ra Vessel lnsPecton and thl State or Province of Virginia *nd imploylld by HSBI & I Co* of .;;;H;..;a;;.;r;;...;;t"'f'-o_r_d...;..:.,_C;;..T ___________________ __,------h11111 inspected the compon1nt1 described in thi1 Owner*, Report during the period (O-tt..f -f3 to /o 'I'-(' fib , and neta mat to thl belt of my knowledga and belief, the Owner hes performed examination, end taken corr1et1w measure, described In ttlls Owner', Repon in accordance with th11*requ1ram1n11 of th1 ASME Codi, Section XI. By 1igning thi1 certificate neither the lnspecmr nor hi1 amployer makn any warranty, eXJ)llllld or implied, concamint the examination, and correc:tiw meaaurea described in this Owner's Report. Furthermore, neither the Inspector nor hi1 employer shall be liable in any manner for any personal injury or property damage or a 1011 of any kind arising from or connected with ttlls ;*-~1. &£1.,. I napector' 1 Signature Commiuion, ___ V_A __ S_4_J ______________ _ National Board, St1t1, Province, 1na Endonemena Date ___ .....,;,_-_/ __ D ___ 19 r'( i&U * * *

  • *
  • Attachment II Page 82 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requm,d bv the Prov11ion1 of the ASME Code Section XI 1. ONner 'Jirginia Electric and Power Co. '.Jame 5000 Dominion Blvd., Glen Allen, VA 23060 ------------,A-o_o:...,.-

.. -------"-----

2. Plant Surry Power Station Neme P.O. Bez 315, Surry, VA 23883 AOOlltU 3. Work Performed bv Virginia Power Neme P.O. Bez 315, Surry, VA 23883 Adore11 A f 4 f }1'"60 . 4. ldentific1t1on of Sv1t1m ~&I 1!2f, 4-2eruF e9e~f(ci Ce* I* . Date __ ....;s_,.ft-=c:'+,A-'"'-'~'----"'--------

Unit--'----------------- Repair Or;en*utlan P.O. Na., Jab No., a10. Type Coda Symbol Stamp __ N_/_A _______ _ Authorization No. _____ .... H..,lt...J\1:1... _____ _ Expiration Date ....... Nu{c..iA:i.._ ___________ _ 5. (1) Appllc101e Con1truct1on Coda 83 1-1 '.9~:;dition. __ N.;../_A ____ Addanda, N-1, ll-1 (bl Applicable Edition of Section XI u*1,lizjia"forA~pa1~1 o;_ Aepl~1mant1 19.::cs_jJ.-_

6. ldent1ficet1on of Comoonanu Reo1orad or Aeol1ced ana Aeplec:ement Componenu I ASME . ' Codi National Aepail'9d, SIMIPICI Name of N1rn9of Manufacturer I Board Other YHr Replaced, IYN CofflJ)onant Manufac:turar I I or Replacement or Not I Serial No. I No. Identification Built I //AA.J&e"ll.
I .1. 'Sv,=,DD,e, fVlt. NA-,v,4 1-BD-T.J-/DOE" Iv-A T2epA1~e£>*

IV'[) I . I i I

  • 1 I I ' ,* ' 7. Oatcription of Work .(.,;\&2-r 7'!,/~ sT,{#4
  • 4p,,,j{~)

pu;,E; D '"l'biftf,,!Jp.1¢ Nted e1,uH:tt<<r NW ON 1-C G* 2.t/Z. B. Tosta Conducted: Hvdronuic l'neumat,c O

  • Nominal Ooaraung Pret~ure 0 Other O Pressure psi Ten Tamp,
  • F . . -' ' . : . '/ ' NOTE: Supr:,lemantat 1hffl1 1ri form of lin1. 1k111chn.

er drawinga mey bl ulld, grovidtd 11 I size is 8~ in. x 11 In., 121 lnfonna* tion in items 1 through 6 on tnis reoon i1 included en Heh 1hNt, and (31 11eh 1h11t is nuinblrld and the number of lhNII It recorded at the top of thi1 form . 112/821 Thi1 Form IE000301 may bl obt11n.ad from ,na Order Dept,, ASME, 345 E. ,1,h St., New York, N.Y. 10017 REPRINT 12/91 .* ' .. :i1 I' , ',.,' ,:* ... r ,-: , ** **. ~*t . FORM NIS-2 (Backl. ~-, Rem11r1<1 4---------------------------------------------- Aopllcaola M.*nutacturar*:~ ~~ta .R*~-~?* to De .1:~*<<:naa CERTIFICATE OF COMPLIANCE We cen1tv that tile mnemenu .maoe ,in tne ,ll!Oon an, co*rrect**11nd-tri'.i1

    • ,C~J,.;;, :a**-* conforms to thl ruin of the ASME Cod~. S~~ion x I. *** *
  • repair or reoiacamant Type Code Symbol Stamp ___ N_/_A _________________________________

_ Cenificat1 of Authoriz11t1on No. __ H_/_A _____________ ExPirltion Cati ____ H_I_A __________ _ Sign /.1_ i:.... Li __,, .:Z:-Sf ~.;;"~llenN, Title Cat*---=~'-- ""~~y'-'L-=------* 19 ff! CERTIFICATE OF INSEAVICE INSPECTION I; the und1rsi;nld, holdin; a valid comm1111on ,auld by th* Nation11 Board of Boiler and Pr11sura I/anal lnsoecton and the State or Province of Virginia and 1mo1oyea by HSB:I ' I Co* of _H __ a_r __ t_f_o_r_d __ ,_C_T __________________ .,...~~---have ,n~ld th* comoon1nt1_ deaMllcl in thi1 .O.wner'1 Repon*durin;'th1 ~~r!Od-' _.-_. -----if~l.,.\_ ...... fl;{.._-.. q._'.3 __ ,o /6,ty~9<.* , and nata 1Mt to th* belt of mv knowlldl;le end belief, th* Owner hll performed 1x1m1na11on1 anc:1 taken c:orrectn/9 menur11 d11Cribed Ill dlll Owner*, Report 1n accon:tance Wllh thl 19QUll"lffllntl of thl ASME Code, Section XI, By signing this cenificate n11ther thl lnsoec:t0r nor hil employer mak11 any wamntv, 1~ or implied, c:oncaminl die 1xam1nation1 and ccrrtctiw meaaur* Clescnbld in thi1 Owner's R1oort. Funherrnore. neittllr thl tnlQICtOr nor hi1 ***lo~lr shlll bl liable in 1nv manner for 11nv p11'10nal injury or proc,1nv damaoe or

  • lou of any kind 1ri1ing from or conntcted wldl dlla in~~ t. ;;) I) ---~~;..;..__;;;...._~..a-'----'~=-=-------Commiuion1_"""'j;;;;V;A;;;;iii.S;.

4;;;3;;:-;~;;""-;;";;;:i,;;;;-=;;"i;;;;;i;;;;;;;;;;-- 1napector'1 Sl11n1tur1 N1tlon11 Board, State, ~rovlnc1, 1na EnC101*119111S* Date b-/0 19 9i/ _______ .....,.______ / * * *

  • *
  • Attachment II Page 83 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI ,. Owner 'lirginia Electric and Power Co. ~*m* _S_O_O_O_D_o_m_i_n_i_o_n

__ B_l_v_d_._,;,_G_l_e_n_A_l_l_e_n_,_V_A ___ 2_3_060 AddrHI 2. Plant Surry Power Station Name P.O. Box 315, Surry, VA 23883 Addreu J. Work Performed bv Virginia Power Name P.O. Box 315, Surry, VA 23883 AddFIH Datt __ __,5*/_s..s.:.../_9~'/-,-- _____ _ Sheer _ __,_ ___ of_.....,./~---------- Unit -.L--------------.;....--- Repair Organtutlon P.O. No., Job No., 110. Type Code Symbol Stamp __ N...;/;.._A _______ _ Author11111ion No. _____ ..,Nut~A:a.... _____ _ Expiration D111 ~Nul:..1A1.. ___________ _ 4. ld1n1ific111on of Sy111m __ V_S;;;.;N~t-_6-A=,.:S:;:C::C,'-e,.,~.$'------------------------------

5. (1) Apphc11>leConnruc11onCod1 B31.l :9~Edition._N....:..../_A;,_

_____ Addand1,H-l, ll-7 (bl Applicable Edition of Secl 0 10n XI Ut1lina 'tor R~o'1."r1 or Reoiac~menu19:::8:-J1.___

6. lden11flc1111on of Comoonenu Rep11reo or Replaced ano Reolacement Comoonentt J " AIME Coda National Repaired, StafflPed Nam* of Name of M1nuf~1urer I Board 0,11., Y11r AIPlacN, IVn CO!Tlj)On1nt Manuf ICIU rer , I Seriel No .. I No. lden1ific11ion Buill or AIPIICtmeftt or Nol I PLUG-. "'" tvA . I "-IA ,-v*c,-nt-1tRA.

1'.JA IZ1:PLAC1: . NO PLU& I F'ISU.:=17 I J I J t I 19i&' f t:t,/~(!..eiMl::'/\JI .l, I I ,, ,. '. i I : i : 7. D1scric,1ion of Work __ $.,,.f==.LP.a:l-::.;A..;;::C .. E-,:;......:.fl,;;;l-:.;:V.c...:::..,,~k.., 1 CJV~lf--==te-'H:.a8.i.Y ...... t _..Ya:.Ai:::11,1,Lo11*tcaf# ..... ..;...---..;.---------------- B. Tutt Conducted: HydrOttlfic ?neumaric O

  • Nomin11 Ooerat1ng Pre11ure 0 Other O Pressure psi Ten .Temp,
  • F NOTE: Supc,l1m1n11I 1hN11* in form of lim, 1ketchn. or drawinge ffllY bl uMd, provided 111 siZII is 8% in. x 11 In., 121 lnforme. tion in it1m1 1 througn 6 on 1ni1 reoon i1 included on 1ac:II 1hNt, and 131 Heh 1h111 11 nu.:nblred and the number of ah-.. ii recorded at th* tao of mi1 form . (12/821 Thi1 Form fEOOOJOI m1v bl obt1inad from tn1 Order Oeot., ASME, 345 E. 47th St., New York, N.V. 10017 REPRINT 12/91

~* \*:: t I,'

  • FORM NIS-2 (Backl 9. Remarii:1

_.,::S:_ay.__..,1_,q._,.:..::S::...,q..:s=---_._1 --J,(""P:c..L::.U:;.;~ ......

Aopllcable Manutacturar1 Data Aaporta to be anachad CERTIFICATE OF'COMPLIANCE We cenitv that the statemenu m~oe ,n tne reoo" an, correct and thi1,;.i1~

i""dt/4""'C conform, to tne rulN of me ASME Code, Section XI. repair or rai,lac..,en, Type Code Symbol Stamp ___ N_/_A _________________________________ _ Ce"ific1t* of Authoriz~1t1on No. __ N_/_A _____________ Exoir11ion Oe11 ____ N_/_A __________ _ Signed Q tf. / -,,,/Jr Owner or O~nN, Title Oate __ ... ~....;..;.:-.4~.,,.'-'-C-------** 19 ~U-/ I CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding I valrd comm1111on ,auad by the National Board of Boiler and Preuura 11, .. 1 lnsoec:ton and tile State or Province of Virginia 1nd emc,loyea by HSBZ ' I Co* of .::B;;.;a;;;.r;;;...;t;.;;;f;..o'-r-'d_._C_T ____________________ ~:-----have ,n~eo the comoonenu decnbld in thi1 Owner's Repon,durino the period /l:J, It.( A &f ') ,o /¢,(L{-8 lo , and~ dlat *' ' -*,*, ' ' '. I to tne. ban of mv knowted99 and belief, the Owner h* performed exan11nett0ft1 end taken correc:tn,a menur11 de~ 1ft dlll Ownar'1_Rep_on _,n accoraance w11n the.raqu,,.,,,.n11 of th1 ASME Code, Section XI. By 1i9ni119 this cenific:an ne11llar th* lnsoecmr nor his employer maka any -ffllnlV, exc,ralld or implied, car,a,1n1nt die exam1nation1 end carrec:tn,a mHsur* desc:nbed in this Owner'1 RaDQrt. Funhennore, neimer tt,e lnqJKtOr nor hi1 .,.,.,.,. shall be liable in eny manner for 1nv pe110nat iniurv or propeny dameoe or a loa of 1ny kind *i1ing from or connected wldl tlllt Commiai0n1 _----;::~V;A;:;, 5~4:J:;;--;,a;;;;--;;;;:;;;;-:;::;"'i:;;;;;;;;;;;;;.iij~ National Boera, Stew, Province, and Enda***--Date ______ S_-___ /0 __ !9 Cf ij: , * * *

  • *
  • Attachment II Page 84 of 93 Serial No.: 94*194 Docket No.: 50*280 FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS A1 Reauir1d bv the Prov111on1 of the ASME Cod, Section XI 1. Owner *1 i rqinia Electric and Power Co. ',am* _s_o_o_o_o_o_m_i_n_i_o_n

__ s_1_v_d_._,_G_l_e_n_A_l_l_e_n_,_v_A __ 2_3_060 Aaar*n 2. Plant Surry Power Station '4arri* P.O. Boz 315, Surry, VA 23883 J. Work Pirlormed i,y Virginia Power "*m* P.O. Boz 315, Surry, '/A 23883 AQClreH * :ia11 ___ .... ~....;;~,_A.:..9.:....fl ________ _ Sh11r*--J.----*ot _ _._ __________ _ Unit---'/------------------ bJ,o,# ()02h2.D2J-O) 7C.]Z..~ 91--ot~ Repair Oraan1ut1an P.O. Na., JOO No,, ate. Tvc,1 Codi Svmbol S111110 __ N_/_A _______ _ Au111or1z1t1on No. -----.llNu{uli:L..------- E xc,ir1t1on 0111.....,ij.,l..,A..._ ___________ _ 4. ld1nt1fic111on of Sv111m _._-...;;a~H.;.4=fi!:.::6-~/,._;=c..,..~-------------------------------

5. (11 Ac,01iceo11ConmucuonCod1 B31.l :9~:dilion._N_/_A

____ Addlncta,H-1, ll-1 (bl Aoo11c1DII Edition of Sec11on .(I Utilir'~ f~r Aeo,:r~*d~ Fl~;IC_,,.;,;,~~ 1g_s_1~-' I 6. lden11ficar1on of Comoon1n11 Aeo*ir,o or R1011eea 1na R101acemeni Co~oon1nu I_ , .. I ,, I ', AIMI ' Code* ! ' I I N1tion11 I R....-, ...... Nlffll of Nameof ' Manufacturer I B01nl I Ottlar v,., Raol .... IV11 M,nutacturer

I s1ri** No. I orRaot..,......

o,Not Comoon,nt I I I No. ld1n11fic111on Buill STVl:> I s-.. ,, 8 I ' 1\/A i' NA' I NA 1-C! H-fi'-4 NA 121!;'&> , A,. .::,, kJO t I ! I I 1 / s I( i I I I f,Jl,)j I I I c,_,., ;;;Fl . I ,, A.1...1.1(::j) I~ I 5-rvb. jq" A:JIJT oJ.. 'Bo f 1..9.53 e-"' -* _ j ,, I Alvf J,j-NovA ',) ,. ,IJ .. I J.93 -t , ti ,, .. :, I J' ,, ,, ,, *)' *,' : ' .;,( , 7. Otscriorion of wo,11 _..,R __ 1:~p.:./ :"i.'C.;;.*~* .;;.s.ru .... I:> ... 5 ___ 4....._N_D ......... t-1_0_.r:s ........... ____________________ _ B. T1u1 Conducted: Hvdroat111c Pntume11C O ': Nom,'n;. 0Dtr111n9 Prt11ur1 0 Ortlar O Pr111urt p1i Ten ,Te.me,

  • F NOTE: S11D01emtntll ll'lnr1 ,n form of li111, :11inch'n.

or c:1rawin91 mav bl uMd, provided 11 I 1iu i1 8~ in.

  • 11 In ** 121 lftfonne.

!ion in illffll I thrOU9'1 6 On 11111 rtOOrt II in~IUdld on HCII lhNt, Ind 131 IICh fflNI ii numblf9d Incl thl numlMr Of IIINII la raco,dld It 1111 too of ml1 form . ' ' (12/821 T'hl1 Form t'E000301 m1v bl otna1nec:1 from ,111 Ordtr 01r:it .. ASME, 3,5 E. 47th St., Ntw Yort&, N,Y, 10017 REPRINT 12/91. ,.**.*11 ', . . ( .,' , J,: .. FORM NIS-2 leackl :l. Remer1e1 _,_,N_._f_--'1-'d,'-'5"'--4-'----'-'~u.\-1:(_.__J -=-f-, ,'....:.' N.=.....i...>=..t.:....J'-----------------------( -"01>1lcao1e Manufacturer*, .Data Flacorta 10 De enacneo s y 4 2.7lo.G::i s ~I \ srut>) :ERTi FiCA TE OF COMPLIANCE We eemtv tnat ,rie statements mitae ,n 1ne .-econ *an, ~orrect, ~na 1ni1 ~~.IC;onforms 10 tne rulN of tfte* reoafr or reo1acan,a11, ASME ,Coae. Section )( I. ~/A Type Codi Svmoo1 Stamo ________________________________________ _ H/A H/A Cen1fica11 ot Au1horrn11on No.--------

E*oiration 011* ----------------

Date_ .... ~..._...,..._V......_.k--.,_ ________ 11-?..,_~-- CERTIFICATE OF INSERVICE INSPECTION I, 1h1 unaar11vne0. holain9 a v*111d comm1111on ,auao bV ,n, National Boa,a of Boiler ,na Prna,ra lies** lnmacton and Ille lUle orProv,ncaot Virginia *ndamo1ovec,t,v BSB:I' I Co. of Hartford* CT have ,nllMCWCI th* comoonena r:tuarlll

  • in ,nra Owner I Raoor, aur1n9 tne aerlOCI ({.2 ... I'{ -9J 10 / a ... I ':f -'f' k Ind .... , .. 10 ,ne belt ot mv knowteaVa ana belief, th* O~r n* gertormed Ham1nat10n1 ancs teken COff'IC'IIW me..,ra, Owrwr*e Reoon ,n aa:ordallce With the rlQUlratnentl of u,. ASME Code, Seellon XI. Bv 1i9n1111 tl'lil ceruftcaw neither the IMOKIOf' nor his emotoyer mall* any -rnntY, eqnuad or implied, me.a lillt Ille,* I eaam1nation1 and correc:1iw meea,r* dncnbld ,n 11111 Owner*, Aep0r1. Fun~re. ne,ftler "'* lnSDKtOr nor tlie ....... , shell be liable ,n 1ny manner for 1nv aer,ona, ,nrurv or orooenv damaee or a 1011 of any kind **111111 from or connec1911.-

11111 i-nmect __ '°_~ ... * ----* * ....... * --~f-:*~-~-------Commilliana-,uiVi;;A;;;_..;5;;4;;;lui;.;:'io";;;;;;;;;'."';;;;;ia.;im*iiii~ 1naoenor1 S11n1tur1 Natlaftll aaa,a, Stata, l"rov,nca, ,na l!lldoc I 11,* .. o,,. _____ s_-, .... 0 _____ 19 rr * * *

  • *
  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requ1r1d by the Provisions of the ASME Code Section XI Attachment II Page 85 of 93 Serial No.: 94*194 Docket No.: 50*280 ,. ONner "/irginia Electr~~m:nd Power Co. Date_ .. ___ 4 41/.!:~~.7Y/L9.!.'{..!.....,-_-......:..,--,--------

SOOO Dominion Blvd., Glen Allen, VA 23060 Sh1t1t_.....,!. __ 01 I AddrHI ---:----:'--,--------

2. Plant Surry Power Station Name P.O. Box 315, Surry, VA 23883 Addteu J. Work Periormld bv Virginia Power N1m1 P.O. Box 315, Surry, VA 23883 Addr111 Unit-'------------------

wo-tt:-oo'2.r..o2'=>'--ot 1<l2* '1'1-Sf Reoelr Or;en,utlon P.O. No., Jotl No., eta. Typ1 CQde Svmbol Stamo __ N_/_A _______ _ Authorization No. NIA ExPir1t1on Date .....,.H..,.luAa,.... ___________ _ 4. ldentific1t1on of Sv1t1m ,-,_-~,...._.H __ A_fl. __ G-... 1 ... N ...... C:r:--------------------------------- 5_ (1) Appl1cat11eCon1truct1onCod1 B 3 l.l '.9~Edition,_N_;_/_A ____ Addend1,H-l, Zl-7 (b) Applic1011 Edition of Se~tion XI Utilized for Re.011,r~ ~-r Reolac1menu

  • 198-=__.1..__

' . . ' . 6. ld11nt1flc11t1on of Comoon1nt1 Aep1,r1d or A11ol1clld ana Reo11e1m11nt Comoonent1 ' ASME* ' ' Coda N1tion11 RIQaiNd, s ..... Name of Neme of I Menufacturer. I . Boera Otller Y11r AIQlaced, (Vn Comoonent I Manufacturer Serial No. I . No. Identification Built or AIPIICemetll or Not I He.1 NtJf ~,, :NA I NA j

  • Nit H!.l-l -'M.OV-12.101 JJ A f2ePL Art r;D Ni\ l i I l I I 1 .l S1UD I 1,~: I I ,, l~DVA I I !..In 1\/vf "'1" l..9-'D 12.eo{~cel"'BJT . I SYl/i) ~,, (' AR.1>/NAL

' ' ~' ,I/ \993 l I I,, : I/ , 7. DescricnionofWork 12.ep/.~e..E S1UDS A;Nb ~tJi5 8. Tuu CQnductlld: Hvdro1t1tic Pneumatic O Nominel Qperet1ng Preuure 0 Other O Preuure _____ psi Ten T1mo. "F NOTE: Suooiement1I sheen 1n form of li1t1, 1ketchn. or drawings mav bl used, provided 11) 1iu i1 8'11, in. x 11 In., (21 lnfonna. tion in item1 1 throu9h 6 on this repon i1 included on e~h 1hNt. and 131 11eh Shift i1 nuinblrld 1nd the number of IIINII ii recorded at the toO of thi1 form . 112/82) This Form IE000301 mev bl obt11necs from tn1 Ordar DIIPt., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 ~' ' I , w*.:, ,*.*;: I ,L: 1\,1 'I *, I 'I . , ( FORM NIS-2 (Backl 3. Aem11r1<1 NT 430440 ('01e 11 SJYt>) _, ~Acf,llc~t>le Menu acturer'1 Oeta Aecoru to De anached rfr,, /+e'I( Nu+ CERTIFICATE OF COMPLIANCE We cen1tv that the statements maae ,n tne reoon ant correct and this M~ confonns 10 the rulN of me ASME Code, Section XI. repair or raptecament Type Code Symbol Stamo ___ N_/_A _________________________________ _ Cenific*t* of Authorizat,on No. __ N_/_A _____________ Exoiretion D*t* ____ H_/_A __________ _ SignadQ{(~ A_ %S'£ Owner or ~..;;.;.., TIiie CERTIFICATE OF INSERVICE INSPECTION I, the undersi9ned, holding* vat,d comm,11,on ,aued by the National Board of Boiler and Pressure 11 ... 1 lnsotctor1 end the Staie or Province of 1/irginia ,nct emc,toyed by HSB:I .!i I Co. of Hartford, CT in this Owner's Repo~ durinQ .th* period * / a* (4 9 . .3 lO 11 ',*', ,-_.' to the belt of mv knowteci99 ana belief, th* Owner ha i,erformed axam1netion1 ena taken COfT9Cttw me~re1de1crtbecU1111111 Owner's R~on 1n eccorctanc:e with the 19qu1rement1 of the ASME Code, Section XI. By 1i9ni119 this cenific11t1 neither th* tnsoecmr nor hit emotoyer mak* any w11rran1V, *~or.implied,, c:anat'Nlll die uam1_nat:il:'?'.

  • -~ c:arrec:t\119 mHsur* dt11enbect in this o-r*, Repc,rt. Funhermore:

neittter th* lnsoec:t0r nor hi1 *** ,.,., lhllll be liable in 1nv manner for anv personal injury or proper,y dam11119 or a Ion of 1ny kind wiainv from or connacud wtdl 11111 i-n-1PK1-~"'"i"'"o"'"~""* .. _______ ._f __ , ___ ~---*----------CommiUion1_,~V;;A;;;;;'ii5:;;4;3;;--;;:;;;-;;:;;:;;;-;;;;;;;~;;;;;;;;;;;;;iiii;-- lnlOector'1 Signature Netlonae Boara, Stete, Province, ano Endo.-* Oate _____ ':f._-_l_l __ l9 'i-( * * * '; r* * * ** FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requ1r1d bv the Provisions ot the ASME Code Section XI Attachment II Page 86 of 93 Serial No.: 94-194 Docket No.: 50-280 1. 0,<,ner 'Jirginia Electric and Power Co. 'Ume aa,, __ 4.;.j.J..:;;z..:...,~1-IP.:....f¥1-.,.....-_-,-- _____ _ ,; _S_O_O_O_D_o_m_i_n_i_o_n_B_l_v...,.d_

  • ...;,_G_l_e_n_A_l_l_e_n-'-,_V_A.

__ 2_3_060 Sheet __ :._/ __ ;,t __ z. __________ _ Aaare11 2. Plant Surry Power Station Neme Unit_..,_( ________________ _ P.O. Box 315, Surry, VA. 23883 /,J,(}. OOZfe~ ?(p"}-OI p.::#:-?r,t-o "S"o Addreu .R*P*lr Orgenariltton P.O. No .. Job No,, 110. .. J. Work Performed bY Virginia Power .Nama Type Cod, Symbol Stamo __ N...;/;_A....;;,.. _______ _ Authorization No. _____ ..i;Ha,{t...J\D.... _____ _ P.O. Box 315, Surry, VA. 23883 E xcirimon 0111 __..ij.,./'-'Ac..... ___________ _ Addren 4. Identification of System -~t1...,/.(.;.:.if.4;:.:;.:..:;I.N,=O":..... _______________________________ _ I ! I I i 5. (1) Appt1c1Dl1 Construct,on Code. B3 l. l '.9~::dition,_. _N__;_/_A ____ Addlnda, N-1, ll-1 !bl Acclic11:11, Edition of Sect10/x1 Utolina for Aec1or1 or A1101acam,nt1 19.=8c..:.._.j,___

6. ldenttflcatton of Comoon,nu Aeoeored or Aeolacl!d and Aeolacament Comoonenu
  • , ,,..; ., ASME .... "~ *-Code National Repei'9d, StafflCMCI Name of N1mt1 of Manufacturer I Bo.1rd Otllar Y11r Reoleced, IVn ComQonen1 Manufacturer I Serial No. I No. Identification I Built or R1011eemem or Not I VA C.1/E' 2 II * ,NA e I IJ;... ' . I. l 1.II" I -Cl-I -z..sr-I NA 'P-I ~=n ,,...0 I I I I E(l:n., ! I ' fJ,PG z II lJ I ,I) 1. ,I, } VA-LV6 z IJ Et>W/412.'l:>

,8'.%/ 74F"31 I V,,u.ve.s IN(!. (pT4-\553, {(r.;p~ ((;µt::t.JT I elbow fie.tS~IIICoR µ /v'~ ,v ,fl . /990 i '" ' 0 ,, 7. Dascriorion of Work _ __.l\!..,= .. -rp ... (A::a.<1-F ..... __ 2 __ ... C,""'l-\....::e.c..-=--Kc..:.-\/.*A.. .. .,.L..,\(...,g:'------------------------

8. Tuu Conducted:

Hvdro1t1tic Pneumattc 0 Nominal Operating Preuure Other O Pre11ur1 N(J} psi Ten T1mo. /tlf) r ° F NOTE: Sui:,plemanul shHts 1n form of lins, 1kerch111. or dniwings may be used, provided l1 I 1it1 is 8~ in. x 11 In .. 121 lnfomw. tion in i11m1 1 throuc,, 6 on tr1i1 reoon is included on_ Heh_ shNI, and 131 each shift is nu~l:llred and the number of IIINtl ii recorded at the tog of this form . (12/821 This Form IE000301 mav 1:11 obra1n1d from tlll Order Oe1>t., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Backl 3 .. Rem~rks -~-*c;_..,s.,,S..,E"...__,8=:..'4:...,C..,t<=-_,Q .. * :1.F:~..:.P_.t\..:.e:,.~e:..__:zt._2...:;:,.,: __________ .....,...-,------------------.o.cpllcat:11e l\ilanutacturar'1 Data Report~ t~ oe anacflacl CERTIFICATE OF COMPLIANCE 1 We cen,tv that tile statements mace ,n tne reoon are corr&c:t and thi1 4f,*e?rAd1"trlLcon~orm1 to thl rul" of the ASME Code, Section XI. '~*' or reoiacement TvP* Code Svml>OI Stamo* ___ N_/_A _________________________________ _ H/A H/A Cenific111 of Auth~_riztmon No. ----------------Expiration Date---------------- Signed /1 "r_r;. ,/ etk: -z:J'f ~, or O~HllnH, Title 01t*--4>---~_..e£....,* ___ ... ,_,......_ __ , 19 ?¢ . CERTIFICATE OF INSERVICE INSPECTION I, th1 undersigned, holding 11111,d comm1111on ,aued by th1 Netional Board of Boillr ind Preuure V11111 lnmac:ton 111d the State or Province of Virginia and emo1ovea by HSBI ' I Co. of _H_a_r_t_f_o_r_d ___ ._C_T ____________________ _,,..,..,,....--..,..have ,nsoectJIO the* components dllCnbld in thil Owner*, Repon during th* period '/1)./L/-'!1

  • ,o It:>~ 14-'i' EL *~ and' --to th~ *ban 'of in'v k~ow11d99

,~a belie~~ th* Ow~ar ha ~ormld 1xam1n111on1 and taken c:onec:uve meuur11 d11CfibeO In 11111 Owner's A9"ort 1n ICCOnllnCI with the n1Qu1remenn of the ASME Code, Sec:11on XI. ' .. By 1i9ni119 this c:enific1te neither the IMCMCtOr nor hi1 1mploya, m,11:11 any w1rrancv, eXl)r9llld or implied, co.,.... die u1m1na11on1 and c:orrectiw m11aur* descnbad in thi1 Owner'* A1c,or1.* Funhermore, neidtlr me lnlPICIOr nor hi1 IIIIPID,er shall bl liable in 1nv manner for 1nv p1rson11 iniurv or propeny dim~ or I Ion of any kind *i1inil 'tram or connected wtlll 11111 i_n_ss,eet_*_. G4-&.:,i,.

  • -=*'-1, *1-* ... : * .... u_.__* ... * ..,,f,_.__._Q_~5i',_..,_9e:=----Commiuion1_N*;;v;;;A;;;;"ii5i;4;;3:;:-;*

-~;:'ii;;;;;:-;;;;;1~;;;;;;;-- 1 n111ec:tor'1 Signature Natlonll Boana, Stau. Province. and Endo,_.... oa,. _____ t)_-_& ___ b __ 19 cry -'. I ., * * * '.-i*t *.r:°'.'*

  • *
  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requ1r1d by the Provisions of the ASME Code Section XI 1. O,.ner 'Ji rginia Electric
  • and Power Co. ~*m* 5000 Dominion Blvd., Glen Allen, VA AaarH1 2. Plant Surry Power Station Name CJate 23060 Sheet Unit 4(1;{!,/rf 2.. cf z_ I Attachment I-I Page 87 of 93 Serial No.: 94-194 Docket No.: 50-280 P.O. Box 315, Surry, VA 23883 w.o. ooZ&'f3~3-o/

72-12-=# .,,-D5o Aaar ... J. Work Performld t,y Virginia Power Name* P.O. Box 315, Surry, VA 23883 Aaareu RaPalr Organ1ut1on P.O. No., Joll No .. no. Typ1 Cod, Symbol Stamp __ N_/_A _______ _ Authorizauon No. NIA Expir1t1on 0111 ............... ~------------

4. ld1ntific1t1on of Sv111m -c:-___ t __ H_'3,,__ll._~_t

... tv---"v::;.... ______________________________ _ 5. (11 Appl1c1ol1Con11rucuonCod1 B31.l '.9~Edition._N~/_A ____ Addlnd1,1'l-l, ll-1 (bl Applic1bl1 Edition of Section XI UtiliHd for Repair, or Aeol*~,m~ntl 198 1 6. ldent1flc11t1on of Comoon1n11 Aep1irea or Aeolacecl 1na Aeolecement Comoonentl i ASME *-* ". Code National AIDail'N, SlalllON Name of Nameof Menufec:rurtr I Boera Othtr YHr AIDlaced, (VII .1 I or R1olacemetn or Not Comi,on1nt Manuf ICtU rer *1 Strial No. I No. ld1n11fic1tion Built p, pr;; 2 ,, nt.1$c /.{ /Cotiw. I N/4-I .. NA. I-eH -ZS<o l'l1?9 /?.r:/JIA <!'EM'&ij -tt/0 I I I I I I I I I I I .J ' ' '7) --"A/,.,.~

ti '/ 7. 01scricnion of Work ___ fC._,..,._,f-t.'"'"""-~""!a'"'""'=-

.. C:..----'C"'""'(i: ... ,::,_..,:.._(<_.._,h_.4_,t.. .. 11 ... ~--------------------------

8. Tutc Conducrad:

Hydro111ric '-'ntuma11c 0 !'llomintl. Ooartt1n1J Pre11urt Orhtr O Pressura {1/d, l> , psi Ten :r,mo. ,f/tJ r

  • F NOTE: Suoplem1ntal lhllfl1 ,n form of li1t1, 1ktnchn. or drawings mev bl used, provided 11 I sin i1 'B% in. x 11 In .* 121 *1ntanna 0 lion in it1m1 1 throulJf'I 6 on 1nis reoon is includtd on Heh 1h1c11, and 131 Hell shift ii nu;,,blrtd and thl number of lhNIS It recordld It thl top of this form . (12/821 Thi1 Form IE000301 mav bl obr11n1c:1 from the Order Deot., ASME, 345 E. *7th St., N1w York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Backl :l .. R 1 emar1<1 __,,t?::..;S:..,t'1--:.3::...:z~Z=-..,,Z'-.7'-'3'"'----"'S:...>.0..=11f'ic.:.(.:::;b.:,o~=,.)

____________________________ _ (} Aopllcal>la Manufacturar'1 Cata Raporta to ba anacnad S V Z5 t3'/7-/ (p1Pe) CERTIFICATE OF COMPLIANCE We cen1tv that the statements maae ,n tne rt!Don ani correct and this ~~conforms to tn, rulN of the ASME Coda, Section XI. repair or raplacamant Type Coda Symbol Stamo ___ N_/_A _________________________________ _ Cenific111 of Authorization No. __ N_/_A ____________ Exoiration Date ____ N_I_A __________ _ Signed (1-e:rA-,RAk:: rs:r OwnarMO~HlllnN, Title 01t*---~.....,. ... W?ts=-... ; __ .. , ___ , 19 CERTIFICATE OF INSERVICE INSPECTION I, tha undarsuaned, holdin9 1 valid comm1111on ,au.a by tn1 N1tion11 Board of Boilar and Presa,ra I/anal lnsoacto" ar;td the State or Province of Virginia and emo1ovea by HSB:I ' I Co. of Hartford, CT have 1n~ed, th* comc,onenu dl!acribad in tni1 0'11'!1ner'1 Rapon durin9 tha PtriOd_....:... ____ _,_/...1()~-.._(.;;;lJ'---lf.,.j.._,o {t)-fU -~ , and IU19 mat to tne belt of my llnowled911 1nd belief, the Owner "* performed ex1m1netion1 ind taken cornctrw menura, d11cribea In 11111 Owner*, Rapon 1n ICCOrdMCe wir" tha rwqu1remenu of the ASME Code, Section XI. By 1i9nir19 this cenific1re neither th* lnsoecior nor his employer m1k* 1nv -rraniv ** ..,,...... or implied, carlCllfflinf die axam1nat1on1 Ind carrec:tiW ma1a,r* dascnbed in thi1 Owner'* Res,on. Funhermore. neither tt,e lnlQl!CtOr nor hi1 empkl\,er shall be liable in 1ny manner for any panonll iniurv or oroo*riv d1m1911 or I Ion of any kind arising from or connected wldl 11111 ina,ect~*

f. --~..;;..-""""-----'-..._--~~--==:a...-.=.---Commiuion1_

1:i:;V:j;A;-::;-;:5::4::3~C:::;:-';;;;::=-:::;"ii:=;:;;;:;:;;=;;-- in;.cm,-, Signature Netlonal Baena. Stete. ~r-ince, ana Endo,..,..... ' ' * * *

  • *
  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS
0.1 Reau1r1a bv the Prov111an1 ot the ASME Code Section XI Attachment II Page 88 of 93 Serial No.: 94-194 Docket No.: 50-280 Owner *; i rginia Electric and Power Ca. ... ,.,,. '.Jat, __ __,_V,f-~~~r-&3.....LY:..__

________ _ I I 5000 Dominion 3lvd., Glen Allen. "/J\ 23060 Sheet __ ~--~1 _ _._ ___________ _ .. aare11 2. Plant Surry Power Station a..J1me P.O. Box 315. Surry, '/J\ 23883 J. Work Perlormec2 bv Virginia Power "eme P.O. Box 315, Surry, TA 23883 ~ddr*** Unit-------------------- Aeo11r Or;en11et1an P.O. Illa .* JaD No., ltL Tvp1 Codi Svmt>o1 Stamo __ N__;_/_A.;;._ _______ _ ~utl\or1ut1on No. ------N~/.1.A:i..._ ______ _ !:xoir111on 0111 ......._..._.""--------------

4. ld1nt1fic1t1on of S'i'Ulm _...;;S;;..4,;;.;.;..~...,ff'{:..,..

__ .,_t.:..;N,::.L)lr::....,,C_ri...:., .. A .. 11.~---------------------------- 5_ lal Aoo11c1011 Connruct,on Coo, 831. l *9§2___ :;d1tion. __ N...;./_A _____ Addanda. H-1. ll-1 lbl Aoo11ceo1e Edition cl Sect,on .o(I Ut,lir~ci tor R@o1or1 or Reo1ac:11menn 19=8'--'j.....__ ' I ,, 6. lden11fic111on of Comoonenu Reoaireo or Replaced ana R101acement co'moonenn Name of Comoonant z ,. n .., ,, r ipcr c.. p lf)~ l II I I 1-1 I I I I ,, I Name al Manufacturer M1nufacturer Serial No. I N1tion11 Board No. Ottltr ld1n11fic1t1on I 1-51-\41 Y11t Built \991 1992 AIMI Codi RaoairN, S ...... Reolacecl, IV* or Reola:9ffllftt or Not 7. D1scrict1on of Work __ j<..._ ... e._,.p..u.c/ A.....,s,-"!ie..._.......;.\i.:/A;:.:L.::.,;V~E.,_*--------.;._------------------

8. Tun Conauctld:

Hvdr0ttot1c / ~n11Um111c O . !'ljom,n11 Oc1re11n9 Pr*11~r* Other I ;,,mure /. ~flD§ffl/PII Ten T1ma. ,,,,,,.,ef,4'~

  • F -Na~ #0.,..-NOTE: Suo01em1nt1I 11\N11 ,n form of tin,. 1katclln.

or draw1n91 mtY be ulld, provided 11 I sin ia 8~ in. x 11 In., 121 lnfonlw. tion in iteml 1 lllrOUCJl'I 6 on tr,11 regon 11 1nclud1d On HCfl 11\Nt, and (3J lactl 11\Nt it numbered Ind 1111 numblr Of lhNa ii recorded It 1111100 of mia form . 112/821 This Form IE000301 may be obt11nea from 1r,1 Order 0101., ASME, 345 E. ,7th St., New Yori&, N.Y. 10017 :tEPRINT 12/91 ....... --* .... -:.::, .. ;':.. FORM NIS-2 (Backl *_R'l!mar1t1 __ _,S.,_'-.l=-T..,,___.3...__.5t./L.J..w0.<.7...!...._-~(G.._,,,10~b~e,,___\4i,:.:A-:i:.1,,b~Yws~:--"Z-'....,),,_ ______________________ _ ~DDllcaDle Manutacturer'1 Data Flaoona to D* anacnea S V 4o<e 4-3 5-i 3 (Pt1'E Z ) , G.)~ CERTIFICATE OF COMPLIANCE Wt cen1tv tllat tile n11tement1 maa1 ,n tne ~oon al"I correct and tfti1 k,j?44!tl~AIT;onfonn110 tn1 ruin of Ille ASME Codi, Section XI. ,.;;.;;;r

  • eo*-1 Tvo* Code Svmoo1 S1amo ___ ~_/_A __________________________________

_ N/A . 19 9~ CERTIFICATE OF INSEAVICE INSPECTION I, tilt uncar119nao. lloldino a 11a11d comm1111on ,auad by 1111 NatiOntl Board *of Boilar end Pr1ttail"I llllal lnmtcton and tlle , .... orProv,nceot Virginia end1mo1ovectbv BSBI ' I Co. of Hartford. CT tO-tY-13io have '"m ,,,, comoonenu _ If.I .'* * /0,14~ ........... in tft11 Owner*, AIDOr1 aurino '"'* oerlCICI

  • 10 tile *111,1 of mv knowtec119 eno belief, the o-, fta ge,tom,ea Hamme11on1 aftd 1111en carqc11w me..,,., ***J-.... ,. owner*, Aegon'" ICl:Gf'd8IICII WIIII ,,,. '9QUtnmeml of'"' ASMI Codi, Sen* XI. By 1i9n1ng tflil cenlflcaN n111har tfl* IM08Cl'Of' nor hil emo1aver 1111111.;

~Y warnney, ........... or mCllild, oat~II .. 1xanuna11ona and carrecuw _...,,. dftCf1bed ,n 11'111 a-,*, Reoon.* FunMffl!Ora. neidler lfte lnlOIC!Df nor lli1 *:*.* .. shall be liable 1n any manner tor anv 01nan11 inturv or oroo*nv dlfflell or* loq of any II ind *111"1 tram or coM8C1811,.. dlll Oa11 _____ Lf __ -_d._b_19_'f'_.4_

  • * *
  • * * ----~--------~----------

Attachment 11 Page 89 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required bv the Provisions at the ASME Codi Section XI 1 Owner Virginia Electric and Power Co * ....... Date ___ 4~f,-;r...=:,f-l..:..'1~4i..-.--------

5000 Dominion Blvd-, Glen Allen, VA 23060 Shu, ___ /:...--Qf Aacireu* ___ ...._ _________ _ 2. Plant Surry Power Station llleme P_o. Boz 315, Surry, VA 23883 ACIClf-J. Wane Pirformld t,y Virginia Power Ille me P.O. Boz 315. Surry, VA 23883 Unit------------------ W.O.~ oo2~ l(o 1'1-o l f!"R. +P 'i<I-OS<o Reoair Orgen1u11on P.O. 1110., .100.No,, 111. Type Codi Symbol StMlo __ N_/_A _______ _ Autl'IOnlltion No. Exoira11on 01te.....llN1.,1l:..1A1....------~----

4. ld1n,1fic111on of Sy111m,, . :Res l Du.AL Hec..1: ~-¢((/IA<-
5. (al Aco11c1011Con1truct1onCode 831.l :9~~di1ion,_N..;/~A

____ Admndl..N-l. ll-7 !bl Aoo1ic11111 Edition of Sec11on.J(I u1,1i111a tor Re~,,;, ~r A101aci1menu 19::9_.* fL--_ ' : ~: *1 1 i* 6. ld1nt1flc111on of Comoonenu Aeo1ir1a or AeollC90 *,na R1~im1nt Comoon1nu Name of. Component* ( II I "i Nvt I "l. .'.LI .... , i. . .

  • Nlffllof*****

M1nuf1eturer NA i ,, I .* l '8 (1,,.,1. "I:> I Av" , .. Mlftuf1C1Urer'. Serial No.*-I N1tiOnal Board

  • No. ***-'.--Odlff .. ,,. **
  • ldlfttiflcauon

.' , *; * :'; :_: _ I i,t,-:.,_.*.,, -**' " *, *.,:, AIME*. Cede,, R~p,s ...... , Vw -. AIDlaN;f .. IVn Buill or RaollCIIIIIIII ,, or Not 7. 011eriot1on ol Worll_* -~~.~""i.:i4w,C,_*1.-.~ .. -* ... *~1.);..*.'9--N..:i2~* ...... (..iY:..:1.1:;.Q'-' .... *------------------_;.--

8. T1111 Conducted:

Hvdrost1tic Pnsu:nQI&.: 0

  • NClfflinel OD1ratt"9 p;q.,. Q'~:., Otller*O P,HIUfl' . .* psi ! T111 Temo ... -. .. "F ........ *=" *.. , ..... ** NOTE: SuoOllffllfflal.

ll'INtl rn form of li111. 11111et111. or drewin91 mav tia uMd. orOVidld C1 I 1iH ii 8)1, In.

  • 11 In., '21 lftfonN.,,,_

tion in i111111 1 tllrciutn I on 11111 rtoon ii incl~ on 11ctullNt,-1nd 131 1adl 111111-il 111.1i'.nt11recund 1111 numoer.oflllela*II* recardea It tfll toO Of tflil form . 112/B21 Tllli Form 1E000301 mav DI obtarnea-from tr11 Order 010t., ASME:345 E. '7tfl St ** New Yori!, N.V~*tQ017 REPRiNfr:' i 2/91 '. . -*-~-----------------~

... -----* ..

  • FORM NIS-2 (8.ackl ?. Rem.er~, -C~s,1-y_ . .....::3-=5;;....0;;;;....L..:9CJ::a...t/:,1---

=.3--1,{.,.....s;;_Tt..,~'j):;....._.:..l-=i-');___ ___________ _ Aao1~01a Manutacturer*1 O:* Aaooru to oa anacllao C sy 3412' i -I L#er Nut I~ '2 CERTIFICATE OF COMPLl,ANCE 'Ne ce",tv tllat ,ne n1nemenn m1ae ,n tne reoan are correct ena tn11 4>~4~~;cntorm1 10 tne NIN of me** ASME Cede. Sact1on XI. repa1 or rao1eceman, TvP* Cod* SvmbOI S1ama ____ ~_I_A __________________________________ _ C.n1ficaca of Authorization No. __ N_/_A ____________ Exaira,1on Oete ____ H_I_A __________ _ Sign /7_ c/ // e*U Pf' ~.;;;.....c:r~,.. DHltnN. TIiie , 11 9'f'.'

  • CEIITIFICATE OF INSERVICE INSPECTION 1, 1na unaara19ned, holding, vehd comm1111on ,au.ca t,v the NatiOnat Boara ot Boller ana Prna,ni va-Mn1DKto111r1cUlle,ltatei,-

orProv111C90f Virginia *na1mo10¥edbv BSBJ:' I: Co. of._ ea rtf o rd. C'l' have' -,n~eo __ tha _ cDfflPOMMS,.._tlll*/; in uu, Owner:1:Aeoon~aurinQ**111e-*01r1CM1*

  • __ . __ ., --* */Q-/';(*:rf

&a -~~//j ... /t:,. ... lb *

  • and*~-~~!:
  • .... .l'r. .. 10 1ne bait of my knowtec199

.*IICI belief,*, ttie Ownar:11* oertormld

    • -*na1ion1-ana 11kan contC11W meaa,ra1 ~ill'lhlt~i'.. . . , . ' * * . . --*~ *. --* --~<>*** ' --. l .' . ownen Raoon.,n accan1811Cewi1n tne r11C1UlftlNft11of the AIME CGC1e,.1ect6Dft,XI~

i -.:. r'

  • 1 * .1*1 I . BY 119n1119-mi1 cefflflca~._ne.11tier ,the.lntOtCtOr nor-,flil amp1oy11*ma1&*

any *wunntV', *----or-im01i1Cti'-.-***t11e1,* UaffllNIIOIII .-nd COfflCl"'9-fflHIUra dllCflbad in thll Owner'I ~-oon. Furmennc,,.. ne1thtr*tt11 lnlOKIOr nor ~** a ******"" . !l \ ' shall bl 11abla-in 1ny mann:ar !q~ any, oerwna1 inaurv .or Dl'OD*nv ctarnege,or

  • toa _of. any.llind'8'11i"I from or connaclld---'llllt,~i:

i-n.-:ts0~0?4==*. _-*--" ____

  • _f~_CJ __ 11_..:..*--_

.... -....--.-'-. -._* **---,:;;;;.l;. si;, ;;;;;;;;;;;;.;:-;;;;ir.;.ii:i, ... _, ... '_,* ~--....,.....,_,_ VA"~-543****"*' I n..-r* s1ona1ur* Natto11a1 aoara; State. Province. ana lndor~~-"~* '*_ . -*.-*-.*. ..._ .... ~**?:_*:*

  • ~ '. ' ' 011e* ____ Jj __ --__ i __ b ___ 1s Lf __ ,,-: *-1_; ** "'. ;t; *-*
  • *
  • Attachment II Page 90 of 93 Serial No.: 94*194 Docket No.: SD-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. *,lame _ S_D_O~O_D_o_m_i~n_i_o_n_B_l_v_d_.;..*_G_l_e_n

__ A_l_l_e_n.....;..,_V_A ___ 2_3.;,_060 AddrHI 2. Plant Surry Power Station Nama P.O. Box 315, Surry, VA 23883 Addr-3. work Perlormld bv Virginia Power Nam* P.O. Box 315, Surry, VA 23883 Addren Date __ s.....,J._~'+-0--'-,_sf ______ _ She1t _ _._/ __ of_...:/ _________ _ Uni'------------------- fr/,O. # ooZC:.JoSo-OS-A-.,alr Org1nl11tlon P.O. No., Job No., ate. Tvp1 Code Svmbol Stamp __ N_/;..A...;.. _______ _ Authorization No. -------Ha..f'-"J\ ______ _ Expir1uon Date ...... H ... t .... A~------------

4. ld11ntific1t1on of Svnem _......;:e.=oc:.N..::..o.v.'4

... t.._.N.x.;.M~e-. .. &:"'"'-r __ ' ,_ 5. (11 Appllcalll1ConmucuonCodi

  • B-Jl.l 19~Edition, __ H.....;../_A

____ Addlnda,H-l, ll-7. (bl Applicable Edition of Section )(I Utilized for ~e~a1r1 o!r Aeo;~~m~n~~ 19..=a .... 'f __ _

  • I *. i': , I \,!; ' ' Codec ... )!. ASME .,* ... Codi *, National Replirad, StamPN Nam, of Neme of M1nufec~rar Board Other YHr Replaced, IYII Compon1~1 M1nuf1e1ur1r
  • , S1ri1I No. No. Identification Built or Replacemeffl or Not :.--.-. I IJ Vt:?lAIV Iv.A. NA At.VE"
  • t-t!5-AIOV-f02A
  • f..JA ""Ke~/4a.'/I, Al" t I 'iJ~li..,J

~CcJCir *. ; J ~-f'4~eM~ '1, ~(.lie' (a I P2-'1MilR-ltOI

  • IJA 1992. I I I ' I t[: .. ' i ,. ' 7. Oescricnion of Work 7?sp'4efi ,l/;4t.YE B. Tesu Conducted:

Hydrostatic

  • ~neumatic O Nomin11 Oo1r1ting PreS1ure 0 Other O Pressur1l,l 1C Des.lE,N p1i Ten Temi,.,v,tBl~fJT
  • F ' ' . *, NOTE: Supplemental 1heet1 1n for;,, of liltl, aketchet, or drawings mey be und, provided (1 I 1iZ1 i1 8~ in. x 11 I~'.. :(2) 0 l~forme* tion in items 1 throuQtl 6 on this repon 'i1 included on each sheet, and 131 each 1h1et is numbered and the number of shlftl is recorded It the top of thi1 form. * ' . . . . (12/821 Thi1 Form tEOOOJOI mev be obt1inec:1 from the Order Oeot., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT*'

12/91 ... L FORM NIS-2 (Backl 9. Rem1mc1 C"' r-303 713 (v~ LY~) . . . *. AppllcaDI* Manuf11ctu~er*1* Oata*A,*porta to ~* anachea CERTIFICATE OF COMPLIANCE We cenitv that the statements mace in the repo" ara correct end this 'il~fflc.Etf,( w<Mf ;ontorms to the rules of the ASME Code, Section XI. rai,a1r or raplacement N/A Type Code Symbol StamP----------------------------------------- N/A N/A ----------------Expir1t1on Oat*---------------- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding I valid comm,u,on ,uu~-::iv*the National Board of Boiler ind Pressure lles11111 lnsoecton and the State or Province of Virginia and 1mp1ov1c1 by HSBI & I Co* of Hartford* CT have ,nSPectea the components described in this Owner*, Repon during the period /0, t!;f-13 t_o ID -I"/ -'(L and stata thet to the belt of mv knowledg9 ind belief, the Owner has perlormed 11xammet1on11nC1 taken corract1w measurH dHcribed In thl1 Owner'* Rac,on in accordance with the r1Qu1ramen11 of the ASME Code, Section XI. By 1i9n1no thi1 cenificate neither the Inspector nor his employer mak* anv warran,v, 11xprnaa or implied, conc:eming the examinations and correctivw meesur111 described in this Owner's Reoort. Furthermore, neither the Inspector nor hi1 employer shell be liable in anv manner for anv personal injury or propany damaoe or a 1011 of 1nv kind arising from or connectld with ttlll inapec:t1on.n~ -/,) (\ ----~ ...... ..s,<;~;;;...;...._ __ --i-P,.,._. __ ~-=-------Commiuions_~-V-A __ S_4_3 ___ ~----------- 1napector1 kna1ur* National Boera, State, Prav1nc1, ana EndortMfteflff Date 5'-f {J 19 f ¥ ------------~ l * * *

  • *
  • Attachment 11 Page 91 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS A1 Required bv the Provisions of the ASME Code Section XI 1. 0.Vner Virginia Electric and Power Co. ~1m1 5000 Dominion Blvd., Glen Allen. VA Addrlll 2. Plant Surry Power Station N1m1 P.O. Box 315. Surry. VA 23883 Ad0,111 J. Work Performed bv Virginia Power Name P.O. Box 315. Surry, VA 23883 Addrlll 23060 Date st,/'ly I , Sheet of Unit I W.O. # 002"13oSO-o9 1<.]Z.:JI=

r1-/f,(o A111alr Or;anlutlon P.O. No., Job No., ato. Tvp1 Codi Svmbol Stamp __ N.;..;/~A~------- Authorization No. -----Hli!/U.f..cAa,_ _____ _ Expirauon Date ......,H.,.l.,,:A~-----------

4. ldentific1tion of Svnem _ _..{'_o_N

___ r,_l-l_tlV-=-Jll,f ...... te._.N...._7 ___ ..S"-t.c:vz.4----:'f'"'I _______________________ _ ~, 5. (11 Applicable Connruc.uon Codi B3 l. l 19~ Edition,_N_.;._/_A ____ Addlnda, H-1, U-7 (bl Apptic1bl1 Edition of Section XI uiilizea i~r A.~d~,~I. o~ ~eol~1~11nu .19.::;8_.'f~- Codie ... \ r: * ,; ,. : 1 .' t' *,**.* r;J:, 6. ldanuflcatiDn of Comoonenu Aeo11r1a or Aeol1cea 1na Aepl1e9ment Componenu ASME '* Codi National Repaired, Stamiitd Namaof Nameof.* Manufacturer l Board Other Vear Aeplacact, ...... Component Manuftcturer S1rial No., 1 No. Identification Built or Repla:ement or Nol I V,., VE "' Vlt.'9,J }IA I t.14 1-~-MoV-,cia ..:, .. .;,./.~":-.:.,. -;.-c.~b UC> I p,,.,G,.~. . . -VALVP li, ti r/,:;c.A~ P2-7l.S.18-lc.01 ! /-Cc; -Mol,I-IOZf 1.99'2. 1~14\CEMa

  • -.t, I I I I : .. *, ,. 7. Description of Work J2;.:p/~c,e V.-w~ *
  • 8. Tests Conduc:rld:

Hydro1t1tic ~eum1uc O Nominal Ooar@ring Preuure 0 Other O Pres1ur~ 1,/ lt' Pa {<ct/Psi Test Temo. 't\!:1,llliiiHT 'F NOTE: Supplementcl aheeu ,n* form of i'im. 1ketc'h*es. or drawin91 mav bl uaed, provided (11 siu is 8~ in. x 11 1~:. 12) lnforma* tion in items I throut;n 6 on tllll reoon is included on etcfl 1haet, and C3) each sheer is nu~bertd and thl number of 1hNt1 ii rec:Otded It th* toe, of this form . 112/821 Thi1 Form iEOOOJOI mav bl obtained from tile Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 ,.:::.: ... *"':\.-*~~::*.., REPRINT-12/91

  • _ .. _~.---*'i:.***1**

1.' . FORM NIS-2 (Backl \,.'* 1, 9. Rem11ro:1 ......,,C ... N=..t.r_*- ..... l~Oz;..;;'3c.,.7~0""+? ........ s~, .... v .. e .... )'--___ .,..... ______ ....,...._-,- ____ .,..... _____________ _ .Aopllcabla Manufacturar:.,. ca.ta -~~p.oi't1 to oa**.anachecs

  • CERTIFICATE OF COMPLIANCE if We cen1tv that the statements mace in the repon are correct and this 'i2,q4J,*!!:<6?Y conforms to the ruin of the ASME Code, Siction XI.
  • ra.,alr or raplacamant N/A Type Code Svmbol StamP---------------------------------------

N/A N/A Cenifica11 of Aoithorization No. ----------------Expiration Data----------------, 19 '" CERTIFICATE OF INSERVICE INSPECTION I, the undenigned, holding, valid comm1111on 1uuad by the N1tional Boera of Boiler end Pres111ra 1/11111 lnsoecton end the State or Provinc:t of Virginia ind employed bv HSBI & I Co* of Hartford, CT , h111e inSOICt~ the compon1nt1 dflerl~ in this Ownar'1 AeQOn during the period l()_~ti.1-Cf.3_ ~o IO-:-< Y -9~ and,lt .. tflat !O thl Dllt Of my knowledge Ind belief, the Owner hlS DlrfOrmed exam1natlons end takan COrrlCtlYW m111Urll dlllCfibld In thll

  • j * * *. *owner'1 Repon in accordance w11h tha requ1ramen11 of the ASME Code, Sac:tlon XI. By 1iQnino thi1 e1nificat1 neither the Inspector nor l\i1 employer mak* anv wamnr,, expreslld or implied, conCllffliftt the exam1nation1 and correctivw meeaur11 described in thi1 Ownar't Report. Funhermora, neither the lnspactor nor hi1 amptoyer shall bl liable in any mennar for any personal injury or propany dam-.ie or a 1011 of any kind arising from or connlCtld with thl1 Commiuion, -N<;;V;A;;;:;:-;5;;:4:;3;;"."itta:;;"';;;:;;;;;;;:-;;;~;;;;;;;;;;;;;;;;--. Natlonat.-Boara.-

Stata, Provine*. 1na Endor..-nenu Oate _______ S_-__._/_{) __ 19 ?f * * *

  • *
  • l Attachment II Page 92 of 93 Serial No.: 94*194 Docket No.: 50*280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Requ1nd bv the Provisions of the ASME Code Section XI 1. Owner '/ i rginia Electric and Power Co. ~*m* 5000 Dominion Blvd., Glen Allen, VA 23060 -----------A-d_d:...re-

.. ------~----

2. Plant Surry Power Station Nem~ P.O. Box 315, Surry, VA 23883 Addreu J. Work Performed bv Virginia Power Neme P.O. Box 315, Surry, VA 23883 Addren Date __ S~/~3:;.£/.....:'i...!.f_-,--_;__

____ _ Shea, __ _,/~-cf_.,_ __________ _ Unit-..:....----------------- bJ, 0, .tt D02 7'fS 't g-01 J2'..'i2 =ii::. ?o/-6' ::l Repair Organiutton P.O. No., Joa No., etc. Typa Code Symbol Stemo __ N..;/:...A....;.. _______ _ Authorization No. _____ ..i;Na..tt..A1:1... ______ _ Expiration D1t1 .......... Hul;...aA._ ___________ _ 4. ld1ntific1t1on of svn1m __ ga;.;;;::e:;.A.;.;C::.:TP'-""'""i?..;;:_-=C...:;Dl!);.:;,;:L;.A..;;.U~T:....... __________________________ _ 5. l1l Apphcao11Conmuct,onCcde B31.l :9~Edition,_N_/:..._A ____ Addenda,N-l, ll-1 (bl Applicable Edition of Section XI Ut.ilind tor Aep1,~~ or Aeot1e1m1nu 198 1 6. ld11nt1flc1mon of Comoonenu Aeo11r1d or Aeolaced ana Aeolecement Comoonenu AIME -'* Code National RapeirN, SlamCNCI Name of N.,,,. of Menufac1Urer I Boerd Ottlar YHr RIPIKN, IYN Manufacturar I S1riel No. I No, or Raola:ement or Not Component I l ld1ntific1tion Built /'1 AN 1u4 4i Vr:,. IJA. .I (011er-"Bo1-r-t,J~ /-li!.C -E-2. tJ,. KeP 14 ,i.lY tvt:> ~O.tJWA'f WesnN1'1011sia 1 l t i i Cover f1;btr tJ 4-I 198'5 12,:.n /-4. CE f-\ el\lT I 7. D1scrio1ion of Work Js§+?l:4,<!.e HANYl1AV B. T11n1 Conducted: Hydrostatic Pneumatic O Nominal 0Ptrltin; Pr1111ure 0 Ott11rQ Pre11ure _____ p1i Ten T1mo. °F NOTE: SupOlamantal stlntt ,n form of listl, 1k111chn, or drawinga mav be used, prov'ided 111 size is 8~ in. x 11 In., 121 lnfonN. tion in item* 1 througtl 6 on tllis reoon i1 included on Heh 1hNt, 1nd 131 Heh 1hN1 ii nu;,,bered and tha number of lhNll 11 recorded at 1t11100 of mi, form . (12/821 This Form IE000301 mav be ob111n1d from ,ne Ordar Deen., ASME, 345 E. '7th St., N1w York, N.Y. 10017 REPRINT' 12/91 -,----FORM NIS-2 (Backl :l. Rem11r1<1 __ Aopllcao1a Manufacturar's Data Aaoortl to tie Htacftecs CERTIFICATE OF COMPLIANCE We cen1fv that the statements m11ae ,n tne reoon are correct and this ;eJ:,),:,1e,.w,fAJC ,onforms to the ruin of the ASME Code, Section XI. repair or rei,lecement Type Code Symbol Stamp ___ N_/_A _________________________________ _ Certificate of Authorizet1on No. __ N_/_A _____________ Exoiration Date ____ H_I_A __________ _ D~-~~-4~J~-f ______ 199J . , .,.. CERTIFICATE OF INSEAVICE INSPECTION I, the undersigned, holding 111111d comm1111on ,auea by th* National Board of Boiler end Pr1t111.1111 111ue1 lnsoeetort and the Stet* or Province of Virginia end emo1ovee1 by HSBJ: ' I Co* of Hartford, CT have 1n~ the comoonenn deacribld in thi1 Owner*, Repon during the perioc:t / t, .. ( '-/ .. 9,3 ,a IO .. 14 :._ Cfb *

  • 1nd
  • din ,, *. ' \ t J to th* beat of mv knowledl)e ena belief, th* Owner hes oertormed exem1n1111on1 end taken conec,,w mHsur** deicnbad In 11111 o-:vner'1 Repon 1n eccordance wnh th* requ,...,,.,,11 of the ASME Code, Sec:llon XI. By 1i9ning thi1 eanific1ra ne1thar th* lnsc,ecmr nor his emoloyer makes any warranty, 1.xc,rnlld or imolied, c:oncafflinl Ille exam1111110n1 Ind earr1e1ivw m111sur* dncnbed in 1hi1 Owner', Reoo,1. Furthermore, neither th* lnspec:10r nor hi1 1111111o,., shall be liable in any manner for anv persanll injury or proo1nv damaoa or I Ion of 1nv kind *i1ing from or connlCled wltll 11111 i_n_cec, __ io_g-'**"""""~

..... -------t.;:.;..'-~-------Commiuion1_--;htV;;A;;;;ie.5;;;4;;3;-;;;;;;:--;;,;;;;j;;;:-;;;;;.~i;;;;;;;;.- lnlpector'tSJgn11ure Natlonel 801r11, S11te, Province, ana Endo,__. Oa11. ______ 0_'..._(...,0 __ t9 Cff . ~. * *

  • * \ Attachment 11 Page 93 of 93 Serial No.: 94-194 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As ReQuir1d by the Provisions of the ASME Code Section XI 1. Owner '/ i rginia Electric and Power Co. \lime Datn _-,-:71-0..::.z;r-/..:..'1'...J..'/

________ _ 5000 Dominion Blvd., Glen Allen, VA 23060 ShHt_-..!/ __ of _ __,_ __________ _ AaoraH 2. Pinnt Surry Power Station Name P.O. Boz 315, Surry, VA 23883 Addi ... J. Work Performed t,y Virginia Power Name P.O. Boz 315, Surry, VA 23883 AddreH 4. ld11ntific1t1on of Sv111m /2*A-C.WB,, l'OO,?A NL Unit-'-'------------------ V\I. V, "/F bOZ.~":i~l~-02. 7272.':lt 9i-ll37 Rapalr Or;an1utlon P.O. No .* Joll No., no. Typ1 Codi Symbol Stamp __ N_/_A ________ _ Authoriu11on No. NIA Expir11t1on 0111 __..H ... tc.iA~------------

5. (1) Appl1c1011Construc11onC001*

B31.l '.9§2.__Edition._N....;.../_A ____ Addanda.1'1-l, ll-1 (bl Applic10l1 Edition of Section XI Utili~eo l~r Aeo~ir~*or Aeotac~m~~u '198, 1 6. ldent1flcat1on of Comoon,nu Aeo11rtd or Aeptac&a and Aeol-ment Componentt AIME '* ' Code N1tio'nat AIPaiM, s ..... Name of Nameol M1nufacturar, I Board Other v,., Aaplaced, ,v .. *1 .. or AIPIICtillllftf or Nol Comt:ionant llllanufacturar Sarial No ... I No. ld1n11fication Buill I SEAL. l?{es ~,rvrh"vse I I ~p/4cez> fiel.)'S/N1-Bolh All<?,, ./vA I-~-f->-1c. .v )3 'v(:) SEAl. I

  • 14'r~'-11'17't I j. i lkp/qe~ J ldo1,c1Na

~,1-... ! l.v'e.sn "-'f h i9-0e* ! /.I I u, "1'1-1ru I J I I I ' 7. Oascription of Work _...,.i2 ___ e""'f /"'-A_c._E::.--_S_.;;;.E:Jl.;;..* _..;l.:.* _ . ..;.f-b_..;..u....;;'5,.;;.//v;;..:'_J::ii-......;;;.l3...;;o_..;l;....;.-(-_.~:;......-----...;__-----------

8. Tuu Conductld:

Hvdr0tt1tic Pneumatic O

  • Nominal Operating Pre11ure 0 OthlF O Pressure psi Ten .T1mp.
  • F NOTE: Su1>c,lam1nt1I shNn 1n form of lins, skinchn. or drawings mav bl uHd, provided 11 I sin is B~ in. x 11 In:, 1:ZI 'tnfomw. 1ion in items I througn 6 on tPlis rei,on is included on eech 1hNt, and 131 11cn shift is nu.:nbll'9d and th1 number of lhNIS le recorded et tha top of tt,i1 form . 112/821 This Form IE000301 m1v bl obta1nad from tPla Order Dept., ASME, 345 E. 47th St., New York, N.V. 10017 REPRINT 12/91
~-,
... .,. I : : i FORM NIS-2 (Backl :3. Remarks _C-=--t.J_,_.:;..3...cc::,_*"1:_5/....e....,'iJ._'

-___..:L---1:,-(_.se;c,.ei-'-'/:........;.~....;.:;..;::...;S::..,e,__;;'8;._o:;...:..J{+~"?ir,<,) _________________ _ A_cpllcable Manul.acturar'1 Oat* Report* to oe anached CERTIFICATE OF COMPLIANCE We een1tv that the natemenrs mace ,n tne reoan are correct and thi* &::/>4?che"z,JC: conforms to thl rul" of me ASME Code, Section XI.

  • repair or replecament Tvo* Coda Symbol Stamo ___ N_. _I_A----------------------------------

Canificatl of Au1horiza11on No. __ N_/_A _____________ exoirlltion Oatl ____ N_I_A __________ _ Sign /l (// ;J --'~/ k [Z: ~~~OHlgnN, Tltle Cat, ___ /f.. ......... ~-'/-L ...... ____ , 19 :Z 4/ CERTIFICAJ'E OF INSERVICE INSPECTION I, thl undersignld, holding I valid comm1111on ,~Id by 1h1 National Board of Boiler and Pr11111.1n 11,-1 lnso1etorw and 1111 State or Province of Virginia *nd lfflCIIOVld by HSB:I 5 I Co* of Hartford, CT have 1n101Ctr c.'h' comc,onants de~ lo-r':{-* . Ind ........ /0-ltf-q3 to in thi1 Owner*, Reoon during the oerlOd to th1 b11t of mv lcnow11d9e and blli1f, th1 Owntr h111 oerformaa 1xam1nat1Cffl1 and t11k1n conec,iw m11111.1n1 dalCfibad lll*dll9 Owner'1 1n IICCOrdMCe with the rwqu1r11ffllnt1 of thl ASME Code, Seclion XI. Bv 1i9ning 1hi1 cenifican n91th1r 1h1 lnsoeclOr nor hit 1mo1oy1r maka anv wamncv, ,.....-or implied, concarlline*dle 1xam1nation1 and corrtctiw m11111.1r* dncnb.CS in 1hi1 Owner'* Reoon. Funhermor1, neither 11'11 lnSQeCtOr nor hi1 shall bl liable in any manner for any p1rson111 injury or Dl'OQl,CV damage or

  • Ian of any kind arising from or coMIClld wttll dlla in~~n.~-f.~

ln10ector1 Sl9natura Dat1 ____ _..[._-_.( ..... 0..__ __ 19 91 Natlon111 8oan1, State, Province, and Endo,..-*

  • **}}
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