ML18151A222

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Refueling Outage 2nd Interval,3rd Period Isi.
ML18151A222
Person / Time
Site: Surry Dominion icon.png
Issue date: 05/06/1993
From:
VIRGINIA POWER (VIRGINIA ELECTRIC & POWER CO.)
To:
Shared Package
ML18151A223 List:
References
93-318, NUDOCS 9308090028
Download: ML18151A222 (210)


Text

{{#Wiki_filter:* ATTACHMENT 1 SURRY POWER STATION UNIT 2 ISi INSPECTIONS NIS - 1 FORM .~---- 9308090028 930506 PDR ADOCK 05000281 0:1'. Q PDR

Page 1 of 1 Attachment I Page 1 of 41 Serial No.: 93-318 Docket No.: 50-281 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules Virginia Electric and Power Coq:,any, 5000 Dominion Blvd., Glen Allen, VA 23060

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

(Name and Address of Owner)

z. Plant _ _s_u_r_r_y_P_o_w_e_r_s_t_a_t_io_n_,__P_.o_._B_ox_3_1_5_,_s_u_r_ry_,_v_A_2_3_88_3___________________

(Name and Address of Plant) 2 NA

3. Plant Unit _ _ _ _ _ _ _ _ _ 4. Owner Certificate of Authorization (if required) __________
5. Commercial Service Date 05/01/73 6. National Board Number for Unit _ ___,N"'-A-'-----------
7. Components Inspected Manufacturer Component or Manufacturer or Installer State or National Appurtenance or Installer Serial No. Province No. Board No.

Reactor Vessel Rotterdam 147-1 VA 58224 NA Steam Generator Westinghouse Tampa Division 2971 VA 58226 6817 2-RC-E-1A Steam Generator Westinghouse Tampa Division 2972 VA 58227 6818 2-RC-E-1B Steam Generator Westinghouse Tampa D1v1s1on 2973 VA 58228 6819 2-RC-E-1C Reactor Coolant Westinghouse 493 NA NA Pi.mp 2-RC-P-1B Reactor Coolant Westinghouse 494 NA NA Pi.mp 2-RC-P-1C Letdown Heat Joseph Oats & Sons, Inc. 1674-1 VA 59648 309 - - :>-CM-I'-:> Regenerative Heat Sentry Equipment Corporation A3-13 VA 59806 399 Exchanger 2-CH-E-3 Excess Letdown Heat Atlas Industrial Manufacturing 852 VA 58229 703 Exchanger 2-CH-E-4 Comoany Pressurizer Westinghouse Tampa Division 1071 VA 58225 6816 2-RC-E-2 RHR Heat Exchanger Atlas Industrial Manufacturing 892 VA 58234 742 2-RH-E-1A Coq:,any RHR Heat Exchanger Atlas Industrial Manufacturing 893 VA 58235 743

>-llM-1'-18 OY Safety I*nj ect ion Byron Jackson Pumps, Inc. NA NA NA Pump 2-SI-P-1A Safety Injection Byron Jackson Pi.mps, Inc. NA NJ\ NA Pi.mp 2-SI-P-1B Class 1/2 Piping Southwest Fabricating Company NA NA NA Class 1/2 Southwest Fabricating Coq:,any NA NA NA Coqx>nent Supports Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8~ 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 06I0 7/9 1 05/01/83 to 05/10/94
                               --    - - - - to 05/06/93             9. Inspection Interval from
10. Applicable Editions of Section XI ~1-2_8~0_ _ _ Addenda ..aWe...8,..0_ _ _ __
                                                                                               *'<"'i ";.
11. Abstract of Examinations. Include a list of examinations and a statement concerning status of work required
 *. . forcurrent .interval. . see Attachment t, Pages 5 througf:i 25
      \ '  *-,

I *,, 12;' .!Ab~tract of Condition's Not~d. See Attachment 1, Pages 3 through 5

13. Abstract of Corrective Measures Recommended and Taken. See Attachment 1, - Pages 3 through 5 We certify that the statements made in this report are correct and the examinations and corrective mea-sures taken conform to the rules of the ASME Code, Section XI.

Certificate of Authorization No. (if applicable) NA Expiration D a t e - ~ - - - - - - - - - Date _ _ _ J~v~l--'+,-~,s-~_19 J

                                            ~Signed Virginia Elect.                    & Power Co. By     CtJL~~

Owner CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors _ an dth e St at e or Province of Virginia an d emp 1oye db y Hartford S.B.I. & I. Co. of Hartford, CT have inspected the components described in this Owner's Report during the period 06/07/91 to 05/06/93 , 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. Q I) -#  ! /i) /) VA 543

 -+~-=-w"----"--'=---~~*~ ~ ~ ~ - - ~ - - - - Commissions - - - - - - - - - - - - - , - - - - - - = - - - - - -

Inspector's Signature National Board, State, Province, and Endorsements Date 7- / (,,. 19~

Attachment I Page 2 of 41 Serial No.: 93-318 Docket No.: 50-281 Examination summary

  • Virginia Electric and Power company Surry Power station Unit 2 1993 Refueling outage 2nd Interval, 3rd Period Introduction This report covers inservice examinations and tests of Class 1 and Class 2 components, piping and component supports that were conducted at Surry Power Station Unit 2 from June 7, 1991 through May 6, 1993. The examinations were conducted to meet the require-ments of ASME Section XI, 1980 Edition through the Winter 1980 Addenda.

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 4

Attachment I Page 3 of 41 Serial No.: 93-318 Docket No.: 50-281 Examinations Examinations were conducted to review as much of the examination zones as was practical within geometric, metallurgical and physical limitations. When the required ultrasonic examination volume or area could not be examined 100%, the examination method was evaluated and alternate beam angles or methods were consid-ered 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 will be provided by separate correspondence. Results Examinations of components, piping and component supports result-ed in a total of two (4) items being reported on the basis of procedure reporting criteria. A summary of the indications and their dispositions are as follows: A) Support 2-WFPD-H001A on Line No. 14 11 -WFPD-113-601 (Class 2) shown on drawing 11548-WMKS-0101G1 was reported as having a loose nut on one of the inner bolts of the four bolt pipe clamp, it was found to be only finger tight. Because the bolt was still keeping the clamp in position to transfer the load through the shear lugs, it was concluded that the support was operable (in the condition found) by Virginia Power Engineering. ASME Section XI (1980 Edition with Winter 1980 Addenda) Article IWF-3420 (Acceptance Standards For Bolting) is in the course of preparation. However, later Editions and Addenda of the Code have Acceptance standards for Component Support Structural Integrity. Reference the 1989 Edition of ASME Section XI, IWF-3410 (b) (6), i.e., the reported condition is a nonrelevant condition. Because the support was determined to be operable and not in need of corrective measures to function as designed, it is felt that IWF-2420 (b) and IWF 2430 (a) do not apply. However, a deficiency card was submitted to the Maintenance Department to further tighten the nut under minor maintenance, the support is scheduled for re-examination in the next period and adjacent support 2-WFPD-HOOlB was examined this outage and found acceptable. Page 2 of 4

Attachment I Page 4 of 41 Ser;al No.: 93-318 Docket No.: 50-281 B) Support 2-SI-HOOl on line 12"-SI-201-153 and support 2-SI-

  • H002 on line 12"-SI-202-153 (Class 2) shown on drawing 11548-WMKS-SI-1 were reported as having rust and corrosion on support components. The supports are box frames mounted on the valve pit floor with a nominal thickness of 3/4 11
  • The corrosion products were easily removed and the bolts, nuts, washers, tubesteel and welds were found to be of solid and sound metal below the corrosion products. The base plate top surface areas are reduced approximately 1/8" in thickness as a result of general support corrosion. Given that the sup-port design basis loads for these two supports act in a downward direction only the minor reduction in base plate strength resulting from an 1/8" reduction in the nominal 3/4 11 thick baseplate is not critical. The maximum thermal growth of 0.11 11 will not result in a significant loading due to expansion of piping and friction on the supports. Because the supports are able to function as designed it was con-cluded that the supports were operable (in the condition found) by Virginia Power Engineering. ASME Section XI (1980 Edition with Winter 1980 Addenda) Article IWF-3410 (Accep-tance Standards For Support Items) is in the course of preparation. However, later Editions and Addenda of the Code have Acceptance Standards for Component Support Structural Integrity. Reference the 1989 Edition of ASME Section XI, IWF-3410 (b) (5) or (6), i.e., the reported condition is a nonrelevant condition. Because the support was determined to be operable and not in need of corrective measures to func-tion as designed, it is felt that IWF-2420 (b) and IWF 2430 (a) do not apply. However, a work request was submitted to remove all remaining loose rust and corrosion and coat the surfaces per NUS-3004 to prevent further degradation and improve the support condition for future examinations, the supports are scheduled for re-examination in the next period and adjacent supports 2-SI-HOOlA on line 12"-SI-201-153 and 2-SI-HOOlB was examined this outage and found acceptable or operable.

C) Support 2-SI-HOOlB on line 12"-SI-202-153 (Class 2) shown on drawing 11548-WMKS-SI-1 was reported as having insufficient thread engagement, i.e., one pipe clamp bolt is recessed approximately 1/2" into its nut. The clamp bolt size is 1 11 , which is used with a nut to maintain the clamp on the pipe surface. Due to the load (vertical) that would significantly load this particular bolt, and the remaining thread engage-ment, Virginia Power Engineering considers the as-found condition to be well within the support strength limits and

    ,as such, operable. ASME Section XI (1980 Edition with Winter 1980 Addenda) Article IWF-3420 (Acceptance Standards For Bolting) is in the course of preparation, However, later Editions and Addenda of the Code have Acceptance Standards for Component Support structural Integrity. Reference the Page 3 of 4

Attachment I Page 5 of 41 Serial No.: 93-318 Docket No.: 50-281 1989 Edition of ASME Section XI, IWF-3410 (b) (6), i.e., the

  • reported condition is a nonrelevant condition. Because the support was determined to be operable and not in need of corrective measures to function as designed, it is felt that IWF-2420 (b) and IWF 2430 (a) do not apply. However, a work request was submitted to replace the strut clamp bolt, the support is scheduled for re-examination in the next period and adjacent support 2-SI-H002 was examined this outage and found operable, see "B" above.

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 69 percent of the third period examinations and 86 percent of the interval examinations. Page 4 of 4 L

Attachment I Page 6 of 41 Serial No.: 93-318 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC & IWF a Nl.llber Line No. Nark No. Sect XI Sect XI Class category Sect XI Item tlo. Exaa. Method Exaa. Date Reaarks 11548-WMKS-010001 30 1 -SHP-101-601 H001-1 2A c-c C3.40 Surface 03/31/93 11548-WMKS-0100D1 30 1 -SHP-101-601 H001-2 2A c-c C3.40 Surface 03/31/93 11548-WMKS-0100D1 30 1 -SHP-101-601 H002-1 2A c-c C3.40 Surface 04/08/93 11548-WMKS-0100D1 30 1 -SHP-101-601 H003-1 2A c-c C3.40 Surface 04/07/93 11548-WMKS-0100D1 30 1 -SHP-101-601 H003-2 2A c-c C3.40 Surface 04/07/93 11548-WMKS-0100D1 30' -SHP-101-601 HOOS-1 2A c-c C3.40 Surface 04/01/93 11548-WMKS-0100D1 30 1 -SHP-101-601 HOOS-2 2A c-c C3.40 Surface 04/01/93 11548-WMKS-0100D1 30 1 -SHP-101-601 H007-1 2A c-c C3.40 Surface 04/07/93 11548-WMKS-0100D1 30'-SHP-101-601 H007-2 2A c-c C3.40 Surface 04/07/93 11548-WMKS-0100G1 14' -WFPD-117-601 2-WFPD-H002B 2A F-C FC1234 VT-3 03/19/93 - -

  • 11548-WMKS-0100G1 14'-WFPD-117-601 2-WFPD-H003 2A F-C FC1234 VT-3 03/19/93 *****

11548-WMKS-0100G1 14'-WFPD-117-601 2-WFPD-HOOS 2A F-A FA123 VT-3 03/19/93 WMKS-0100G1 14' -WFPD-117-601 2-WFPD-H006 2A F-A FA123 VT-3 03/19/93 8-WMKS-0100G1 14' -WFPD-117-601 2-WFPD-H007 2A F-A FA123 VT-3 03/19/93 11548-WMKS-0100G1 14 1 -WFPD-117-601 2-WFPD-H078 2A' F-A FA123 VT-3 03/19/93 11548-WMKS-0100G1 14' -WFPD-117-601 H078-1 2A c-c C3.40 Surface 03/30/93 11548-WMKS-0101G1 14' -WFPD-113-601 2-WFPD-H001A 2A F-C FC1234 VT-3 03/25/93 -A 11548-WMKS-0101G1 14' -WFPD-113-601 2-WFPD-H001B 2A F-C FC1234 VT-3 03/25/93 ***** 11548-WMKS-0101G1 14'-WFPD-113-601 2-WFPD-HSS-007 2A TS3.2 TS4.17 VT-3 03/23/93 11548-WMKS-0101G1 14' -WFPD-113-601 2-WFPD-HSS-008 2A TS3.2 TS4.17 VT-3 03/23/93 11548-WMKS-0101G1 14'-WFPD-113-601 H001-1 2A c-c C3.40 Surface 03/28/93 11548-WMKS-0101G1 14 1 -WFPD-113-601 H001-2 2A c-c C3.40 surface 03/28/93 11548-WMKS-0101G1 14'-WFPD-113-601 H001-3 2A c-c C3.40 Surface 03/28/93 11548-WMKS-0101G1 14'-WFPD-113-601 H001-4 2A c-c C3.40 Surface 03/28/93 11548-WMKS-0102D1 30'-SHP-103-601 2-SHP-H0048 2A F-C FC1234 VT-3 03/29/93 ***** 11548-WMKS-0102D1 30 1 -SHP-103-601 2-SHP-HOOS 2A F-C FC1234 VT-3 03/29/93 **H* 11548-WMKS-0102D1 30 1 -SHP-103-601 2-SHP-H074 2A F-A FA123 VT-3 03/29/93 11548-WMKS-0102D1 30'-SHP-103-601 H074-1 2A c-c C3.40 surface 03/30/93 11548-WMKS-0102G1 14'-WFPD-109-601 1-18 2A C-F CS.21 MT/UT 03/30/93 8-WMKS-0102G1 14'-WFPD-109-601 2-WFPD-H076 2A F-A FA123 VT-3 03/29/93 Page 1 of 20

Attachment I Page 7 of 41 Abstract of Examinations Performed Serial No.: 93-318 Docket No.: 50-281 1 IWB, IWC IWF Line Nark Sect XI Sect XI Sect XI Exam- Exa-NUli>er No- No. Class category Item No. Method Date Remarks 11548-WMKS-0102G1 14'-WFPD-109-601 H001-1 2A c-c C3.40 Surface 03/30/93 11548-WMKS-0102G1 14'-WFPD-109-601 H001-2 2A C*C C3.40 surface 03/30/93 11548-WMKS-0102G1 14'-WFPD-109-601 H001*3 2A c-c C3.40 Surface 03/30/93 11548-WMKS-0102G1 14' *WFPD* 109-601 H001-4 2A c-c C3.40 Surface 03/30/93 11548-WMKS-0102G1 14'-WFPD-109-601 H076-1 2A c-c C3.40 Surface 03/30/93 11548-WMKS-0103A2-1 6'*SHP-145-601 2*07A 2A C-F CS.11 MT 03/19/93 PSI 11548-WMKS-0103A2-1 6'-SHP-145-601 2-08A 2A C-F CS.11 MT 03/19/93 PSI 11548-WMKS-0103A2-1 6'*SHP-145*601 2-20 2A C-F CS.11 MT 03/19/93 PSI 11548*WMKS*0103A2-2 6 1 -SHP-146-601 2*06 2A C*F CS.11 MT 03/15/93 11548-WMKS-0103A2*2 30'-SHP-102*601 2-SHP-H002 2A F*C FC1234 VT*3 02/16/93 ***** 11548-WMKS-0103A2-2 6'-SHP-146-601 2-SHP-HSS-040 2A TS3.2 TS4.17 VT*3 02/16/93 11548-WMKS-0103A2-2 30'*SHP*102-601 H002*1 2A c-c C3.40 Surface 03/10/93 11548-WMKS-0103A2-2 30'-SHP-102*601 H002-2 2A C*C C3.40 Surface 03/10/93 11548-WMKS-0103A2-3 30 1 *SHP-103*601 1-39L 2A C-F CS.22 UT/MT 03/10/93 WMKS-0103A2-3 6 1 *SHP*147-601 2-07 2A C-F CS.11 MT 03/10/93 8-WMKS-0103A2*3 6'-SHP-147*601 2-07A 2A C-F CS.11 MT 03/18/93 PSI 11548-WMKS-0103A2-3 6'-SHP-147-601 2-0SA 2A C-F CS.11 MT 03/18/93 PSI 11548-WMKS*0103A2-3 6'-SHP-147-601 2-20 2A C-F CS.11 MT 03/18/93 PSI 11548-WMKS-0103A2-3 30'-SHP-103-601 2*SHP-H001 2A F-C FC1234 VT-3 02/16/93 -

  • 11548-WMKS-0103A2-3 30'-SHP-103*601 H001-1 2A C*C C3.40 Surface 03/10/93 11548-WMKS-0103A2-3 30'-SHP-103-601 H001*2 2A c-c C3.40 Surface 03/10/93 11548-WMKS*0103A2-4 30'-SHP-122-601 1-25BC 2A C-F CS.31 MT 03/12/93 11548-WMKS-0103A2-4 30'-SHP-122-601 1-26 2A C-F CS.11 Surface 03/12/93 11548-WMKS-0103A2-4 30 1 -SHP-122-601 1-35L 2A C*F CS.22 MT/UT 03/17/93 11548-WMKS-0117A1*1 14'-RH-102-602 2-04 2A C*F CS.11 PT 04/06/93 11548*WMKS-0117A1-1 14'*RH-102*602 2-RH*H024A 2A F-C FC123 VT*3 04/09/93 *****

11548-WMKS-0117A1-1 14' *RH-101

  • 1502 2-RH-HSS*031 1A TS3.2 TS4.17 VT*3 03/22/93 11548-WMKS-0117A1-1 14 1 -RH-101 *1502 2-RH-MOV-2700 1A B-G*2 B7.70 VT*1 03/27/93 11548-WMKS-0117A1*1 14 1 -RH*101*1502 2-RH*MOV-2701 1A B-G-2 B7.70 VT*1 03/18/93 11548-WMKS-0117A1*2 12'-RH-112-602 0-0SL 2A C-F CS.12 PT 04/09/93 11548-WMKS-0117A1-2 14'*RH*102-602 1-01 2A C-F CS.11 PT 04/18/93 8-WMKS-0117A1-2 14'-RH-118-602 1-11 2A C-F CS.11 PT 04/18/93 Page 2 of 20

Attachment I Page 8 of 41 Serial No.: 93-318 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC & IWF Line Nark Sect XI Sect XI Sect XI Exam. Exam. No. No. Class category Item No. Method Date Remarks 11548-WMKS-0117A1*2 12'-RH-112-602 1-46 2A C*F CS.11 PT 04/12/93 11548-WMKS-0117A1*2 12'-RH-112-602 1-47 2A C*F CS.11 PT 04/12/93 11548-WMKS*0117A1-2 10'-RH-105-602 2*RH*H027 2A F*C FC1234 VT-3 04/09/93 11548-WMKS*0117A1-2 10'-RH-105-602 2-RH*H028A 2A F-C FC1234 VT-3 04/09/93 11548-WMKS-0117A1-2 10'-RH-105-602 2-RH*H029 2A F*C FC1234 VT-3 04/09/93 11548-WMKS-0117A1-2 10'-RH-104-602 2-RH*H031 2A F*C FC1234 VT-3 04/09/93 11548-WMKS-0117A1*2 12'-RH-112-602 2-RH-H032 2A F*C FC1234 VT-3 04/09/93 11548-WMKS-0117A1-2 12'-RH-112-602 2*RH*H034 2A F*C FC1234 VT-3 04/09/93 11548-WMKS-0117A1*2 10'-RH-105-602 2-RH*HSS-011 2A TS3.2 TS4.17 VT-3 04/09/93 11548-WMKS-0117A1*3 10'-RH-107-602 1-27 2A C*F C5.11 PT 04/12/93 11548-WMKS-0117A1*3 12'-RH-112-602 1-49 2A C*F C5.11 PT 04/12/93 11548-WMKS-0117A1-3 12'-RH-112-602 1-50 2A C*F C5.11 PT 04/12/93 11548-WMKS-0117A1*3 10 1 -RH-109-602 2-06 2A C-F C5.11 PT 04/12/93 11548-WMKS-0117A1-3 10'-RH-110-602 2-08 2A C-F C5.11 PT 04/18/93 ~""1CS-0117A1*3 10 1 -RH-109-602 2-RH*H003 2A F-C FC1234 VT-3 04/09/93 WMKS-0117A1*3 10'-RH-110-602 2-RH*H006 2A F*C FC1234 VT-3 04/09/93 11548-WMKS*0117A1*3 12'-RH-119-602 2-RH*H013 2A F-C FC1234 VT-3 04/09/93 11548-WMKS*0117A1*3 12 1 -RH-112-602 2*RH*H034A 2A F-8 F8123 VT-3 04/15/93 PSI 11548-WMKS-0117A1*3 12'-RH-112-602 2-RH-H035 2A F*C FC1234 VT-3 04/09/93 11548-WMKS-011781 12'-RH-112-602 0-04L 2A C-F C5.12 PT 04/09/93 11548-WMKS-011781 10'-RH-117-1502 1-02 1A 8-J 89.11 PT/UT 04/07/93 11548-WMKS-011781 10'-RH-117-1502 1-03 1A 8-J 89.11 PT/UT 04/07/93 11548-WMKS-011781 12'-RH-112-602 2-07 2A C-F C5.11 PT 04/07/93 11548-WMKS-011781 12'-RH-112-602 2-09 2A C-F C5.11 PT 04/07/93 11548-WMKS-011781 12'-RH-112-602 2-10 2A C*F C5.11 PT 04/07/93 11548-WMKS-011781 10'-RH-137-602 2-13 2A C*F CS.11 PT 04/06/93 11548-WMKS-011781 10'-RH-117-1502 2-RH-H009A 1A F*C FC1234 VT-3 03/30/93 ***** 11548-WMKS-011781 10'-RH-117-1502 2-RH-H009B 1A F-C FC1234 VT-3 03/30/93 ***** 11548-WMKS-0118A1 6' *WAPD-101-601 0-05 2A C*F C5.11 Surface 04/08/93 11548-WMKS-0118A1 6'-WAPD-101-601 2-WAPD*H001 2A F-C FC1234 VT-3 03/29/93 ***** 11548-WMKS*0118A2 6'-WAPD-102-601 0-11 2A C*F CS.11 Surface 04/08/93 ~-MMKS-0118A2 6' -WAPD-151-601 0-46 2A C*F C5.11 Surface 04/08/93 Page 3 of 20

Attachment I Page 9 of 41 Serial No.: 93*318 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC & IWF Line Marie Sect XI Sect XI Sect XI Exaa. Exall. Nllli>er No. No. Class category Item No. Method Date Remarlc:s 11548-WMKS-0118A2 6 1 -WAPD-151-601 2-WAPD-H032 2A F-B FB123 VT-3 03/29/93 11548-WMKS-0122A1 12'-RC-324-1502 1-04 1A B-J B9.11 PT/UT 04/13/93 11548-WMKS-0122A1 12 1 -RC-324-1502 1-05 1A B-J B9.11 PT/UT 04/13/93 11548-WMKS-0122A1 12 1 -RC-324-1502 1-06 1A B-J B9.11 PT/UT 04/13/93 11548-WMKS-0122A1 12'-RC-324-1502 1-07 1A B-J B9.11 PT/UT 04/13/93 11548-WMKS-0122A1 12'-RC-324-1502 1-08 1A B-J B9.11 PT/UT 04/13/93 11548-WMKS-0122A1 12'-SI-247-602 2-QF 2A C*F C5.11 PT 04/03/93 11548-WMKS-0122A1 12 1 -SI-247-1502 H001-1 1A B-K-1 B10.10 Surface 04/12/93 11548-WMKS-0122A1 12' -SI-247-1502 H001-2 1A B-K-1 B10.10 Surface 04/12/93 11548-WMKS-0122A1 12'-SI-247-1502 H007-1 1A B-K-1 B10.10 Surface 04/12/93 11548-WMKS-0122A1 12'-SI-247-1502 H007*2 1A B-K-1 B10.10 Surface 04/12/93 11548-WMKS-0122A1 12'-SI-247-1502 H007-3 1A B-K-1 B10.10 Surface 04/12/93 11548-WMKS-0122A1 12'-SJ-247-1502 H007-4 1A B-K-1 B10.10 Surface 04/12/93 11548-WMKS-0122A1 12'-RC-324-1502 H008-1 1A B-K-1 B10.10 Surface 04/12/93 WMKS-0122A1 12'-RC-324-1502 H008-2 1A B-K-1 B10.10 Surface 04/12/93 12'-RC-324-1502 H008*3 1A B-K-1 B10.10 Surface 04/12/93 11548-WMKS-0122A1 12'-RC-324-1502 H008-4 1A B*K-1 B10.10 Surface 04/12/93 11548-WMKS-0122D1 12'-SJ-246-602 2-AF 2A C-F C5.11 PT 04/03/93 11548-WMKS-0122D1 12'-SJ-246-1502 2-SJ-H008 1A F-A FA123 VT-3 03/26/93 11548-WMKS-0122D1 12'-Sl-246-1502 H006*1 1A B-K-1 B10.10 Surface 04/10/93 11548-WMKS-0122D1 12'-SJ-246-1502 H006*2 1A B-K-1 B10.10 Surface 04/10/93 11548-WMKS-012201 12'-Sl-246-1502 H006-3 1A B*K-1 B10.10 Surface 04/10/93 11548-WMKS*0122D1 12'-SJ-246-1502 H006-4 1A B-K-1 B10.10 Surface 04/10/93 11548-WMKS-012201 12'-SI-246-1502 H009-1 1A B-K-1 B10.10 Surface 04/01/93 11548-WMKS-012201 12'-SI-246-1502 H009-2 1A B-K-1 B10.10 surface 04/01/93 11548-WMKS-0122D1 12'-SJ-246-1502 H009-3 1A B-K-1 B10.10 Surface 04/01/93 11548-WMKS-0122D1 12'-SJ-246-1502 H009-4 1A B-K-1 B10.10 Surface 04/01/93 11548-WMKS-0122H1 6'-Sl-249-1502 2-SI-239 1A B-G-2 B7.70 VT-1 03/22/93 11548-WMKS-0122H1 6'-RC-316-1502 2-SI-91 1A B-G-2 B7.70 VT-1 03/22/93 11548-WMKS-0122H1 6'-SJ-249-1502 2-SI-H017 2A F-A FA123 VT-3 03/22/93 11548-WMKS-0122H1 6 1 -SJ-249-1502 2-SJ-H018 2A F-C FC1234 VT-3 03/22/93 ~1JM1(S-0122H1 6'-RC-316-1502 2-SJ-H020 1A F-C FC1234 VT-3 03/22/93 Page 4 of 20

Attachment I Page 10 of 41 Serial No.: 93-318 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC & IWF ~ Line No. Nark No. Sect XI Sect XI Class category Sect XI ltea No. Exam. Method Exam. Date Remarks 11548-WMKS-0122J1 6'*RC*321*1502 2-RC*H006 1A F*C FC1234 VT-3 03/22/93 11548-WMKS*0122J1 6 1 *SI *321

  • 1502 2*Sl*240 1A B*G-2 B7.70 VT*1 03/22/93 11548-WMKS-0122J1 6'*Sl*250*1502 2*Sl*H004 2A F*C FC1234 VT-3 03/22/93 11548-WMKS*0122J1 6'*Sl*250*1502 2*Sl*H005 2A F*C FC123 VT-3 03/22/93 11548*WMKS*0122K1*1 6'-Sl-248*1502 2*07 2A C*F C5.21 PT/UT 04/10/93 11548*WMKS*0122L1 12'*Sl*245*1502 2-DF 2A C*F C5.21 PT/UT 04/03/93 11548*WMKS*0122L1 12' *SI *245-1502 2*Sl*H008A 1A F*C FC1234 VT-3 03/22/93 11548-WMKS*0122L1 12' *SI *245-1502 2*Sl*H008BB 1A F*C FC1234 VT-3 03/22/93 11548*WMKS*0123G1 10'*RS*110*163L 1*16A 2C C*F C5.11 PT 04/03/93 11548*WMKS*0123G1 10'*RS*110*153 2*RS*H067 2C F*B FB123 VT*3 03/28/93 11548*WMKS*0123G1 10'*RS*110*163L 2*RS*H068A 2C F*A FA123 VT*3 03/28/93 11548*WMKS*0123G1 10'-RS-110-153 2*RS*H096 2C F*C FC1234 VT-3 03/28/93 11548-WMKS*0123G2 10'-RS-109-153 1-18 2C C*F C5.11 PT 04/01/93 11548-WMKS-0123G2 10 1 -RS-109-153 2-RS*H001 2C F-C FC1234 VT-3 03/28/93 WMKS-0123N1Z 12'-RS-107-153 0-02 2C C*F C5.11 PT 04/10/93 8*WMKS*0123N1Z 12'-RS-108-153 0-04 2C C*F C5.11 PT 04/10/93 11548-WMKS*0123Q1 10'-RS-101-153 2*RS*H054 2C F,B FB123 VT-3 03/28/93 *****

11548-WMKS*0123Q1 10'-RS-101-153 2-RS*H058 2C F*A FA123 VT-3 03/28/93 11548*WMKS*0123Q1 10' *RS-101-153 2*RS*H059 2C F*C FC1234 VT-3 03/28/93 11548*WMKS*0123Q2 10'-RS-102-153 1-02 2C C*F C5.11 PT 04/03/93 11548-WMKS-0123Q2 10'-RS-102-153 1-19 2C C*F C5.11 PT 04/05/93 11548-WMKS-0123Q2 10'-RS-102-153 2*RS*H088 2C F*A FA123 VT-3 03/28/93 11548-WMKS-0123Q2 10'-RS-102-153 2-RS*H089 2C F*C FC123 VT-3 03/28/93 11548-WMKS-0123Q2 10 1 -RS-102-153 2-RS*H090 2C F-A FA123 VT-3 03/28/93 11548*WMKS*0124A1 3'-RC-361-1502 2*RC*H011 1A F*B FB123 VT-3 03/19/93 11548-WMKS-0124A1 6 1 -RC-339-1502 2-RC*SV-2551A 1A B-G-2 B7.70 VT-1 03/25/93 PSI 11548-WMKS-0124A1 6 1 -RC-338-1502 2-RC*SV-2551B 1A B-G-2 B7.70 VT-1 03/25/93 PSI 11548-WMKS-0124A1 6 1 *RC-337-1502 2*RC*SV*2551C 1A B*G-2 B7.70 VT-1 03/25/93 PSI 11548-WMKS*0124A1 3 1 -RC-335-1502 4-14 1A B*J B9.21 PT 03/20/93 11548-WMKS-0125A1 4' *RC-314-1502 2-RC*H009 1A F*C FC1234 VT-3 03/20/93 11548*WMKS-0125A1 4'-RC-315-1502 2-RC*H010 1A F*C FC1234 VT-3 03/20/93 4'-RC-315-1502 2*RC*H032 1A F*A FA123 VT-3 03/28/93 Page 5 of 20

Attachment I Page 11 of 41 Serial No.: 93-318 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC IWF Line Marie Sect XI Sect XI Sect XI E,ua_ Exam. No. No. Class category Item No. Method Date Re1111rlcs 11548-WMKS-0125A1 11/z'-RC-405-1502 3-02 1A B-J B9.40 PT 04/17/93 11548-WMKS-0125A1 1Yz' *RC*405* 1502 3-03 1A B*J B9.40 PT 04/17/93 11548-WMKS-0125A1 11/z'-RC-405-1502 3-06 1A B-J B9.40 PT 04/17/93 11548-WMKS-0125A1 11/z'-RC-405-1502 3-07 1A B-J B9.40 PT 04/17/93 11548-WMKS-0125A1 1'1z'-RC*405-1502 3-08 1A B*J B9.40 PT 04/17/93 11548-WMKS-0125A1 11/z'-RC-405*1502 3*09 1A B-J B9.40 PT 04/17/93 11548-WMKS*0125A1 11/z'-RC-405-1502 3-10 1A B-J B9.40 PT 04/17/93 11548-WMKS-0125A1 11/z'*RC-405-1502 Flange 'A' 1A B*G-2 87.50 VT-1 04/13/93 11548-WMKS-0127C1 10'-SI-284-152 1*01 2A C-F CS.11 PT 03/08/93 11548-WMKS-0127C1 8'*5I-292-153 1-21 2A C-F CS.11 PT 02/04/93 11548-WMKS-0127C1 8'-SI-292-153 1-22 2A C-F CS.11 PT 02/04/93 11548-WMKS-0127C1 8 1 -SI-292-153 1-23 2A C-F CS.11 PT 02/04/93 11548-WMKS-0127C1 6'*SI-249-1502 2*20 2A C*F C5.11 PT 02/12/93 11548-WMKS-0127C1 8'-SI *214*152 3-AS 2A C-F CS.11 PT 02/04/93 ~...,,-0121e1 8'-SI-214-152 3*AT 2A C*F C5.11 PT 02/04/93 WMKS-0127C1 8'-SI-214-152 3-AU 2A C-F CS.11 PT 02/04/93 11548-WMKS*0127C2 10'-SI-349-153 4-APF 2A C-F CS.11 PT 02/12/93 11548-WMKS*0127C2 10'-SI-283*152 4-AS 2A C-F CS.11 PT 03/08/93 11548-WMKS-0127C2 8'-SI-214-153 4-AX 2A C-F CS.11 PT 03/08/93 11548-WMKS-0127C2 8' -SI-214-153 4-AY 2A C-F CS.11 PT 02/04/93 11548-WMKS-0127C2 8'-SI-214-153 4-AZ 2A C*F CS.11 PT 02/04/93 11548-WMKS-0127C2 10'-SI-213-153 4-KS 2A C-F CS.11 PT 03/23/93 11548-WMKS-012701 8'-SI-214-153 1*DF 2A C*F CS.11 PT 03/09/93 11548-WMKS-012701 8'-SI-214-153 1-EF 2A C-F CS.11 PT 03/09/93 11548-WMKS-012701 8'-SI-214-153 1-FS 2A C*F CS.11 PT 03/09/93 11548-WMKS-012702 8'-SI-292-153 1-D-F 2A C-F CS.11 PT 03/09/93 11548-WMKS-012702 8 1 -SI-292-153 1-E-F 2A C-F CS.11 PT 03/09/93 11548-WMKS-012702 8'-SI-292-153 1-U-S 2A C*F CS.11 PT 03/10/93 11548-WMKS-012702 8'-SI-292-153 1-V-S 2A C-F C5.11 PT 03/10/93 11548-WMKS-0127G1 6'-CH-372-152 0-10 2A C-F C5.11 PT 04/09/93 11548-WMKS-0127G1 6'-CH-318-152 0-19 2A C-F C5.11 PT 04/09/93 ~ ...,,-012761 6'-CH-318-152 0-20 2A C-F C5.11 PT 04/09/93 Page 6 of 20

Attachment I Page 12 of 41 Serial No.: 93-318 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC & IWF a Nuiber Line No. Nark No. Sect XI Sect XI Class Category Sect XI ltea No. Exam. Method Exam. Date Remarks 11548-WMKS-0127G1 6' -CH-319* 152 0-30 2A C-F CS.11 PT 04/08/93 11548-WMKS-0127G1 6 1 -Sl-278-152 0-ACL 2A C-F CS.12 PT 04/07/93 11548-WMKS-0127G1 6 1 -CH-501-152 1-AD 2A C-F CS.11 PT 08/13/91 11548-WMKS-0127G1 6'-CH-502-152 1-AK 2A C-F CS.11 PT 04/09/93 11548-WMKS-0127G1 6'-Sl-278-152 1-AQ 2A C-F CS.11 PT 04/09/93 11548-WMKS-0127G1 6'-CH-503-152 1-AU 2A C-F CS.11 PT 08/13/91 11548-WMKS-0127G1 8'-CH-317-152 1-AV 2A C-F CS.11 PT 08/13/91 11548-WMKS-0127G1 8'-CH-317-152 1-AW 2A C-F CS.11 PT 08/13/91 11548-WMKS-0127G1 8'-CH-317-152 1-BE 2A C-F CS.1.1 PT 08/13/91 11548-WMKS-0127G1 8'-Sl-292-153 1-R 2A C-F CS.11 PT 04/09/93 11548-WMKS-0127G1 8'-Sl-292-153 1-X 2A C-F CS.11 PT 04/09/93 11548-WMKS-0127G1 8'-Sl-217-152 1-Z 2A C-F CS.11 PT 08/13/91 11548-WMKS-0127G1 8 1 -CH-317-152 2-CH-H003 2A F-B FB123 VT-3 08/13/91 11548-WMKS-0127G1 6'-CH-372-152 2-CH-H009 2A F-C FC1234 VT-3 08/13/91 WMKS-0127G1 6 1 -CH-318-152 2-CH-H013 2A F-C FC1234 VT-3 02/18/93 6'-CH-319-152 2-CH-H014 2A F-C FC1234 VT-3 08/13/91 11548-WMKS-0127G1 8 1 -SI-292-153 2-SI-H015 2A F-A FA123 VT-3 02/18/93 11548-WMKS-0127G1 8'-SI-292-153 2-SI-H016 2A F-A FA123 VT-3 02/18/93 11548-WMKS-0127G1 8'-Sl-292-153 2-SI-H017 2A F-A FA123 VT-3 02/18/93 11548-WMKS-0127G1 8' -SI-292-153 2-SI-H019 2A F-A FA123 VT-3 02/18/93 11548-WMKS-0127G1 8'-SI-292-153 2-SI-H021A 2A F-A FA123 VT-3 02/18/93 11548-WMKS-0127G1 8'-SI-292-153 H022-1 2A c-c C3.40 Surface 04/08/93 11548-WMKS-0127G2 8 1 -SI-214-153 1-L 2A C-F CS.11 PT 04/08/93 11548-WMKS-0127G2 8'-Sl-214-153 1-M 2A C-F CS.11 PT 04/08/93 11548-WMKS-0127G2 8'-SI-214-153 1-VF 2A C-F CS.11 PT 03/24/93 11548-WMKS-0127G2 8'-CH-504-152 1-WF 2A C-F CS.11 PT 03/24/93 11548-WMKS-0127G2 8 1 -CH-504-152 1-X 2A C-F CS.11 PT 04/07/93 11548-WMKS-0127G2 8 1 -SI-214-153 2-SI-H038 2A F-A FA123 VT-3 02/18/93 11548-WMKS-0127G2 8'-SI-214-153 2-SI-H038A 2A F-A FA123 VT-3 07/21/92 11548-WMKS-0127G2 8'-SI-214-153 H045-1 2A c-c C3.40 Surface 04/03/93 11548-WMKS-0127J1 6"-RC-317-1502 2-SI-79 1A B-G-2 B7.70 VT-1 03/22/93 6'-SI-344-1502 2-SI-H004 2A F-C FC1234 VT-3 03/26/93 Page 7 of 20

Attachment I Page 13 of 41 Serial No.: 93-318 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC IWF Line Nark Sect XI Sect XI Sect XI Exaa. Exaa. Nlilber No. No. Class Category Itea No. Method Date Reaarks 11548*WMKS*0127J3 6'-RC-320-1502 1-03A 1A B*J B9.11 RT/PT 04/03/93 PSI 11548-WMKS*0127J3 6'-RC-320-1502 1-04A 1A B*J B9.11 RT/PT 04/03/93 PSI 11548-WMKS*0127J3 21 -Sl-275-1502 1*10BW 1A B*J B9.21 PT 04/15/93 11548*WMKS*0127J3 6'-Sl-353-1502 2*S1*243 1A B*G-2 B7.70 VT-1 03/22/93 11548*WMKS*0127J3 6'-RC-320-1502 2-Sl-85 1A B-G-2 B7.70 VT-1 03/22/93 11548*WMKS*0127J3 6 1 -Sl-353-1502 3-06 2A C*F C5.21 PT/UT 04/17/93 11548*WMKS*0127J3 6'*S1*353*1502 3-07 2A C*F CS.21 PT/UT 04/17/93 11548*WMKS*0127J3 6 1 *SI *353-1502 3-08 2A C*F CS.21 PT/UT 04/17/93 11548*WMKS*0127J5 6'-Sl-345-1502 1-29 2A C*F C5.21 UT/PT 04/06/93 11548*WMKS*0127J5 6'-Sl-345-1502 1-30 2A C*F C5.21 UT/PT 04/06/93 11548*WMKS*0127J5 6 1 -Sl-345-1502 1-31 2A C*F C5.21 UT/PT 04/06/93 11548*WMKS*0127J5 6'-Sl-345-1502 1-32 2A C*F C5.21 UT/PT 04/06/93 11548*WMKS*0127J5 6' *SI *345-1502 1-33 2A C*F C5.21 UT/PT 04/06/93 11548*WMKS*0127K1 8' *SI *214-153 0*04L 2A C*F CS.12 PT 10/26/92 WMKS*0127K1 8' *SI *214-153 1-KF 2A C*F CS.11 PT 03/10/93 8'-Sl-214-153 1-LF 2A C*F C5.11 PT 03/10/93 11548*WMKS*0127K1 8' *SI *214-153 1-MF 2A C*F CS.11 PT 03/10/93 11548*WMKS*0127K2 8'-Sl-292-153 0*03L 2A C*F CS.12 PT 10/26/92 11548*WMKS*0127K2 8' *SI *292-153 1-F-F 2A C*F C5.11 PT 03/10/93 11548*WMKS*0127K2 8'-Sl-292-153 1-G-F 2A C*F CS.11 PT 03/10/93 11548*WMKS*0127K2 8 1 -Sl-292-153 1-K*F 2A C*F CS.11 PT 03/10/93 11548*WMKS*0127K2 8'-Sl-292-153 1-L*F 2A C*F C5.11 PT 03/10/93 11548*WMKS*0127K2 8'-Sl-292-153 1-M*F 2A C*F CS.11 PT 03/10/93 11548*WMKS*0127K2 8'-Sl-292-153 1-N*F 2A C*F C5.11 PT 03/10/93 11548-WMKS*CH-55 2 1 -CH-368-1502 2*CH*H001 1A F*C FC1234 VT-3 03/29/93 11548-WMKS*CH-60 2'-CH-308-1503 2*CH*H002 1A F*C FC1234 VT-3 02/18/93 11548-WMKS*CH-8 21 -CH-368-1502 2-21 1A B*J B9.40 PT 04/06/93 11548-WMKS*CH-8 21 -CH-368-1502 2-22 1A B*J B9.40 PT 04/06/93 11548-WMKS*CH-8 2'-CH-368-1502 2-23 1A B*J B9.40 PT 04/06/93 11548-WMKS*CH-8 2'-CH-368-1502 2-24 1A B*J B9.40 PT 04/06/93 11548-WMKS*CH-8 3 1 -CH-301-1502 2*CH*H008 1A F*B FB123 VT-3 03/30/93 ~"'KS*CH-8 3'-CH-301-1502 2*CH*H008A 1A F*B FB123 VT-3 03/30/93 Page 8 of 20

Attachment I Page 14 of 41 Serial No.: 93-318 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC & IWF Line Marie Sect XI Sect XI Sect XI Exalil. Exaa. No. No. Class category Itea No. Method Date Remarks 11548-WMKS-CH-8 3 1 -CH-301-1502 2-CH-H009A 1A F-B FB123 VT-3 03/30/93 11548-WMKS-CH-8 3'-CH-301-1502 2-CH-H011A 1A F-B FB123 VT-3 03/30/93 11548-WMKS-CH-8 3'-CH-301-1502 2-CH-H014 1A F-B FB123 VT-3 03/26/93 11548-WMKS-CH-8 3 1 -CH-301-1502 2-CH-H014A 1A F-B FB123 VT-3 03/26/93 11548-WMKS-CH-8 3'-CH-301-1502 2-CH-H015 1A F-C FC1234 VT-3 03/26/93 11548-WMKS-CH-8 21 -CH-368-1502 2-CH-H016A 1A F-A FA123 VT-3 03/30/93 11548-WMKS-CH-8 2'-CH-368-1502 2-CH-HSS-305 1A TS3.2 TS4.17 VT-3 03/31/93 11548-WMKS-CH-8 3 1 -CH-301-1502 2-CH-HSS-306A 1A TS3.2 TS4.17 VT-3 03/31/93 ***** 11548-WMKS-CH-8 3 1 -CH-301-1502 2-CH-HSS-306B 1A TS3.2 TS4.17 VT-3 03/31/93 ***** 11548-WMKS-CH-8 3'-CH-301-1502 2-CH-HSS-307 1A TS3.2 TS4.17 VT-3 03/31/93 ***** 11548-WMKS-CH-8 3 1 -CH-301-1502 2-CH-MSS-001 1A TS3.2 TS4.17 VT-3 03/31/93 ***** 11548-WMKS-CH-8 3'-CH-301-1502 2-CH-MSS-002 1A TS3.2 TS4.17 VT-3 03/31/93 ***** 11548-WMKS-CH-9 3'-CH-379-1503 2-CH-H001 1A F-B FB123 VT-3 04/02/93 11548-WMKS-CH-9 3'-CH-379-1503 2-CH-H003 1A F-A FA123 VT-3 03/29/93 41"'"-Cll-9 WMKS-CH-9 3'-CH-379-1503 3'-CH-379-1503 2-CH-H006 2-CH-H012 1A 1A F-B F-A FB123 FA123 VT-3 VT-3 03/29/93 ***** 03/29/93 11548-WMKS-CH-9 3'-CH-379-1503 2-CH-H014 1A F-B FB123 VT-3 03/29/93 11548-WMKS-CH-9 3'-CH-379-1503 2-CH-H017 1A F-A FA123 VT-3 03/29/93 11548-WMKS-CH-9 3'-CH-379-1503 2-CH-H018 1A F-B FB123 VT-3 03/29/93 ***** 11548-WMKS-CH-9 3'-CH-379-1503 2-CH-H019 1A F-B FB123 VT-3 03/29/93 11548-WMKS-CH-E-2 2-CH-E-2 1-01 2A C-A C1.20 UT 04/06/93 *** 11548-WMKS-CH-E-2 2-CH-E-2 1-02 2A C-A C1 .10 UT 04/06/93 *** 11548-WMKS-CH-E-3 2-CH-E-3 2-CH-H001 1A F-A FA123 VT-3 04/02/93 ***** 11548-WMKS-CH-E-3 2-CH-E-3 2-CH-H002 1A F-A FA123 VT-3 04/02/93 ***** 11548-WMKS-CH-E-3 2-CH-E-3 2-CH-H003 1A F-A FA123 VT-3 04/02/93 ***** 11548-WMKS-CH-E-3 2-CH-E-3 2-CH-H004 2A F-A FA123 VT-3 04/02/93 ***** 11548-WMKS-CH-E-3 2-CH-E-3 2-CH-H005 2A F-A FA123 VT-3 04/02/93 ***** 11548-WMKS-CH-E-3 2-CH-E-3 2-CH-H006 2A F-A FA123 VT-3 04/02/93 ***** 11548-WMKS-CH-E-4 2-CH-E-4 1-01 2A C-A C1.20 UT 04/05/93 20 11 -0 11 11548-WMKS-CH-E-4 2-CH-E-4 1-02 2A C-A C1.10 UT 04/05/93 20 11 -0 11 11548-WMKS-CH-FL-4A 2-CH-FL-4A 1-02 2A C-A C1 .10 UT 11/18/91 12 11 -1 11 ~"'°'S-CH-FL-4B 2-CH-FL-4B 1-01 2A C-A C1.20 UT 11/18/91 23 11 -1 11 Page 9 of 20

Attachment I Page 15 of 41 Serial No.: 93-318 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC & IWF Line Nark Sect XI Sect XI Sect XI Exal. Exaa. NUJber No. No. Class category Item No. Method Date Remarks 11548-WMKS-RC-1 3'-RC-447-1502 2-RC-H001 1A F-B FB123 VT-3 03/22/93 11548-WMKS-RC-1 3'-RC-447-1502 2-RC-H002 1A F-B FB123 VT-3 03/22/93 11548-WMKS-RC-1 3'-RC-447-1502 2-RC-HSS-190 1A TS3.2 TS4.17 VT-3 03/22/93 11548-WMKS-RC-1021 2'-RC-358-1502 2-RC-H001 1A F-B FB123 vt-3 03/22/93 11548-WMKS-RC-1022 21 -RC-353-1502 2-RC-H004 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 21 -RC-353-1502 2-RC-H005 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2'-RC-353-1502 2-RC-H006 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2'-RC-353-1502 2-RC-H007 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2'-RC-353-1502 2-RC-H008 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2 1 -RC-353-1502 2-RC-H009 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2'-RC-356-1502 2-RC-H010 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2'-RC-356-1502 2-RC-H012 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2'-RC-356-1502 2-RC-H013 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2'-RC-356-1502 2-RC-H015 1A F-B FB123 VT-3 03/30/93 ~WMKS-RC-1022 2'-RC-356-1502 2-RC-H016 1A F-A FA123 VT-3 03/30/93 WMKS-RC-1022 21 -RC-358-1502 2-RC-H017 1A F-B FB123 VT-3 03/30/93 11548-llMKS-RC-1022 2'-RC-358-1502 2-RC-H018 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2'-RC-358-1502 2-RC-H019 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2 1 -RC-358-1502 2-RC-H020 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2'-RC-358-1502 2-RC-H021 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2'-RC-358-1502 2-RC-H022 1A F-A FA123 VT-3 03/30/93 11548-llMKS-RC-1022 2'-RC-358-1502 2-RC-H023 1A F-A FA123 VT-3 03/30/93 11548-llMKS-RC-1022 2'-RC-358-1502 2-RC-H024 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2'-RC-358-1502 2-RC-H025 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2'-RC-358-1502 2-RC-H026 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2 1 -RC-358-1502 2-RC-H027 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2'-RC-358-1502 2-RC-H028 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2'-RC-358-1502 2-RC-H029 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2'-RC-358-1502 2-RC-H030 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2'-RC-358-1502 2-RC-H031 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1022 2'-RC-358-1502 3-52 1A B-J B9.40 PT 04/10/93 11548-WMKS-RC-1022 2'-RC-358-1502 3-53 1A B-J B9.40 PT 04/10/93 Page 10 of 20

Attachment I Page 16 of 41 Serial No.: 93-318 Docket No.: 50-281 Abstract of Examinations Performed

IWB, :IWC & :IWF Line Nark Sect XI Sect XI Sect XI Exaa- Exam.

No. No. Class category Itea No. Method Date Remarks 11548-WMKS-RC-1022 2'-RC-358-1502 3-54 1A B-J B9.40. PT 04/10/93 11548-WMKS-RC-1022 2 1 -RC-358-1502 3-55 1A B-J B9.40 PT 04/10/93 11548-WMKS-RC-1023 2'-CH-310-1503 1-09 1A B-J B9.40 PT 04/13/93 11548-WMKS-RC-1023 2'-CH-310-1503 1-10 1A B-J B9.40 PT 04/13/93 11548-WMKS-RC-1023 2'-CH-310-1503 2-CH-H002 1A F-B FB123 VT-3 03/22/93 11548-WMKS-RC-1024 2'-CH-393-1502 1-12 1A B-J B9.40 PT 04/01/93 11548-WMKS-RC-1024 2'-CH-393-1502 1-13 1A B-J B9.40 PT 04/01/93 11548-WMKS-RC-1024 2'-CH-393-1502 1-14 1A B-J B9.40 PT 04/01/93 11548-WMKS-RC-1024 21 -CH-393-1502 1-15 1A B-J B9.40 PT 04/01/93 11548-WMKS-RC-1024 2'-CH-393-1502 1-16 1A B-J B9.40 PT 04/01/93 11548-WMKS-RC-1024 2'-CH-393-1502 1-17 1A B-J B9.40 PT 04/01/93 11548-WMKS-RC-1024 2'-CH-393-1502 1-18 1A B-J B9.40 PT 04/13/93 11548-WMKS-RC-1024 2'-CH-393-1502 2-CH-H002 1A F-B FB123 VT-3 03/29/93 11548-WMKS-RC-10-1 29'-RC-307-2501R 1-05DM 1A B-F B5.30 UT/PT 04/16/93 *** ~WMKS*RC-10*1 31 1 -RC-308-2501R 1-10 1A B-J B9.11 PT/UT 04/18/93

  • WMKS-RC-10-1 27'h'-RC-309-2501R 1-12 1A B-J B9.11 PT/UT 04/17/93
  • 11548-WMKS-RC-10-1 27'h'-RC-309-2501R 1-13 1A B-J B9.11 PT/UT 04/17/93
  • 11548-WMKS-RC-10-1 27'h'*RC-309-2501R 1-14 1A B-J B9.11 PT/UT 04/17/93
  • 11548-WMKS-RC-10-1 29'-RC-307-2501R 1-22 1A B-J B9.11 PT/UT 04/16/93
  • 11548-WMKS-RC-1121 2'-RC-357-1502 2-RC-50 1A B-G-2 B7.70 VT-1 03/26/93 11548-WMKS-RC-1121 2'-RC-357-1502 2-RC-H001 1A F-A FA123 VT-3 03/26/93 11548-WMKS-RC-1121 2'-RC-357-1502 2-RC-H002 1A F-A FA123 VT-3 03/26/93 11548-WMKS-RC-1121 2'-RC-356-1502 2-RC-H003 1A F-C FC123 VT-3 03/26/93 11548-WMKS-RC-1122 2'-CH-309-1503 2-CH-H002 1A F-B FB123 VT-3 03/26/93 11548-WMKS-RC-1122 2'-CH-309-1503 2-CH-H003 1A F-B FB123 VT-3 03/26/93 11548-WMKS-RC-1123 2'-CH-395-1502 1-06 1A B-J B9.40 PT 03/27/93 11548-WMKS-RC-1123 2'-CH-395-1502 1-07 1A B-J B9.40 PT 03/27/93 11548-WMKS-RC-1123 2'-CH-395-1502 1-08 1A B-J B9.40 PT 03/27/93 11548-WMKS-RC-1123 2'-CH-395-1502 1-09 1A B-J B9.40 PT 03/27/93 11548-WMKS-RC-1123 2'-CH-395-1502 2-CH-H002 1A F-B FB123 VT-3 03/26/93 11548-WMKS-RC-1222 2'-CH-308-1503 2-CH-H002 1A F-B FB123 VT-3 03/22/93
      -WMKS-RC-1223 2'-CH-305-1502     2-CH-H001     1A      F-B      FB123    VT-3   03/22/93 Page 11 of 20

Attachment I Page 17 of 41 Serial No.: 93-318 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC & IWF Line Nark Sect XI Sect XI Sect XI Exalll. Exall. No. No. Class category Itea No. Method Date Remarks 11548-IJMKS-RC-12Z4 21 -CH-308-1503 1-41 1A B-J B9.40 PT 04/01/93 11548-IJMKS-RC-12Z4 2'-CH-310-1503 2-11 1A B-J B9.40 PT 04/06/93 11548-IJMKS-RC-12Z4 2'-CH-310-1503 2-12 1A B-J B9.40 PT 04/06/93 11548-IJMKS*RC-12Z4 2 1 -CH-310-1503 2-13 1A B-J B9.40 PT 04/06/93 11548-IJMKS-RC-12Z4 2'-CH-310-1503 2-14 1A B-J B9.40 PT 04/06/93 11548-IJMKS-RC-12Z4 2'-CH-310-1503 2-CH-H003 1A F-A FA123 VT-3 03/30/93 11548-IJMKS-RC-12Z4 21 -CH-310-1503 2-CH-H004 1A F-B FB123 VT-3 03/30/93 11548-IJMKS-RC-12Z4 2'-CH-310-1503 2-CH-H005 1A F-B FB123 VT-3 03/30/93 11548-IJMKS-RC-12Z4 2'-CH-310-1503 2-CH-H006 1A F-A FA123 VT-3 03/30/93 11548-IJMKS-RC-12Z4 2'-CH-310-1503 2-CH-H007 1A F-B FB123 VT-3 03/30/93 11548-IJMKS-RC-12Z4 2'-CH-310-1503 2-CH-H008 1A F-B FB123 VT-3 03/30/93 11548-IJMKS-RC-12Z4 2'-CH-310-1503 2-CH-H009 1A F-B FB123 VT-3 03/30/93 11548-IJMKS*RC-12Z4 2'-CH-310-1503 2-CH-H010 1A F-B FB123 VT-3 03/30/93 11548-I.IMKS-RC-12Z4 2'-CH-310-1503 2-CH*H011 1A F-B FB123 VT-3 03/30/93

     -IJMKS-RC-12Z4  2'-CH-310-1503    2-CH*H012     1A      F-B        FB123    VT-3    03/30/93 IJMKS-RC-12Z4 2'-CH-310-1503    2-CH*H013     1A      F-B        FB123    VT-3    03/30/93 11548-IJMKS-RC-12Z4   2'-CH-310-1503    2-CH*H014     1A      F-A        FA123    VT-3    03/30/93 11548-IJMKS-RC-12Z4   2'-CH-310-1503    2*CH*H015     1A      F-B      . FB123    VT-3    03/30/93 11548-I.IMKS-RC-12Z4  2'-CH-310-1503    2-CH-H016     1A      F-B        FB123    VT-3    03/30/93 11548-I.IMKS-RC-12Z4  2'-CH-310-1503    2-CH*H017     1A      F-B        FB123    VT-3    03/30/93 11548*1JMKS-RC-12Z4   2'-CH-310-1503    2-CH-H018     1A      F-B        FB123    VT-3    03/30/93 11548-IJMKS-RC-12Z4   2'-CH-310-1503    2-CH-H019     1A      F-A        FA123    VT-3    03/30/93 11548-IJMKS-RC-12Z4   2'-CH-310-1503    2-CH-H020     1A      F-A        FA123    VT-3    03/30/93 11548-IJMKS-RC-12Z4   2'-CH-308-1503    2-CH*H021     1A      F-A        FA123    VT-3    03/30/93 11548*1JMKS-RC-12Z4   2'-CH-308-1503    2-CH-H022     1A      F-A        FA123    VT-3    03/30/93 11548-IJMKS-RC-12Z4   2'-CH-308-1503    2-CH-H023     1A      F-A        FA123    VT-3    03/30/93 11548-IJMKS-RC-12Z4   2'-CH-308-1503    2-CH-H024     1A      F-A        FA123    VT-3    03/30/93 11548-WMKS-RC-12Z4    2 1 -CH-308-1503  2-CH-H025     1A      F-A        FA123    VT-3    03/30/93 11548-I.IMKS*RC*12Z4  2'-CH-308-1503    2-CH-H026     1A      F-A        FA123    VT-3    03/30/93 11548-I.IMKS*RC-1224  2 1 -CH-308*1503  2-CH-H027     1A      F-A        FA123    VT-3    03/30/93 11548-I.IMKS-RC-12Z4  2'-CH-308* 1503   2-CH-H028     1A      F*A        FA123    VT-3    03/30/93 11548-IJMKS-RC-12Z4   2' -CH-308* 1503  2-CH-H029     1A      F*B        FB123    VT-3    03/30/93
  • Page 12 of 20

Attachment I Page 18 of 41 Serial No.: 93-318 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC & IWF Line Nark Sect XI Sect XI Sect XI EXalll- Exam-Nuii>er No_ No_ Class category Itea No- Method Date Remarks 11548-WMKS-RC-1224 2'-CH-308-1503 2-CH-H030 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1224 2'-CH-308-1503 2-CH-H031 1A F-B FB123 VT-3 03/30/93 11548-WMKS-RC-1224 2'-CH-309-1503 3-19 1A B-J B9.40 PT 04/06/93 11548-WMKS-RC-1225 2'-CH-397-1502 1-07 1A B-J B9.40 PT 03/26/93 11548-WMKS-RC-1225 2'-CH-397-1502 2-CH-H002 1A F-B FB123 VT-3 03/15/93 11548-WMKS-RC-3 3'-RC-431-1502 2-RC-MSS-003 1A TS3.2 TS4.17 VT-3 03/22/93 11548-WMKS-RC-6 8'-RC-311-2501R 2-RC-MOV-2585 1A B-G-2 B7.70 VT-1 03/15/93 11548-WMKS-RC-62 2'-RC-345-1502 2-RC-6 1A B-G-2 B7.70 VT-1 03/22/93 11548-WMKS-RC-62 2'-RC-345-1502 2-RC-H001 1A F-B FB123 VT-3 03/22/93 11548-WMKS-RC-7 8'-RC-312-2501R 2-RC-MOV-2586 1A B-G-2 B7.70 VT-1 03/26/93 11548-WMKS-RC-72 2'-RC-346-1502 2-RC-45 1A B-G-2 B7.70 VT-1 03/26/93 11548-WMKS-RC-n 2'-RC-346-1502 FE 2481 1A B-G-2 B7.50 VT-1 03/26/93 11548-WMKS-RC-8 8'-RC-313-2501R 1-05 1A B-J B9.11 PT/UT 04/17/93 11548-WMKS-RC-8 8'-RC-313-2501R 1-06 1A B-J B9.11 PT/UT 04/17/93

     -WMKS-RC-8    8 1 -RC-313-2501R 1-07             1A      B-J      B9.11    PT/UT   04/17/93
      \JMKS-RC-8   8'-RC-313-2501R   1-08             1A      B-J      B9.11    PT/UT   04/17/93 11548-WMKS-RC-8     8'-RC-313-2501R   2-RC-MOV-2587    1A      B-G-2    B7.70    VT-1    03/22/93 11548-WMKS-RC-82    2'-RC-344-1502    1-01BC           1A      B-J      B9.32    PT      04/17/93 11548-WMKS-RC-82    2'-RC-344-1502    1-21             1A      B-J      B9.40    PT      04/17/93 11548-WMKS-RC-82    2'-RC-344-1502    1-22             1A      B-J      B9.40    PT      04/17/93 11548-WMKS-RC-82    2'-RC-344-1502    1-23             1A      B-J      B9.40    PT      04/17/93 11548-WMKS-RC-82    2'-RC-344-1502    1-24             1A      B-J      B9.40    PT      04/17/93 11548-WMKS-RC-82    21 -RC-344-1502   1-25             1A      B-J      B9.40    PT      04/17/93 11548-WMKS-RC-82    2'-RC-344-1502    1-26             1A      B-J      B9.40    PT      04/17/93 11548-\JMKS-RC-82   2'-RC-344-1502    1-27             1A      B-J      B9.40    PT      04/17/93 11548-WMKS-RC-82    2'-RC-344-1502    2-RC-77          1A      B-G-2    B7.70    VT-1    03/22/93 11548-WMKS-RC-E-002 2-RC-E-2          1-04             1A      B-B      B2.11    UT      04/05/93 19211 -290 11 11548-WMKS-RC-E-002 2-RC-E-2          1-08             1A      B-H      B8.20    MT      04/04/93 145 11 -290" 11548-WMKS-RC-E-002 2-RC-E-2          BOLTING          1A      B-G-2    B7.20    VT-1    03/20/93 11548-WMKS-RC-E-002 2-RC-E-2          H001-3           1A      B-H      B8.20    PT      03/20/93 11548-WMKS-RC-E-002 2-RC-E-2          H001-4           1A      B-H      B8.20    PT      03/20/93 11548-WMKS-RC-E-002 2-RC-E-2          Heater Elements  1A      B-E      B4.20    VT-2    05/01/93
  • Page 13 of 20

Attachment I Page 19 of 41 Serial No.: 93-318 Docket No.: 50-281 Abstract of Examinations Performed J:WB, J:WC lie J:WF Line Marie Sect XI Sect XI Sect XI Exaa. Exaa. Ntmber No. No. Class category Item No. Method Date Remarlcs 11548-WMKS-RC-E-002 2-RC-E-2 Instri.ment Nozzle 1A 13-E B4.13 VT-2 05/01/93 I 11548-WMKS-RC-E-002 2-RC-E-2 Sample Nozzles 1A B-E B4.11 VT-2 05/01/93 11548-WMKS-RC-E-1A.1 2-RC*E*1A CL-HANWAY 1A B-G-2 B7.30 VT-1 03/28/93 11548-WMKS-RC-E-1A.1 2-RC-E-1A HL-MANWAY 1A B-G-2 B7.30 VT-1 03/28/93 11548-WMKS-RC-E-1A.2 2-RC-E-1A 2-RC-2-01CNIR 2A C-B C2.22 VT-2 05/01/93 11548-WMKS-RC-E-1B.2 2-RC-E-1B 2-RC-1-02ANIR 1A B-D B3.140 VT-1 04/07/93 11548-WMKS-RC-E-1B.2 2-RC*E-1B 2-RC-1-02BNIR 1A B-D B3.140 VT-1 04/07/93 11548-WMKS-RC-E-1C.1 2-RC-E-1C 1-01 1A B-B B2.40 UT 03/31/93 11548-WMKS-RC-E-1C.1 2-RC-E-1C 2-02 2A C-A C1.30 UT 03/31/93

  • 11548-WMKS-RC-MOV2594 2-RC-MOV-2594 NUT-1-26 1A B-G-1 B6.230 VT-1 04/12/93 11548-WMKS-RC-MOV2594 2-RC-MOV-2594 STUD-1-26 1A B-G-1 B6.210 UT 04/12/93 11548-WMKS-RC-MOV2595 2-RC-MOV-2595 NUT-1-26 1A B-G-1 B6.230 VT-1 04/12/93 11548-WMKS-RC-MOV2595 2-RC-MOV-2595 STUD-1-26 1A B-G-1 B6.210 UT 04/12/93 11548-WMKS-RC-P-1B.2 2-RC-P-1B USHB 1A B-G-2 B7.60 VT-1 03/22/93 WMKS-RC-P-1C.2 2-RC-P-1C B-01 1A B-G-1 B6.180 UT 04/01/93 WMKS-RC-P-1C.2 2*RC-P-1C B-02 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC-P-1C.2 2-RC-P-1C B-03 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC-P-1C.2 2-RC-P-1C B-04 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC-P-1C.2 2-RC-P-1C B-05 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC*P-1C.2 2-RC-P-1C B-06 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC-P-1C.2 2-RC-P-1C B-07 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC-P-1C.2 2-RC-P-1C B-08 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC-P-1C.2 2-RC-P-1C B-09 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC-P-1C.2 2-RC-P-1C B-10 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC-P-1C.2 2-RC-P-1C B-11 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC-P-1C.2 2-RC-P-1C B-12 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS*RC*P-1C.2 2-RC-P-1C B-13 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS*RC*P-1C.2 2-RC-P-1C B-14 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC-P-1C.2 1-RC-P-1C B-15 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC-P-1C.2 2-RC-P-1C B-16 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC-P-1C.2 2-RC-P-1C B-17 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC-P-1C.2 2-RC-P-1C B-18 1A B-G-1 B6.180 UT 04/01/93 Page 14 of 20

Attachment I Page 20 of 41 Serial No.: 93-318 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC IWF Line Nark sect XI sect XI sect XI Exalll- Exa-Nlllber No- No_ Class category ltea No- Method Date Remarks 11548-WMKS-RC-P-1C.2 2-RC-P-1C B-19 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC-P-1C.2 2-RC-P-1C B-20 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC-P-1C.2 2-RC-P-1C B-21 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC-P-1C.2 2-RC-P-1C B-22 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC-P-1C.2 2-RC-P-1C B-23 1A B-G-1 B6.180 UT 04/01/93 ( 11548-WMKS-RC-P-1C.2 2-RC-P-1C B-24 1A B-G-1 B6.180 UT 04/01/93 11548-WMKS-RC-P-1C.2 2-RC-P-1C LSHB 1A B-G-2 B7.60 VT-1 03/25/93 PSI 11548-WMKS-RC-P-1C.2 2-RC-P-1C USHB 1A B-G-2 B7.60 VT-1 03/25/93 PSI 11548-WMKS-RC-R-1.1 2-RC-R-1 2-RC-INT 1A B-N-1 B13.10 VT-3 04/07/93 11548-WMKS-RC-R-1.1 2-RC-R-1 InstrlJllent Nozzle 1A B-E B4.13 VT-2 05/01/93 11548-WMKS-RC-R-1.2 2-RC-R-1 1-01 1A B-A B1.40 MT/UT 03/25/93

  • 11548-WMKS-RC-R-1.2 2-RC-R-1 CRDM Nozzles 1A B-E B4.12 VT-2 05/01/93 11548-WMKS-RC-R-1.2 2-RC-R-1 MC-03 1A B-G-2 B7.80 VT-1 03/25/93 11548-WMKS-RC-R-1.2 2-RC-R-1 MC-04 1A B-G-2 B7.80 VT-1 03/25/93
       -WMKS-RC-R-1.2 2-RC-R-1    Vessel Vent         1A      B-E      B4.11    VT-2    05/01/93
       -WMKS-RC-R-1.3 2-RC-R-1    Stud-39             1A      B-G-1    B6.30    UT/MT   03/30/93 11548-WMKS-RC-R-1.3  2-RC-R-,1   Stud-40             1A      B-G-1    B6.30    UT/MT   03/30/93 11548-WMKS-RC-R-1.3  2-RC-R-1    Stud-41             1A      B-G-1    B6.30    UT/MT   03/30/93 11548-WMKS-RC-R-1.3  2-RC-R-1    Stud-42             1A      B-G-1    B6.30    UT/MT   03/30/93 11548-WMKS-RC-R-1.3  2-RC-R-1    Stud-43             1A      B-G-1    B6.30    UT/MT   03/30/93 11548-WMKS-RC-R-1.3  2-RC-R-1    Stud-44             1A      8-G-1    86.30    UT/MT   03/30/93 11548-WMKS-RC-R-1.3  2-RC-R-1    Stud-45             1A      8-G-1    86.30    UT/MT   03/30/93 11548-WMKS-RC-R-1.3  2-RC-R-1    Stud-46             1A      8-G-1    86.30    UT/MT   03/30/93 11548-WMKS-RC-R-1.3  2-RC-R-1    Stud-47             1A      8-G-1    86.30    UT/MT   03/30/93

. 11548-WMKS-RC-R-1.3 2-RC-R-1 Stud-48 1A 8-G-1 86.30 UT/MT 03/30/93 11548-WMKS-RC-R-1.3 2-RC-R-1 Stud-49 1A 8-G-1 ' 86.30 UT/MT 04/05/93 11548-WMKS-RC-R-1.3 2-RC-R-1 Stud-SO 1A 8-G-1 B6.30 UT/MT 04/05/93 11548-WMKS-RC-R-1.3 2-RC-R-1 Stud-51 1A 8-G-1 86.30 UT/MT 04/05/93 11548-WMKS-RC-R-1.3 2-RC-R-1 Stud-52 1A 8-G-1 86.30 UT/MT 04/05/93 I 11548-WMKS-RC-R-1.3 2-RC-R-1 Stud-53 1A 8-G-1 B6.30 UT/MT 04/05/93 11548-WMKS-RC-R-1.3 2-RC-R-1 Stud-54 1A 8-G-1 86.30 UT/MT 04/05/93 11548-WMKS-RC-R-1.3 2-RC-R-1 Stud-55 1A 8-G-1 B6.30 UT/MT 04/05/93 Page 15 of 20

Attachment I Page 21 of 41 Serial No.: 93-318 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC IWF Nimber 11548-WMKS-RC-R-1.3 Line No_ 2-RC-R-1 Nark No-Stud-56 Sect XI Sect XI Class 1A category 8-G-1 Sect XI ltea No_ 86.30 Exaa-Method UT/MT* Elam-Date 04/05/93 Remarks 11548-lolMKS-RC-R-1.3 2-RC-R-1 Stud-57 1A 8-G-1 86.30 UT/MT 04/05/93 11548-lolMKS-RC-R-1.3 2-RC-R-1 Stud-58 1A 8-G-1 86.30 UT/MT 04/05/93 11548-lolMKS-RC-R-1.4 2-RC-R-1 CCW-39 1A 8-G-1 86.50 VT-1 03/31/93 11548-lolMKS-RC-R-1.4 2-RC-R-1 CCW-40 1A 8-G-1 86.50 VT-1 03/31/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CCW-41 1A 8-G-1 86.50 VT-1 03/31/93 11548-lolMKS-RC-R-1.4 2-RC-R-1 CCW-42 1A B-G-1 B6.50 VT-1 03/31/93 11548-lolMKS-RC-R-1.4 2-RC-R-1 CCW-43 1A B-G-1 B6.50 VT-1 03/31/93 11548-lolMKS-RC-R-1.4 2-RC-R-1 CCW-44 1A B-G-1 B6.50 VT-1 03/31/93 11548-lolMKS-RC-R-1.4 2-RC-R-1 CCW-45 1A B-G-1 B6.50 VT-1 03/31/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CCW-46 1A B-G-1 B6.50 VT-1 03/31/93 11548-lolMKS-RC-R-1.4 2-RC-R-1 CCW-47 1A B-G-1 B6.50 VT-1 03/31/93 11548-lolMKS-RC-R-1.4 2-RC-R-1 CCW-48 1A B-G-1 B6.50 VT-1 03/31/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CCW-49 1A 8-G-1 B6.50 VT-1 04/05/93 lolMKS-RC-R-1.4 2-RC-R-1 CCW-50 1A 8-G-1 B6.50 VT-1 04/05/93 WMKS-RC-R-1.4 2-RC-R-1 CCW-51 1A B-G-1 B6.50 VT-1 04/05/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CCW-52 1A B-G-1 B6.50 VT-1 04/05/93 11548-lolMKS-RC-R-1.4 2-RC-R-1 CCW-53 1A B-G-1 B6.50 VT-1 04/05/93 11548-lolMKS-RC-R-1.4 2-RC-R-1 CCW-54 1A B-G-1 B6.50 VT-1 04/05/93 11548-lolMKS-RC-R-1.4 2-RC-R-1 CCW-55 1A B-G-1 B6.50 VT-1 04/05/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CCW-56 1A B-G-1 B6.50 VT-1 04/05/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CCW-57 1A B-G-1 B6.50 VT-1 04/05/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CCW-58 1A B-G-1 B6.50 VT-1 04/05/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CW-39 1A B-G-1 B6.50 VT-1 03/31/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CW-40 1A B-G-1 B6.50 VT-1 03/31/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CW-41 1A B-G-1 B6.50 VT-1 03/31/93 11548-lolMKS-RC-R-1.4 2-RC-R-1 CW-42 1A B-G-1 B6.50 VT-1 03/31/93 11548-lolMKS-RC-R-1.4 2-RC-R-1 CW-43 1A 8-G-1 B6.50 VT-1 03/31/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CW-44 1A B-G-1 B6.50 VT-1 03/31/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CW-45 1A 8-G-1 B6.50 VT-1 03/31/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CW-46 1A B-G-1 B6.50 VT-1 03/31/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CW-47 1A B-G-1 B6.50 VT-1 03/31/93 Page 16 of 20

Attachment I Page 22 of 41 Serial No.: 93-318 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC & IWF Line Nark Sect XI Sect XI Sect XI Exall. Exa. NIJ!ber No_ No- Class category Itea No- Method Date Remarks 11548-WMKS-RC-R-1.4 2-RC-R-1 CW-48 1A 8-G-1 86.50 VT-1 03/31/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CW-49 1A 8-G-1 86.50 VT-1 04/05/93 11548-WMKS-RC-R-1.4 2-Rc-iH CW-50 1A 8-G-1 86.50 VT-1 04/05/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CW-51 1A 8-G-1 86.50 VT-1 04/05/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CW-52 1A 8-G-1 86.50 VT-1 04/05/93 11548-WMKS-RC-R-1.4 2-RC-R-1 C\/\1-53 1A 8-G-1 86.50 VT-1 04/05/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CW-54 1A 8-G-1 B6.50 VT-1 04/05/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CW-55 1A 8-G-1 86.50 VT-1 04/05/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CW-56 1A 8-G-1 86.50 VT-1 04/05/93 11548-WMKS-RC-R-1.4 2-RC-R-f C\/\1-57 1A 8-G-1 86.50 VT-1 04/05/93 11548-WMKS-RC-R-1.4 2-RC-R-1 CW-58 1A 8-G-1 86.50 VT-1 04/05/93 11548-WMKS-RC-R-1.4 2-RC-R-1 NUT-39 1A 8-G-1 86.10 MT/ 03/30/93 11548-WMKS-RC-R-1.4 2-RC-R-1 NUT-40 1A 8-G-1 B6.10 MT 03/30/93 11548-WMKS-RC-R-1.4 2-RC-R-1 NUT-41 1A 8-G-1 B6.10 MT 03/30/93 WMKS-RC-R-1.4 2-RC-R-1 NUT-42 1A 8-G-1 B6.10 MT 03/30/93

     -WMKS-RC-R-1.4 2-RC-R-1    NUT-43       1A      8-G-1    B6.10    MT       03/30/93 11548-WMKS-RC-R-1.4  2-RC-R-1    NUT-44       1A'--   8-G-1    86.10    MT       03/30/93 11548-WMKS-RC-R-1.4  2-RC-R-1    NUT-45       1A      8-G-1    86.10    MT       03/30/93 11548-WMKS-RC-R-1.4  2-RC-R-1    NUT-46       1A      8-G-1    B6.10    MT       03/30/93 11548-WMKS-RC-R-1.4  2-RC-R-1    NUT-47       1A      8-G-1    86.10    MT       03/30/93 11548-WMKS-RC-R-1.4  2-RC-R-1    NUT-48       1A      8-G-1    86.10    MT       03/30/93 11548-WMKS-RC-R-1.4  2-RC-R-1    NUT-49       1A      8-G-1    86.10    MT       04/05/93 11548-WMKS-RC-R-1.4  2-RC-R-1    NUT-50       1A      8-G-1    B6.10    MT       04/05/93 11548-WMKS-RC-R-1.4  2-RC-R-1    NUT-51       1A      8-G-1    86.10    MT       04/05/93 11548-WMKS-RC-R-1.4  2-RC-R-1    NUT-52       1A      8-G-1    86.10    MT       04/05/93 11548-WMKS-RC-R-1.4  2-RC-R-1    NUT-53       1A      8-G-1    86.10    MT       04/05/93 11548-WMKS-RC-R-1.4  2-RC-R-1    NUT-54       1A      8-G-1    B6.10    MT       04/05/93 11548-WMKS-RC-R-1.4  2-RC-R-1    NUT-55       1A      8-G-1    86.10    MT     , 04/05/93 11548-WMKS-RC-R-1.4  2-RC-R-1    NUT-56       1A      8-G-1    86.10    MT       04/05/93 11548-WMKS-RC-R-1.4  2-RC-R-1    NUT-57       1A      8-G-1    86.10    MT       04/05/93 11548-WMKS-RC-R-1.4  2-RC-R-1    NUT-58       1A      8-G-1    86.10    MT       04/05/93 11548-WMKS-RH-E-1A   2-RH-E-1A   1-A02        2A      C-A      C1.10    UT       04/14/93 88 11 -110 11
  • Page 17 of 20

Attachment I Page 23 of 41 Serial No.: 93-318 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC IWF

  • Nuiber 11548-IJMKS-RH-E-1A Line No.

2-RH-E-1A Nark No. H001-1 Sect XI Class 2A Sect XI category c-c Sect XI Item No. C3.10 Exam-Method VT-3 Exam. Date Remarlcs 04/12/93 ***** 11548-IJMKS-RH-E-1A 2-RH-E-1A H002-1 2A c-c C3.10 VT-3 04/12/93 11548-WMKS-RH-E-1B 2-RH-E-1B 1-B01 2A C-A C1.20 UT 04/18/93

  • 11548-WMKS-RH-E-1B 2-RH-E-18 1-B02 2A C-A C1 .10 UT 04/18/93 110 11 -0 11 11548-IJMKS-RH-E-1B 2-RH-E-1B 1-B05 2A C-B C2.21 PT 04/18/93 11548-WMKS-RH-E-1B 2-RH-E-1B 1-B06 2A C-B C2.20 PT 04/18/93 11548-WMKS-RH-P-1A 2-RH-P-1A 2-RH-H030B 2A F-B FB123 VT-3 04/09/93 ******

11548-WMKS-RH-P-1A 2-RH-P-1A 2-RH-H030C 2A F-B FB123 VT-3 04/09/93 ****** 11548-WMKS-RH-P-1B 2-RH-P-1B 2-RH-H026B 2A F-B FB123 VT-3 04/09/93 ****** 11548-WMKS-RH-P-1B 2-RH-P-1B 2-RH-H026C 2A F-B FB123 VT-3 04/09/93 ****** 11548-WMKS-RS-P-2B 2-RS-P-2B 2-06 2C C-G C6.10 Surface 03/14/93 11548-WMKS-SI-1 12'-SI-201-153 0-03 2A C-F CS.11 PT 04/10/93 11548-WMKS-SI-1 12'-Sl-202-153 0-15 2A C-F C5.11 PT 04/10/93 11548-WMKS-SI-1 12'-SI-201-153 2-SI-H001 2A F-B FB123 VT-3 03/13/93 **B IJMKS-SI-1 12'-Sl-201-153 2-SI-H001A 2A F-B FB123 VT-3 03/13/93 12'-Sl-202-153 2-SI-H001B 2A F-B FB123 VT-3 03/13/93 **C 11548-WMKS-SI-1 12'-Sl-202-153 2-SI-H002 2A F-B FB123 VT-3 03/13/93 **B 11548-WMKS-SI-16 3'-SI-347-1503 1-16 1A B-J B9.21 PT 04/01/93 11548-1.JMKS-SI-16 3'-SI-347-1503 2-SI-226 1A B-G-2 B7.70 VT-1 03/29/93 11548-WMKS-SI-16 3'-SI-347-1503 2-SI-H012 1A F-C FC1234 VT-3 03/29/93 11548-WMKS-SI-16 3 1 -SI-347-1503 2-SI-H013 1A F-B FB123 VT-3 03/29/93 11548-WMKS-SI-16 3' -Sl-347-1503 2-SI-H014 1A F-C FC1234 VT-3 03/29/93 11548-1.JMKS-SI-16 3 1 -SI-347-1503 2-SI-H015 1A F-B FB123 VT-3 03/29/93 11548-WMKS-SI-19 2'-SI-280-1502 2-SI-H003 1A F-B FB123 VT-3 03/30/93 ***** 11548-WMKS-SI-19 2'-SI-280-1502 2-SI-H004 1A F-B FB123 VT-3 03/30/93 ***** 11548-WMKS-SI-20 2'-SI-279-1502 1-01BC 1A B-J B9.32 PT 04/13/93 11548-WMKS-SI-20 2' -Sl-279-1502 2-SI-H016 1A F-B FB123 VT-3 03/30/93 11548-1.JMKS-Sl-3 3' -SI-272-1503 1-17 1A B-J B9.21 PT 03/30/93 11548-WMKS-SI-3 3' -Sl-272-1503 1-33 1A B-J B9.40 PT 03/30/93 11548-WMKS-SI-3 3 1 -Sl-272-1503 2-SI-227 1A B-G-2 B7.70 VT-1 03/29/93 11548-WMKS-SI-3 3 1 -SI-272-1503 2-SI-H001 1A F-B FB123 VT-3 03/29/93 ~\IIKS-SI-3 3'-Sl-272-1503 2-SI-H001A 1A F-A FA123 VT-3 03/29/93 Page 18 of 20

Attachment I Page 24 of 41 Serial No.: 93*318 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC & IWF Line Nark Sect XI Sect XI Sect XI Exam. Exam. Nllliler No. No. Class Category Item No. Method Date Remarks 11548-WMKS-SI-3 2'-SI-272-1503 2-SI-H002 1A F-A FA123 VT-3 03/29/93 11548-IJMKS-SI-3 2'-SI-273-1503 2-SI-H003 1A F-A FA123 VT-3 03/29/93 11548-WMKS-SI-3 2'-SI-272-1503 3-50 1A 8-J 89.40 PT 03/30/93 11548-WMKS-SI-3 21 -SI-272-1503 3-51 1A 8-J 89.40 PT 03/30/93 11548-WMKS-SI-3 2'-SI-272-1503 3-52 1A 8-J 89.40 PT 03/30/93 11548-WMKS-SI-3 2'-SI-272-1503 3-53 1A 8-J 89.40 PT 03/30/93 11548-WMKS-SI-3 2 1 -SI-272-1503 3-54 1A 8-J 89.40 PT 03/30/93 11548-WMKS-SI-3 2'-SI-272-1503 3-55 1A 8-J 89.40 PT 03/30/93 11548-WMKS-SI-36 2'-SI-280-1502 1-27 1A 8-J 89.40 PT 03/31/93 11548-WMKS-SI-36 2'-SI-277-1503 1-41 1A 8-J 89.40 PT 03/31/93 11548-WMKS-SI-36 2'-SI-277-1503 1-48 1A 8-J 89.21 PT 04/07/93 11548-WMKS-SI-4 10'-SI-362-153 0-02 2A C-F C5.11 PT 03/08/93 11548-WMKS-SI-4 12'-SI-362-153 0-13 2A C-F C5.11 PT 04/10/93 11548-WMKS-SI-4 10 1 -SI-362-153 2-SI-H002 2A F-C FC1234 VT-3 02/02/93 WMKS-SI-4 10'-SI-362-153 2-SI-H003 2A F-8 F8123 VT-3 02/02/93 10'*SI-362-153 2-SI-H004 2A F-8 F8123 VT-3 02/02/93 11548-WMKS-SI-4 10'-SI-362-153 2-SI-H005 2A F-8 F8123 VT-3 02/02/93 11548-WMKS-SI-4 10 -SI-362-153 1 2-SI-H007 2A F-8 F8123 VT-3 03/13/93 11548-WMKS-SI-5 10'-SI-363-153 0-01 2A C-F C5.11 PT 03/08/93 11548-WMKS-SI-5 10'-SI-363-153 0-06L 2A C-F C5.12 PT 10/12/92 11548-WMKS-SI-5 12'-SI-363-153 0-17 2A C-F C5.11 PT 04/10/93 11548-WMKS-SI-5 12'-SI-363-153 0-18 2A C-F C5.11 PT 04/10/93 11548-WMKS-SI-5 10'-SI-363-153 2-SI-H002 2A F-C FC1234 VT-3 02/02/93 11548-WMKS-SI-5 10'-SI-363-153 2-SI-H003 2A F-8 F8123 VT-3 02/01/93 11548-WMKS-SI-5 10'-SI-363-153 2-SI-H004 2A F-8 F8123 VT-3 02/02/93 11548-WMKS-SI-5 10'-SI-363-153 2-SI-H005 2A F-8 F8123 VT-3 02/02/93 11548-WMKS-SI-P-1A 2-SI-P-1A 2-05 2A C-G C6.10 Surface 03/17/93 11548-WMKS-SI-P-18 2-SI-P-18 2-01 2A C-G C6.10 VT-1 04/26/93 **** 11548-WMKS-SI-P-18 2-SI-P-18 2-02 2A C-G C6.10 VT-1 04/26/93 **** 11548-WMKS-SI-P-18 2-SI-P-18 2-03 2A C-G C6.10 VT-1 04/26/93 **** 11548-WMKS-SI-P-18 2-SI-P-18 2-04 2A C-G C6.10 VT-1 04/26/93 ****

     -IJMKS-SI-P-18 2-SI-P-18         2-06          2A      C-G      C6.10    Surface 03/14/93 Page 19 of 20

Attachment I Page 25 of 41 Serial No.: 93*318 Docket No.: 50-281 Abstract of Examinations Performed IWB, IWC & IWF Line Nark sect XI sect XI sect XI Exall. Exam. No. No. Class category Item No. Method Date Renarks

  • = Partial examination, (reduction in coverage is greater than 10% as allowed by Code Case N-460) relief request will be provided by separate correspondence.
    • = Indication (letter refers to the item listed in the results section of the examination sUllll!lry, page 2).
      • = Partial examination, (reduction in coverage is greater than 10% as allowed by Code Case N-460) relief request submitted previously.
        • = Visual examination performed on the I.D. of the pump casing weld in anticipation that relief request SR-019 (pending approval) will be approved.
          • = Credit not taken, re-examination of a previous failure, or re-examination after insulation removal.
            • = Supports replaced in 1991 and preservice examination performed on 5-2-1991.

Page 20 of 20

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.cN- .._. Abstract of Examinations Performed U 111 GI 111 GI *-..i.i: system Pressure Test Program ,l,,IC)L.U ..., 111 GI 0 CCC. !/IC Sect XI Test Zone Description Class Type Date Remarks 1*SPB*47B*1*2 FIRE PROTECTION PENETRATION PIPING 2 FUN CTI ONAL/498 03/18/93 y 1*SPM*079D-1*5 PRIMARY (GRADE WATER INSIDE CTMT) 2 FUNCTI ONAL/498 03/19/93 y 1*SPM-088A*1*6 BA TRANSFER PUMP DISCH HDR 2 INSERVICE/498 03/06/93 y 1*SPM-090C-1*6 POST ACCIDENT GIJ 2 FUNCTI ONAL/498 03/30/93 y 1*SPM-090C-1*7 H2 ANALYZER 103 RETURN 2 FUNCTIONAL/498 03/31/93 y 1*SPM-090C*1-8 H ANALYZER 203 RETURN 2 FUNCTIONAL/498 04/01/93 y 1*SPM*090C*1*9 CTMT VACUUM PUMP "A" 2 FUNCTIONAL/498 04/05/93 y 1*SPM-090C-1*10 CTMT VACUUM PUMP 11911 2 FUNCTIONAL/498 03/19/93 y 1*SPM-118-3-1 RX CAVITY RETURN 2 FUNCTIONAL/498 03/15/93 y 1-SPM-118-3-2 RX CAVITY SUCTION 2 FUNCTI ONAL/498 03/15/93 y 2*SPM*064A*1*1 A MAIN S/G SECONDARY SIDE 11 11 2 INSERVICE/498 06/25/93 y 2*SPM-064A*1*2 "A" MAIN S/G SUPPLY STEAM TO TERRY TURBINE 2 INSERVICE/498 06/25/93 y 2*SPM-064A*2*1 8 MAIN S/G SECONDARY SIDE 11 11 2 INSERVICE/498 06/25/93 y 2*SPM-064A-2*2 B MAIN S/G SUPPLY STEAM TO TERRY TURBINE 11 11 2 INSERVICE/498 06/25/93 y 2*SPM*064A*3*1 "C" MAIN S/G SECONDARY SIDE 2 INSERVICE/498 06/25/93 y 2*SPM-064A*3*2 "C" MAIN S/G SUPPLY STEAM TO TERRY TURBINE 2 INSERVICE/498 06/25/93 y 2*SPM-064A*4*1 MAIN STEAM LINES TO AUX S/G FEEDWATER PUMP & MISC. STEAM TRAP LINES 2 FUNCTIONAL/INSERVICE/498 06/25/93 y 2*SPM-064A-4*2 MISC. STEAM TRAP PIPING 2 INSERVICE/498 06/25/93* y 2*SPM*064B*1*1 NITROGEN BLANKET TO S/G 11 A11 2 INSERVICE/498 06/25/93 y Page 1 of 8

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GI System Pressure Test Program ...,a,1..0 ..., m GI 0 <a. UICI Sect XI Test Zone Description Class Type Date Remarks 2-SPM-064B-1-2 NITROGEN BLANKET TO S/G 11 811 2 INSERVICE/498 06/25/93 y 2-SPM-064B-1-3 NITROGEN BLANKET TO S/G 11 C11 2 INSERVICE/498 06/25/93 y 2-SPM-066A-2-1 CONDENSER AIR EJECTOR DIVERT TO CONTAINMENT PENETRATION 2 FUNCTIONAL/498 03/30/93 y 2-SPM-068A-1-1 MAIN FEEDWATER TO 11A11 S/G 2 INSERVICE/498 03/06/93 y 2-SPM-068A-1-2 MAIN FEEDWATER TO 11 B11 S/G 2 INSERVICE/498 03/06/93 y 2-SPM-068A-1-3 MAIN FEEDWATER TO 11 C11 S/G 2 INSERVICE/498 03/06/93 y 2-SPM-068A-1-4 AUX. FEEDWATER HEADERS 2 HYDROSTATIC/INSERVICE 04/15/93 y 2-SPM-068A-1-5 FEEDWATER CROSS CONNECT FROM UNIT 1 2 HYDROSTATIC 04/02/93 y 2-SPM-075C-1-1 COMPRESSED AIR SYSTEM PENETRATION PIPING 2 FUNCTIONAL/498 03/18/93 y 2-SPM-075C-1-2 COMPRESSED AIR SYSTEM PENETRATION PIPING 2 FUNCTIONAL/498 03/18/93 y 2-SPM-075J-1-1 CONTAINMENT INSTRUMENT AIR SUCTION LINE 2 FUNCTIONAL/498 03/14/93 y 2-SPM-082A-2-1 MAIN COOLANT HOT LEG SAMPLE HYDROSTATIC 05/01/93 y 2-SPM-082A-2-2 MAIN COOLANT COLD LEG SAMPLE HYDROSTATIC 05/01/93 y 2-SPM-082A-2-3 PRESSURIZER LIQUID SPACE SAMPLE HYDROSTATIC 05/01/93 y 2-SPM-082A-2-4 PRESSURIZER VAPOR SPACE SAMPLE HYDROSTATIC 05/01/93 y 2-SPM-082A-2-6 PRESSURIZER RELIEF TANK SAMPLE CONT. PENETRATION 2 FUNCTIONAL/498 03/16/93 y 2-SPM-082A-3-1 DEMINERALIZER INFLUENT SAMPLE 2 INSERVICE/498 03/06/93 y 2-SPM-082A-3-3 VOLUME CONTROL TANK LIQUID AND GAS SPACE SAMPLES 2 INSERVICE/498 03/06/93 y 2-SPM-082A-2-5 RESIDUAL HEAT REMOVAL/SAMPLE CONT. PENETRATION 2 FUNCTIONAL/498 03/19/93 y Page 2 of 8

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-~~°'II\ rt\O ...,"t- ** COO 0 a!o.zz .CN-'..., Abstract of Examinations Performed u IU GI IUGl*-.Jrt. system Pressure Test Program +.I DI LU +.IIUGIO cc 11. en c Sect XI Test Zone Description Class Type Date Remarks 2*SPM*086A*2*2 RCS 11811 LOOP DRAIN PIPING HYDROSTATIC 05/01/93 y 2*SPM*086A*2*3 11 8" RCS LOOP HOTLEG SAMPLE LINE HYDROSTATIC 05/01/93 y 2*SPM*086A*2*4 8 RCS LOOP COLDLEG SAMPLE LINE 11 11 HYDROSTATIC 05/01/93 y 2*SPM*086A*2*5 RCS 11 811 LOOP FILL PIPING INSERVICE/498 03/10/93 y 2*SPM*086A*3*1 RCS LOOP PIPING "C" LOOP HYDROSTATIC 05/01/93 p 2*SPM*086A*3*2 RCS LOOP DRAIN 11 C11 LOOP & HEADER HYDROSTATIC 05/01/93 y 2*SPM*086A*3*3 RCS "C 11 LOOP HOTLEG SAMPLE HYDROSTATIC 05/01/93 y 2*SPM*086A*3*4 RCS 11 C11 LOOP COLDLEG SAMPLE HYDROSTATIC 05/01/93 y 2*SPM*086A*3*5 RCS 11 C11 LOOP FILL PIPING INSERVICE/498 03/10/93 y 2*SPM*086A*3*6 REACTOR COOLANT HEAD VENT SYSTEM FUNCTIONAL/498 04/02/93 y 2-SPM-0868*1*1 PRESSURIZER PIPING HYDROSTATIC 05/01/93 p 2-SPM-0868*1*2 PRESSURIZER LIQUID SPACE SAMPLE HYDROSTATIC 05/01/93 y 2*SPM*086B*1*3 PRESSURIZER VAPOR SPACE SAMPLE & HIGH POINT VENT HYDROSTA Tl C 05/01/93 p 2*SPM*086B*2*1 PRIMARY GRADE WATER INTO CONTAINMENT PENETRATION 2 FUNCTIONAL/498 03/19/93 y 2*SPM*087A-1*1 RCS 11 A11 LOOP SUPPLY TO RHR SYSTEM HYDROSTATIC 05/01/93 y 2*SPM*087A*1*2 RHR SUCTION PIPING TO RHR PUMPS 1 &2 INSERVICE/498 03/12/93 y 2*SPM*087A*1*3 2*RH*P*1A 2 INSERVICE/498 03/12/93 y 2*SPM*087A*1*4 2*RH*P*1B 2 INSERVICE/498 03/12/93 y 2*SPM*087A*2*1 RHR DISCHARGE PIPING TO RHR HX & HX BYPASS 2 INSERVICE/498 03/12/93 y 2*SPM*087A*2*3 RHR RETURN TO RCS 11 911 LOOP INSERVICE/498 03/06/93 y 2*SPM*087A*2*4 RHR RETURN TO RCS 11 C11 LOOP INSERVICE/498 03/06/93 y Page 4 of 8

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""'COO iozz .Ctt')-'4-' Abstract of Examinations Performed o ca C!I ca C!I *- ~ system Pressure Test Program +,ID)L.0 +' ca C!I o c(O..CIIQ Sect XI Test Zone Description Class Type Date Remarks 2*SPM*088A*1*1 MISC. LETDOWN TO REACTOR COOLANT FILTER 2 INSERVICE/498 03/06/93 p 2*SPM*0B8A*2*1 LETDOWN CONTAINMENT PENETRATION 2 INSERVICE/498 03/06/93 y 2*SPM*0B8A*2*2 MISC. LETDOWN PIPING TO VCT AND RX COOLANT FILTER 2 INSERVICE/498 03/06/93 y 2*SPM*088A*2*3 LETDOWN TO NON-REGENERATIVE HX (02*CH*E*2) 2 INSERVICE/498 03/05/93 y 2*SPM*088B*1*3 SEAL RETURN HEADER & SUCTION LINE TO CHARGING PUMP 2 INSERVICE/498 03/05/93 y 2*SPM*088B*1*4 VOLUME CONTROL TANK LETDOWN HEADER 2 INSERVICE/498 03/06/93 y 2*SPM*088B*1*5 BORIC ACID LINES TO CHARGING PUMPS 2 INSERVICE/498 03/06/93 y 2*SPM*088B*2*1 CHARGING HEADER 2 INSERVICE/498 03/05/93 y 2*SPM*088B*2*2 RWST TO CHARGING PUMPS 2 INSERVICE/N498 06/24/92 y 2*SPM*088B*2*4 "A" LOW HEAD SAFETY INJECTION PUMP CROSS-TIE TO CHARGING PUMPS 2 INSERVICE/498 03/05/93 y 2*SPM*088B*2*5 CHARGING PUMPS 2*CH*P*1A, 1B AND 1C 2 INSERVICE/498 03/05/93 y 2*SPM*088B*2*6 NORMAL CHARGING SUPPLY HEADER 2 INSERVICE/498 03/05/93 y 2*SPM*088C*1*2 LOOP FILL HEADER 1 &2 INSERVICE/498 03/10/93 y 2*SPM*088C*1*3 CHARGING AND LETDOWN HYDROSTATIC 05/01/93 y 2*SPM*0B8C*1*4 NORMAL CHARGING HEADER AND SAFETY INJECTION 2 INSERVICE/498 03/05/93 y 2*SPM*0B8C*1*5 REGENERATIVE HEAT EXCHANGER (CHARGING SIDE) AND ASSOCIATED PIPING 1 &2 INSERVICE/498 03/06/93 y 2*SPM*0B8C*1*6 AUX. SPRAY HYDROSTATIC 05/01/93 y 2*SPM*0B8C*1*8 LOOP FILL & HOTLEG INJECTION HEADER 2 INSERVICE/498 03/05/93 y 2*SPM*0B8C*1*9 LETDOWN HEADER 2 INSERVICE/498 03/06/93 y Page 5 of 8

Abstract of Examinations Performed system Pressure Test Program Sect XI Test Zone Description Class Type Date Remarks 2*SPM*0B8C*2*1 CHARGING HEADER AND SEAL INJECTION FILTER 2 INSERVICE/498 03/05/93 y 2*SPM*0B8C*2*7 ALTERNATE SEAL INJECTION FROM ALTERNATE CHARGING HEADER 2 INSERVICE/498 03/05/93 y 2-SPM-089A*1*1 LO'J HEAD SAFETY INJECTION PUMP 11 1A 11 2 FUNCTIONAL/498 03/24/93 y 2*SPM*089A*1*2 LO'J HEAD SAFETY INJECTION PUMP 11 18 11 2 FUNCTI ONAL/498 03/24/93 y 2-SPM-089A-1*5 RWST CROSSTIE 2 INSERVICE/498 06/24/92 y 2-SPM-089A-2*1 ACCUMULATOR TEST LINE PENETRATION 2 FUNCTI ONAL/498 04/23/93 y 2-SPM-089A-2*3 A LO\I HEAD SI PUMP DISCHARGE 11 11 2 FUNCTIONAL/498 03/24/93 y 2*SPM*089A*2*4 B LO'J HEAD SI PUMP DISCHARGE 11 11 2 FUN CTI ONAL/498 03/24/93 y 2-SPM-089A-2*5 LO'J HEAD SAFETY INJECTION DISCHARGE PIPING TO MOV-2890C 2 FUNCTIONAL/498 03/24/93 y 2*SPM-089A-2*7 LO'J HEAD SI TO CHARGING PUMPS 2 INSERVICE/498 03/05/93 y 2-SPM-089A-2*8 LO'J HEAD SI TO CHARGING PUMPS 2 INSERVICE/498 03/05/93 y 2-SPM-089A-3*3 HI HEAD SI HEADER 2 INSERVICE/498 03/05/93 y 2-SPM-089A*3-4 ALTERNATE HI HEAD SI HEADER 2 INSERVICE/498 03/05/93 y 2-SPM-089B-1*1 A ACCUMULATOR DISCHARGE TO RCS 11 11 HYDROSTATIC 05/01/93 y 2*SPM*089B*1*2 LOOP 11 A11 SAFETY INJEGTION ACCUMULATOR 2 INSERVICE/498 03/06/93 y 2-SPM-089B-1*3 LOOP 11A11 SAFETY INJECTION ACCUMULATOR DISCHARGE PIPING TO RCS COLD LEG 1 &2 INSERVICE/498 03/06/93 y 2*SPM*089B*1*5 SAFETY INJECTION ACCUMULATOR TEST LINE 2 FUNCTIONAL/498 04/23/93 y 2*SPM*089B*1*6 SAFETY INJECTION ACCUMULATOR MAKE UP LINES 2 FUNCTIONAL/498 04/23/93 y 2*SPM*089B*1*7 ACCUMULATOR VENT LINE CONTAINMENT PENETRATION 2 FUNCTIONAL/ 498 04/24/93 y Page 6 of 8

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<a. Ill Q Sect XI Test Zone Description Class Type Date Remarks 2-SPM-D89B-2-1 ACCUMULATOR DISCHARGE PIPING TO RCS HYDROSTATIC 05/01/93 y 2-SPM-089B-2-2 LOOP 11 811 SAFETY INJECTION ACCUMULATOR 2 INSERVICE/498 03/06/93 y 2-SPM-089B-2-3 SAFETY INJECTION ACCUMULATOR DISCHARGE 1 &2 INSERVICE/498 03/06/93 y 2-SPM-089B-2-5 8 ACCUMULATOR DRAIN 11 11 2 FUNCTI ONAL/498 04/23/93 y 2-SPM-089B-2-6 8 ACCUMULATOR MAKE-UP 11 11 2 FUNCTI ONAL/498 04/23/93 y 2-SPM-089B-3-1 "C" ACCUMULATOR DISCHARGE PIPING TO RCS HYDROSTATIC 05/01/93

  • y 2-SPM-089B-3-2 LOOP "C" SAFETY INJECTION ACCUMULATOR 2 INSERVICE/498 03/06/93 y 2-SPM-089B-3-3 SAFETY INJECTION ACCUMULATOR DISCHARGE PIPING 1 &2 INSERVICE/498 03/06/93 y 2-SPM-089B-3-5 C ACCUMULATOR DRAIN 11 11 2 FUNCTIONAL/498 04/23/93 y 2-SPM-089B-3-6 "C" ACCUMULATOR MAKE-UP 2 FUNCTIONAL/498 04/23/93 y 2-SPM-089B-4-1 HOTLEG AND COLDLEG SI HYDROSTATIC 05/01/93 y 2-SPM-124A-1-2 "A" S/G BLOWDOWN & RECIRCULATION AND TRANSFER CONT. PENET. 2 INSERVICE/498 03/06/93 y 2-SPM-124A-2-2 11 B11 S/G BLOWDOWN AND RICIRC. AND TRANSFER CONT. PENET. 2 INSERVICE/498 03/06/93 y 2-SPM-124A-3-2 11 C11 S/G SLOWDOWN AND RECIRC. AND TRANSFER CONT. PENET. 2 INSERVICE/498
  • 03/06/93 y 2-SPM-075B-2-1 COMPRESSED AIR PENETRATION PIPING 2 FUNCTIONAL/498 03/18/93 y 2-SPM-075B-2-2 COMPRESSED AIR PENETRATION PIPING 2 FUNCTIONAL/498 03/18/93 y 2-SPM-075E-1-1 COMPRESSED AIR SYSTEM PENETRATION PIPING 2 FUNCTIONAL/498 03/18/93 y 2-SPM-086B-3-1 PG TO RCP STANDPIPE 2 FUNCTIONAL/498 03/19/93 y 2-SPB-006A-1-1 CONT. PURGE SUPPLY AIR CONT. PENETRATION 2 FUNCTIONAL/498 03/07/93 y Page 7 of 8

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+' m '- u .., m QI o < C. 1/J C Sect XI Test Zone Description Class Type Date Remarks 2*SPB*006A*1*2 CONT. AIR FILTRATION SYSTEM CONT. PENETRATION 2 FUNCTIONAL/498 03/07/93 y 2*SPM-071A-3-4 RECIRC. SPRAY HEAT EXCH. SERVICE WATER DRAINS PENETRATION PIPING 2 HYDROSTATIC 03/17/93 y 2-SPM-087A*2*5 RHR TO LETDOWN HEADER 2 INSERVICE/498 03/06/93 y p = Partial test y = full test Note: Piping and components shown on SPM drawings can be found on FM drawings with the same number. Piping and components shown on SPB drawings can be found on FB drawings with the same number. Page 8 of 8

Attachment I Page 34 of 41 Serial No.: 93-318 Docket No.: 50-281 Abstract of Examinations snubber Program There were no visual inspections performed this refueling outage due to the implementation of a Technical Specification Amendment, which allowed for an extended visual inspection frequency based on snubber performance. However, during an "informal" snubber visual inspection two (2) hydraulic snubbers (2-RC-HSS-188B and 2-MS-HSS-11) were found to have empty (0%) fluid reservoirs. Both of these snubbers were functionally tested to demonstrate opera-bility in accordance with T.S. 4.17.B.2, and both snubbers passed. The snubbers were replaced with rebuilt spares. Fifty-seven (57) snubbers were selected for functional testing and seal replacements this refueling outage. There were no failures identified. Page 1 of 1

Attachment I Page 35 of 41 Serial No.: 93-318 Docket No.: 50-281 Abstract of Examinations Eddy current Examination of Nonferromagnetic steam Generator Tubing Inservice examination was performed on steam generator "B". In steam Generator "B" all tubes (3342) were inspected full length with bobbin probes. Supplemental examinations were also performed using Rotating Pancake probes where additional confir-matory or other data was desired. This included an examination of 301 tubes in the top of the tubesheet transition area. Of the tubes inspected, 91 tubes contained one or more indications. Two tubes were preventively plugged for anti-vibration bar wear. Including the plugged tubes, 30 tubes had indications between 20 and 29% through wall, 45 tubes had indications between 10 and 19% through wall, 18 tubes with 19 SAA calls, one tube with a PVN call and one tube with a DRI call. See the following list for details. steam Generator "B" Row Col Locn Ind Remarks 15 9 6H 16 18 9 7C SAA 3 10 7C 22 16 11 SC 14 21 11 6H 13 4 12 4H 13 30 15 SH 14 28 16 4C 25 7 17 2C PVN 12 19 6C 21 13 19 6H 16

  • Page 1 of 7

Attachment I Page 36 of 41 Serial No.: 93-318 Docket No.: 50-281 Row Col Locn Ind Remarks 2 23 4C 17 30 26 2H 15 15 27 6H 11 17 27 lH 17 3 28 TSH SAA 13 28 6H 22 28 31 6H 28 43 31 2C 29 18 35 3H 27 2 36 lC 10 3 36 2H 19 19 36 TSC 19 21 36 TSH 15 12 38 6C 19 45 38 7H 11 25 39 4H 15 44 39 lC 10 45 39 lC 17 29 40 6H 19 13 41 lH 11 12 42 TSH SAA 26 42 2H 16 10 43 TSC 10 13 43 lH 25 Page 2 of 7

Attachment I Page 37 of 41 Ser;aL No.: 93-318 Docket No.: 50-281

  • Row 42 34 Col 44 45 Locn 4H 6H Ind 15 15 Remarks 7 46 TSH SAA 14 46 6C 18 34 46 BPC 14 32 47 4C 15 40 47 JC 21 3 48 2C 16 23 48 2C 24 45 48 6H SAA 9 50 4H 16
  • 19 44 1

50 50 56 TSH 6H TSH SAA 13 25 9 56 6C 20 9 56 TSH SAA 36 56 2C 14 41 56 lC 23 3 57 TSC SAA 17 57 5H 24 17 57 4C 16 25 57 6C 10 41 57 4C 26 34 58 4C 23 36 58 2C 22 Page 3 of 7

Attachment I Page 38 of 41 Serial No.: 93-318 Docket No.: 50-281

  • Row 41 42 Col 58 58 Locn 6C 1H Ind 17 11 Remarks 4 59 4C 18 4 59 TSC SAA 30 59 2C 22 32 59 6C 27 38 59 4C 12 24 60 2C 27 40 60 AV3 20 plugged*

1 61 3H SAA 3 61 7H SAA 3 62 TSH SAA 3 62 3H SAA 38 62 7H SAA 20 63 7H SAA 33 63 AV2 20 plugged* 33 63 AV3 14 3 64 4C 18 12 64 TSH SAA 4 65 6C 29 12 65 4C 13 32 65 TEH DRI 32 65 7H 22 3 66 TSH SAA 22 66 2C 27 2 67 1H 22 2 67 6H SAA Page 4 of 7

Attachment I Page 39 of 41 Serial No.: 93-318 Docket No.: 50-281

  • Row 1

20 Col 68 69 Locn TSH 1C Ind SAA 11 Remarks 4 72 2C 29 37 74 4C 13 3 80 4C 27 19 80 7H SAA 2 83 JC 24 13 84 JC 14 18 87 5C 21 20 87 6C 10 15 89 lC SAA

  • These tubes were preventively plugged at Virginia Power Management's discretion.

Page 5 of 7

Attachment I Page 40 of 41 Serial No.: 93-318 Docket No.: 50-281 Glossary of Terms

1. ROW, COL COLUMN tube identifier numbers an X-Y coordinate system.
2. IND INDICATION Character codes and numerics that represent the analysis results of the data for that tube, e.g., SAA, 25%, etc.
3. INF Indication Not Found Indicates that a previously reported Indication, from current inspection data or historical data, is not found in the data being analyzed - also used to address the case where a tube/

signal is being retested for positive identification (PID) and the retest data does not show any signal present.

4. LOCN LOCATION The location in the tube of the INDICATION called.
5. DRI DISTORTED ROLL TRANSITION INDICATION - A possible tube wall loss condition that is unquantifiable with a numeric percent call due to the signal characteristics and is located at the roll transition - often retested with RPC (Rotating Pancake Coil Probe).
6. 55 A number in the indication column shows the%

through wall depth of the indication.

7. PVN PERMEABILITY VARIATION A variance in the tube permeability that produces a signal that can mask other signals of interest.
8. SAA SINGLE AXIAL ANOMALY Describes a single axially oriented anomaly signal from RPC (Rotating Pancake Probe) data. The anomaly is based on metallurgical evaluation of tube pull data and is caused by liftoff from a slight I.D.

depression in the tube. 9 TEH Tube End Hot leg.

10. TEC Tube End Cold leg.
11. TSH Top of Tubesheet Hot leg.
12. TSC Top of Tubesheet Cold leg.
13. BPH, BPC BAFFLE PLATE HOT AND COLD Page 6 of 7

Attachment I Page 41 of 41 Serial No.: 93-318 Docket No.: 50-281

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

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

15. AV1, AV2, AV3, AV4 Anti-Vibration Bars 1 through 4.

Note: Where no comment appears in the remarks column the tube is still in service. Page 7 of 7

ATTACHMENT 2 SURRY POWER STATION UNIT 2 ISi INSPECTIONS NIS - 2 FORMS

Attachment II Page 1 of 86 Serial No.: 93-318 Docket No.: 50-281 Repair and Replacements Repairs and replacements completed during this refueling outage were performed in accordance with Section XI of the ASME Boiler and Pressure Vessel Code, 1980 Edition through the Winter 1980 Addenda. The following paragraphs and the attached NIS-2 Forms represent those repairs and replacements performed on Class 1 and Class 2 systems:

1. Removed Snubbers (two on each pump) on 02-RH-P-lA and 02-RH-P-lB and replaced them with 5 way struts, Class 2. The applicable work order No.'s are 107686 and 107687, respec-tively. The preservice examinations were completed on 5-2-91 and the replacements were completed on 6-5-91.
2. Replaced valve 02-CH-RV-2382A on line 2 11 -CH-422-152, Class
2. The applicable work order No. is 114410. The replacement was completed on 8-29-91.
3. Replaced studs and nuts on flow element 02-RC-FE-2492 on line 3 11 -RC-447-1502, Class 1. The applicable work order No.

is 121441. The replacement was completed on 1-23-92.

4. Replaced the ball assembly on valve 02-DA-TV-200A on line 2 11 -DA-121-152, Class 2. The applicable work order No. is 119695. The replacement was completed on 12-4-91.
5. Replaced valve 02-CH-MOV-2350, elbow, stud, flange and pipe on line 2"-CH-342-152, Class 2. The applicable work order No. is 028164. The replacement was completed on 1-4-89.
6. Replaced valve 02-CH-RV-2203 on line 2"-CH-532-602, Class 2.

The applicable work order No. is 114372. The replacement was completed on 8-17-91.

7. Replaced instrument port on flow element 02-RC-FE-2491 on line 3"-RC-416-1502, Class 1. The applicable work order No.

is 121824. The replacement was completed on 12-22-91.

8. Replaced instrument port on flow element 02-RC-FE-2492 on line 3"-RC--447-1502, Class 1. The applicable work order No.

is 121755. The replacement was completed on 12-13-91.

9. Replaced bolting on valve 02-SI-56 on line 12 11 -SI-201-153, Class 2. The applicable work order No. is 134524. The re-placement was completed on 3-19-93.

Page 1 of 6

Attachment II Page 2 of 86 Serial No.: 93-318 Docket No.: 50-281

10. Replaced pipe flange bolting to valve 02-RH-FCV-2605 on line 12"-RH-112-602, Class 2. The applicable work order No. is 131394. The replacement was completed on 4-12-93.
11. Replaced the trim assembly on valve 02-CH-FCV-2160 on line 4 11 -CH-389-1503, Class 2. The applicable work order No. is 128370. The replacement was completed on 3-16-93.
12. Replaced bolting on valve 02-RH-12 on line 10"-RH-104-602, Class 2. The applicable work order No. is 112729. The re-placement was completed on 4-17-93.
13. Replaced the trim assembly on valve 02-RC-PCV-2456 on line 3 11 -RC-335-1502, Class 1. The applicable work order No. is 129308. The replacement was completed on 10-6-92.
14. Replaced bolting and disc insert on valve 02-RC-SV-2551A on line 6"-RC-339-1502, Class 1. The applicable work order No.

is 128229. The replacement was completed on 7-13-92.

15. Replaced bolting* and disc on valve 02-RC-SV-2551B on line 6 11 -RC-338-1502, Class 1. The applicable work order No. is 128230. The replacement was completed on 7-13-92.
16. Replaced bolting valve 02-RC-SV-2551C on line 6"-RC-337-1502, Class 1. The applicable work order No. is 128228. The replacement was completed on 7-13-92.
17. Repaired steam cut on gasket surface of steam trap 02-MS-TD-9, No line No., Class 2. The applicable work order No. is 136679. The repair was completed on 1-15-93.
18. Replaced trim assembly, studs and nuts on valve 02-RC-HCV-2556C on line 2"-RC-500-1502, Class 1. The applicable work order No. is 110908. The replacement was completed on 4 93.
19. Replaced stud and nut on valve 02-FW-41 on line 14 11 -WFPD-113-601, Class 2. The applicable work order No. is 127229.

The replacement was completed on 4-27-93.

20. Replaced worn clevis on 02-FW-(WFPD)-HSS-005 on line 14 11 -

WFPD-117-601, Class 2. The applicable work order No. is 139064. The replacement was completed on 4-20-93.

21. Replaced valve 02-MS-84 on line 6 11 -SHP-145-601, Class 2. The applicable work order No. is 128241. The replacement was completed on 5-6-93.

Page 2 of 6

Attachment II Page 3 of 86 Serial No.: 93-318 Docket No.: 50-281

22. Replaced primary side manway studs on steam generator 02-RC-E-1B, Class 1. The applicable work order No. is 126918. The replacement was completed on 3-31-93.
23. Replaced valve to pipe flange bolting at valve 02-RH-HCV-2758 on line 2 11 -RH-119-602, Class 2. The applicable work order No. is 131395. The replacement was completed on 4 93.
24. Fabricated and installed%" x 2 11 shim on support (2-RH-H034A) for valve 02-RH-FCV-2605 on line 12"-RH-112-602, Class 2. The applicable work order No. is 139152. The re-placement was completed on 4-28-93.
25. Replaced valve 02-CH-305 on line 2"-CH-531-1503, Class 2.

The applicable work order No. is 085716. The replacement was completed on 3-22-93.

26. Replaced trim assembly, studs and nuts on valve 02-CH-HCV-2311 on line 2"-CH-368-1502. The applicable work order No.

is 116091. The replacement was completed on 3-22-93.

27. Replaced valve 02-VA-9 on line 2"-VA-113-154, Class 2. The applicable work order No. is 138472. The replacement was completed on 4-26-93.
28. Replaced valve 02-MS-176, elbow and short length of pipe on line 3"-SHP-128-601, Class 2. The applicable work order No.

is 127233. The replacement was completed on 3-17-93.

29. Replaced bolting on valve 02-MS-156 on line 6"-SHP-147-601, Class 2. The applicable work order No. is 127230. The re-placement was completed on 5-6-93.
30. Replaced valve 02-MS-182 and short length of pipe on line 3"-SHP-130-601, Class 2. The applicable work order No. is 127237. The replacement was completed on 3-17-93.
31. Replaced bolting on valve 02-MS-85 on line 6 11 -SHP-145-601, Class 2. The applicable work order No. is 127231. The re-placement was completed on 5-6-93.
32. Replaced bolting on valve 02-MS-117 on line 6"-SHP-146-601, Class 2. The applicable work order No. is 127232. The re-placement was completed on 4-16-93.
33. Replaced valve 02-MS-155 and 20 inches of pipe on line 6 11 -

SHP-147-601, Class 2. The applicable work order No. is 128153. The replacement was completed on 5-6-93. Page 3 of 6

Attachment II Page 4 of 86 Serial No.: 93*318 Docket No.: 50-281

  • 34. Replaced valve 02-MS-178 and a short length of pipe on line 3"-SHP-129-601, Class 2. The applicable work order No. is 127236. The replacement was completed on 3-17-93.
35. Replaced valve 02-MS-78 on line 1\"-SHPD-106-601, valve 02-MS-110 on line 1\"-SHPD-108-601 and valve 02-MS-147 on line 1\"-SHPD-105-601, Class 2. Miscellaneous pipe and fittings associated with the valves was also replaced. The replace-ment was performed under DCP 92-67 and work order 136674.

The replacement was completed on 5-7-93.

36. overhauled and replaced bolting on valve 02-RC-HCV-2557A on line 2"-RC-355-1502, Class 1. The applicable work order No.

is 112043. The replacement was completed on 5-5-93.

37. Replaced bolting on valve 02-RC-HCV-2557B on line 2"-RC-356-1502, Class 1. The applicable work order No. is 113488. The replacement was completed on 5-24-93.
38. Replaced valve 02-CS-51, short length of pipe and elbow on line 2"-CS-127-153, Class 2. The applicable work order No.

is 113442. The replacement was completed on 4-17-93 *

  • 39. Replaced bolting during modification of valve 02-RS-17 per EWR 89-145 on line 10"-RS-109-153, Class 2. The applicable work order No. is 105342. The replacement was completed on 4-15-93.
40. Replaced bolting on valve 02-SI-147 on line 12"-SI-202-153, Class 2. The applicable work order No. is 127243. The re-placement was completed on 4-19-93.
41. Replaced bolting valve 02-RC-SV-2551A on line 6"-RC-339-1502, Class 1. The applicable work order No. is 131024. The replacement was completed on 4-23-93.
42. Replaced bolting on valve 02-RC-SV-2551B on line 6"-RC-338-1502, Class 1. The applicable work order No. is 131025. The replacement was completed on 4-23-93.
43. Replaced bolting valve 02-RC-SV-2551C on line 6"-RC-337-1502, Class 1. The applicable work order No. is 131026. The replacement was completed on 4-23-93.
44. Replaced bolting and disc on valve 02-SI-243 on line 6"-SI-353-1502, Class 1. The applicable work order No. is 129908.

The replacement was completed on 5-2-93.

  • Page 4 of 6

Attachment II Page 5 of 86 Serial No.: 93-318 Docket No.: 50-281

45. Replaced valve 02-SI-85 on line 6"-RC-320-1502, Class 1. The applicable work order No. is 111703. The replacement was completed on 4-6-93.
46. Replaced bolting and disc on valve 02-SI-224 on line 3 11 -SI-346-1503, Class 2. The applicable work order No. is 133622.

The replacement was completed on 4-22-93.

47. Replaced valve 02-FW-61 on line 3"-WAPD-111-601, Class 2.

The applicable work order No. is 110578. The replacement was completed on 4-3-93.

48. Replaced valve 02-FW-30 on line 3 11 -WAPD-109-601, Class 2.

The applicable work order No. is 063641. The replacement was completed on 4-16-93.

49. Replaced bolting on 02-CH-E-4, Class 2. The applicable work order No. is 103117. The replacement was completed on 4 93.
50. Removed snubbers 02-RC-HSS-139 and 02-RC-HSS-141 from steam generator 02-RC-E-1A, Class 1. The work was performed in accordance with DCP 88-06. The replacement was completed on
  • 51.

5-6-93. Replaced snubber 02-SI-HSS-025 on line 12"-SI-245-1502, Class 1. The applicable work order No. is 130832. The re-placement was completed on 4-9-93.

52. Replaced flange bolting to valve 02-SI-TV-202A on line 8"-

SI-170-153, Class 2. The applicable work order No. is 137940. The replacement was completed on 5-16-93.

53. Replaced snubber 02-SHP-HSS-2A on line 30 11 -SHP-101-601, Class 2. The applicable work order No. is 130798. The re-placement was completed on 3-24-93.
54. Replaced snubber 02-SHP-HSS-2B on line 30 11 -SHP-101-601, Class 2. The applicable work order No. is 130800. The re-placement was completed on 3-19-93.
55. Replaced snubber 02-SHP-HSS-030 on line 30"-SHP-123-601, Class 2. The applicable work order No. is 130793. The re-placement was completed on 3-18-93.
56. Replaced snubber 02-SHP-HSS-028 on line 30 11 -SHP-122-601, Class 2. The applicable work order No. is 130801. The re-placement was completed on 3-19-93.

Page 5 of 6

Attachment II Page 6 of 86 Serial No.: 93-318 Docket No.: 50-281

  • 57. Replaced snubber 02-SI-HSS-027 on line 12"-SI-245-1502, Class 1. The applicable work order No. is 130830. The re-placement was completed on 4-7-93.
58. Replaced snubber 02-SI-HSS-024 on line 12"-SI-246-1502, Class 1. The applicable work order No. is 130829. The re-placement was completed on 4-7-93.
59. Removed all existing RTD bypass piping from loops "A", "B" and "C", Class 1. Installed three (3 11 ) pipe caps and three (1\") thermowells in accordance with DCP 91-06. The applica-ble work order No. is 129174. The replacement was completed on 4-15-93.
60. Repaired a leaking weld on a\" instrument line (no line number) going to flow transmitter 02-RC-FT-2434, Class 1.

The applicable work order No. is 139726. The replacement was completed on 5-1-93.

61. Replaced trim assembly and bolting on valve 02-CH-FCV-2122 on line 2 11 -CH-380-1503, Class 2. The applicable work order No. is 139260. The replacement was completed on 4-18-93
  • Page 6 of 6

Attachment II Page 7 of 86 Serial No.: 93-318 Docket No.: 50-281

  • 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 _ _ _ f_-~9_-_9~2._________

Name 5000 Dominion Blvd., Glen Allen, VA Sheet _ _.,____ of _ ___._ _ _ _ _ _ _ __ Addrea 23060

2. Plant Surry Power Station Unit _ _T_wv ______________-=

Name R'R# ;Z-/03 P.O. Box 315, Surry, VA 23883 E:1/JIZ '.;)o-'223 ,3goo(o7tb80 1 ~gaJJ07bS7 Addrea Repair Organization P.O. No:, Job No., etc.

3. Work Performed by Virginia Power Type Code Symbol Stamp_....N.,,,,A.___ _ _ _ _ _ __

Name Authorization No. _ _ _ _._=-------- P.O. Box 315 1 Surry, VA 23883 Expiration Date _ _ _ _...,Nu...i.~"'---------- Addrea

4. Identification of System --'-'R,..,,8:..aS=-l)?:;..u:..:...A~L=-...,l:/..._EA=-~-r-...(?=E'-l'\f""'O...,Y.,_,4_._l._ __._(_C"""'-C.""'~---'---J-_._)______________
5. (al Applicable Construction Code B3 l. 1 19~Edition,_N ........../_A_ _ _ _ Addenda, N-1, N- 7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 1980W80
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 Repaired, Replaced, ASME or Replacement or Nol Code Stamped (Yes St-h:ibbeR r-JA N,/\ *t-l.A. b:il-~!H-lS.S-l1Z134 NA bc:LE"ft t-,.IA S1R\),$ rrt G-r1111Ne.ll N'.4- DZ-LHl~14SS-1,-i,~i\ Nt>. K'ep/4:eM~l'\i-t NA

7. Description of Work C~A!s!GE" Bl:\R Si,1JB8E-l5 t'D filRVT'
8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure 0 Other O Pressure _ _ _ _ _ psi Test Temp. _ _ _ _ _°F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this repon is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at 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

FORM NIS-2 (Back)

9. Remarks -+-F'...,,.D:::._'_:ti:.

_ _.::s....:~::........,:.Y__;:S=-:4c...::o;_2._b---'7'--_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - - - - Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this .i>.t).t;A't'~.dN'T conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp __N_/_A __________.....________________________ Certificate of Authorization No. _N_/_A_____________ Expiration Date _ _N_/_A_____________ Signed_s;;Q='-~~1.-L OwnarbrO~Title

                                       ~
                              .................-c...=~=--------------Date--"A...:.,,.r:......:;.;.d""(.""~=-*_,_/.=0:.....----* 19
                                                                                                                        ;

9~ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the Stata or Province of Virginia and employed by HSBI&I Co* of HQ..'r t F Or ~ ) et. have inspected the components described in this Owner's Report during the period 5:- I- 'l O to l * ( ll

  • q 'f , 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.

    ------t1::Wt-~-~~-'---f_.__eL Inspector's Signature
                                                                         ...   ~----Commissions __V_A_5_4_3_________________

National Board, State, Province, and Endorsements Date 1:1-, o 19 cri.

Attachment II Page _8 o_f 86 Serial No.: 93-318 Docket No.: 50-281

  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS A1 Required by the Provi1ion1 of the ASME Code Section XI
1. Owner Yfrgfnfa E]ectrfc and Power Co Date_.....:...f--"'?....;.0_-_9_Z.~--------

Name Sheet *---. f 500 . Dominion Blvd "J. Glen Al ten, YA Z3Q60 A dr-

2. Plant Surry Power Station Unit _ ___;2;....__ _ _ _ _ _ _ _ _ _ _ _ __

Name P.O. Box 315 1 Surry, VA 23883 Repair Organization P.O. No., Job No,, etc.

3. Wor1t Performed by Virginia Power Type Code Symbol Stamp_... 1'4:.:..1\,.___ _ _ _ _ __

Name Authorization No. _ _ _--=.;:tJ,:;;:Ar.1--_ _ _ _ _ __ P.O. Box 31S, Surry, VA 23883 Expiration Date NII.- Addrea

4. Identification of System _ __..c...H...,E',..M.:...lu..C,:,Au,l_.A,..h\:sab"'-lV'-"'Q'-L~ValAl...,_e....;..::c..:,O:;..N.;;.IBa..:..i.:C>:::,..L.....__ _ _ _ _ _ _ _ _ _ _ _ _ _ __

6, (a) Applicable Construction Code 131. l 19.6L._ Edltlon,_.uBLi.{.aA.___ _ _ Addende, B-] , B-1 (b) Applicable Edition of Section XI Utlllzed for Repaln or Replacements 19 '6byl5i!,D

8. Identification of Components Repaired or Replaced and Replacement Components ASME
                                                                    *-*                                                                                                                                    -         Codi
                                                                    --*                                         National                                                                         Repalrad, - Stamped Name of              *- Nameof                             Manufacturtr                                   Board                                      Other           Yur               Replaced,          -CY*

Component Manufacturer Serial No. No. Identification Bullt or Replacement or No)

                                                      ~:-:.                                                                                                                                               ...    -

Y4llle.

                 'Z I/         C,rof;/tJy                                   . ~/fir                              rv/,._                              oz.-~11-,u1,z3e r.A N/A ~lo.c.ecj-                             . tv'o z II
                                                                                                                                                                                                                       µt)

VAIIIE ~rosby IH c, 2.IN<'A ru(t,r IIIZ-Cll ~A.V .. l38t,A ~ Repla.c,eNell-\1:: lt\_C_E=-.;..R....t:_L_l;...E;...~__v

7. DelcrlptlonofWork. _ __;R;....E.;..P.... A---'-1"~E-------___;-------------
a. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Prenure ~

OtherQ Preaura t,,i.o.e pal TestTemp, l:::l,O,T; *F NOTE: Supplemental lheet1 In form of llltl, 1ketchee, or drawings may be ueed, provided (1) 1lze II 8% In. x 11 In., (2) Informa-tion In ltlffll 1 through 6 on thll report Is Included on each 1heet, and (3) each sheet II numbered and the number of eheetl II recorded at the top of thll form *

  • (12/82) Thie Form (E00030) may be obtained from the Order Depi,ASME, 345 E. 47th St., New Yor1t, N.Y. 10017

FORM NIS-2 (Back)

9. Remarks --Viµ&!:!(.::.ive~'l::....'-'__f.:.:.;.c)~._#_.....;~;.:::..;'/_'2.;..:fo;..:.?,::..*L.9'{.uD'.-.....,*-'*.::..iH:e~"I~*,'...:*:ti::;;..-.:.1..J_ .. ;.;.."7_*. _*-_
                                                                                                                                                            ..,_                                   0 Appllcabla Manufacturer', Data Reports to ba attached CER'.(iFICATE OF COMPLIANCE .

we certify that the statemenu made In the report era correct and this .,e(?;(.A"/A,!-..tl,;".'""confonna to the rules of the ASME Code, Section XI. repair or rapl-mant Type Code Symbol Stamp _ _RA ________________________________

                                                                -....;;;=-----------Expiration CERTIFICATE OF INSERVICE INSPECTION Date _ __,RA=----------

1, the undersigned, holding II Ylllld commission laued bv the National Board of Boller and Pl'IISIUre Veael lnapec:tora and the Stat* or Province of VA end employed bv BSBI & I Co of *

        ...1:1B~J1uruti...{1Ja~r.ljd1..t,1---1C1.1.t
                                                 .....- - - - - - - - - - - - - - - , . - = . . . ; . . - - - - - - = h a v e l ~ e d the components described In this Owner's Report during the perlod----...&~-_,_1-_*._,q_l)____ to 5'*/0 ~'f't...-                                                                                                                 , and state that to the beat of my knowledge and belief, the Owner ha performed examinations and taken correc:tlw me111Urea described In this Owner's Report In.accordance with the requirements of the ASME Code, Section XI, By signing this certificate neither th* Inspector nor his employer mak* any wamnty, expr:eued or Implied, concerning the
     .* examinations and corrective rnusuraa deacribed In this Owner's Report. Furthermore, neither the lnapector nor his employer shell bl liable In any manner for any personal Injury or property damige or a loa of any kind arising from or connected with this Inspection.                          .       . .    .         ..*. .
  • _ _ _11WL....;;....:~~---'~*~~....;..-:-*-------Commlulon1 __V..:.:~:...:54:..:.3::...-------------

1nepactor'1 Slgn,atura. National Boa_nt, State, *provrnca, and EndoraamanU o.m______.....~....---{-~-19 q~

Attachment II Page 9 of 86 Serial No.*: 93-318 Docket No.: 50-281

  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
1. Owner Yfrgfufa Electric and Power Co Date _ _..,_/_---'-2-'9_---'-9_2.__,______

Nania 500.Dominion Blvd.J. Glen Allen, VA 23060 Sheet _ _ _  !*_ of_--:.../_ _ _ _ _ _ _ __ A dr-

2. Plant Surry Power Station Unlt _ _ _2- ______________

Nam*

     . P.O. Box 315i Surry, VA                                                  23883                                                           .38o6f Zt44-f                          RR ::tt     'Jl-/83 Repair Organization P.o. No., Job No., ate,
3. Work Performed by Virginia Power Type Code Symbol S~p _ _ N~/A~------

Name Authorlzatlon No. _ _ _ _........ N I_.A""------- P.O. Box 315, Surry, VA 23883 Explratlon Date 1\// A Addrea

4. Identification of System ReAC.ToR.
  • l:..o 0 LA('{t *
6. (a) Applicable Construction Code BJl, 1 19.6.l._Edltlon, BIA Addenda, B-] 1 B-1 Code Cale (b) Applicable Edltlon:of~lo~ XI Utilized for' Repairs or Replace~enu 19 86w
                                                  ,. ! :                       ; :*    )  ~'      /                     1*   ' : ' '

eo _,. 1

6. *Identification of Components Repaired or Replaced and Replacement Components l ,:* '1 I ,,
                                   '                                                                                                                                                                          ASME
                                         !I  I 1'

r *'. ~ .' ,, -* -'** ' --~ ... ... ..,.,; Code

                                                                          ..                                 National                                                            *..-- Repaired, * ** Stamped
    ., . Name of                        Name ofI   I Manufacturer --                   Board           1:l Other              Year                    Replaced, ' * --(Yes Component                   Manufacturer                       ,. Serial No.                      No;                     Identification          Built            or Replacement or Nol
                                                          ;
                                                                                            ;.*;
                                                                                          .r'.         -

C-"' 'b)

                                                        'I(

NA l( I El FIA.t\lGE ~fV.1)5 A, (i< \ \ . ~/tJ...*, ,*N//\ 0,2*d::i..t..-F£-2492 "-.l{h_ . Rliplru:;~&- :- "l'l b

             \   /I (i      )                                                                                 N/A N/ A.: .. Rer:i,i~M e~t: N~

Nut. I~ tloltl.'.: t\-\iib, NAL *4-93&1 CJ2-R.e-FE-7/f92 Rod \-~ (Ser,,.) ,N.ovA 3S4-8itili"50. N/A. O.Z-Re.-FE,. * '2492. t-J(f\ R~ria:ce~i_ijc iJo

                                                                                                                                                                       *.;                                 ,_
                                                                                                       )
                                         '.                                .'                                         )

i:' ,i ' .

                                           '              .i  I                  ; ~ '     '                      '           *,
                                                                                   ')

7, Description of Work _ _ _ _~---------'----...,._.....,._ ___;._ _ _ _ _ _ _ _ _ _ _ _ _ __ I , .

                                                                                                                                                        - ' ---* *-*- **-*        -.           -.---*  - I
8. Tests Conducted: Hydrostatic O Pneum~lc 0 NJmtnel Operating Prunura @' ' '
                               .other       O          Pressure               Nbp*                    ps1; Tm T~p. . tJoT                        °F                                                      1.,
i. ,.

I  ;  :, j r *! ;  ! i *~ NOTE: Supplemental sheets lr1 form of llsti; sketches, or drawings may beused, provided (1) size Is 8%/ln. x 11 ln.,:(2) lnforrna~ tlon In Items 1 through 6 on this report II lnclu~ed on each sheet, and (3t each sheet 11 numbered and the number of sheet:1 II recordedatthetopotthi.to~,i*. '. , . i .. I, ..  ! , j

  • j .

I  ;* f I (12/82) .' Thia Form_ (E00030) may be obtal~ from the Ordai' Dept., ASME, 34~ E, 47th St., New York, N.Y, 10017

FORM NIS-2 (Back) I/

9. Remark, _ _.1\\~\:,:.vt..!.-~\~-1,.-B'____
                                                        -   f'.::...:..'=o---"'(1_,._S_.-V_.3--'5"-"B<..;.(=f:3=-0-_Z_ _ _ _ _-,--_ _ _ _ _ _ _ _ _ _ __

Applicable Manuf1c:turer'1 Data Reports to b11 attached 11 t?od \ ~'a P, o. l'.1,S)t sS?.t 7 :9 - I CERTIFICATE OF COMPLIANCE We certify that the statements made In the report are correct and this ¢<'~/:'.'conforms to the rules of the ASME Code, Section XI. repair or replacemant Type Code Symbol Stamp _ _HA ________________________________ Certificate of Authorization No. RA . Expiration Date _ __,HA=---------- Signed -/? .,.,/ Lf *

             ~~~Title V            .,;Z>..r £4,#c//Z                          Date      /Z'd, /o"                    ,19  9,?.

CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission Issued by the National Board of Boller and Pressure Vessel lnspectort and the Stat, or Province of VA and employed by BSBI & I Co, of. _*JJHWlaurut1-fL.L1Pi.1.T..11d'-i,~Ct.t.t&..&,---------------===-----~have ln~ected the components described In this Owner's Report during the perlod, _ _ _ ___,,£,_-.,_l_~;......:."f..;;;C>_ _ to 5'* /tl

  • 9c/
  • and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described In thl1 Owner's Report In accordance with the requirements of the ASME Code, Section XI.

By 1ignlng* thl1 certificate neither the Inspector nor his employer makes any warranty, expressed or Implied, concerning the examinations and corrective measures described In this Owne_r'1 RePort. Furthermore, neither the Inspector nor hl1 employer shall be Hable In any manner for any personal Injury or property damage or a loa of 1ny kind arising from or connected with thl1 Inspection. _ ____ ___ . ____ -**-- _____ _

    ----~.=.....:;=-:"'-'-:-::=""":':::*=:*~~~---*--eommlulon,_..,..V                                                            __A'7-S=4~3-..,.......,_...,,._:---:-....,..,:------

1nspector'1 Signature Natlonal Board, State, Province," and EndorMmentl Date

           -~ ..... ;_-,"'

Attachment II Page 10 of 86 Serial No.: 93*318 Docket No.: 50-281

  • 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 _ _-'3~&.;:4+.-4/'-'.9..c.,,.'2._____________

Name ' I 500 Dominion Blvd., Glen Allen, VA 23060 Sheet _ _L./__ of _ _ _ _ _ _ _ _ _ _ _ __ Address

2. Plant Surry Power Station Unit _ _2=-----------------

Name P.O. Box 315, Surry, VA 23883 38 O'o /19(,, 9 5 RRi' ~ l-182 Address Repair Organization P.O. No., Job No., etc.

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 _ _ _ _ _N_/_A_ _ _ _ _ _ __ Address

4. Identification of System _~])~r:<~A~l~N~S~""/->,,=E~B.~A~I~G~D~~>~'i-S~I~E~\':1,__.____________________
5. (a) Applicable Construction Code B3 l. l 19.fu___Edition,......,.N,.,.lc...Ac,....._ _ _ _ Addenda, N-J, N-7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 BDWBQ
6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

VAlvr;;. lRoSby N/A r-J./A 62-.1>A-TV-1a::; N/A RepArrecJ to-ID N95o3l Assv. Ba.II Crz.o5'o./ 0014" N/A. '2-PA

  • T V-l.OOA \991 Re~ \a.c.e Me"'~ NO
8. Tests Conducted: Hydrostatic O Pneuma! ~Nominal Operating Press~re 0 OtherO Pressure //J., psi TestTemp. ~,:/'j.~.£.°F
                                                                                        /frlt/~~,.;;"

NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8Y:z in. x 11 in., (2) informa-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
                                                          'I i,

FORM NIS-2 (Back) I 9. Remarks _,.....,..d....

                         &=s'-.LY. . . ___,,,,B.,.u~IL!...1_ _:_P...,_,,()"'-','---'-=ti_  ___;:e.:.:..;N:....:T~3"'-_4.,__(o""'-=5-=~=o"------------------

Applica~le Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and th is ,8<<),:dc:'.,.1'-"lc:f..yr'conforms to the rules of the ASME Code, Section XI. repair or repll!cement Type Code Symbol Stamp ___N_/_A__________________________________ Certificate of Authorization No. _ _ _ _ _N_/_A _________ Expiration Date _ _ _ _N_/_A ___________ SignedQ~fL~/ .f..[r bd/.v,5;!-d,, ..I./A A:'H ~/ ___ , 19 Date _ _~G.~~'~&!d~~-,___,~,__ ...._ z ,2, Ownar~er's Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co* of _H_a_r_t_f_o_r_d_,_C_t_.___________________=-____ have inspected the components described in this Owner's Report during the period ,=- I - 'f O to 5-10 * 't"f , 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 i-n-sp_e_c_t_i~-n------'~~~__,f~.-~&=--..~-='------C-----Commissions Virginia 5 43 Inspector's Signature National Board, State, Province, and Endorsements Date _ _ _ _ ___,,3e....-_':f.___19 Cf 1.

Attachment II Page 11 of 86 Serial No.: 93-318 Docket No.: 50-281

  • 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 _ _ -'-z"-_--"1,'--,_-_,_'__________

Z _ Name 500 Dominion Blvd., Glen Allen, VA 23060 Sheet--~- of _ _ _ _ _ _ _ _ _ _ _ __2. Address

2. Plant Surry Power Station Unit ---=2,_=---------------

Name P.O. Box 315, Surry, VA 23883 Address Repair Organization P.O. No., Job No., etc.

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

Name Authorization No. _ _ _ _N_/_A _ _ _ _ _ _ __ P.O. Box 315, Surrv, VA 23883 Expiration Date _ _ _ _ _N_/_A_ _ _ _ _ _ __ Address

4. Identification of System _~C~H~&=M....,_,_l.,.C~A...

l-"'A...N-l>-....Y....ri...L...l~JM......._f: _ ___,[_ou..N.,._._r:....B~C>.,,,L~----------------

5. (a) Applicable Construction Code B3 l, 1 19fil_Edition.~N....(~A~_ _ _ Addenda, N-J, N-7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 8QW8Q
6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No)

I I(l,V/z:,Vtl)I~)  ! t.J/A ,02-CH- MOV-235'(, U.-J1t,ii;J, RerlACED ND ___Y._Al~E I {I .f/l&,vOfd,1/ ~ VA\'l~ I Cr~rHi I A"'s 1~ I N/A 02-~ ~

  • MOl/*Z~ 19.S l?eo fAc.et1.t eNt- NO C.!riARLeS F. i I
     ~lbOtAl                  <!-vlJoN               i 1ol\, 811 'o                    !             rv/A                2-l!l-H1411V - 235l> I l9£H          ~eplAcet\ e,,jt        1\10 i

Pn sc.\.l KoR~ I 1977:2. 3 NO T STut> I NIA 2-t~-MbV-Z.3?() I 1987 RePI-\C£~~t,J-l: F\ l).W.C\P f'~lscl~K ort\l <<IA I NIA 2-l~ - MO/-Zs'S ~{A l(e.pl'ffl.{ fN t NO

7. Description of Work _ _ _~R_e-=--r~~IA~C~E:~_\/...__A.~\~::i~E------------------------
8. Tests Conducted: Hydrostatic ~,/Pneumatic D Nominal Operating Pressure 0 Other D Pressure /,ZS)( J:est(Wlsi Test Temp. J4e1b1euf: ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informa-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 --...Ji..VAa.w(VuE.,___ _ _~.J. :.': c. O. !. . .-*--S.c:S::..j.L.-...:>,2,:..Ja..,_J_._Q""":Z..=.=-=-IL...__ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Applicable Manufacturer's Data Reports to be attached e..lbow p,o. i+/- S'{ Co744:0- 3

r. o. -fr Cs v J'S' 9'4<.,S -l CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ,AZ4.}_;1t:~~onforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N_/_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Certificate of Authorization No. _ _ _ _ _N_/_A_________ Expiration Date _ _ _ _N_/_A ___________ Signed Q;g.O~Title Date___.#~...=-=~~e_,.l.~Z'-------, 19 24 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_a_r_t_f_o_r_d--'-,_C_t_._______________-=-_ _ _ _ _ _ _ _ have inspected the components described in this Owner's Report during the period _ _ _ _ _ _ _-'S:"'-_-..,/...-_..'I._O:..._to .£-( 0 ...°f 1 ~--, * * , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore; neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

    -------+~-=--=-----------'=--*--=~=-----Commissions_ Virginia 5 43 Inspector's Signature                                                                          National Board, State, Province, and Endorsements Date

Attachment II Page 12 of 86 Serial No.: 93-318 Docket No.: 50-281

  • 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 _ __,_2_-....::z=-7"--_----'-!)_Z_ _ _ _ _ _ __

Name 500 Dominion Blvd., Glen Allen, VA 23060 Sheet _ _ 2._ _ of __'2 ___________ Address

         ~  ~am Surry Power Station                                                                       Unit _ _2_________________

Name P.O. Box 315, Surry, VA 23883 38ooo28ffu4 Address Repair Organization P.O. No., Job No., etc.

  • 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 _ _ _ _ _N_/_A_ _ _ _ _ _ __ Address

4. Identification of System _ _ ____._l'....,&.1,,.,i;....,_,IM"'IC"-"'A...,L_--'A.....,_,t-.l,_,'l)"---Y,...,Ooc.L.=U....,M'-'-"-E--{}.[)=-'--'I\J"-,,._,_,Ro..._,l-=----------------
5. (al Applicable Construction Code B31.1 19-6.L_Edition,__.,N"'/_.Ac....-_ _ _ _ Addenda, N-J , N-7 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 SQWRQ
6. _Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) p, r,e. 2 ,, fn 5l tit orru t-J/p.. N/A 2-(!H-/\fOV-Z39> tQ84 t?ep!ACell.(ed NO V
7. Description of Work _ ___,_F,~e't"p='{\~(_~E__ A.w.1'1.i=e:,____________________________
8. Tests Conducted: Hydrostatic ~ Pneumatic D Nominal Operating Pressure D Other D Pressure 1-25 ( Des,r?t.Jpsi Test Temp. AMb,gNf °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 811:, in. x 11 in., (2) informa-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 -~--'-P....J*p~Rs::..,.,_---1-P.:..,,*Oc..:_-~.:___s=-.~'--+fll.l. .B.,_,9._-_,_I_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~y.:.a,r..R'Alb~onforms to the rules of the ASME Code, Section XI. repafr or replacement Type Code Symbol Stamp ___N_/_A__________________________________ _____ 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_a_r_t_f_o_r_d_,_C_t_.________________________ have inspected the components described in this Owner's Report during the period _ _ _ _ _ _ _..x5'_-""'r'----'1'--"o'--_to S- I(.) -C} ef , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection.

   -------~-~~"'---------4-"-j)~_,~....,-             .........::..._____ commissions Virginia 5 43
                          ~knat~                                                                    National Board, State, Province, and Endorsements Date_ _ _ _----'~=---_,,~..:...:'£,,.___19                  q~

Attachment II Page 13 of 86 Serial No.: 93-318 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI

1. ONner Virginia EJectr:Jc and Power Co Date _ _ _l_-....c/..::~---,9_z._ _ _ _ _ _ _ _ _ __

Nam* *j SQQ.Dominion Blvd.~ A dress Glen Allen, VA-23060 Shaat.~_ ___,__of~--1----------

2. Plant Surry Power Station Unlt _ _ _ -z._____________

Name P.O. Box 315 1 Surry, VA Address 23883 3i oo CL437Z ett.. Repair Organization P.O. No., Job No., etc,

rt. ~,-,so
3. Work Performed by Virginia Power Type Code Symbol Stamp _ _;..;;A.Ja.:l- _ _ _ _ _ __

Nem* Authorization No, _ _ _ _...avV--'-4ii-------- P.O. Box 315 1 Surry, VA 23883 Explratlon Date _ _ _ ___;tv..;;,_iA-- _______ Address

4. Identification of System evier1t,c4f Cltv,c/ Vdfve'fe (otJ1!2ql-
 &. (al Applicable Construction _Code BJl.1 _. .                              _,s~

(bl Applicable Edltlon'o'f Sectio*n XI Utilized f6r Re~airs or Replace~~nts 195:&' EditJon, 1H/A wKo Addenda, J(-1 , R-7 Code C!III

                                                                 ,,,'  ,f*,: (
                                                                                                                       -* - f-*
6. Identification of Com~nants Repaired or Replaced and Replacement Components
                       .if ,f                         'r' ASME
                            *\'*
  • i 1.) ,*.-.. ,. " ~:. --~' Codi National -- -* -- Repaired, - Stamped -

Name of . Nameof , Manufacturer Board Other

  • Year* Replaced, (Yes
  • Component ' *' Manuf~~-r Serial No, . No. Identification Built or Replacement or Nol*
                                                                                                                                                          . . .. ~.:;: 
                                      ,< ~ I   '    '   *
                                              *,! .;,
7. Description of Wo~k 1 3e.p(o.c f Bf he. I= I/Ahle B. Tests Conducted: . '.Hydr~atlc D Pneumatic D . N4mlnal Oper;atlng ,Pre~re ~

pther O Pressure tvt> e* pal: Test Temp, µ oT °F

                           !             ,, .. I                .. .1.;        '   !          .'    '        .*,

NOTE: Supplementai sheets I~ fonn of lbts; sketches, Jr drawings may be.u.ied, provided (1) size Is 8%: In. x 11 In.; (2) lnformaJ tlon In Items 1 thrc:iugh 6. on this report Is Included on each sheet, and (31 each sheet Is numbered and the number of sheeta. 11 recorded at the top c,f th Is form, 'i .. * . 1 . . * . , . .  : . *  ! ,

                           ,I                                                                                                                I' r                                                       :                                               .         I 112/821                  : 'Thia Form (E000301 may be obtal~ed from the Ord~r Dept., ASME, 345 E, 47th                                    s~.* New York, N.Y. 10017 :                       I
                                         '                                '        i                I                         i               ~                                        ',

I

                                                                                                                                                                                            /
                                                                                                                                                                                    ,. !  I i
                                                                                   /

FORM NIS-2 (Back)

9. Remark* ____R---=.e.~\..:..1..e..;.=f,;__~l/i~A-l;_v...;:'-e...=--*_,e'-lJ..:o=-**.;..*_#:-.:....._ _s_s__,yc.__3_,_~_.;;S...;./...:.7__,1..;.f-e.::.:;.;;M.:....;.:;#-_..:..I_ _ _* -_*_**._ _*__;_ ..'. _L_.-;J._._ -_ ;

Applicable Manufacturer'* Data Reporu to be attached . ,.. "* ~ '

                                          ...:;;-!- ~

CERTIFICATE OF COMPLIANCE

  .            We certify that the statemenu made In the report are correct and thl1 ~d('cf.Mb'r'confonns to the rules of the ASME Code, Section XI.
  • repa r or replacement .

Type Code Symbol Stamp _ _HA _______________________________ Certificate of Authorization No._....:;NA=-----------Expiratlon Date _ _...:RA=----------- Slgnec:I Q. ~,} ___ -,/ O w n e r ~ ~ "

  • Title CERTIFICATE OF INSERVICE INSPECTION.

1, the undersigned, holding a valid commission Issued by the National Board of Boller and Pressure Vessel Inspectors and the State or Province of VA and employed by USRI & I Co, of- - Bartfa_rd

  • Ct - have Inspected the components described In this Owner'* Report during the period 11- 1 :b - !?9 to f J--~j.-C( 1 * , end rtate that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described In this Owner'i Report In accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer makes eny 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 loa of any kind arising from or connected with thl1 Inspection. . __ . , . _ *---

     ----~ll,..!::~~;__-:-"7'"'f:::.=----:-*~~-----Comml11lon1 __V.:.a:A.=-S:.4..:..:.3_ _ _ _ _ _ _ _ _ _ _ __

I napector'1 Signature National Board, Stata, Provlnca,.and Endor111ment1 Date,_ _ _ ____,/'--_.j_~0_19 9' 1_

                                                                                                                                                                                     . . J!.
                                      **f*,-                                                                                                                                                                          '.\ :i*

Attachment II Page 14 of 86 Serial No.: 93-318 Docket No.: 50-281 i ,*i' FORM N.IS-2 OWNER~S REPORT FOR REPAIRS OR REPLACEMENTS As Required by 1the Provisions of,the ASME Code Section XI

                                                                         '                        *,      ,                 *              ,                 , I                    ,*1                  :

Date _ _l_~__;_I_IP_-_.9_z_ _ _ _ _ _ _ __

1. Owner Virgiufa Electric and Power Co Nam*
                                                                                          -* - -:-:1'
                                                                                                                                                                       -sh~at' _ __:_l_ _ of.:..:___;/_ _ _ _ _ _ _ _ _ __
      ,500.Dominion Blvd~J-                                      A dr-Glen Alien, YA 23060 Unlt ___2..             ______________
2. Plant Surry Power Station Nama P.O. Box 315, Surry, VA 23883 3Boc / 2/(12'/- rt.~:# '71-tS5 Repair Org11nlz11tlon P.O. No., Job No., etc,
                                                                                                                                                                                                    . ,--~- -- ~--'         --** --- ...
3. Work Performed t,y' Virginia Power Tvpe Code svmbol Stamp _ __;;/AJ_.4-'".-------

N11ma Authorlzatlon No. _ _ _ ___.c:,Y~A~------- P.O. Box 31S, Surry, VA 23883 Explratlon Oate _ _ _ _ __,_,,...A-'-------- ---; Add~

4. Identification of System _ _....;;.;~:...e;;.;.A~C.;;;.Tb.;....;;..""8"--..:C::.::OQ:;,_*.,....1i;."'-'-'N...t..__________________________

I

6. (al Applicable Construction Code 1BJl. l 19fil_Edltlon,_..,lf~/...,A.___ _ _ Addenda, R-1, H-7 Code Case (bl Applicable Edltlon;1of Sec~,~~ XI: Utilized f~~.R~~alrs ~~ ~eplacerh~nb)~ 8D :u1~0 1
                                                                    \ ~: I ( !.     .              \>,/I, hf:            i*    ' :: . f ( .                   I 'i '*'
6.
  • i~;-lflcetlon of Coiiiponeriu A~~aira~ ~r Re~I~ and Raplacemerit Compon~nts
                                               . r: *~. r;          _J                               )t ,.,_;_;*              { '/
                                                                            '.:~ 1' .
                                                                                                      *- .I !'

ASME

                                                                                           *.---- 1-_'{    x.--1:.1'.:          ' , /r)             ; .'. ~* ;*;:      . . U'i.                                       " -:_ '                  Code -
                                                                                                                                               - National                                                            * -- Repaired, - Stamped Name of , \' : .:,, ,; 1Ne!1;1!' !)f **, ,                                       Manufacturer                                          Boerd                        . , Other                  Year            Replaced, ---            (Yes
  • Component .,. *
  • Milriufacti.i'rer * ,. *. SerlilfNo. No, *'ldentlflcetlon Built** or Replacement *or-Nol*
                                                                                                                                                                                                                                       '.;"'
                                    ]
                                                                                                                                                                                                                             .~ ..

NA;*. iJp;;-- l<-tpla.c.e*r.t~f . : ~N1> I

                        .* *-!"~~-.                                                                                                                                                                                                                     - : ; . *~:
                           , r                                                                                                         ;!    '/
                                    *I,             : :.. _,
                                                                   .':         \',
      .I.-*:-,,,;,            ,,/ ,'.,.     *,  i£J/~d*',N.JTAv,,,,,i~r)>o;A.r
7. Description of Work ~t...:P P.. G~J~
  • Yb fL/..16-S'
      .     '                   ! ,       i                                . ,,?&a              ,7~.,7iz._                                                               I             -

1

8. Tests Conducted:,
              '     ,, ,             I,'
                                          '.Hvdros~atlc
                                         ,\;
  • i ~ l*
  • O Pneumatic D
                                                                          ,       '   , :     '      , :    1,         ,

NJmlnal

                                                                                                                                    ;   'I 0pe~ting    .,.     ;

Prenure . , 0

  • ptherO' Pl'fflt!re_*_*____ pall TestJ"emp. °F . '-'-*! :I ~ f' * ' '

r *,~ ' ; **, -;:-,': 1 '::, ,, I ./ ) NOTE: Si.lppl~me~~I sheets In fcxm be of II~; 1ketch~, ~r drawln~ rnav uied, provided (11: size 1~'8% :in'.~ 11 In.~ (2) (nfe> ;rriaJ 1 tlon In Items 1 t~~gh 6 ,~n t 1hl1 report Is lncl_uded on ~h sheet, and (~I .each sheet Is nuritbered an~ the number of ~heets, 11 recorded at the top of this fonn. -- , : , ,. .  ; - - *-  ! . . . ': - : i *  : *. : ,* *

                                                                                                                                    ,                                    I                                           .
                                    .*,. I           '1".            *; !      I                  ,'                                l                                   '.'.'!       !_,   'i   . i*    .      1 (12/821                                      Thia Form (E000301 may be obtal~ed from the Ord~r Dept., "SME, 345 E. 47th St., New York, N.Y. 10017'_
                                                                                                                                   .\
                                                                                                                                                              *i        ,,

i I,' . 1.' * : ti; i. ! I

                                                                                                        *, I
                                                                                                        ,, '                                    :  I .ii.\
                                                                                                             .i,,,.

1, '., [1 ,*r . I ,. ' l.*i

                                                                                                                               ',,I
                                                                        .:'    I, I Jil'                            ;* *,1
                                                                        ,, ,.         ,!'                            'I,
9. Remarks .: Z *f(,e,e~

CERTIFICATE OF COMPLIANCE . we certify that the statements made In the report are correct and this r'?lt:'dckt:lil',_.conforms to the rules of the ASME Code, Section XI. repair or replacement Type Cod~ Symbol S t a m RAP - - - - ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 *_; ~-

   'Certificate of Authorization No._.....;:;NA=-----------Explratlon Dete _ _~HA='------------

Signed Q cf j/ .-_e__-b / Owner or ~filgnae, Tltle kcS:C ,19 f2 CERTIFICATE OF INSERVICE INSPECTION 1, the undersigned, holding a valid commission Issued by the Natlonal Board of Boller and Pressure Vessel Inspectors and the State or Province of VA and employed by BSBI & I Co of* - Hartford, Ct, have Inspected the components described In this Owner's Report during the period £ ~ - ~ 1.-8'<( to I' 'l- - l 1 ~ 'l 1..

  • and state thet to the best of my knowledge and belief, the Owner has performed examination, and taken corrective measures described In this Owner's Report In accordance with the requirements of tha 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 lnspectoi: nor his employer shall be liable In any manner for any personal Injury or property damage ore Ion of 1ny kind arising from or connected with this
. Inspection. . ___ --------
                          ,=:~--:-""::f~.--'@oJL;;..*
      -----1~.-i:::::::.......,-                  .::....;::;.______ Comml11lon1 __V.;.:~::...;5::.4..:.3=---------------

inss,ector', Signature Netlon11I Board, State, Province, end Endor111ment1 Date

                                         ., ~ ...

Attachment II Page 15 of 86 Serial No.": 93-318 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Pr~visions of the ASME Code Section XI 1.' Owner Virgiriia Electric aud Power *co Date _ _...,(_-~9_-_9_"2.____________ Name i 500 . Dominion Blvd-~ Glen Allen, ,VA 23060

  • Sheet _ _-'-_ of_---------'---..;.._--

Aadreu *

2. Plant Surry Power Station Unit _ _ _ t._______________

Name P.O. Box 315 1 Surry, VA 23883 s"BODIZ.1755 (<~-ti 91-184 Addreu Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp _ _ fV,4

3. Work Performed by Virginia Power Name Authorization No. _ _ _ _N_A _ _ _ _ _ _ __

P.O. Box 315, Surry, VA 23883 Expiration Date _ _ _ _~_/'<_ _ _ _ _ _ __ Addreu

4. Identification of System _ _...,R~e~OJ=C~I-0-B,..--*...,c..,o""'o"-"'L=P-~1'.l~T~------------------------
5. (a) Applicable Construction Code' BJl. l 19.6.Z_ Edition, __ N,../_A~___ Addenda, N-1 , N- 7 Code Case (bl Applicable Edition of Section, XI Utilized fo~ Repairs or Repla~ements' 19~ ,wfh
                                                                      ! ,,*; \:r: *          ;1 1         )   ;;            1*** * .i!!\*,
                                                          ,              .               ,   I          '                                '

Replacement Components 1

6. Identification of ComporienitRepaired or Repla~ed an~
                           '                             !           '.      I   -*,:       ,,*
                                                 ;
                                            ' ;
                                                                                            ;

ASME

                                                                     '                                                 i Code
                                           ,.i                                               \i*              :., .. :
                                                                                                              ;(*
                                                ,,,.     , I
.**I 11; National
                                                                                                                                      ; '

Repaired, Stamped Name of Name.o,f Manufacturer Board Other Year Replaced, (Yes Component* Manufact/irer' Serial No. j * *No. ' Identification Built or Replacement or No)

       ,.                                   'ii,           L1
                                                                                     ; I                      ,  ..
  !=°fOl)l~\eM,. pill~!>:              1/V ~'   ,*,                ,,-)~                   
                                                                                                             ,vi4.                      01- ~~ -i='t;-lll'J'Z,   '/J.1~
                                                                                                                                                                           )>~,Q - -       I R';i--'~ .,,,;~,\   tJO
                                                                           ,..              I
   ~  r,eces                      ti-Afl.PMArfe                      "
    ~OUl't i:>   srou:.           ~fHZ-c.J,9-(~CP,                        ,f\)4,                             NA                        I)  2- (l. C-R;~l'l9l   t.t/A-     Reflute"1e;.,,t       µ()
                               ,,  :                 ~              :            l*1*                           ',*.*'
                                         '*      I '
                                               , . 1.,
                                             ;*.

l

                                     ,,f~;>~ ;'A/$,~..bJr ,;b~r                                                                      l
7. Description of Work ,\IA~l(*E:: ~q~~f,.t'RS -t'b ~IOI.A; .e,\eY\1eNt f>IVfS
                                                '    y~~        #.         ?~'             :                      '
8. Tests Conducted: . Hydrost~ic O Pneu~at,ic O Nominal qperating Pressure 0 Other D Pressure ,
  • psi Test Temp. °F NOTE: Supplemerital sheet~ in form of lists,"sketches, or drawings may be used,.provided (1) size is SY.. in. x 11 in., (2) informa-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 ob~ained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

                                                                               '     I
                                **1' i*

1

                                       '1 1/ ,'
                                          ,I 11
  • i
                                                                                      ~ 

FORM NIS-2 (Back)

                                                                                                                                                 ,;.1,,'

~- Remarks_...,,E"--">ov"-",u"'-7)"---'.z@=oe=~~:'-'_...::7.L...L..>.OL<<L......!...,:/:)_.!..i.... 5""5"'--V---'2=-6=9~8=0-~"--__,_1_*:- - - - - - - ' - - - - - - - Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Ai;>,,A(4-,tµf conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___NA ___________________________________ __NA_____________ Expiration Date _ _-=-NA=------------ 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 VA and employed by HSBI & I Co of Hartford I Gt - have inspected the components described in this Owner's Report during the period ( 1- 1 ~ -&' ~ to l '}.- :}. 1-9': ~ , and state that to the best of my knowledge an~ 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.

    ---+Q~~--"-------'---'<J-1--r--->-G_...~c=---Commissions---=.V-=--A-=--54=-=-3_ _ _ _ _ __

Inspector's Signature National Board, State, Province, and Endorsements Date_ _ _ _ ___,_/_,-~<-=-2)_19 'J Q..

Attachment II Page 16 of 86 Serial No.: 93-318 o*ocket No.: 50-281

  • 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 Name
                                               &    Power Co,                                                          Date_y_,_*....... /     1i'-'--/--'*c,,._~-----
                                                                                                                                           -=2......

SOOO Dominion Blvd., Glen All'en. Ya 23060 Sheet _ _ _\ __ o t - - ~ - - - - - - - - - Addr-

2. Plant Surry power Sta ti on Unit _ _ _ _:I_._W---'D=------------

Name P.O. Box 315, Surry, Va. 23883 Address Repair Organization P.O. No., Job No.; ate.

3. Work Performed by Virginia Power Type Code Symbol Stamp _ ____..;;.N'"'"/-"A"-------

Name Authorization No, _ _ _ _ __..N..,..1-"A,.___ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _.......,,....,._ _ _ _ __ Addr-

4. Identification of System 3o.£e.,\:y Io~ec...\,'e, I""'
5. (al Applicable Construction Code B31, 1 19__ii2_Edition, _ _..N..,.l..s.A.._____ Addende, N-J, N-7 Coda Case (bl Applicable Edition of Section XI Utilized for Repai~ or Replacements 19 80W80
6. Identification of Components Repaired or Replaced and Replacement Components ASME Coda Natlonal Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol C..r o.:,, e.-

f$SCj'f1.f 7 ~(/Jr. oz- s -z. -s"' f'i'l2 R~flAC.E:.-lhe,1 p(> S*kic Cov.< BcH--'i A\.:."C:o

                          ~rc:,.:nc.-
  ~tu.cl c"""'** tJu~           (Hc.yc.o          tJllb                            IJIA.                                Cl   2.- S"J. -S~            l "i('i '2 ac.e lc..c.e,-riui\   )JO
7. Description of Work_~~---'i~1,_e~GA~Af~----=,(J"-"6'""4""T'--'"""M_.~=-...a'-""'~
                                                                                   ........,:...,6"",At=-<-1.:c.'!'l""'L,...__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
8. Tests Conducted: Hydrostatic O Pneumatic 0 *Nominal Operating Pressure [El' Other O Pressure__J.JDP psi Test Temp, t\l c::-iT °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (21 inforrna*

tion in items 1 through 6 on this repon 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 _ _.,,C...='-=O..:v_,.e.:.:. .*___,'$,<.,;t:..;'->:.::~"--B~t:>"-l'-'+'-"s-'(,-__;;,_1'_'-_i><...-,;;Uc..:.l\l=C..="'-'(2-=A:..._).,_).,____ _P...::__b--=--~--'5..;;..~=-.,'I._*---"'3'-'k,""-$=-S""'l.c=--:,t/e..__-_7_ _

Applicable Manufacturer', Data Report, to be attached iO I,)+~ P..D. i:l "5 ~ 'f CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this R<v\A~n"'lcn+conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _. . . . ; N ; . ; . / c . . . : : . . : A = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. --'N""/'--=-'A=-------------Expiration Date _ ___,N"'/L..!..!A.___ _ _ _ _ _ _ _ __ Signed ( ) . J. Lt O w n e r f i l w ~ Title

                                                                       -               'T$"X                                                               Date        Aµt~                 Z.,  I{'                   , 19       ':)J 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
                     .t./ ct....::t Fe~ d I C. t-                                                                                                                       have inspected the components described in this Owner's Report during the period                                                                                    5 Cf O                    to         5' - I O -'i '::{                             , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.

By signing this certificate neither the Inspector nor his employer ,:nakes 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. '*

    ------'QHA. .                                                                                   _ _ _ commissions _ _..:.V-=a..:..--=5-=4-=3_ _ _ _ _ _ _ _ _ _ __

r=:~:c,,,,;:;:~;;;;..:..:::......:....-11fl'-'-._*_,~,-,::;...;:;....=;...cc... Inspector's Signature National Board, State, Province, and Endorsement, Date

Attachment II Page 17 of 86 Serial No.: 93-318 Docket No.: 50-281 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 Nama
                                                              &    Power Co,                                                      Date _ _'-/....!....!...:/  Z::...<if'~/q..1:...:,.3=-------

SOOO Dominion Blvd., Glen All en, Va. 23060 Addr-Sheet _ _-J\1--_of _ _ -=----------- Unit _ _ _ _,_Lv___.;;.o____________

2. Plant Surry power Sta ti on Name P.O. Box 315, Surry, Va. 23883 Addrea Repair Organization P.O. No., Job No., etc.
3. Work Performed by Virginia Power Type Code Symbol Stamp _ ___:N::.,/~A:..:...._ _ _ _ __

Name Authorization No. _ _ _ _ _ _N.,.,._l""'A'------ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _...a.'-"'------- Addr-

4. Identification of System_...,R_....,,c.::.;y,..*"",;d!=!;.J'l,..),,.,c;.,,_\1....-_._t\..,_;:~=:\-"----'-R~e...""rr,!..!...,;~D=\/...:S.::,,.,,J.\._________________
5. (al Applicable Construction Code B31, 1 19___6LEdition, _ _.N ......

IA ......_ _ _ Addende, N-], N-7 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 f\ \\, e..c.\. t\"'!<-t' No
  • i)H!.t:AD &D Ro.&s ~.:.'r ~ )~c,\+ Ce. f i:,"102.,S I fJ/ A- 2- tU-fc.V-UbS t'1'1~ R-e.PlAC.:..r'l'l~d J\-\1, ,t,~ ~c:,;.+- ,-Jo.

hcc...v'I I-le,,. ~u\. (3/i t.Ju\- ~°f.>v\\-{o, <\DlQ\$":S t-J/A. 1--f?.\~ - fc.,V -ZC,.;6 \4'1'2. ~e,;:)j..;,~u,*1 C.~c-!.!*nc. \ 1'n,---Al'.,(,\.U,(I-~' :t:n&.., f'roJ . tJ/A ~/A 2,-l'J\-fe.,v- 2.'=o$ l<-iG. j ~-c.t>\""(;(.,rl'lC,r>'

                                                                ~             ,µt,:

(1-"'3) A\\: .e....~ 111).,..- n ~.., lle-,i. * >..:,i- U,;:r'r .),,...¥!..-1,t- ~ 'Z..2.'\ '?:, I\ JJ/A '2..-IUt-H.v ~z.c.,.,.; t~'iz., ~ t l ln-c.c.ni c.>'1*\.

8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure § Other D Pressure Noe psi Test Temp. No T OF NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is B% in. x 11 in., (21 informa-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/B2) This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017

FORM NIS-2 (Back)

               "?> ,.
9. Remarks ~'& '1'1,.i--cc.~-.;d £.b..\ V.oj;;' SS'/ '1127~ \ - "2..

Applicable Manufacturer', Data Report, to be attached 3"

~ \h:'.. )I.. (\.) 0 \- \?0-14' ~Sf Li Obi f.,o - l CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this f..r:e?iAt;.-c.rn:

=--*-~Z-=S-:....._qL..:.3=--- - - - - - - Name 5000 Dominion Blvd ** Glen Allen. Addr-va. 23060 Sheet _ _.:..l_ _ of _ _L----------
2. Plant Surry power StaH on Unit _ _ _ .L;;;;..______________
Name P.O. Box 315, Surry, Va. 23883 ~ ,g DD t Z. ~ ?:> 7D R.f.i -~ j 3 -O'I'( Addrea Repair Or11enlz11tlon P.O. No., Job No., etc,
3. Work Performed by Virginia Power Type Code Symbol Stamp _ ___:N::..,/~A:..:...__ _ _ _ __
Name Authorization No. _ _ _ _ _..JN~(.fl>l\_ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _- " ' , 1 " " " - - - - - - - Addr-
4. ldentificationofSystem t.\.\e'M*CAL. ~ Vbh.>,'Yle, C.onko\
5. (al Applicable Construction Code B31, 1 19~Edition, _ __.N......._/,..A~___ Addenda, N-1, N-7 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 c.oP"' 112.1 ~ A-SS y Vu le.Ari µ/A fv/4 £>2.-C:\,\-fc.11-21 l:iO W4 it.ePli::ice. J J.JD
(._., pe!. - 1r\~ Assv vu lc..A-"" fJ/4 fJ/4 C>2.-GH -~cv-2.1n JJ / A,, te f'\~c"'"'c,.\- J'b
7. Description of Work ReplwtKc..- 1r:) CO A.55 unb \,'
8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure 0 Other O Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is SY.a in. x 11 in., (21 lnforma-*
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. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 FORM NIS-2 (Back)
9. R.emarks --=-Y.:..::6.::...,,c_.='$-=S+Y-'3=--'2.-=g....:*7....:.q.=5--->(_Ti_r_;.rYl
__ A_'6._-S_1:;.;;_n,_~_L---=-,,.y) ' - - - - - - - - - - - Applicable Manufacturer', Data Report, to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this;f~),;,,,,4,/,:'fdJs.dconforms to the rules of the ASME Code, Section XI. repa(r or replacement Type Code Symbol Stamp ___N _ / ~ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certifi~uthorization No, _N~/~A_____,.-- _______ Expiration Date N /A Signed~ ~~ Owner o r 0 w ~ ' ; : T l t 1 F > '/ ~ / C:ifL4 Date ,1 ;(~ , 19 j ] 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 t/a.'('TFord' er. have inspected the components described in this Owner's Report during the period 5- (- qo to xfO- 'lq . , 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 tho 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. -----+Q--"'. . ~==---.:.........f_.'---~.=..::;._: 1nspector's Signature _____ Commissions _ ___:Vc.:a::..:.*--=5:..4.:..3=--------------- National Board, State, Province, and Endorsement, Date Attachment II Page 19 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co. Dete _ _....,5,c..a/'--3"""-'/'--CJ...._:,.,,__*________
Name 5000 porninion Blyd,, Glen Al Jen, Ya 23060 Sheet--+-1--of _ _..___ _ _ _ _ _ _ __ Addr-
2. Plant Surry power Sta ti on Unit _ _ _T~-\v~D-----------
Name P.O. Box 315, Surry, Va. 23883 "'()*'""°?!8C20,12.'2z5. <\R,t::t. 9~-e5\ Address Repair Organization P.O. No., Job No., etc,
3. Work Performed by Virginia Power Type Code Symbol Stamp _ _-..:cN;,,,/..:A-=--------
Name Authorization No. _ _ _ _ _..,.N,...{u!,.___ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _' - & ; L . g , _ - - - - - Addr-
4. ldentificationofSystem BC!.~1dyC....\ l-lc.s.\:: Seroovc;I
5. (a) Applicable Construction Code B3 l , 1 19--6.LEdition, __N...I_A____ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 ROWRO
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
'l/i 1h,... J ..--l tA, N/Ar ' k>/~ t-.J/f+ 2- ~ \,\ - \ '2. N/k ic0l~c.c.~ 1/o 11 P]/i l-1-~_:x t.>v \- tJ/A tv/A NIA. .z- f.\+*12. ~/~ l?c.:P\w tt-d... A/1) C~rd\nC.. \ fH*~ ?~ f) 11,.r- I I t,..,J 't"'~..l. 'no.l. !tiC. {)'f I 'il. tJ/~ 2,t1+ ... 1"2.. 1'1'1.2.. ~c.f>lacet"r>*.... AJn AII: c.d.. lu 1,)\- t\T~ ~ I' IJ/A V1r \\e:.1. N. ,_.,, \- ~Bo1\: C6, 1blp!,°lC\ z-R""l ((Jq.3 Ref' l4c.c.tT1en\. A)O
8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure [g--'
Other O Pressure t,.)O P psi Test Temp, t-..) 0 T °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 informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets ii recorded et the top of this form. (12/821 This Form (E00030I may be obtained from tha Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 FORM NIS-2 (Back) 11 9, Remark,s --"ryA....1>c....._-_.9.__'-'-A-'-'-11_-""-'Th""(';"""W:-........&-b.....c),.____?--'_'--o_.-~--s'--.=s._'f......._-_c.J_c_4c..,~-......,-<e~--3_________ Applicable Manufacturer', Data Repom to be attached 71<1;," -,; I-le..< r,Ju.\- P.D. ~ ;sSY o/c.5743.,.. I CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this g:sp,ec,Y!'l en+: conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N~_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. N/A Expiration Date _ ___,NOJL/.£A.___________ Signed ((26CM>/< ~or Ownar'~la ~~~ JSf L;:_.,w,~ Date-./%.......,.,.._~*J._-"/-=t)'------, 19 $V CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of I/fl le t fa t:d I C 1'
  • have inspected the components described in this Owner's Repo,:t during the period £- ( - f D to (!;- f O -1 'f , and state thilt to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described *1,; 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 ariy manner for any personal injury or property damage or a ioss of any kind arising from or con'nected with this inspectionn~  !. /,) () .. *;' ----+~---'------~--~~~-------Commissions _ ___:V.:a=-=-*-=5:..4.::3::=._______________ I nspector'1 Signature National Board, State, Province, and Endorsementl Date _ _ _ _ _'-u~....,-~---'--19 ~-/ D q ..-J,,_ Attachment II Page 20 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co. Date _ _.....:/~2::...---=/'-"5'---=3:...:2:::._ _ _ _ _ _ _ _ __
Name sooo Dominion Blvd., Glen Allen, Va. 23060 Sheet _ _;;_/__ of I Addr-
2. Plant Surry power StaH on Unit T'r-/0 Name P.O. Box 315, Surry, Va. 23883 3800/2.9=308 1<12 :ti::- 92-lfD3 Addrea Repair Organization P.O. No., Job No., eic.
3. Work Performed by Virginia Power Type Coda Symbol Stamp _ _--'N""/'--A=-------
Name Authorization No. _ _ _ _ _ _N.,.,..{..c:A.___ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _- " ' , ' - " " - - - - - -
4. Identification of System_~f?=.=A~C=.a.T-=O'-'-rL=-_c_o=o'-L-AN-"-'""'r------------------------
5. (al Applicable Construction Code B3 l, 1 19---22-Edition, _ _.N....,/...,A...__ _ _ Addenda, N-J, N-7 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
'T/Z/111/ As 5 £1'1 8l- V Nt - NA NA 02 *te.C.-/>C.V-24~'= /\/A Eep/4CEEJ> N'ti 1"IZ.1i41 e.opE!!> - 4SS"EM8C. Y Vc.1L(!Afv NA NA t>Z- Re- PcV-i'fSfD t98? Rt=p/.4, Ct:J,1,1e1/f /IA 7, Description of Work _ __.lfi..i.=t;;:...:.P,_,t.""A:i.C"-'=r;;--_.7Y..:::1Z~/.:..:"1:,__..t:.A,_£;i..$;u:~ ...M!:!CLl<:!.8:!::t..'1-y_ _ _ _ _ __:__ _ _ _ _ _ _ _ _ _ _ _ _ __ 8, Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure 0 Other O Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 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 - ~ _....co..;;sc.....L.v_...;:zc.....5....;7;_0__;_7.9 __ -'I_G. .TR;....;..;;~'lvf...:.......:.A...s.s=-=6'--11..,f-'-'Js=....;'-:.L>~}.,__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Applicable Manufacturar'1 Data Report, to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~.t').--:,&ccl::f?icV>--conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N " " / ' - A = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No.--'N"'"/'-"'A=-------------Expiration Date _ ___,N..,/.....,.A,.___________ Signed /:1 ~ ,./!_,_,__ Wner or O ~ e a , Title '_/ ::/::J::T e.c./&rull4, Date..:_1)=.ca:,..1~C""-'c'-"1,._r _ _ _ _ _ _ , 19 9 z_ 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 '1 , ... 'For d 1 cf have inspected the components described in this Owner's Report during the period S - I - Cf O to 5' - IO - CJ ':I , and stat& thet to the best of my knowledge and belief, the Own~r 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 r:nakes 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  ;,,.oct,.~ I .&J1.-_ *. Commissions _ _-...:.V..:a~.---=5..c4:..:3=---------c-=------- I nspector'1 Signature Natlonal Board, State, Province, and Endorsement, Date _ _ _ _ _/-'~.__-.._/-S- _ _19 q 1.. Attachment II Page 21 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co. Date_~5.__--'-'(G,=----'>=2.:;....__ _ _ _ _ _ _ __
Nama sooo Dominion Blvd., Glen Allen, Addrea va 23060 Sheet _ _. , : _ _ o f _ - = 2 . = - - - - - - - - - -
2. Plant Surr¥ power Sta ti on Unit fl,\(O Name P.O. Box 315, Surry, Va. 23883 Repair Organization P.O. No., Job No., stc.
3. Work Perfonned by Virginia Power Type Code Symbol Stamp _ ___,N:.:..,/c..;A:.:c..._ _ _ _ __
Name Authorization No. _ _ _ _ _ _N.,.,..(...,_;a,.____ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _........,<--a,______ Addrea
4. Identification of System REACTOR; Coar AN7:
5, (al Applicable Construction Coda B3 l , 1 19__6LEdition, _ _.N..,./'-'A.._____ Addenda, N-J, N-2 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, Stl!mped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Man uf actu re r Serial No. No, Identification Built or Replacement or Nol l>tSC INSER:r Ct?.OSS vt
~ e ,, I-LA NA I) 'Sl\Jl) Ii,, N.A ~,\ E', Nut I ," AA '&TV l) N.A " A Z-Rt- S \/- ZSSI A ll.c.: NI\ rze- p/.ti.~e i> *
7. Description of Work l'UiPAIR Y4 ly~
8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure 0' Other O Pressure t,JQI> psi Test Temp. t:10:C °F NOTE: Supplemental sheets in form of lists, sketches, or drawings rriay be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this repon is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this fonn.
(12/82) This Form (E000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 FORM NIS-2 (Back)
9. R e m a r k s _ ~ - - - - - - - - - - - , - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Appllcable Manufacturar'1 Data R11port1 to be attached CERTIFICATE OF COMPLIANCE We cenify that the statements made in the report are correct and this &Af4c,f,te/ll;( conforms to the rules of the ASME Code, Section XI. repair or repl11C11m11nt Type Code Symbol Stamp _ _. . . . ; N ; . ; . / " " " " A ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. --'N""/<..;.;A'-------------Expiration Date _ ___,N"'/.....,A.___________ Signed w~ _,ti ' . e ~ Own11~~De1lgnee, Title J3'f £<<4/A/~ Date---=~::::....>:;~~c , ... u~t£..____ _ _ , 19 9L_ 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 anp employed by HSBI & I Co, of Ha.rTf:or-d . in this Owner's Report during the period . ct. .S 9 ° to have inspected the components described S- / t,
  • 9 '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. ----1~--"'=--'""'--'--'--"""':-*~B~""'~"'--=------Commissions _ _.....:V..:a~*--=Sc..4:..:3=---------------- 1n1pector's Signature - Natlonal Board, State, Province, and Endonem11nt1 Date _ _ _ _ _ CJ_-~/~b__19 9'J.... Attachment II Page 22 of 86 Serial No.: 93-318 Docket No.: 50-281
  • 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 & Power Co. Date _ _9.._-...;l,.,,Co::..--G.9.=Z'-------------
Name 5000 Dominion Blvd., Glen Allen, Va.* 23060 Sheet _ _z.. __ of _ _2 _ . ' - - - - - - - - - Addr-
2. Plant surr¥ Pawer Sta ti oo Unit IWO Neme P.O. Box 315, Surry, Va. 23883 3~ Ool Zi Z 2 9 J'tlt ~ 9Z-ISS Addrea Repair Organization P.O. No., Job No., stc.
3. Work Perfonned by Virginia Power Type Code Symbol Stamp _ _ _N~/_A _ _ _ _ _ __
Name Authorization No, -----~N._l..,A~----- P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _..a,,c..c.------ Addr-
4. Identification of System r2e6,(.Tbg Ceof"-N+/-
5. (a) Applicable Construction Code B3 l , l 19___61_Edition,-~N....I._.A....__ _ _ Addenda, N-], N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80
6. ldimtification 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,-"!,.,. PISC. lt,JS.ER.T ~~oss - ooz, "ID ~ I e ,, e_41l1¥tvA-L NA: NA. \Ji> {,4~1>1/IIA( NA liA  ?- fi!C.-SV-"l>'S/A ,., At1-Cr Nu I ,, ,_,., ~IA  ?-fl.(!- SI/- ZSS/A ,o ALUE/) Nut -STU't:> I ,, c:,., 80 II NDc 'Z-tz(!-s. V-Z~I t-11>
7. Description of Work rtEPAI~ Vi\.l*n;;
8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure [3" Other D Pressure _ _ _ _ _ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this fonn.
(12/821 This Form (E00030) may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 FORM NIS-2 (Back) Appllc11 111 Manuf11c~re I Data Repo"' to be attached 3>377.9- L ""U+ I" / k //) esit 3'-13 775-Z. ~?:r:uJ> 19 3lP 7 ?J/7-2 (t--iuT ':) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ,,M,:;df:'6:i:V.....-c'onforms to the rules of the ASME Code, Section XI. r11p11ir or replac11ment Type Code Symbol Stamp ___N_/,__A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. --'N"'"/'"""'A'"------------Expiration Date _ ___,N"'/.._A....___________ Signed Q tf7v ,/J Owner o r ~ - Title - *~ / J sy-~.r/(k.vA-d..¢, Date .>-~ L6 ,19 j'.L-- 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 emplfJ,Yed by HSBI & I Co, of H~,. Tfo.-d , C::t have inspected the components described in this Owner's Report during the period , 5" Cf C. to 5> I O - Cf ':f , and state that to the best of*my knowledge and belief, the Owner has performed examinations and taken corrective measures described hi 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 *;' *~"---"-------1. . . " '.- ~___;'- _. . . ;____ i_n_sp_ec_t--'li~,._," 1n1pector'1 Slgn11tur11 - . commissions _ _......;V...:a~.--=5;..4=-:3=----------=------- National Board, State, Provinc11,-11nd Endoraementa Date _ _ _ _ _ q._-___,_(b=--_19 q l__ Attachment n Page 23 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co. Date _ ___.9'--__,__,15=----=.9'--'*z=--*- - - - - - - -
Name 5000 Dominion Blvd., Glen Allen, Va. 23060 L. Sheet _ _..___of _ _ _ _ _ _ _ _ _ _ __ Addraa
2. Plant Surry Power 5tati on Unit 1'WO Name P.O. Box 315, Surry, Va. 23883 3900129230 RR '4t° 92-ISC::,
Addraa Repair Organization P.O. No., Job No., ate.
3. Work Performed by Virginia Power Type Code Symbol Stamp _ ___::.N:.,./...cA.::...__ _ _ __
Name Authorization No. -----....&llN+l.c:l\,.___ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _. . a , f . . . . " " - - - - - - Address
4. Identification of System _ _-'-'(?=EA~C.~ro~~B~... C.,,Cl=Q"-'LA""""....,t-,l.,_T....___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (al Applicable Construction Code B3 l , 1 19--6.LEdition, _ _..N..,/_.A....____ Addenda, N-1, N-7 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 D,sc. \\IA NA. NA 2- rzC-SV-Z-551§5 NPs Reo/,o\c.EJ) Wt, ~ II Nil+- I 7s NA NA ~A 2-Ci:.C-S\J-2$JR. 1\JA REnlA(El'l l\.!D I ,1 NI\ l\lA ~A l.lD "Iv+ 1\IA il.-JZ.C.-S'1-2'=>':>IB K'e<>IAcE.1> I "'"e (\\/\ ND 'Siut> NA l~f\ NA 12.-rz.c-sy - 2S5113 tzo,.,\Acel'I I I/ Stub l'l A NA ~{\  ::Z'- RC- ::,,I[ - 2.S'StB \i~ 'f<epl~c.~D NO ~...,/v""'t;;.,,,*----------------------------
7. Description of Work ___L.::R'-"E""'P.._,A.i:..,IR:..::.......uilr:'...
8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure @
Other D Pressure MOP psi Test Temp. _ ___,_,N"'O"'T_ _° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is BY.a in. x 11 in., (2) informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 FORM NIS-2 (Back)
9. R e m a r k s _ ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~:;:~.;4,e6":M,7conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N ~ / ~ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. --=N""/'-A=------------Expiration Date _ ___,N"'/'-A.....___________ S i g n Q r _/ <&JL Owner or ~ s Deslgnee, Title ~.::r- d,J4&¥#<'. Date / ,1)r." / C , 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 f/a. ..T fo,.. d ,' Cf, have inspected the components described in this Owner's Report during the period .5-/- 'TD to .,:-(o-qy ' , 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. -------'Q'""".,,""~~-w-~-~.__-i~*~.~""""'-- Inspector's Signature . ~=----Commissions _____V...:a.:....:..--=5_4;;_3::,_______________ National Board, State, Province, and Endorsements Date Attachment II Page 24 of 86 Serial No.: 93-318 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the P~ovisions of the_ASME Code Section XI
1. Owner Virginia Electric & Power Co. Date _ _~9_-~l~S--~~~2.. ___________
Name 5000 Dominion Blvd., Glen Allen, Va, 23060 Sheet _ _2. _ _ of _ _z. _ _ _ _ _ _ _ _ __ Addrea
2. Plant Surry Power Sta ti on Unit --~"f"~W~O--------------
Name P.O. Box 315, Surry, Va. 23883 Addrea Repair Or11anlz11tlon P.O. No., Job No., etc.
3. Work Performed by
  • Virginia Power Type Code Symbol Stamp _ _ _N~/_A_ _ _ _ __
Name Authorization No. _ _ _ _ _ _N....,...L=A-------- P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ __,,,,_,'-=------- Addrea
4. Identification of System_...,(sl~e.,,,&,:,,C,,_,C_.,,,._ll;,=---"UlO=--A""'NT...,_,__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (al Applicable Construction- Cod~ . B3 l , 1 19-6.2_Edition, _ __.N...,/'--'A"'--___ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 BOWBO
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 C. R.OS b'1' r.J 9~ 9 \ 'Disc. VA Iti!;. ,4 Gt.6-1. 00 ao Nll. 2.-llC -SV-l951.S 199-1 l?e;o(b.CEl'..I= ,.j. Nn Nut 1\u C.A.Rt>L""AL ~/'>. IJA 2-{c::C-S:,J-2S5(B \991 'ot> OLA(Cl.ueJT IIH~ Ao1- Gr Nu.\- t I:=°"-JCA t t-ll2 el"" L .....'1, Nr,. NO. '2-~~- ';,.\{-255/& l 9 R.tPLACE:NPA.11 ~o 3 r 'S,uD I '8 CA.e.btNA L NF>, NA 2- fZ.C- '51/- 2$JS 1991 IZ:EPC..-..<.E'Me}v r . 1\10 4u..1E'I:) S 1 1.Jl::> 1' No+ + BoL+ NJ.. NA 2.-1<.c:!.- s v- e.ss,s 199 Z.. fZePLAA: ME ivt- NU 7, Description of Work _ _.,,f2.:'=-=tfc,A=l~R=-yl._.A.,.,l11..._~----------------------------~
8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure t'.f Other D Pressure t,IOE: psi Test T~mp. Nb\ °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8¥.i in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at 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 FORM NIS-2 (Back)
9. Remarks P.o. 'SNT :S4foD74-1 ss csv CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this Jti>,;,,tCt!l/rUCconforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N~/_A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _- - ' - - - - - - - - - - - -
Certificate of Authorization No . ......:N:..:./"-="A=-------------Expiration Date _ ____,N,.,._/...,A,____________ Signed<JZ,J~ p ~ Owner or Owner's D ~ , Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and ev,ployed by HSBI & I Co, of f-la.r f F¢, r cl J Cf:, have inspected the components described in this Owners 'R eport d urmg " t he peno . d 5,J-e,O . ' to 5"-(0-0 --, '"Tl . , and state t hat 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 m,ooct!nkw /. 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 ~ Commissions _ ____:;V..:a=--=-.~5...;4:.:3=----------------- Inspector's Signature Natlonal Board, State, Province, and Endorsements Date_ _ _ _ __,q'-,.---'-/_6__19 q 'J..... ./ Attachment II Page 25 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co, Date _ __..._9_-~(~lo_-_;)_2 Name I of _ _z..;;....________
sooo Dominion Blvd., Glen Allen, Ya Addrea 23060 Sheet
2. Plant Surry Power stati an Unit I'NO Name P.O. Box 315, Surry, Va. 23883 3900/2. 'is' 22 ~ (ZJZ. °* '3Z-IS7 Addrea Repair Organization P.O. No., Job No., etc.
3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N_,_/_A_ _ _ _ __
Name Authorization No. _ _ _ _ __.N...,._(.col\_ _ _ _ __ P.O. Box 315, Surry, VA. 2388~ Expiration Date _ _ _ _ _ _. . . . . , ~ - - - - - - Addrea
4. Identification of System _ _~f?_E"._:A~C~TV~{Z.-~{.~o~o~'-~A-"-'-N-'-'-T------------------------
5. (al Applicable Construction Code B3 l , 1 19--6.LEdition, _ _.N..,/._.Aw.-_ _ _ Addenda, N-J, N-7 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 I ,, Nu/. t,JA. NA t-11>.. 12-Rl'. -'i:V-255/C,.. NA l<.e.olAce~ ND <.-rvl\ 1 NA 1\J. A NA ~-12.c.-s11-2Ss,c:. 1¥A 12. i?: i> /4..c.e= J) NO 1\ Nu.f $ TV7) 1% ., Nil Nt~ NA {'/.A. N/.l. NA z.-rzc - 5 'I - z.ss1c .Z-/2~-W- ?%IC.. N/! NA l2e1> /4.c.1:D ReplAllo'J> IJD ('lO' . , A~G. ,_ i,JC) Nu+ t le ..,c. ,tJPe r , tJ --1 ~A NtJ.. z...-f2C. -sl/-t551c.. 1991 ize.r tAc.EMe,.l __~_..;.l{~vt-'--'S----------'------....:...--------'---,-~. 7, Description of Work __l<'-"-6:-;f,--IA_c._e__-sru_-'J:>-S
  • 8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure [3" .. 'r~
Other D Pressure N.vP psi Test Temp. tl.P:f °F _1 *1 ,l*; NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is SY.a in. x 11 in., (21 informa** tion in items 1 through 6 on this repon is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 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. R e m a r k s _ - r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Appllcable Manufacturer's Data Repom to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ll,?e4:::&ta:,..,Jc;onforms to the rules of the ASME Code, Section XI. . repair or replacement Type Code Symbol Stamp ___N~/....._A________________________________ Certificate of Authorization No. N/A Expiration Date _ _ _NUL/..!.A"----------- Signed Q. L /J d..._, O w n e d o ~ a a . Title .ZS;z;-6vl[,.N'cf.i-..e Date _fer. /6 19 p..2., 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 9mployed by HSBI & I Co, of f-1,:,,r i- Fo,-d ,' Cf, have inspected the components described in this Owner's Report during the period 5'-(-90 to 5-(o~ 91, , 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. F.urthermore, neither the Inspector nor his employer shall be liable in any manner for any perwnal injury or property damage or a loss of any kind arising from or connected with this inspection. _ _ _ _ _Uf_~~---~f~---~-='-'--------Commissions _ ___:V:..;a=-:*:__.::5...;4:..:3::......_______________ I nspector'1 Signature National Board, Stata, Province, and Endorsementl Date _ _ _ _ _ {j._-~/~b"--_19 91- l Attachment II Page 26 of 86 I Serial No.: 93*318 Docket No.: 50-281 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 & Power Co. Date _ _9_-.../_1,:;,_-_._~_?..__-__________
Nama sooo Dominion Blvd., Glen Allen, va. 23060 Sheet __2"--__ of __ z___________ Addr-
2. Plant 5urry power Sta ti on Unit __-r'""vv.,___O______________
Name P.O. Box 315, Surry, Va. 23883  ?,<(Of) {Z.j2Z'l, £,IZ.. :If 92-1$7 Repair Organization P.O. No., Job No., etc.
3. Work Performed by Virginia Power Type Code Symbol Stamp _ _---"N'"""/..cA.,------
Name Authorization No. ------N~/_.,l\.___ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _.._,_..._ _ _ _ __
4. Identification of System _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (al Applicable Construction Code B31, 1 19__61_Edition, _ _.N._./_.A.._____ Addenda, N-], N-7 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 ALLIE[) ('JIit" I ,,
'STUD + t3ol-' WA NA Z.-~t-S'/-l..'55/c.. t99Z ~r,{AIOAJBJvt NO f...l LJt I~,, (!Atzl>I NltL NA- NA  ?-~-s'i-25SLC- / 99Z. f2o_ /4rr;;l\,fe11.,t Ni> I ~ /I ST1lb I 2> (J1rll11fN AL NA N'4- z-ie:t-s r -2£-S,c / .9 ,1 fZt o/ 4(£,Y.() AJ t\l0
7. Description of Work _ _lZ_e~p_/A_C_e:__ s-w_~-'-5-'*_r-r_u_D
8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure g..--
Other O Pressure 't.lDP psi Test Temp. \\I Dt °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (21 informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this fonn. (12/82) This Fonn (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 \ FORM NIS-2 (Backl i
  • e 1 "e"
9,, Remarks _,._D::..,.,_...,::l..v=....:__3"17817-Z _.c...._ _ _ _ _ fNu..1 t'n ~i-'--'<.-...:....c../__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Applicable Manufacturer's Data Repom to be attached 11 ss~ 3tZJB'9-I (s'j"l)J> 1 ) ss V ss>~ 7 79 CERTIFICATE OF COMPLIANCE r We certify that the statements made in the report are correct and this &t'>i4?C~&d'..v conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N~/.;;.A;;..__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No, __N;.;.L./.::.A=-------------Expiration Date _ ___,N...._/.,.A.___________ Signed Q. ~ ~d4&:'.' Owner or OwneOe1ignn, Title I.SZ: 6/,(hv&Ltt Date_..,,s;-<.,.;:~~;cc:.¥.ir-~/'-'6!E"----, 19 9.2. 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 f(ar Tro ..-d J Ct, have inspected the components described in this Owner's Report during the period S - I - LO to 5- (0 -1 'f , 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 i_n_sp_ec_t-io_n_.-11~.....:;-"--,------'/'-.----'&/L_-==-<...~.;;:;;..---Commissions _ ___:V..;.a::.:.*---=5:...4=-3=----------------- 1nspector'1 Signature National Board, State, Province; and Endorsements Date *-------~----- 9-/ b 19 q '1. Attachment II Page 27 of 86 Serial No.: 93-318 o*ocket No.: 50-281 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 & Power Co, Date_Y~/~,~~......,(-}_ _ _ _ _ _ _ __
Name sooo Dominion Blvd,, Glen Allen, _va, 23060 Sheet _ _....l__ of _ __:;/_ _ _ _ _ _ _ _ _ __ Addr-
2. Plant Surr¥ power Sta ti on Unit ----'""-<Q----------------
Name P.O. Box 315, Surry, Va. 23883 Addrea A11p11lr Organization P.O. No., Job No., ate,
3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N'"'"/"""A""--------
Name Authorization No. ________.N,..t....Ac.------- P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _--"N.,.l,...A"'------- Addr-
4. Identification of System_~/f:&~~~W~--£~,~.. ~edt~""'~----------------------------
5, (al Applicable Construction Code B3 l , 1 19-22_ Edition,-~N.,...I....A..__ _ _ Addenda,~N~--J.....~N~--1...__Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 BOWBO
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
.<;',t!,9,., r~L) , A//.,.. ,f) kJ u4 :2.__,4,.5.rJ-q µ~ ~-e~ - .,,:e} A/d
8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure 0 Other O Pressure _ _ _ _ _ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., 121 informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form.
(12/B2) 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 -----'M_e,:c..:.;,v,;....:c.l-:.....---------------------------------------
Appllcable Manufacturer', Data Report, to be attached CERTIFICATE OF COMPLIANCE , We certify that the statements made in the report are correct and this lf!c-),$1/,t(! conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _ _ N...._A-'---------------------------------- Certificate of Authorization No._N""""/~A~------------Expiration Date _ _ _No,.L/_.A..__ _ _ _ _ _ _ _ __ Signedr:;:l~-.d - - _:Ts:7' .£,vt(,~&;,L, Date _....,4>.e.....L,~~c:=<.l!:~"--.L./____ , 19 9J Ownwo~lgnee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by HSBI & I Co, of Ha .. Teo r.J, > ct:, have inspected the components described in this Owner's Report during the period 5" - I - Cf D to S - IO - '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---'._. I nspector's ~"""'"-=-=:;..,.:c...._Commissions _ _ _V:...a;:;..:--=-5..:4:.:3=----------,------- Signature National Board, State, Province, and Endorsementl Date,_ _ _ _ _ _ tf..,__--.L./__19 9 3 Attachment II .** Page 28 of 86 serial No.: 93-318 D.ocket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the PrD¥isions of the ASME Code Section XI
1. Owner Virginia Electric & Power Co, Oata_---'5'---2_4"---9""'""""3...-_ _ _ _ _ _ _ __
Nam* sooo Dominion Blyd .. Glen Allen, Va 23060 Sheet_.....__ _ ot _ _ 2-__________ Addr-
2. Plant Surry Power Sta ti oo Unit _ __.T_t.J~o______________
Nam* P.O. Box 315, Surry, Va. 23883 38 0011 Q9Q8 Rll.-# 93-0fo/ Repair Organization P.O. No., Job No., ate.
3. Work Perfonned bv Virginia Power Typa Coda Symbol St1mp _ _.......,N_,,/....;;A.a....._ _ _ __
Name Authorization No, _ _ _ _ _....N.,.l..,a.._______ P.O. Box 315, Surry, VA. 23883 Expiration O a t * - - - - - - - - - - - - - - Add,-* 4.: Identification of Svstem _ __.(2.=£...A ....C_rn ......R .....""c..o_c-L_.g__(\_IT,_________________________ 5.. 111 Applicable Construction Coda B31, 1 19~Edition,_...,N.,./_.A_ _ _ _ Addanda, N-] , N-7 Cod*C-lb) Applicable Edition of Section XI Utilized folAep~irw or Repl~~1n't1 !19' 'BQWBO 6.*;. ldilltificiltion of Components Repaired or Replaced and Replac:ement.Compon1nu I,., 'ASME I Coda Natlonal Repaired, StMICliild*
  • Name of Name of Manufacturer Board Othar Year Replacad, (YN Component Manufacturer S.rial No, No. Identification Built or Replacement or Nol.
I i . *,** \ Nu-f ( lB N~ t-,_J fl AJA OZ-R.t-1./( V-l5.5&:, f.JA 'f<ep/4CE() . l'tlo. I/ ~ I I ,', f\/u1 I "1 A. N~ (V 1£. DZ-rzt-J.J(V-255,c_ NA Eej>/4ce-1> * .u:J IF 11 oz-rze- f.ltv-2'557.C NA. '12Gf)//.J(£/) STU]> i NA \\I. f\ fv,4. rJo .ti-'/ tvA sn,1> 8 I NI\ ,. "! I\.. fvA ot-flt.-f.-/l V- 25~ /2.el)/,4c1=l> ,f-(0 I*' I ""T~IM. i \\.I~ AIA Ot-R.0-IJCV-Z.5'5{,;,( ~~ kJ { t;j) jk} 4ssGMBLY I N~ Z?'t'.() 7, Description of Work /s EPLA/!£ [fl IM ASSEM Rl V
8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure~
Other O Pressure _ _ _ _ _ psi Test Temp, °F NOTE: Supplememal sheets in form of lisu, sketches, or dn1wings may be used, provided 11 I size ii 8% In. x 11 In., (21 lnfomw* tlon in items 1 through 6 on this repon Is included on each sheet, and 131 each sheet ii numbered and the number of 1hND ii recorded at the top of thil form. 112/821 This Form CE000301 mav be obtained from th1 Ordar Dept., ASME, 345 E. 47th St., New York,.-N.Y. 10017 FORM NIS-2 (Backl
9. Remarks esy 341275 - 3 Nu-I 113 11 SY 41134-8 Applicable Manutacturer'1 Data R9'>0M9 to tie anached SI\ID I !2*II ssy 383402-/ N uT '3-'e 11 c:ssy 385481-1 sn.19 ~ - "
NT 39851]-1 CERTIFICATE OF COMPLIANCE We certify 1nat the statements made in the nipo" are correct and thl1 ,,e.p41c('(y4<<- conforms to the rules of th* ASME Code. Section x 1. r9')alr or replacament Type Code Symbol Stamp _ _ _ N__/_A___________________________________ Ce"iflcate of Author1za11on No. N/A Expiration Oete _ _.....1N,u./,1;A1.----------- Signed /.J ~k A 4 .--<'. ~fn;;;o:r;.,<i.b:,ign-. Title ..;z;r:z_- ~lr/(Ja!Cf'4'4,, Oate _ f _ _ _ _ , 19 9 J _./l-(.,'---r<=;..,.--'2..;..;..;;.r CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued bv the National Board of Boiler and Pressur9 Vestal lnSQectors and th* State or Province of 1  ! i rginia and employed bv HSBI & I Co, of /14 I Fe,.. J., ct i,. have inSDeCted the componenu d1111:ribad in this Owners Reoort during the period _ _ _ _ _ _ _5'.._-_(_-..,f._O ____ to _ _.,.S-_-.......f.aa0_,.....:.1_.cf_ _ _ _ _ _ and state that to the best of my knowledge and belief, the Owner has pertormltd examinations and taken correctiw manures deicribed in thl1 Owner's Report 1n accordance with the n,quirements of the ASME Coda, Section XI . . By signing this cemficat11. neither the Inspector nor his employer makes any warrantV, uprwuad .or implied, concernin9 ihe examinations and corrective me111ures described in this Owner'* Repo", Fu"hermore, neither the Inspector nor his emplovar shall be liable in any manner for any personal injury or prope"V damage or 11 1011 of any kind arisinv from or connected with thl1 inspection. / , ) (\ -----G+-.. uJ=----'~--:-:-"'-*-..:~=-------Commission1 _ __.;;V...;:a::..:..*--=5:...4:..:3=--------------- in.o.cwr-.s;gnature National Board, State, Provine*, end Endornmenll Oate _ _ _ _--'S"'-*__,3=.,......S-__19 'f.:J ' .~- Attachment II Page 29 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co, 5-2.4-9:s-Oate _ _ _ _ _...__ _ _ _ _ _ _ _ _ _ __
Name .-5.i.01,1,0l,lOL....p~o.wm...i..,n....i..o.un...__B...,.l..,.y,,_d.,..,._.,_G....,l..,e..,n._.A....,l...J...e...n..,,._v .....a_ _.,,_.3Q60 '1- 2 Sheet _ _ _ _ of _ _ _ _ _ _ _ _ _ _ __ Addr-
2. Plant Surry Power Sta ti oo Nam*
Unit _ _ ~::..::0::.....------------- P.O. Box 315, Surry, Va. 23883 Repair Organization P.O. No., Job No., ate:.
3. Wortc Performed by Virginia Power Tvpe Code Symbol Stamp _ _--""N"'"/..a.A;;....__ _ _ __
Name Authorization No. _ _ _ _ _.....N...,._(,..a._ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _.....,....,_ _ _ _ __ 4, Identification of System _ _ _..,,fZ:.:e""A=C.:..TOa.=.;!2._.""C""O~Ci::.;C.:;.:M,0::.:, ......_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 5, (al APJJlicable Construction Code B31, l 19-61.Edition, _ _.N,../.,.A,..____ Addenda, N-J N-7 lbl. Applicable Edition of Section XI Utilized torRep1in or flepl~miints' 19
  • l30WBO 6*. -ldentification*of Components*A~1ired or Replaced and Replacem.ii'tt Components I 'f, , . 1 *
,,'ASMe° I '.!I Code N1111on11 Repaired; ** *Stirilped Name of Name of Manufacturer Board Other Year Replaced,'., IYN 'Component*
  • Manufacturer Serial No; No. * 'Identification Built or Replacement , or 1)1~1, II '.
I  !  : ' ' 'I N01-. I p;-I " \ tA-IO)INAL ~A WA 0 Z-rz.c - l-+(V- l59. ( ,~ 9-1 Pepi AC ~ovl e,,.Jt .J,.Jo ., I ~ oz.-ru.
  • wcv-lssbl t.Jrz. {Z.erlAc.e~e.~t (I *:.
t\l v 4- R*  ! {:14/lD /NA l NA /'{A ~,: ,No.. I .L ,, ALLIE:b' NVf ~TUD le I o/-- 6oLT NA NA 01.-flC-HCV- is5~ 13.'J 3 12ep IA.c.ewleµt- 1\./6 "51LJl) S-e /I I No VA (\/ 4- NC\ 01...- n.c-1-JcV-2556< l.!JJZ (2~f l.4.ce AAeN"\: l\lO . ,,;,,'. 1*,,:*,, i' TRIM
  • I CO/Z(;S - ' ',,
ASSE.MBLY \/uLCAf-J \\{~ '. i NI\ '.>2-12.C.- 1-ICV-ZS'Sl,c. /39 Z 12ft4ce111e ivi: 1Vd '."!* ,I ,,ir:i 7, Description of Work
8. Tests'Conducted: Hydrostatic O , Pneumatic O Nominal Operating Pressure ~
Other O Pr~ssure _ _ _ _ _. psi Test Tei:r,p. *F NOTE: Supplememal sh11t1t1 in form of lists, sketc;hes, or drawings may be used, provided (1 I 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 numbered and the number of shNtl ii' recorded at the top of this form . (12/821 This Form (E000301 mav be obtained from th1 Order Of!Qt., ASME, 345 E. 47th st:, New York, N.Y._ 10011 . .. ~--*.: ;~..;: -:.~ FORM NIS-2 (Backl 1 1 3
9. Remarks ___::,fc..=.s.L.V----=5_.!.4.!...:IZ=-7=--S_-__ __,N=u.t.....:.l
. . . ~'-*'_ .. _ _ _ _ _ > l=g-_~- - - - - sy.:......_....14...:l/=3...1.4-=8_;;s;..;..Tu.;;.;'l......... Applicable Menufacturar'1 Data Reporu to be attached SSV 383'-ID2.-/ I\/ vf ,% tr Ss V 3B54S /-f f\lT 39ist1-r ill,1M ASSEMf>L'/ CERTIFICATE OF COMPLIANCE We cemtv tnat the statements mada in the repon are correct and thl1 ~ & / " c o n f o r m s to the rules of the ASME Code, Section XI. repair or r1p1-mern Type Code Symbol Stamp _ _.....;.N;.:./_A;..;;.._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Cenificate of Authorization No. __N:..:....l..:.A.;__ _ _ _ _ _ _ _ _ _ _ _ Expiratlon Date _ _ _..,N../_.A...____________ Signed '2.i:~~ Ownar or ,J "44.<' ~ d'u6,u~&¢ DH1Qn-. Title Oate-/-bc....=.;.*ti;...a11,Z.,=,.,i.C------**  ;, 19 S',l CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission is.sued by the National Board of Boiler and Pressure Venel lnsPectors and the State orProvincaof Virginia andemployedby HSBI & I Co, of f{a..,I Fo rJ. cr have inSDeCtad the components dea:ribed in this Owners Repor1 during the period ' 6°' I -9 0 to 5:- / l!> -<t-:J , and ltlltll thet to the best of my 1<.now1edge and belief, the Owner has performed examinetion, and tekan correctiv9 measures described in thl1 Ownar's Report ,n accordance with the requirement, of the ASME Code, Section XI. By signing this Ci!mficate neither the Inspector nor his employer makes any warnintV, expreued or implied, concerning th* examinations and corrective measures described in thi1 Owner', Repan. Funhermore, neither the Inspector nor his emplayer shall be liable in any manner for any personal injury or pre>pertV damage or a 1011 of any kind arising from or connected with . ttll1 inspection. - - - - - ~ ' - -----:-f-"::"'..:---G_~=---------Commission, -"""* _ _....;V;..:a=-=.*.....:5::..4.:..:::3~-------.,,...------ , nwector-* Signatur, National Baird, State, Province, and Endoream1nt1 Date _ _ _ _ _ s_-~U-~_19 'J_:3 Attachment II Page 30 of 86 Serial No.: 93-318 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As _Rec:iuired by the Provisions of the ASME Code Section XI
t. Owner Virginia Electric & Power Co, ........~=-*- - - - - - -
'oite_*_....;:;5;;......,/!,,,,-0/~D__./_:f Nam* sooo Dominion Blvd,, Glen Allen, Va 23060 Sheet _ _..__of _ __.__ _ _ _ _ _ _ __ Addr-
2. Plant Surry Power Sta ti on Nam*
Unit _ _ . . . . .v.)~-=D~----------- T P.O. Box 315, Surry, Va. 23883 Wl)* 3tft>6\_2..::ZZ.1-ti RQ, ~ c;:::,-075 Repair Orgenlzatlon P.O. No., Job No., etc:.
3. Work Performed by Virginia Power Type Code Symbol Stamp _ __;;N.:.:/...;A;.;.__ _ _ _ __
Nam* Authorization No. _ _ _ _ _ _N...,..{..icl\,___ _ _ __ P~O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _.....,..,..._ _ _ _ __ 'Addrea
4. Identification of System _ _ _ _ ,=.__e_cd-""~W~c;.~+~:c.:=<"'--------------------------
5. (al Applicable Construction Code B31, l 19___g_2,_~dition, _ _.N._./'""'A. . ____ Addenda, N-J, N-7 (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
,, ' Natlonal Repaired, s~ Name of Name of Manufacturer Board Other Year Replaced, (Y" Component "Manufacturer Serial No. No. Identification Built or Replacement or Nol I. AT Sfv,\  ! IJl\k(lo.u~ Ul\k.AA ., ... ~IA 2,;-t:=' 1..1-'# I . .1)11)~ fc:.p(A-ct:cl. l' '* l-1. f!..ll,. ~ " \-- ~"'II::."""*" tl 11Kl\t,W'(\ NIA. ' z...~'"' -'-l \ \ln'tc."' R~Pl~c~. ., l,L*\  ! Slr\u r - l<. ... ~ \ II AT, ~tv.l. :5""9P l'I *-rr d q,g (..6"l tJ/p.._ 2..-Fkl--41 \ctG I RcP~~"" .. "lii . J*,* (:.~rd inc.. I l " .I-\ ex. U v.\- :t..ic:t.' 'Prt..1, J:nt 1-\ T* f:>\1.:a.t.<<i µ/1+, z .. Fk.,,I, 'i I . I'\~'?- R-e P \.ice.,;,""~ ,'i.,;*J,'1 ' I
7. Description of Work ope..-, / :tn 5Pc41l.+ C.n~ c.l<., \le;. \v(,.
8. Tests Conducted: Hydrostatic O *Pneumatic 0 Nominal Operating Pressure 0' Other O Pre~~~re ~Ot' psi Test ,:amp, t,/0 T °F NOTE: Supplemental sheets in *'form of lists, sketches, or drawings may be used, provided 11) size is 8% In. x 11* in., (2) Informa-tion in items 1 through 6 on this report is included on each sheet, and 131 each sheet Is numbered and the number of sheeu ii recorded at the top of this form. *
(12/821 This Form (E000301 mev be obtained from the Order Dept., ASME, 345 E. 47th St., New York,.N.Y. 10017 * " ' , I' FORM NIS-2 (Back)
9. Remarks -*:-...-1_...,Ac.;_i_T___,S.._+.,_,u:,d..__,---?..:..:..;.Dc...,,.___c"-5.;;;..i.y......a3:;..'l.;..;;.e,._q:..:?,"-"-l----l- - - - - - - - - - - - - - - - - - -
Applicable Manufacturar'1 Data R~m to ba attachacl  ?.D, 5<!>,r. 38'2..-?z.5, b CERTIFICATE OF COMPLIANCE We certify that the statements made in the report ara correct and this 2-c:pl":<-sn>e-ot conforms to the rules of the ASME Code, Section XI. r~alr or replacarr:ient Type Code Symbol Stamp ___N_._""A"--------------------------------- Certificate of Authorization No. _N""""/..aA.;....____________ Expiration Date _ _ _...,N.,./_.A.._______________ Signea&J ~ /I ~/ Ownm~* d'"nignn, .Jsf Title 2.v&,.-v&".;f,? Date--~~Zr-...2..=-.i'-"-----, 19 '7> z' 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 HSBI & I Co, of f(av-TFor~ Cf:, have in!PttCted the components described in this Owner's Report during the period S* I - 9 0 to -£-( D - '1 q , and state that to the best of my knowledge ,nd belief, the Owner'has performed examinations and*taken corrective measures described in ~hls'- Owner's Report in accordance with the requirements of the ASME Code, Section XI. By signing this certificate neither the lnspector"*nor his employer makes any warranty, expnifled or* implied, concerning 'the examinations and corrective measures described in this Owner's Report. Furthermo,re, neither the Inspector nor his employer shall' be liable _in any manner for any personal injury or.property*damage or loss of a~v "kind arising from or connected with tMs . a inspection. ----1~...r*DL-* **-=-*-**_._*_.:-J.-::-:*-*-*~&J1---~*--------Commissions _ ___:V.:a::....:.*--=5:..4.:.3::________:-:c--,----- 1nspector'1 Signature National Soard, State, Provine*, and Endonemant1 Date_ _ _ _ ....,S~-~ft._'-t.a.-_19q3 * -*>*-***'*c* ***,,"*>1~>N1*'-.,.* -- *,....... ,y * ~ :"1 '*** Attachment II Page 31 of 86 Serial No.: 93-318 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS .* As Required by the PrD¥isions of the ASME Code Section XI
1. Owner Virginia Electric & Power Co, Date_---=5'--4(....__1L._,_(_,_}_-Cj:.....;3;,__ _ __
Name sooo Dominion Blvd., Glen Allen, Va, 23060 Sheet _ _.._)_ _ of _ _..,__ _ _ _ _ _ _ __ Addr-
2. Plant Surry power 5tati on Nam*
Unit _ _ l..!.-4.J..::..::D~----------- P.O. Box 315, Surry, Va. 23883 \.0D ~ 3f50D \ 3j D6(J RR-w 93-/()7 Aepalr Organization P.O. No., Job No., etc.
3. Wor1< Performed by Virginia Power Type Code Symbol StamP----=~::.:...------
Neme Authorization No.------"'~,..__ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _......,t-,z,.______
4. Identification of System _ _ _ _ _ ...;"f'."'""'ccae:::;.,,.d,;,.-,;W=..:..14-.:....:t'"...;~=-----------------------
5. (al Applicable Construction Code B31, 1 19--6.l_Edition, _ _.N. ,.lc..iA;i,. ____ Addenda, N-] , N-7 CodtCase (bl Applicable Edition of Section XI Utilized for Repair1 or Replacements 19 AOWAO
6. Identification of Components Repaired or Replaced and Replacement Components ASME Codi National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (YII Component Manufacturer Serial No. No. Identification Built or Replacement or Nol
$>'\l,)b\:ie< C.\evi 5, Gr:./\9'\c.l \ I (c,rf. tJ/t:,. Nlt:.r ?_-f~-1.\ss-5 ICiti 7 l<c.:p ,~lf>'IC-4 !VII K.... .,lobe..- C..l-t:. \I ; :5 l)f\'l k ti) JiJ /1\. /Jilt 2-tiv~Hss
  • s l)t..\\C..tv R.:.r>\4c.ed r'~
7. Description of Work_c..*----R..;.;;;e:c.ie;::.\.:..:.;A-:...c.=e..::...__\0_;_'.::,6;::.<:....;.C\...:...;__L=\~e_:a::;~!!...!.;.:aS=!,,..;:......_--_______.__..;.__ _:__ _.!.___.:__,;.___
8, Tests Conducted: Hydrostatic D Pneumatic D Nominel Operating Pressure D Other D Pressure f\J J f\ psi Test ren:i1J, I\J IA: OF i' _l,*.,,(.,l ' ' \ NOTE:, Supplememal sheets-in*1form of lists,* sketches, or drawings may be used, provided 111 size is*8% in. x 11, in.; *12) lnformt1 tion in items 1 through 6 on this repon Is included on each sheet, and 131 each sheet Is numbered and the nu'mber of sheets is recorded at the top of this form. 112/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 1001:7 . 1,' FORM NIS-2 (Back)
9. Remarks __.S""'nc.,:;..J..:::'o.,::b:....:'C.-':::C-:....,,__.;:C..=..\L.:<..=v=-~;..~=-....a(_=-.......
's:-.,,.,.-,__..p.._Y .. ___c.. .....~--~~ <.,,,),___P._._o~.__-s._s_'./~\_2_b_3_l_6 .........-"'-'-"'<..'-w_.;a~....a\.)a...,b:;..\o.::;...cac..... Appllcable Manufacturer', Data Repom to be attaehad CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and thl1 kf \i<:ic.c..o, ro ~conforms to the rules of the ASME Code, Section XI. repair or repl-ment Type Code Symbol Stamp _ _ _ N..__A---------------------------------- Certificate of Authorization No. N/ A Expiration Date _ _ _. ,N. .l'-"ACL.----------- Signed  ;;-}_.f:_. A ~£irqra~~itle *~ ~-;,- Eu6,.,v~ru, Date &ir 1-Z 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 Viuinia and employed by HSBI Ii I Co I of _o ie For: :t J ct have in~tec1 the components described in this Owner's Report during the peri~ S- ( - ? 0 to 5'-/ 0 - 'f '-£ , and state that to the best of my knowledge and belief, the Owner has performed examination, and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XI.
By signing this certificate neither the Inspector nor his employer makes any warranty, expressed or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer shall be liable in any manner for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. /,)
____......_~__:c.->-<::=--.,.f,....;.....iu_ 1 n11Jector'1 Signature ..~'-.--=----Commissions _ _National ......:V..:a::...:...--=5:...4.:c3=---------------- Board, State, Province, and Endorsement, Date 5- (q 19 q3 Attachment II Page 32 of 86 Serial No.: 93-318 Docket No.: 50-281
  • 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 & Power Co. Oat, _ _ '5_-_2--.'5_-_9_3__._-- - - - - - - -
Nam* sooo Dominion Blvd,, Glen Allen, Va 23060 ShNt ____\ ___ ot_...__ _ _ _ _ _ _ _ __ Addr-
2. Plant Surry Power Sta ti on Unit TWQ Nama P.O. Box 315, Surry, Va. 23883 3800l2S241 RRi=I= 93-05f, Rapalr Orvanlzatlon P.O. No., Job No., etc:.
3. Worlc Performed by Virginia Power Type Code Symbol Stamp _ _ _N_,/_A...;;..._ _ _ _ __
Name Authorization No. ------N"'-"/.lla..______ P.O. Box 315, Surry, VA. 23883 Expiration Data _ _ _ _ _ _.......,,._,.._ _ _ _ __ Addrea
4.
  • Identification of System _ _ _.._M"""'A...l!J.,.__S.. . _.T. .,E:&&aA...M.....___________________________
5. * (al Applicable Construction Coda B31, 1 19~Edition, _ _.N..,./..,.A...____ Addanda, N-J N-1 lbl Applicable Edition of Section XI Utilized for Repain or Replec:ement1 19 80W80 6.: ld1ntificiltion of Components Repaired or Replaced and Replacement Componants ASME Codi National Repaired, Stampad Name of Name of Manufacturer Board Othar Year Repl1C9d, IYN Component Manufacturer Serial No. No. Identification Built or Replacement or Nol I
II -, I ~ I/ II ANC\-IOR VAlvr: t>A~L11\1Cr NA. NA 02-fv\ 'S- ~4 NA RE.PLAC.!=D Nb I P1PE (r, II I NA t,J ~ NA O2- Iv\ 'S- ~4 NA RE:l>LACED ND ,tjNC/~01'2. VAive ( r, II I VArl1"'Cr NA N~ 07-MS-84 \.S,j 2. "E.Dl A(t Mf:f'Ji No Jol)N H, P,DE (o II I F IZ.ISC. H lr::O('IJ 1'.J (~ NA 02- t.l\ s -84 \9 e7 \lf' DLACEMGN" 1\/V 7, Oetcription of Work 1<11!:: £?(ACE G-a.Te. V ALI/\:;:
8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure Q/
Other O Pressure MOP psi Test Temp. f\\{\T °F NOTE: Supplememel sheets in form of lists, sketch111, or dniwings may be used, provided (11 size is 8% in. x 11 in., (21 infomw* tlon in items 1 through 6 on this report is included on each sheet, and (31 each sheet 11 numbered and the number of 1haea ii recorded at the top of this form . 112/821 This Form tE000301 may be obtained from the Order Capt., ASME, 345 E. 47th St., New York, N.Y. 10017 ',\' 1' 'f!. ,111(' ' ' , ' ,1 I '11,1,' 11.:.. FORM NIS-2 (Back) *1'1 ,I i,( 1* 1
9. Remarks _.,._::5=!.'(.J__J.Ml(,,"2-lu2~Set.JlL.:-c:.-3.___P.__IP-"E;:....lj~9-'- - - - - - - - - - - - - - - - - - - - - - -
,,. I .,:..\' '* Appllcabta Manu1acturar'* Cata Raporu to ba anaciled
'5 t:n 34214::Z -I Yhlve ea" *
  • 1.J
, CERTIFICATE OF COMPLIANCE ~ 1 ' We certify th at the* statements mllda in the repon are correct and this c*onforms to the rules of the
  • ASME Code, Section XI. repair or rap1-,,,ant Type Code Symbol Stamp ___ /.;;.A.;....._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
N..;,. . Ceniflcate of Authorization No . .....aN""'"/""A"-------------Explratlon Date _ _ _.a;N...l..,Au..----------- Signed Q. _ / 1 ~ ~ Wflar or a~,;..(-. V Title --- / . I J'..C ~~ ' Date__,~a..-,:~r,11,f/;....2...~C....__ _ _ _ , 19Y j CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Preaunt Venel Inspectors and tho State or Province of Virginia and employed by HSBI Ii I Co, of f(a ..rfo.-d) G:t: have inSDl!Cted the components dea:ribed in this Owner's Report during the period S- I* '"l O to ,fj°-/0- 1 'f: and 1t11ta that to the best of my knowledge and belief, the Owner h11t performed examinations and taken correctiw measures described in this Owner's Repon in accornance with the requintments of the ASME Code, Section XI. By signing this certificate neither the lnsi,ector nor his employer makes any warntntV, expl'ftlld or implied, concerning the examinations and corrective measures described in this Owner's Repon. Funhermore, neither the Inspector nor his !lfflPIOVlr shall be liable in any manner for any personal injury or prQf:Jeny damage or a loss.of any kind ari1i119 from or connected with this inspectn :~ f> /')~ ---~:.i...;=.-->"--~-~4---lr.-=:.. ~=-""~-""'_;;;.-----Commission1 _ _......:.V.:a:.*:.....:S;..4:..:3:..__ _ _ _ _ _ _ _ _ _ _ _ __ I nao11etot"1 Signature National Boal'CI, Stata, Provlnca, and Endornmanta Date 5- 'j. 7 19_._9"""-3_ Attachment II Page 33 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co, Dete _ _ _ 5___,/'--'(.._'2
__-_:-+-/-9_**'"""*""'3=-*- - - - - - - Nam* sooo Dominion Blvd,, Glen Allen, Va 23060 Shaet _ __.j__ ot _ _ _ _ _ _ _ _ _ _ _ _ __ Addr-
2. Plent Surry Power Station Unit _ _ _ t.a.....;.W_O___________
Nam* P.O. Box 315, Surry, Va. 23883 Wpt+ 3Sbb \2.£,9 L~ Rapalr Orgenlzatlon P.O. No., Job No., etc.
3. Wortc Performed by Virginia Power Type Code Symbol Stamp _ ____;N""/'-A=-------
Neme Authorization No. _ _ _ _ __...N_./..,.1>,.___ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _ _ _,....._ _ _ _ __
4. Identification of System _ ___;;R....:.:co.=...
<',-\"-""::Q<..;C.__....;;C..O=::..O-....c\g.,::o.,n,u:...t..___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (al Applicable Construction Code B31, 1 19---62-Edition, _ _.N.,./"""A...____ Addande, N-J , N-2 (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80
6. Identification of Components Repaired or Replaced and Replecement Component*
ASME Codi National Repeired, Stamped Name of Name of Manufecturer Board Other Year Replaced, IV* Component Manufacturer Serial No. No. Identification Built or Replacement or Nol **;: .. l~ ft\\"'.. '"~- Ul\lr..f\l t) >'I. \c..,,... tvlrA- 7.-fl.~~i-\e, l)t.)k ...1 R.fi)\f\(.p"' 1va*c.o f\),Jc:.\c.a'f' I~ M19,1..,...., '5-"* ..l P,-.l, -:c,..,c.. \Ii~ '7'v>3,~ ~/A. z-tc:.-i -1B lC\G \ le9~.-..-\
7. Description of W o r k - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
8. Tests Conducted: Hydrostatic ~ Pneumatic 0 Nominal Operating Pressure 0 Other O Pressure 'Z. '2.16 psi Test Temp, ~ 5 00 °F NOTE: Supplemental sheet1 in form of lists, sketches, or drawings may be used, provided 111 size is SY.. in. x 11 in,, (21 lnforrrm*
tion in items 1 through 6 on this report Is included on each sheet, and 131 each sheet is numbered and the number of sheetl is recorded at the top of this form, 112/821 Thl1 Form IE000301 may be obteined from the Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 ,, ,, *'1, *"' FO_RM ~IS~~ (Backl,. ':/i,;
9. Remarks *----=-\-~_*---'-P-=-r=i~=~=n'-+-...:.M.....o.:.~a.:.'e'z::;;..,a&:>u,/--S:...\:L.:.J~d.==~'----p..........cD'-----"L'""...i=-1..___.~....Y......=bc.aU:>:;..;;:;.......
?_-----'-_ _ _ _ _ _ _ __ Applicable Manufacturer', Oat11 Repom to be attached CERTIFICATE OF COMPLIANCE . . We cenify that the statements made in the report are correct and this &c,el'flC.Lror o+ conforms to the rules of the ASME Code, Section XI. repair or raplecemen~ Type Code Symbol Stamp _ _ _ N.__A---------------------------------- --'-----------------Expiration Oate _ ___.NUL/s:.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 Stat* or Province of Virginia and employed by HSBI Ii I Co, of ------f:-'/-=a=-"-m=-'--'-~Q"'"'W"_.A-.*-J/'-""C:a.-f..._..______~ - - - - - - - - h a v e inSlleCted the components described in this* Owner's Repon during the period _ _ _ _ _ _;;-..._--'f'--_... r...;o:-.__ to 5-tf) ~ ct '-I . and state thet to the best of_ my knowle~e,a!"d belief, the Owner,,has performed examinations and taken corrective measures described in thli Owner's Aepon in accordance with the requirements of the ASME Code, Section XI, . By signing this cenificate neither the Inspector nor his employer makes any warrant*f°; expressed or impli'ed, conce~ning the examinations and corrective measures described in this Owner's Report. Funhermore, 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 1 i_n_sp_ect_...;Q,,_n _ _-i..;:..;..._.....::~:a..:;.._:;.... .....~~!<....--=....:;..c,_ ______ commissions _ ___:Vc...:a=-.:.*__:5::....:4-=3'---------------- I nsp11etor'1 Slgnatura Nations! Board, Stat*, Province, and Endonements Date _ _ _ __...;;..5_-_,_/_,_7_ _19 'rJ Attachment II Page 34 of 86 Serial No.: 93*318 Docket No.: 50*281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Coda Section XI
1. Owner Virginia Electric Nam*
& Power Co, Date _ _ _ _:S-=-+/....... \_'3---+/_c;"""'-"3=-------- sooo Dominion Blyd., Glen Allen, Ya 23060 Sheet _ _....__ot _ _ _ _ _ _ _ _ _ _ __ Addr-
2. Plant Surry power Sta ti on Nam*
Unit 1WD P.O. Box 315', Surry, Va. 23883 VVD<\f" 3j/Db\3)3~S I\R if q3-bS3 Repair Organization P.O. No., Job No., etc,
3. Work Perfonned by Virginia Power Type Code Symbol Stamp _ _.....;N.;..c/c...;A;.;;..._ _ _ _ __
Name Authorization No. _ _ _ _ _ _N....,..t.cl\....__ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _.....,......,_ _ _ _ __ Addrea 4, J..,0=.,;;C.,.,;,..;\.__t\....,,.::.c""'c..=-:t Identification of System _ _..:.,R...,,,~,_,:s,.....,;... ......._R. . . ..::~=:V'Y7_.::C:::.~\/=c:..._\l..-_ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (al Applicable Construction Code B31, 1 19.......6.1..Edition, _ _.N. .,/._.A. . .____ Addenda, N-J N-7 (bl Applicable Edition of Section XI Utilized for Repeil'll or Replacliments' 1'9 80W80
6.
  • ld~ntification of Coi'nponenu Repaired or Replaced a~d Replaceme~t Components *
,, ':;* l ASME' Code *Natlo.nel Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (YM Component Manufacturer Serial No. No. Identification Built or Replacement or Nol ,~
I,.
,,  ; A11 -n. Red, ~C\ l::.t0 L>tv l< tv N/1\. '7- ~\-l-\.\(;\/-'215$ uNKtu R~? \..,c.c.J l~ \-\-ex l\)u.\- I ut,S¥:.N l) i\) \( Iv t\\ IA 2- ra \-1-HC.V'- Z. 758 l)I\)\< t.) ie?\~c.c:J \Y'b ,r\.\ 1\.--. ~t>.l tc..<d; n ... I -r.,,d. Pr.: ::_UNKN NII\ 2-~1~- l-\cv-2.1 s~ lq9 I ee?l"l'c.c ...... c..-.+ ' \ Yi \ta Nut f\ \\it'..\ l\)u\ << \3b\t ~ 2"2..'\~Pt, f\J/Pot z-~l'I-H:c..v-2.1s~ *\'1'i'2 l-c.r 11<1 c.i:.,n,..,,~  ;: l,*,*.'_I
8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominel Operating Pressure ~
Other O Pressure fvC>f' psi Test Temp.
  • fvDT °F *, *.. ,,;,:.
NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided 11 I size is 8% in. x 11 in., (21 Informa-tion in items 1 through 6 on this repo" is included on each sheet, and 131 each sheet is numbered and the number of shlllltl ii recorded at 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 FORM NIS-2 (Backl -* II \~ All 1\--i<e,J Rbc\  ?. Q -W C~'( 3LJgC,z3-fS _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
9. Remarks__,._:;._.!:.!.!_,__...!.-:..:.:.::::,~""'-....,,-'-='==---.;..;.-;...._........;:;;;;..;~f--.;;.....-'---=-.:....;;;.:;._.:::....
~ 11 Appllcable Menufacturar'1 Dat111 Reports to ba attachad \ I-lei( tJv+-  ? 6 ~&~Sf 3g~Olo?.- I CERTIFICATE OF COMPLIANCE We cenify that the statements made in the report are correct and this Kc.flit:1c.:s,.-n<-.-,:\:: conforms to the rules of the ASME Code, Section XI. repair or rapl-mant: Type Code Symbol Stamp ___N;..;....:..A;;....._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ........a:......;.;;.------------Expiration Date _ _......,N""'"/.,.A....___________ . 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 the Stat* or Province of Virginia and employed by HSBI & I Co, of Ha. r!fu 1 rd ct. have insPeeted the componenu described in this Owner's Repon during the period S- I- 9D to £- f O *Cf':£ , and state thet to the best o.f my k.nowledge and belief, the Owner has performed examinetions and taken corrective measures*described in thil Owner's Repon in accordance with the requirements of the ASME Code, Section XI. By signing this certificate nei.ther 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 thl1 inspection. _ _..i(lw:--'=---=---'-,---f.-.~:::-:-~---------Commissions _ _.....:.V..:a::..:...--=Sc.4.:..3=---------------,----- 1n1Qector'1 Signature Natlonel Board, State, Province, end Endor1iiment1 Date,_ _ _ _____.5".....__-....(.... Cf_ _ ,9 f.3 Attachment II Page 35 of 86 Serial No.: 93-318 Docket No.: 50-281
  • 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 & Power Co, Date _ _... S.._,.../_l_;~Lj_'.:.../_9'-=.3:a...._*- - - - - - -
N~* I sooo Dominion Blyd,. Glen Allen. Ya 23060 Sheet _ _-+-_of_ _ _J_________ Addr-Unit_......._ -,__ ,~1D ".c.....;v_ _ _ _ _ _ _ _ _ _ _ _ _ __ \
2. Plant Surry Power Stati co Nam*
P.O. Box 315, Surry, Va. 23883 Wb-j:F 38'6Di"'3G\ IS""2. RR~ 13- 'IY'o Rapalr Organization P.O. No., Job No., ate.
3. Work Perfonned by Virginia Power Type Code Symbol s.tamp _ _---"N'""/....;;Ac:..__ _ _ __
Nam* Authorization No. ------N.a,o.{.cl'\....__ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _....._,....,~----- Addrea
4. Identification of System R~s; d "'"- I
5. (al Applicable Construction Code B31, 1 19--6.1-Edition, _ _..N,../""'A.._____ Addenda, N-J , N-1 (bl Applicable Edition of Section XI Utilized for Repein or Replacements 19 ROWRO
6. Identification of Components Repaired or Replaced and Replacement Components ASME Code
'. Natlonel Repaired,' Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yn Component Manufactu~~ Serial No. 'No. Identification Built or Replacement or Nol I I.,, ' I/ Cc.n :st.,; dA-.\-cl '. IRt-l'UCENi!Pr ~~ l:': fim- Sh; ..... V\v!L S"upp\1 HT:j:l' 31t..39S ',;, ~iA- :z.- R\\-- r:-c.:ll~lW, *,l9q.3 ~efl~l!!,J ~'/) I', ., ,, :l .. *1 .,,, ., '.  !* ' " ,*,* .. 1'*:: ,>l\  !\*' I.
7. ,Description of Work /.J*,;,b
8. Tests Conducted: Hydrostatic 'O Pneumatic 0 Nominal Operating Pressure 0 ' ' ,',,I Other O Pressure tJ,& psi Test Temp.,'.
r0/A. *F 'I NOT~: Suppi°ememal sheets in form of lists, s'ketches, or drawings may be used, provided (1 I size is* 8% in. x 1*1, in;; (21 lnformii\ tion in items 1 through 6 on this repon is included on each sheet, and (3) each sheet is numbered and the number of shlltltl ii recorded et the t~ of this form .. 112/82) Thia Form (E000301 m;.y bl! obtained from the Order Dept.,ASME, 345 E. 47th St.,, New York, N.Y,.10017 ,(l,1 FORM NIS-2 (Back) II \/11 .,., " ..... ,..... "" s,-*.~
9. flemarks -.;L..Jl.....;":..:....::'-~-r-'""'_--"-r,-a.-**-'- * - -P*__, ~~v u,,,c.,w 6 *._..,...,;2'-->_..__...,_c-;;;......,.........;.c..-.....;,-1,..._-.....,_
I _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Applicable Menufacturer'1 Data Reports to be ett:ached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and thi1 R.c&~ C conforms to the rules of th* ASME Code, Section XI. repair or raplKement Type Code Symbol Stamp ___N_/"""""A;..__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. __N;..;.,./.a.Aa.-------------Expiratlon Date _ _ _.llNL..:/..iA.i.------------ ~ood (M. ~ f , j , 0 CERTIFICATE OF INSERVICE INSPECTION I, tha 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 Ii I Co, of 6...o...r_J ______.f/i_,_,,a.,,,_._r...,t_.. .....,,--=c:;..:.f...__________________ have insPec:ted the .componentl described in this Owner's, Bepon. during the period _ _ _ _ _ ___.5'._-....,_1 _-_?~o....__ to _ _.,,5;:;...-.,,l.,D::....-_...,j._..f...,..._ _ _ _ _ , and state that to the best of my knowledge and belief, the Owner has performed examination, and taken corrective measures describ!td in thl1 Owner's Repon in accordance with the requirement, 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 mea1ures described in thi1 Owner'* 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 inspection. _ _ ____,a&-J~~---=:~~--:-'L~-~~-~~'-------Commissions _ __.:.V..:a::..;*:__.:5~4:.:3::;._______________ I nspector'1 Signature National Board, State, Province, and EndorHmant1 , .. OaI~'- .. ----::-,-:'."~ 7 -_/_'f-.,.,~19- '?J Attachment II Page 36 of 86 Serial No.: *93-318 Docket No.: 50-281 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 N*m*
& Power Co, Date _ _ _ S=-,_/_2~'-/'--+J_q_3=-------- f-5000 Dominion Blvd ** Glen Allen. Ya 23060 Sheet _ __._l_of _ _~ - - - - - - - - - Addr- _2. Plant Surry power Sta ti on Unit TWD Name P.O. Box 315, Surry, Va. 23883 \ND~ 3~0bD't>'t>1/lp R_~~ 9?:>-01 b Address Repair Organization P.O. No., Job No., etc.
3. Work Performed by Virginia Power Type Code Symbol Stamp _ _--'N-'-/'-"-'A;___ _ _ __
Name Authorization No. _ _ _ _ _....... N.,.l..cA......._____ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _~N.,...t~A------ Addr-
5. (al Applicable Construction Code B31, l 19---6.l_Edition, _ _..N,.../_.A._____ Addenda, N-1, N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 BOWBD
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 2-11 Cl.,. \or - y.._ )v, ~~'lct0 \J~\<..t...) NIA Z-C..\.\ - 3DS l)Nb.\ 1? .. ;::,lc..~cl 2*1  ?:o-c.. \.) tu \c.N. utv\<. N.. f\)/t\ '2.-C.\\-S"3l-15D3 \)l'\\.-N R_ ... nl'Ac.t::~
2'1 C. \(:,""° Vc..\Ve 2;Ji.,....l \JA,\Uo k. \.\~C\~3,(,:, S1:,,,"' I-\, ~It>. 2- C,\lr - 3 .:>5 1'1'11 e.(f'ICW-rh> r ..,-\' 7,1' 'P~Pc. ~ iSUI k;,.rn, 'Sr, -r,..._ 1-\T"* L'2.'& lb\t tJ/f\ z,c"-5~t- 1"503 L'i1CJ !d'~--~ 7, Description of Work Rc.p\v.:i c..e- Ve....\)) e..
8. Tests Conducted: Hydrostatic [0" Pneumatic D Nominal Operating Pressure D Other D Pressure \.'2.SX t>c.;w psi Test Temp, A""o>TU1+ °F NOTE: Supplemental sheeu in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., 121 informa-*
tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New.York, N.Y. 10017 ,'1' ', '1,, I' '1 I I FORM NIS-2 (Backl z_ l' l':. \o'oc:.. Vc,,\v<c 9.,, R\!rT/arks '* *1*, Appllcable Manufacturer', Data Reports to be attached 2, P.ec c_":::.y 2$1 "3'i7 - CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this R.epl1'\Cemu1} conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol StamP--...,Nc'-'-/_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. -'N"'/"""""A'-------------Expiration Date _ ____.N.../.....,A,..__ _ _ _ _ _ _ _ __ Signed Q~ ~ Owne~a11gnaa, Titla 4'4 :zs7"" £~,v~ Date &<.(..l-7"' / , 19  ?::.f 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 /la..-T fordJ ct have inspected the components described inthisOwner'sReportduringtheperiod ,:-t-C/0 to tj'-/o-q<f ,andstatethat 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 w'ith this inspection. -----~-=.,c-----'---J=-'-,_.Q._~"""".:.....:.... Inspactor's Signature _____ commissions _ _.....:.V..:a::..::...-=Sc...4::..:3::_______________ National Board, Stats, Province, and Endorsamant1 . Date _ _ _ _ _ 5=---="',_~__19 '73 Attachment II Page 37 of 86 Serial No.: 93-318 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the PrGVisions of the ASME Code Section XI
1. Owner Virginia Electric Name
& Power Co, Date _ _ _ 3_/_l_C\_/~4'-*-~------ sooo Dominion Blvd .. Glen Al 1 en, Va, 23060 .I Sheet _ _ _ _ ot _ _ _'Z. __________ Addr-
2. Plam_...s...1... Jr r'*'y__.P...a....w
..... ...e...c-...s...t ....a...t..i...a...n...__________ --, **_ Unit --'--*v ,D_ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Nam* P.O. Box 315, Surry, Va. 23883 wo* 3'8DD flt.:> 051 '< R *" q~ - otoS Repelr Orgenlzatlon P.O. No., Job No., etc.
3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N_/'--A_ _ _ _ __
Neme Authorization No. _ _ _ _ _ _ N.,..{~A~----- P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _. . . . . . , ~ - - - - - - Addr~ .*
4. Identification of System C. \--.~: c.c.. l d" Vol uvYl e. Co"' -11"-6 \
5. (al Applicable Construction Code B3 l, 1 19--62_Edition, _ _..N..,/..,A~___ Addenda, N-1, N-1 (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 Yur Replaced, (Y" Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Tc-;.,... Asw L?lu5) UC\\<.,~ \.)I\} KN tJ/~ 12-C:...!4-Hc..V -2"3~*1 urJ Kl\) Rc.? 14'-l::..d I ~ 1111 -rh. ~0,1 utJL<..~ DNKN N/~ 2<.\\ -~\1-'Z.; \\ uNK.N Rc.?t..,,c...c.J flt\\,~~ ~\).\,,
\ lta A-II "T\.. Roe\. ..\' ~ol\. Co . V...'Z.C> h> 7 66 '$ N /A. z.-c.H- \\-C.\/ -2:~ I\ \qq3 ~ey \Ac.,:.....,..,,..+ I Yi \k.~ l\\vt- utJ\<.N uNK.\'.\ N /1\. 2-c..\-'- !,k. v- *2.:~,1 U/\\ k:N Re P\Accd Dl~lnc...\ :r:...e. . . \~ \\c)(. )\\0\- °fr6d. I'V\C., \I,,--<<C.. Z."'77 Z 9 k.1/t\ -z-c.lH*\C..\/ - Z ~II 19'11 Re. .f'~,c,...,.,.n'
7. DescriptionofWork Rc.pl¥\c.e_ Tr-i.rv, Assy. ~ Bo.dy !Bc.n"l.c...+- .Sh>ds/N\.)\-:'.::)
8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure ~
Other O Pressure tJ O P psi Test Temp. ND T °F NOTE: Supplememal sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (21 lnfomw* tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet Is numbered and the number of sheea ii recorded at the top of this form. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 FORM NIS-2 (Back) \ If.& "-ll 11,,. i.t>d £ D ~ 'SS v '-I 11 ~4 Z, 2.
9. Remarks __JL---LM!.!.!.......:~:.....-=:=---.l..:..=c'----"-"-==-+"---.:......,..:.....;~.:...J.-'--....:~------------------
1f"' Applicable Manufacturar'1 Data Rapo"8 to ba attached C.'5'13 '-/ 3 2- 7 2- - L I CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this &3~,1-,.,;r conforms to the rules of the ASME Code, Section XI. rapalr or raplacamant. Type Code Symbol Stamp ___N...._/_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. ___N......._/_A~-----------Expiration Date _ ___.N,u.l... A...___________ w
  • Signed /7 "'h,, / ~ e ,6-::::'.* rr--
Owncnoro\..,h DHlgnH, Titla J ,b ~NI" >.JL/A ""',.,~ , 19 :?,l 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 orProvinceof Virginia andemployedby HSBI & I Co, of --------fH . . . . ~t.. a........ 1-e~~..c..."'-d=-i,,__e.......f_._._________________ have inspected the components described in this Owner's Report during the period _ _ _ _ _ _... 5':.....-..f_-__,9i..::;o_ _ to _ _.$:.,_-....l...,cJ:a...--'f.,...,:J=-------, and state thet to the best of my knowledge and belief, the Owner has performed examinations and taken corrective m1111sures described in thi1 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, expres111d or implied, concerning the examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his employer inspection.(.\  := ! shall* be liable in any manner for any personal injury or property damage or II loss of any kind arising from or connected with this ~ ___....ii_liM~=----=..::.....i.-~rL..,,.._---~""""---""--"----Commission1 _ _.....;;V..:a~.--=5:-.4:.:3=---------------- 1nepactor'1 Signatura National Board, Stata, Provine*, and Endonamanta Oate_ _ _ _ _...::;~_-.... fJ.....:;.0_ _19 ~ Attachment II Page 38 of 86 Serial No.: 93-318 Docket No.: 50-281 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 Name
& Power Co, f. . . . Dat11 _ _---'5.........,__/. . . . '1-..._/'f......a_'.?,=-*- - - - - sooo Dominion Blyd,, Glen Allen, Ya Addr ... 23060 Sheet
2. Plant Surry Power Sta ti an Unit  :[v L>
Name P.O. Box 315, Surry, Va. 23883 l.t)o,t:t:. 3tlbD 11 (pD'=i I Addr... Repair Organization P.O. No., Job No., etc.
3. Work Perfonned by Virginia Power Type Coda Symbol Stamp _ ____;N;.;;./~A'-------
Name Authorization No. ------N~{.icl\.....__ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _ _ _..,.._ _ _ _ __
4. Identification of System _ _C-=-'h-'-'e..YY1"""-'-'-' .....C......s......,\~d"'~_V_t:>__,,l_u_Y'Vl_c..=-.....:::C.::;.6=-:.n.:.+_~-'C):::-,.\_ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (al Applicable Construction Code B3 l, 1 19__6.1-Edition, _ _..N...l_.,A.._____ Addenda, N-J, N-7 (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80
6. Identification of Components Repaired or Replaced and Replacement Componitnt1 ASME Codi National Repaired, StlmPlld Name of Nam11of Manufacturer Board Other Year Replaced, (Y*
Component Manufectu rer Serial No. No. Identification Built or Replacement or Nol \ ,.,..;,,... l\s~v (Pl..ic;) Cope5~ \l,ic..cv-i "-'# ;~~ I kJ/A  ?-c1,1~Uof.,z,3,11 l'i'g(p 12,,..DIA-c..Gm~~
7. Description of Work " \ C..C...c,,
"t.l' -I"* , fY) A 'S.S)(
8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure [3" Other O Pressure JJ o p psi Test Temp. f\) 6 -r °F NOTE: Suppiememal sheet1 in fonn of lists, sketches, or drawings mey be used, provided (11 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 numbered and the number of 1h1111t1 ia recorded at the top of thil fonn. (12/821 Thl1 Fonn (E000301 mev be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 'I ,I ~  ; '
1.11 I'
FORM NIS-2 (Backl
9. Remarks _1i.:,:.r~;....-i:...:......:......£.~'..!::..::,~V_.i..(.1...P.!..:l..>~1u):....____,:S;..yl'---'=b"-\,.l<..'1...!....:Z.=::....='::>;..IL--....!.I_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Appllc11bl11 M11nuf11ctur11r'1 Datil Repom to ba ntached. CERTIFICATE OF COMPLIANCE We certify that the statements made in the repon are correct and thi1 f..-r;ilft<:s::....,:ea t: confonns to the rules of th* ASME Code, Section XI. rapalr or r*pl-mant* Type Code Symbol Stamp _ _..;N:.:.:....l.:..:A:......._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Cenificate of Authorization No. -'"N..,/-'A______________ Expiration Date ---~N,..l:....A..____________ Signed /1.,orOw~D*1l;nn, ~ ~ J R<'< fTitl*t ? b(C/f/c£b Date &y l<f 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 ---------~-=<<..r_t...t:D...,:!""'-r:...d..,,....c-..t..._"-'- - - - - - - - - - - - - - - - have inspected the components described in this Owner's Report during the period _ _ _ _ _ _ _'f.__~..:./_-.....:.'i.:{.)a-__ to S";,_/0 -9'/ , and state thet to the best of my knowledge and belief, the Owner has perfonned eJCaminations and teken corrective meesures 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 Repon. Furthennore, 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 inspect~~ JJ_ /I) /) _ _ __..L'-"----~---='--------Commissions _ _ _l_t..L.JL<~:.!<~:_....:;... _ ___::V.::a~.-=5:...:4!:3~-------------- 1napactor'1 Sl;natur* National Board, Stat*, Provine*, *nd Endon*m*nn Date*_ _ _ _ __...5":'--_,i<..,;,=.{)_191j Attachment II Page 39 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co, Date _ _.;::;;:S;....,./......;.l_ci___/......;.'f....;;;;3;;....__ _ __
Name sooo Dominion Blvd,, Glen Allen, Ya 23060 Sheet _ _ l__ ot_ _ _ _ _ _ _ _ _ _ _ __ Addr- 1
2. Plant Surry Power Stati an Unit TWD Nam*
P.O. Box 315, Surry, Va. 23883 \vD<fl' ~8Db\3i '-17-Z. Rfl-tr '13-b8.h Repair Organization P.O. No., Job No., etc.
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 _ _ _ _ _ _.......,....,._ _ _ _ __ Addrea
4. Identification of S y s t e m - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
5, (al Applicable Construction Coda B31, 1 19---61-Edition, __N ..I_.A.-___ Addende, N-], N-7 (bl Applicable Edition of Sectio'n XI Utilized f6~ Rlipein or Replecements 19 80W80
6. Identification of Componenti Repaired or Replaced and Replacement Componenta * *.,,,,.:
,, . *' .' I **** ASME Code National Repaired, Stamped Name of Neme of Manufacturer Board Other Year Replaced, (YN Component Manufacturer Serial No, No. Identification Built or Replacement or Nol I 2- ~ c..t-c... VV-\ I11~ uµKtJ u IJ\<_ \J N /t\ 2-VA-q Uhl l(N R-e.i:)l'Ac..-c..d. z'I  ?;Pc.. uN'KN' Ul\\KN NI~ 2.-vl\-n':>-1s"\ ui-tl<~ Kc..?\v>-c:..c..d \\"U\i-1 Vo5t 2"Cr..\--c.. Vc..Jve, ~l\C."-iin.t: C.o. RL\r"JZ..::,£ N/A Z-VA- -q \C{q\ Rc.P t ""u:,.......... ~ 2. 11 Pi P.c:. ~ri~C..'n'i::.c:.n\ 1- LDYS\-.... N/A 2'1 -1/f!o- \l~-\S'-1 li 'i I ~-e.. P\\<Kcn.c..-.~ i  ;,
7. Description of Work _ _R....:..;c:.:::.f~L_c.;...c._'L=-----==2=--'-'__..G'-'A..:....:t-c..--='--V.;..;..s...l.:..V.:..:::;c:.;:__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
8. Tests Conducted: Hydrostatic 8" Pneumatic O Nominal Operating Pressure 0 OtherQ Pressura I.I)(. Di:.si5"'PSi TestTemp. l\VYl'oiVi~ °F NOTE: Supplemental sheet* in form of lists, sketches, or drawings may be used, provided 11) size i1 8% in. x 11 in., (21 lnforma*
tion in items 1 through 6 on this report is included on each 1heet, and 131 each sheet Is numbered and the number of sheeu ii recorded at the top of thil form. (12/821 Thl1 Form IE000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 FORM NIS-2 (Back) Remarks __:2~**..!::t:.!:~::...ttc.=-_,_V...:;l'l:...,\.:,cY'C.,._____.p.....;._b_._=ff'_s:....:f\J~,--="3,=-'-/.......=3'-'Z,:::;..;.9.;;.t'_-......;..,- - - - - - - - - - - - - - - - . Appllcabl* Manufacturer', Date Repom to be attachad  ?.~ ~ csy 3t.i1322-t CERTIFICATE OF COMPLIANCE We certify that the statements made in the repon are correct and thi1 gcyl:e<::s-¥':Jc..:1: .\-- conforms to the rules of the ASME Code, Section Xi. repair or repl-ment Type Coda Symbol Stamp ___N ; . ; . . : . . / . ; : . ; A = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Cenificate of Authorization No. _N::..:.L/.:A~------------Expiration Date ___..,N..l..,A....____________ SignecL.. fJ-e d Ownero/~1;0.,ignN, Title 'Al/ f>C d:vav/f(U Date /u-y I~ , 19 9.l 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* orProvinceof Virginia andemployedby HSBI & I Co, of #tt r T to ,.J I C j , have inspected the components described in this Owner's Report during the period 5:-f- 90 to 5-10 -'I--/ , and state that to the best of my knowledge and belief, th.e Owm'lr has performed examinationi and taken corrective m111sures described in thi1 Owner's Report in accordance with the 1'1!quirement1 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 thi1 Owner's Repon. Funhermore, neither the Inspector nor his employer shall be liable in any manner for any pef1C!nal injury or propeny damage or a loss of any'kind arising from or connected with this inspection. ---'1~~-=-, lnlpectOr' ~:---'f_ ISignmr* ......,~=""'~~'--* _Commissions_....;...V;;;:..:a*......;5:...;;.4~3- - - - - - - - - Netlonal Board, State, Province, end Endor111ment1 Date_ _ _ _ ~2...,___-.._fCf_,__-_19 Cf:}; ,i * ._<5, __, **.* Attachment II .. ~ Page 40 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co, Date _ _ _ _S=-..,_/_.?_t):;..*_;...._q....;...=3"--*- - - - - - -
NDm* sooo Dominion Blvd,, Glen Al 1 en, Ya 23060 Sheet _ __,\____ of _ _ _ '2..__________ Addr-
2. Plant Surry power Sta ti an Unit Tb!C Nem*
P.O. Box 315, Surry, Va. 23883 "'--'6~ 3%:601i7z'"?2 RR.-w93,63"2. Repelr Orgenlzetlon P.O. No., Job No., nc.
3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N~/~A _ _ _ _ _ __
Nem* Authorization No. _ _ _ _ _ _N,,,,..l.cr.,...__ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _. . . . . , ~ - - - - - - Addrea
4. Identification of System _ _ _M:._.;. ;. ....... A...
A 1..:.a\-)...._...~"'-'T'-"c_-... tvl....a.....,___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (al Applicable Construction Code B3 l, 1 19---61_Edition, __N...,/~A.....____ Addenda, N-J, N-1 CodtC..
(bl Applicable Edition of Section XI Utilized for Repairs.or Replacements 19 BOWBO
6. Identification of Componenu Repaired or Replaced and Replacement Compone'nts },
  • ASME Code Natlonal Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Componer;it Manufacturer Serial No. No. Identification Built or Replacement or Nol-,
1..-tv'6- Mc: cl. 't0D n_o,~,, "?/I
7.
  • Description of Work _ _ _l"-.~*-=+'--i:-~~~"="~--::, t"L L..n=*
\, \J _ _ -C-.cJ~$~....~=--\-=v_.:c________:____________~
8. Tests Conducted: Hydrostatic cg;., Pneumatic O Nominal Operating Pressure 0
*i OtherQ Pressure\.z.o;,c.De;)i!a"' psi TestTemp. !3:Wl)?,efl\ "F i ! 'NOTE: Supplememal sheets in form of lists, sketches, or drawings may be u~ed. provided (11 size is 8% in. x 11 in., (21 lnforina- . tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of 1heet1 is recorded at the top of this form. (12/821' This Form (E000301 may be obtained from the ~rder q~pt., ASME, 345 E. 47th St., New York, N.Y. 10017. FORM NIS-2 (Backl 1
9. Remarks _ ...3,!.._'_'5~vV~Q.:::h:..i....,........:...".:;:.~...,\"'-'c..."'----.S;i....:1\.1=-\.,_....;:3:......:.Y-=1.,;;.,,:::....-=S:::....i....l---11_ _ _ _ _ _ _ _,--_ _ _ _ _ _ __
Applicable Manufacturer', Date Reporu to be attached -z..." q 0 .. c.., } bc,y
d. *csy t'l>cr57 3- 1 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and thi1 ec() l~c.unv*:t: conforms to the rules of the ASME Code, Section x I. repair or repl-me,nt Type Code Symbol Stamp _ _..:N"'/c..:.::A'---------------------------------
__,N""/""A:.::._________....;.__ Expiration Data _ __._N..,/'-'A..___________ Sign11o...L::,J......G--1,1L--=-~""""~~L4'~""""°"-""""'=-==--=-.:.::.,""""""'""""""'llc.w<.-Data , c4 7 2.J . 19 ~""-0-- 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 orProvinceof Virginia andemployedby HSBI & I Co, of --------"'f.//.+""£-r_T~F~o_,.._J.......,,-C_f-'--______________ hava in!Oefted the components described in this Owner's Report during the period _ _ _ _ _ _ _.. ,;::__....(...-_.~._O....___ to 5"*/ 0- q '-I , and statll that to the best of mv knowledge and belief, the Owner has performed ex11min11tion1 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 warrantV, 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 II loss of any kind arising from or connected with this inspection(:)~ f). CJ . () ----l~1---=.><.-----=-,-------L--,---=~=-.,"'-=------Commissions _ _.....;V..:a::..:..--=5:..4;:.;3=----------------
  • I nspector'1 Signature National Board, State, Province, and Endorsementl Data s:- f}. 7 19 C/3
Attachment II . __ Page 41 of 86 Serial No.: 93-318 Docket No.: 50-281 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 Nam*
& Power Co. Dete _ _ _ _ S+-/.....Z'-"b'--'/'-~-=:..3=-------- sooo Dominion Blvd., Glen Allen, Addr-va 23060 Sheet _ _l. __ of _ _....,"L=----------
2. Plant Surry power StaH on Unit  :[ \f.J D Name P.O. Box 315, Surry, Va. 23883 11\/o~ ~jl>OL272-33.
Addrea Repair Organization P.O. No., Job No., ate.
3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _ N~/_A_ _ _ _ __
Name Authorization No. -----~N.,.i~ll~------ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ __...,._.,.__ _ _ _ __
4. Identification of'system _ _ _.... fv\....;..ifr_,_.L.a.t\)-=---'&-=--"T.;..;::;:...f>,;~fv'\'--------------------------
5. (al Applicable Construction Code B31, 1 19-6LEdition,-~N..,./._.A....__ _ _ Addenda, N-J, N-2 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 Codi National Repaired, Stamped' Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol C1>nS01: d.,.+-c.-A
~** P:.ot:... Pb1v....- Suf p\'f ._}"l,'3 ll.? ~ rJ/~ 3 1'...6\-IP-J'-g--~01 19~~ ~co1~,.....,,..- ~b ,,J,
7. Description of Work_~R~t:-f? ........,ft~c...:_e.
__ s_'_'_c.~'n"'-=c..c.=-'-\,--'---'V_9:_._.\....v--'~=-----'---------------------'
8. Tests Conducted: Hydrostatic ~ Pneumatic O Nominal Operating Pressure 0 Other O Pressure f.2,$)(, De-s,31ipsi Test Temp. ti""' b! c..... t ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 i~ .* (21 Informa-tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded et the top of this form.
(12/82) This Form (E000301 may be obtained from the Order Dept., ASME, 345 E, 47th St., New York, N.Y. 10017 , I I., .!*. I'; i' fORM NIS-2 (Back) 11 9.' Ref'!1arks -'--or-3>_........ < P..1.,*F,-f...~-.1..G;:..;-D::;;.._._f'f'__s-ir'---~...;./_D_(,:,_')_'5_-_':f_,___________- - ' - - - - - - - - - Appllcable Manufacturer', Data Reportl to be attach~ CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this ~lp,c..-cm w:1: conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _ _...;N;.../c...;.;A'--------------------------------- Certificate of Authorization No. N/A Expiration Date _ ___.N._./""A...___________ Signed ( ) ' ~A ~ Owner or Own~n1111, Title .:TJY £\/Gr, #v/... Date~IY4....u::z.,f~2,,._?""'------ 19 93 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 Hr{rfFbrJ, c-f. have inspecr the components described in this Owner's Report during the period _ _ _ _ _ _ _--=:5"--...f_-..,C/o-=D-to S:- / to the best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in this 0-9 .and state thet 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 inspecti~/. ~ ---~~=-----------'~=-"-=-------Commissions _ _......:V..:a::..;;..*--=Sc...4:.:3=--------------- rn,pector's Signature National Board, State, Province, and Endorsement, Date*-----=5--_~"'-'-7_ _19 q 'J Attachment II Page 42 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co, Oat1 _ _... S"'+/""'......
2 c...,,-+1-*_v_*_;,...________ Nam* i sooo Dominion Blvd,, Glen Allen, Ya 23060 Sheet ____(_ _ ot _____________ Addr-
2. Plam _ ...s...i....i.r....r-.ly'--P.:..au.J01wco;e...r.....S ......t ..a.,..t...1..* ...
o...o....._________ Nam* P.O. Box 315, Surry, Va. 23883 \vt)-4" <j:i;DD l'Z.72.3t> f<.Q ~ 9 3--D'f{p Rapalr Organization P.O. No., Job No., -,;c.
3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _;.;..,...;;.:.._ _ _ _ __
Nam* Authorization No. _ _ _ _ ___......_.,_....,._ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Dat1 _ _ _ _ _ __.......,...__ _ _ _ __ Addraa.
4. Identification of System _.,_M=-.:..:4...!..Ll-'~e><...__..'S.... ..,.-
1..,,E.:.uA:..:..tv\.....:.._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (al Applicable Construction Code B31, 1 19--61_Edition, _ _.N..,.l...,A...____ Addanda, N-J , N-7 (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80
6. Identification of Components Repaired or Replaced and Replacement Component1 A&Mi:
Codi Natlonal Repaired, ,*... StlfflPlid Name of Name of Manufacturer Boera Other Yur Replaced, (YN *, Component Manufacturer . Serial No.
  • No. Identification Built or Replacement ,.. ~r,N~~:.::
l) 1 l-1' 1 ~ 1 1 11
7. D~;:;ptiqn of Work_R_*~-* "".\A-....c...=~=*~:a..**_**\S'.a::
e+-* e"""<_*""'.B._p........\\...:i_._*n_.3T***...;,*::...~a;.;;:;~-"_ _,,1,...... . .. .,.k:a._ _*...;*C.=*.:..~:~t\..:.Y\c...=___.'S::!,\\)=,j~/\::::'§~*-~=.ib~r.l,.c:-~k:::,_,:.:,V""'~~,l~v~.!b~.:~*"~'.
8. Tests Conducted: Hydrostatic O Pneumetic 0 Nominal Operating Pressure ff .(:I}W* !
Other O Pressure tJo P psi Tast Ta~I?* NDT *F *11:1'\r *1:r>~V};,1t\tl i I:, . .  : ,. , .., : *' ,  ; 1 r'1,\H1, i NOTE,:, Supplememal sheen in form of lists, ,sketches, or drawings may be used provided (1 I size i1 8% in. x 1,1
  • in;;**(:Zl lnf~~ 1:1 tion in' 'items I through a' on this report i1 included on each 1heet. and (31 eec:h sheet ii numbered and the number of 1h.-a*.J * ,;
recorded at the tOP of this form. ' ' 1*/ f.,* (12/821 Thl1 Form tE000301 mav be obtaiMd from the Oraer O~pt *.' ASME, 345 E. 47th St., ~ew York, N.Y;:,.100;1,.'., ',, / 1 ~f*',', : ', .: i *pt *, [I I/ FORM NIS-2 (Backl
9. Re,nar~s _...,1\_!.l!t.J..!=:u~.\--____,.S::..:::S~y:........:::3:;.(.iu.z...1:..;Z.=a;...;::$'---__.,,(p.....__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Appllc:able Menutacturer'1 Data Reporu to be anached l ll -nI l'\.rcc.dc,¢ O IC..t,d I ssy 3c:I Z.'if'5G;, - l CERTIFICATE OF COMPLIANCE We certify that the natements made in the repon are correct and this !:£\Agc,<,-n +/-: confonns to the rules of the ASME Code, Section XI. raper or repl-ment Type Code Svmt>ol Stamp _ __:.:N.:./.;.A.;_._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ --'""-.:.:..------------Expiration Oat*---H.u.l.o;A..__ _ _ _ _ _ _ _ __ 9 '? , 19..> CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued by the National Board of Boiler and Pressure Ve,.I lnsPecton and the Stat* orProvinceot 'firginia and11mployedby HSBI !i I Co, of Ha. r+/- Fo ,.c:L. 1 Cl have inss,ected the components described in this Owner s Reoort during the period 5- l - Cf O to 3'- I C::.- 'fl,-/ , and state that to the best at mv knowledge and belief, the Owner hes perfonned examinations and taken corrective measures described in thl1 Owner's Repon 1n accordance with the requirements of the ASME Code, Section XI. By sign,ng this certtfica,te neither the lntQeetor nor his employer makes ~ny werr1ntV, exprnad or implied, concerning the examinations and corrective me111ures described in thi1 Owner's Repon. Funhennore, neither the lnlt)OCtor nor his employer shall be liable in any manner for any penonll injury or propeny damage or 11 1011 of any kind arising from. or connected with this Commissions _ _.....:,V.:a:.;*:..*_.:::5__4:..:3::....._ _ _ _ _ _ _- : : - - - - - - - Natlonal Boarct. State, Province, and Endonaman11 Date_ _ ~!).L---~~-c___l9 t:/.:S Attachment II Page 43 of 86 Serial No.: 93-318 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
1. Owner Virqinia Electric & Power Co, Oata _ _ _'5_-_2._7_-_9_3 _ _ _ _ _ _ _ _ __
Name sooo oominiort Blyd, , Glen All en, Va 23060 ShNt _ _...___ ot _ _..___________ Addr-
2. Plant __c::"-1..., ...r ....r...,y"--p~n..,wu:e..ir-S....,t...a...t_i....o...n..__________ Unit _ __..f....,W.aor..>p..___ _ _ _ _ _ _ _ _ _ _ __
Name P.O. Box 315, Surry, Va. 23883 R.i2. +t" '(3-03/ Repair Or11anlzatlon P.O. No., Job No., ate.
3. Wortc Performeo by Virginia Power Type Code Symbol St11mP----'""'-.:..:..------
Nam* Authoriz11tion No. _ _ _ _ __...........__ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Data _ _ _ _ _ ___...,._."------- Add,_ 4, Identification of System ---=.!::1.....::;A:..1....N___.::;s..... ~-=-=-A-H_._______________________________ 5, (al Applicable Construction Coda B31, l 19---6.LEdition, _ _.ij..,/._A...__ _ _ Addenda, N-] , N-1 (bl Applicable Edition of Section XI Utilized for Repain or Replacements 19 80W80
6. Identification of Components Repaired or Replaced and Repl-ment Components ASME Code N11tlon11I Repaired, Stamped Name of Neme of Manufacturer Board Other Year Replaced, .. (Y" Component i Manufacturer Serial No.* No. Identification or Replacement or.No).
Built I .. A.Ncf?o/2. I VA.ht i;.- 3 7)4n..LINC, "'/J;. Nt>.. 0.2.,.. MS - l 8 2 Ntf gapl4c.E.I> N.o P,pE 3" I NA /.JA, ijA f.>Z. "7M5- l82. l../A- REplAc.e.b 6:.(0 VALVE ~,, I I Afllchofl.. {) M' /, IV Cr tvA NA 02.-MS-102. f99Z. \<.cpl 4,c.eMeN' h No it'<>NSOC.ll>41Ei) P:IPE 3" 'fbwt2/l. .Supp} Y .NA NP. oz.: - MS - l'ol.. 1~~3 eepl~~'4,\~,Jt .,;1,.lP.1**,, I '1*'  ;,.! .: '. .,. I ' I',,'. i "!i !.*
7. Q~scr.iption of Work _ _...,R...E:'fp...l t.=c..:::i;;;_ r...
_,(..,.\\...1;.,.' 1..,,(......_..._Vl-i;;,!\.;:L.,.V..,'-:------....;..-------------'-"--...._~.....,;... 8, Tests Conductl!<l: Hydrostatic Gr Pneumatic O Nominal Operating Pressure 0 Other O Pressure \.'Z.'5 "f. bES1C.f'./p1i Tast Temp, *1, . At1B1e:HI ° F ,/"',\,:1 NOTE: Supplememal shtN1t1 in form of lists,'sketch111, or drawings may be usect,,provid!IQ (1 I 1ize i1,8% In. x ,111 in:, ,q), lnfcirr/1'*, tion in items 1 through 6 on this repon 11 included on each sheet. and 131 each sheet i1 numberad and the number of i h
  • ii:
recorded at the too ot this form. (12/821 This Form (E00030) mav.be obtained from tha Order Dept., ASME, 345 E. 47th St;, New York, N.Y. 10017, .. }{' .~,-142~:,. *~,~!!~.,,, *I I*I, ,1  : ,'\r ', 1, FORM NIS-2 (Back)
9. Remarks NI 39303."7 "
3 CII 5 Cl( VIA,L ' \/ I=
-,,I
'" ;/ ,.** l,,<.\1,' Applicable Manufacturar'1 Data Repom to ba anachad sy 4\0<o1'5 "'3 PIPE CERTIFICATE OF COMPLIANCE We certify that the statements made in the repon are correct and thl1 &)gcM&.,,,r conforms to the rules of th* ASME Code, Section *;,1., I. repair or replacamant Type Code Symbol Stamo ___N~/_A_*- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Ceniflc11te of Authorization No. ---'N"'-'--/..:.A=--------------Expir11tlon Oet11 _ _ _Nu..:l..1A~----------- (,J [/ JI ,d/' :zJ'_f ~N(dU-b ~~0~1 D***on-. Title z..7 , 19-?....=....i - Sign Data~ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission iuued by the N11tionel Board of Boiler and Pn,ssurw Venal lnsoectors and th1 State orProvinceot 'lirginia and11mployedby HSBI & I Co, cf _________R.~t:t._,._i-&>~~""~cl-,,~c.....1:. . _____~--....-----hav11 intPeeted thll compon11nt1 de,cribed in this Owner's Reoon aunng the period _________S'---...l_-___.,._0 __ 10 __5'.._-_.f._O_-_rt___c;{..._______.., and state that to the best of my know1eoge and belief, ~he Owner has performed ex11min11tion1 and taken correc:tive me11111res described in,th,11 Owner's Repon I~ acc~rrjance'with the l'IIQ~irements,of the ASME Codi, Section XI . . By 1ignang this ceniticate neither 1h11 lnsQeCtor nor his employer makes any wamintV, u:pl'ftllld or implied, c:oncernin9 the examinations and corrective me111ures *described in thi1 Owner'1 Repon. Funhermore, neither the Inspector nor his emplover shall be liable in any mnnner for any person_al injury or property damage ore 1011 of any kind arising from or connected wi~h tl:111 in~ec:tion. --+-""~,<__~~~* ____,-f':'-'-. "--._ _ commission1_V~a*---=-5...:.::..43_ _ _ __ ....._&L=-* 1nro11etore Signeture National B01ra, Stat*, Provine*, and Endornmen11 Dat11 s:-a-7 19_9....3...___ ~ :::="" **. .._ ... -*****-- ~.. ,..** Attachment II Page 44 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co, Date _ _ _ _5~/._.:;.2...;.(:,_*.... /_-7......_3________
Name I sooo Dominion Blvd,, Glen Allen, Va 23060 Shnt _ _......._ot __---:.__________ Addr-
2. Plent Surry power Sta ti on Nema Unit :r:\,\) b P.O. Box 315, Surry, Va. 23883 wo4t' 3$DQ rz. 7-Z.. ~ \ RQ_~ S 3-oy,;;,
Repelr Orgenlzatlon P*.o. No., Job No., .ia.
3. Work Performed by Virginia Power Type Code Symbol Stemp _ ____;N=../.;..;A,___ _ _ __
Nema Authorization No. _ _ _ _ __..N.,.{.,.Jl.__ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration D
  • t * - - - - - - - a . ~ - - - - - - - -
4. Identification of System V},q I "] "5 Tc f\ N\
5. (111 Applicable Construction Cod* B31, 1 19......61.Edition, _ _.N.,./'"'A...____ Addenda, N-], N-7 (bl Applicable Edition of Section XI Utilized for Repei" or Replecemanu 19 SQWBQ
&.: Identification of Componenu Repaired or Replaced and Replacement Component* ASME Codi National Repeired, Stamped Name of Name of Menufactuntr Board Other Yur Replaced, IYN Component Manufactuntr S.riel No. No. ld1ntiflc:ation Built cir Replacement or Not l) l 11 Th.. 12... o '.1 '1.
7. pesc~iption of Work __
 ;,. * \ ,.. 1,_c..=,fp""'-'<\..;;.;aC._,;:<:_-'LO;;;.;;..V;;.._t:_.-~*-==*=1,.i.n..:..*"-=j~*...C>....Q;..c...___;"'..:--!::&.=~V\=~=--....::.5:::..:::vv~*'.!.!"'~'_5::S....**..:C::::"'\~~..c...:=\<-:::.......:V:...::Jll;:..JJ\tlt:..lc~,c.._;....,;.;"""""'..:.. "2._ * \ * . ' . .
8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure G" /. \;;,,_.;, :
. o,"" ~. P*:*w~ Mb:
  • p,; Tu'1;,.,,~. >.J 61 *.
  • F * , ;: :  :;i;~i' i NOT.E.: *supplemental sheen t 1, I , *; , 1 in:form of lists,!Sketches,
  • or drawingi may be used*** ,provided (1 I size ia, 8%
  • In. x 11 in.,: (21:ln~oma, , 1 1: ~ ,1 tion in: items 1 through 6 on this repo" i1 included on Nd\ 1heet, and 131 each shaei 11 numberwd 'end the number of 1hNt1°i1 i recol'ded at the top of thil f~rm. 1 1,*. 'I'./ .ii*i (12(821. Thl1 Form CE000301 mr,-be*obteined from the Ord11r DIIPt., ASME, 346 E. 47th St., New York, N_.Y.-,10017,***
,i,*'i.*,\,:',,11*, * .\,* ,\~ , " I, I* / ' I '11 ', i "ii/*. 1r8**... I ' I ), \; l 1*. ,1 I' 1"** .: 11,., q:, 1 IL., 1*1 '1" 1(al'iti',.i.,*, 11, I FORM NIS-2 (Backl
9. Remarks ( fvu\- s sX 1i.. Applicable Menutacnirer'1 Data Repon1 to be anactleci '*1 I
)'I Jb.,..c cJc.J ~os-\ s;y 3'iL35{o - I CERTIFICATE OF COMPLIANCE We certify ;hat the statement~ made in the repon are correct and thl1~;eJ)F-.c..cm ~:a+ confonns to the rules of th* ASME Code, Section XI. repair or repl-ment Type Code Symbol Stamp _ _ _ N.../_A""'----------------------------------- _ _._.;;.;;._ _ _ _ _ _ _ _ _ _ _ _ Explr11tlon Det*-----H~ls.A..__ _ _ _ _ _ _ _ __ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commiuion iuued by the Nationel Board of Boiler and Pressure Venal Inspectors and the State* or Province of Virginia and employed by HSBI & I Co, of H4rTEor-d. ,, Cf. r have inned the components described in this Owner's Reoon during the period 1- l-'.f D to 5:-1 C - , and state that to the best of mv knowledge and. belief, th* Owner hes pertonned exarmnetion, end takan co~~ measures described in thll. Owner's Repon in accordance with the requirement* of the ASME Code, Section XI. By signing this ceniticate neither the lntPeetor nor his employer mak11 any warrentY, exprnad or implied, concerning th.* examinations and correct1w mea1Ure described in thi1 Owner*, Repon. Funhennore, neither the Inspector nor his employer shall be liable in any manner tor anv penonal injury or propeny damage or* 1011 of 1nv kind eri1inv from or connected with thl1 inspection. ----.-1-W~"--~-*~t_..,&~~--Commis1ion1_V.:..:::.a:.....:.5 : : . . . ! . . : 4 3 ~ - - - - - ' I nso..:tor-1 Signature Nation** eoarc:I, Stata, Province, and EndonamanH Date 5-J..7 19__.9_3_ Attad1ment II Page 45-of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co, oat1 _ _ _..,(o"+/_./._.._/_q..:..a:::3,::;.__ _ _ _ _ _ __
N~* l 5000 Dominion Blvd,, Glen Allen, va 23060 Sheet _ _...__ot:___.___________ Addr-
2. Plant* Surry power Sta ti OD Unit TWD Nam*
P.O. Box 315, Surry, Va. 23883 \VD~ 3ffoD 12.7 Z 32,., Q..'e._.+F- . 93>- b'f 7 Repair Organization P.O. No., Job No., ate.
3. Work Performed by Virginia Power Type Code Symbol Stamp _ ____;N;.:.:../.:;.:A:...__ _ _ __
Nam* Authorization No. _ _ _ _ _ _ N.,.(...l\.___ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Oatt_...,..._ _ _ _ _.a.~--------
4. ldantification of System _ _.,_M....;..,A: T.....=c'""A......,M,-.,....------------------------
.......I....N...........':::>__
5. (al Applicable Construction Coda B31, 1 19--61_ Edition,_...,N.,.I_.A...__ _ _ Addenda,-J:1NL.::-:..JJ.___N....=-..1.7_ _Codl C.. *
(b)*"Applicable Edition of Section XI Utilized for Aapain or Aeplac:emants 19 80W80 6., Identification of Components Aepaintd or Replaced and Replacement Components -. ASME ..... --~***~-- Coda *-** --"'"~*,-- Repaired, Stamped National Name of Name cit Manufactuntr Board Other Yur Replaced, (Y" Component Manufactuntr Serial No. No. Identification Built or Replacement or Nol 1 Ti.-.. ro.J. I l)µj::.,,v \.)t-) kt-) /J/i-t '2..-N\S- 1l, u tJk.1'..> fdlol\::..cd /vD I~,11 ..a u u!\- II i1 lk. rod. - P...:>t+' Co 1-1,.tt 50Sl/"'Z, ,-.>/A 2-Ms-111 \Cj 'i c..... td1=-- .._1 JJD II' l-\. el'. N-.>-\- vtv\::..tJ NI/Jr. z, .vl-S* / I '1 U/Jl<N 1lc.o If'I- c.c.d 0D \.) "' I<: "I\.\ IC.l'\-..-Oilf'\.. I ~ 1 f-kx ~ .... ln-.,,,.1. Pr-od. 1\1 'p., 1101,,q tJ/k Z.-M-s-11, 1')'7 "Z. p - 'l"K-<.m*c.11t ,Ju B. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure [3' Other O Pressure 1-'oP psi Test Temp. I.JD T *F NOTE: Supplemental sheets in form of lists, sketches, or drawings may bl! used, provided (1) slza ii 8% in. x 11 in., (21 lnfoma-tion in items 1 through 6 on this repon is included on eec:tl sheet, and (31 each sheet 11 numbeRCI and the number of sh..a ia recorded at the tOP of thil form. (12/82) . This Form (E000301 mav be obtained from ma Order Dept., ASME, 346 E. 47th St., New York, N.Y. 10017.. * -:*** ~* ~ -~i.i~~t;;ti 'l,'*\'i'* I ' ' : : *, ;;i' :f'
/
i . !;I FORM NIS-2 (Backl
I
'\ 11 _.;...._ -n. , ~ 0 A_______ s._._~-*--------=--=---'*'-------------,--------- s v 3 '7 2-- )15 ~ - I 9*. Remerk s ~ I'* ', l " 11' IJ\1.5:<:J.a:'i"'"'""-e"'c~..:N?;::,w.._,, Applicable Manufacturer', Data Rer:,ont to be anached ssy :Y'{"Z-725-'9 ., . CERTIFICATE OF COMPLIANCE We C~rt,fv that the Siatements made in th11°repon llrll correct end th1, llrJ)\ACs::ros at conform, to the rules of th* ASME Code, Section XI. repatr or rept-men~ Type Code Symbol Stamp ___N . . . . . _ / _ A " " - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorizauon No . ......,N:.:.L./.:.A-=-------------Explretlon Date ___...N ..I..A.....___________ ;stgnQ~~~~;g£.f( 3,.,c L Dat11_.......~'-'--'--'"-..-,r::,,.,_ _ _ _ _ , 19 9~ CERTIFICATE OF INSEAVICE INSPECTION \ the undersigned, holding a valid commiuion iuued by the N11tion11I Board of Boiler end Pressure Ves111I lnspecto~ and the State orProvinceot '.'irginia andemployedby HSBI & I Co, of Ha 1t :T: Fo C d 7, cf have inlDIICted
  • the ' components described in this Owners Reoort during the period S 2 0 to S:- f O - '1 :/ , and statw that to the best of mv 1<.nowledge and belief, the Owner hes perlormed examm11tion1 and taken corrective meesures described in thl1 Owner's Report in accordance with the r9quirement1 of the ASME Code, Section XI.
By signing this certtfica~ neither the lnsi,ec:tor nor hi1 employer makn any -warnintv, exPf'ftllld or implied, concerm,ng the  ; examinations and corrective measures described in this Owner*, Report. Furthermore, neither the ln~tor nor his emplovar
sllall be liable in anv manner for any personal injury or prOQertv damage or a 1011 of any kind arising from or connected with this
,._.,.. ~ £ . ~ Commis1ion1 ___V.;..;;;a;;..;*:__.=5_4;;..;3=---------------- 1 nsoec:tor1 Signatur* Netlona1 Board, State, Province, and Endorsemen11 Date,_ _ _ _ _ ----""&,'--___._/_19,_9_3__ Attachment II Page 46 of 86 Serial No.: 93-318 . Docket No.: 50-281 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 Nama
& Power Co, Dat*--..:.{q""-... l-'1. ./. . . .9. . . ~ sooo Dominion Blvd,, Glen AJ 1 en, Va 23060 Shnt _ _j,___ot_ _.___ _ _ _ _ _ _ __ Addr-
2. Plant Surry Power Sta ti oo Unit 11.vD Nam*
P.O. Box 315, Surry, Va. 23883 1vt,'l'F3goc,JZ.'?1S3  !?,12.-;r C,3-D37 Repair Orv*nlzatlon P.O. No., Job No., nc.
3. Work Performed by Virginia Power Type Cod* Symbol Stamp _ __...;;N"'/'-'A;.;:.__ _ _ _ __
Nam* Authorization No. _ _ _ _ __..N.,_/.,,a...______ P.O. Box 315, Surry, VA. 23883 Expiration Oat* _ _ _ _ _ _......,._.,._ _ _ _ __ Add~ 4, Identification of System fvl f\ I t.J "STE.AN\ 5*.' (111 Applicable Construction Coda B31, 1 19--6.l_Edition, _ _.ij...l,..A...____ Addanda. N-J, N-1 (bl Applicable Edition of Section XI Utilized for Repail'I or Raplecamanu ;9 BOWBO 6.! Identification of Componenu Repaired or Replaced lind Repl_;.,m~nt Components ' As***{ Coda N11tlon11 Repaired,: Starnoad Nsma of Nam*of Manufacturer Board* Oth*r Yur Replaced, (YN Component Manufacturer S.rlal No. No. Identification Built or Replacement . or .Nol Viql vc... 2.7-1-'2.. 'P: z -/lt6-155
7. Description of Work R:c; f \,9 C::.::.. VA \ \/ L
8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure 8-'
Other O Pressure ND P psi Test Tamp. /061 °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided 11 I size i1 8% In. x 11 in .. (21 lnforma* tion in items 1 through 6 on this repo" is included on each 1heet, and 131 each sheet i1 numband and the number of 1hND ii recorded et the top of thil form. 112/821 Thl1 Form IE000301 mav be obtainad from th1 Ordar Dept., ASME, 346 E. 47th St ** New York, N.Y. 10017 -*~ - _._. - -~ --'~*~~~;~{--;*~------ I l' 1 1 I , I
  • j ~ i  : ~ l I i I ,
\, . I I ' ,,,I I, I 1*1 *, I ,, ' ~1*: ; ', i ' '1 1, ', i ::' 1 1*:/ *'1'i"i I* '.1,:i\', ,l:,; 1 ;1*,, .*1*j'- **1'11' *r *11,* ,'1.' ,1. I  :: 'i', i: i ' ; /1!'1' I ,/1 \,\t1/,( I 11 \,', 1 I,, 1 * ,", ,i, *rt* FORM*NIS-2 (Backl 1 1 2... *T.__.... 't..<..:Z...:;.ri....,_4.;....;,,Z_-_I..__*_:,_.'_'*- - - - - - - - - - - - - - - -
9. Rem ~r ~s :......llk>'"'*_.,...!::,.:.!~..!..\-c...~*,,~V.:.:A..!.\J<,;vc::,,___ _ _'5...._.Kl...
' Appllcabla Manufa~rar'1 Data Raporu to ba anached )l.:,(2...$)-3 z;,,,,.s , , CERTIFICATE OF COMPLIANCE 'we °Certifv that the n~t'ements made in the repo" are correct and ~his flcf>!%&m c.ak conforms t0°the rules of th* ASME Code. Section XI. rapalr or r*P*-m*nt Type Code Svmt>ol Stamp ___N;;.;..:../.:.A;....._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Ce"ificate of Authorization No. --'N'""'-/.:.Aa....____________ Expiration Dat*---.tJNL.C/_.A~----------- Signed Q. ~ JO w n
  • r T . ~... Titla
. f5_c- Date ___;:-- .,,..,,rt..,af;...__,1....,_____ , ..;,.. 19  ? .T CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vestel lnsPecton and the State orProvinceof Virginia andemployedby HSBI & I Co, of t.. ------..-jfl.f-L'a"""-c... 6L.>,o""'rcl-=..,Jf-'c_-/.._..________________ have inmected the components described in this Owner's Reoort during* the period <: - I - 9 LJ to '£- f O - t.{ q and state that to the best of mv knowledge and belief, the Owner has performed examination, and taken corrective measures described in thlt Owner's Repon in accordance with the requirementt of the ASME Code, Section XI. By signing this certificate neither the Inspector nor his employer ~ekes any wenrantv, exprnad or implied, concerning the examinations and corrective mea1ures described in thit Owner's Repo"* Funhermore, neither the Inspector nor his emDlover shall be liable in anv manner for any penonal injury or prope"V damage or 1 1011 of any kind arising from or connected with thlt in5')ection. ______QJ.,._."""'"__..,.i-R~J~ I nsoec:tor'1 __ f_._ Sign*tur* _,,~=------Commissions _ _.....;V:.;a=-:*.....;5:::..:4:.:3::...._______________ National Soard, Stata, Provine*, *nd EndarHmantl Date _ _ _ _ _ _ /,~-~'--19 q..3 Attachment II Page 47 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co, Date 5:... 27-~ '3 Name ----~~------------
sooo Dominion Blvd,. Glen Allen, Va Addr-23060 1 Shnt of_+-----------
2. Plant Surry Power Sta ti on Unit Two
  • Neme P.O. Box 315, Surry, Va. 23883 3Soo12.123Co !2R.:tl:- 93-c-a.3 ,
Repair Organization P.O. No., Job No., stc:.
3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N_./_A _ _ _ _ _ __
Name Authorization No. _ _ _ _ _ _N...,..t... 1'~----- P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _...........__ _ _ _ __ Addrea
4. Identification of System _ __,IV\.""'""'~...11\l,....._';;i....
,.:r""E.A.=:M~----------------------------
5. (al Applicable Construction Code B31, 1 19--6.l_Edition, __N ...I.._A..____ Addenda, N-] , N-7 (bl Applicable Edition of Sectidrn<I Utilized'~~r* R°epairs*o~ ~eplB<:e~eri~s 19 '80W80
 ;: I I ~- "ldentificliti<;>n of Compomints Repiired or Repla~lid*11nd 'Fiepllic:em~nt ~rripoiients'
  • I
',, ,*,') ,. ASME Code ., * '. Repaired, Stamped National Name of Name of Manufacturer Board Other Year Replaced, IYN *component* Manufactu.,~ Seriill No, No. *' Identification Built or Replacement or No.I. i *.'. A111cffr)ll Vi:dv,= '3'.'. 7J~*,u4.)<r NA lJ L\ OZ.-"'( S- ( 78, NA /l.e!)(4CB) (V~ *1'l ,* ., PIPE 3" NA NA 1\IA oz.,-ks- /?(), fy/{ 1 '12.en/4, C(;O , 1* 1,./c, A.NcHon. \J1i.. \\le .~" D /J (l,I..IN(r /\II. . NA. OZ.-"'1.S-118 19:JZ. f(l:p/4(11,U!P-;C A.(0 (:oN:, C)L. / P4/l:t-fipi; 3" Po/Ale 17..... 44 l{t\ ,\ 1>2-:M.~
  • l?'B 1~9"5 r2e11l4 ceH-1~,.;t p..(() .::,
'i! ,*, ,' \, i  : ,.!',, ;.  ; i I' ,,* i I .~' 'I ,, '* ' /, *JI
7. i;>escription of Work _ _.:,::/l,,._._...,;e...:l.;..;A:.;:C:,,G~c?=/f-=l:1-'q.:.;:,::'-;--'(/,"'~"'L..=.V='='--------,-.,--------------,.;.__.;.__ _
8. Tests Conducted: Hydrostatic cg---- Pneumlriic O Nominal Operating Pressure 0 Othar O P.r~ssure (,2S K bE.':>1<..1:f psi Test Temp, AMhl@?t. °F
*NOTE: Supplememal sheets in form of lists, 'sketches, or drawings may be used, 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 131 each sheet is numbered and the number of sheets ii. recorded at the top of this form. 112/821 This Form (E00030I mav be obtai~ed from the Order Dept., ASME, 345 E. 47th St., New Vorki N.Y(10017
  • FORM NIS-2 (Backl
9. Rel)"la~ks sy 41Db1'5 ~,, f'-tPE
-~--'--....1..l-"'-":C....,.-=-~-"--'""--"'----------------------------
> 24 3'5 / Appllc11ble Menutacturer'1 Data Repol'tl to be anached
.,,,..,~  ::,,II Sl\l.T -:,~..> I  ;;;, CH=(I': \{ALYG CERTIFICATE OF COMPLIANCE We certify that the statements made in the repo" are correct and this ,t'~4,,4cd'd:l'c'Tconforms to the rules of the ASME Code, Section XI. rapalr or rapl-ment Type Code Symbol Stamp ___N - " ' - " " ' A " - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Ce"ificate of Authorization No. _N""'"/""A~------------Expiration Data _ _ _.1lNul:..iAEL------------ Signed / ] . . . / . / d~ T0r '~e""&,..._'f-----, 19 Date _ _,""7'-... f.J ~!;;;*r or o~oa,lgnn, Titl* 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....e..;;;4a.;.,._T,._,_h-=o"-r-J=-1J--=C'-'f':.....;..,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ have i n ~ the components described in this Owner's Report during the period _ _ _ _ _ _ _.....,£._-_,_/_-_f..._.D..__to 5-(D-q'I , ~nd stata that to the *,best of my knowledge and belief, the Owner has performed examinations and taken corrective measures described in thl**
  • Owner's Repo" in accordanca with the requirement, of the ASME Coda, 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 II loss of any kind arising from or conn~ted with this inspection. --1~r..:.=:...*=*_..:., --:-*....r-=-....Gi_"':~:::=--_:,..______ commissions ___v:...a=....:..--=5:....4:..:3:....__ _ _ _ _ _ _ _ _ _ __ I nepactor'1 Slgnatura National Board, Stata, Provine*. and Endorumant1 Date Attachment II Page 48 of 86 Serial No.: 93-318 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Sec:tiC)n XI
1. Owner Virginia Electric & Power Co. Oat1 _ _ _....;5::;;..,/..,_2__.{p_,_/_q_2) ________
Name 5000 Dominion Blvd,, Glen Allen, Va 23060 ShNt_........_ _ of_ __;:s:;;...__________ Addr-
2. Pl,nt* Surry Power Stat; oo Unit t\,JD Name
~-0. Box 315, Surry, Va. 23883 wt)~ 3'6oc 131.::,e:.7';{ RR en,. -st::>
\:t ReQalr Oroanlzatlon P.O. No., Job No., sic:,
3. Work Performed bv Virginia Power Type Code Symbol Stemp _ _---'N"'-'-/.:;.:A:....__ _ _ __
Name Authorization No. _ _ _ _ __..N.,.{...a,_______ P.O. Box 315, Surry, VA. 23883 Expiration Oatl _ _ _ _ _ _ ...a~------ Add,- 4,. Identification of svnem IV\Ai o St-et-l r-r--, 5, (al Applicable Connruction Coda B31, 1 19_fu_Edition, _ _.N...I...A....__ _ _ Addenda, N-] N-1 (bl*Applicable Edition of Section XI Utilized for Repaira or Replacements 19 BOWBO 6.\ Identification* of Componenu Repaired or Replaced and Repl-ment Comporiitntl l,' ASME ........ -~ Natlonal Rep.aired,* s ~ Codi Name of Name of Manufacturer Board Othar Year Replaced, (YN 'Component Miinufacturer:,. Serial No.* No,
  • Identification
  • Built or Replacemern . ,or "'ot 3 ?; c...
C. I , ),WZ. 6h*~J 7, D111eription of Work _ _t.M:'.lt~!:.!i~QL..,;S~\::t:.!:t;.;:.i>Ae?;ll'Y"'1?::J._:§6!:!e,~.cti!:I'.:j~~*:flf':::::;'f..(~i?~iQOii!::..,,~'.j4-....JRS..:t::e:.-'y2.l;\r:xe;.ss~c:.*~.....,:?.S:C:::::"'l..++/-...______.........-'-...,.
8. Tests Conducted: Hydrostati~ ~ Pneumatic O Nominal Operating Pressure 0 .",:,,
Other O Pressure \.Z:,X,"Des:~"" psi Tes~ T,el)'.IP, A"" b; .,.., t °F .1, ,, 0 NOTE: Supplememel shlltllS in form. of lists, sketches; or drawings may be used, provided (1 I size i1,B% in. x 11
  • in.,, (21,lnfonnii~ '.;
'
  • I tlon in items I through 6 on this repon ii included on each sheet, and (31 each sheet ii numberwd and the number of 1heata ii :
recorded at tha top of this form. 0 (12/821 Thl1 Form tE000301 may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017: FORM NIS-2 (Backl
9. R e m a r k s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Applicable Menufecturer'1 Data Repom ta be an:acned CERTIFICATE OF COMPLIANCE We cemtv that the statements made in the repon ant correct and thl1 Rre l1<tc.rm""'t conforms to the rules of th* ASME Code. S.ect1on XI. rei:,a,r or repl-ment Type Code SvmbOI Stamp _ _ _N~/_A _____________________________________ Cenificate of Authorization No. _N:..:.,./..:.A.:....____________ Expiration Oat1 _ _ _.i;iN""/..1A..____________ Signed {iJ. £, ,(} Owner o r ~ ~ . Title WL/ ~ ¢W;,,vQ,4 Oate_....... 4_....'A'-'-.f~~-'----* 19 9 i' CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commiuion iuuec:I by the National Board of Boiler and Prem.ira Vessel lnsPectors and the State orProvinceoi '.'irginia !ndemployedby HSBI & I Co, of H<<,,. JFo ir cl J Cl, have insoected the components described in this Owners Reoort during the period 'i-f- 'fD to :f- (0 -q~ . and 11ata that to the best ot mv ~now1edge and belief, the Owner has performed ex1n11n1tion1 1nd t11k1n corrective*measur11s described in thl1 Owner's Report 1n accordance with the requirements of the ASME Code, Section XI. By signing this cert1ficat11 neither the ln,pector nor his employer mikes any werr,ntv, expreued or implied. concerning thl examinations and correctrw measures described in 'this Owner's Repan. Furthermor~. neither th1 Inspector nor his emplayer shall l;>e liable ,n
  • anv manner for any personal injury or propeny damage or 111011 of any kind arising from or connected with this
~ 1 ........=-.,.~~~* _n_s;,_ect_i_~+n ~*-.pr--*~*-~"""""'-.....;"-----Commission, _ __..;.V..;a;;..:..--=Sc..4:.;3=---------------
nso11etor'~ignatur* National Board, State. Province, and Endora*m*nt*
Date_ _ _ _ _~5--~~-/,z...._19 f/J Attachment II Page 49 of 86 Serial No.: 93-318 Docket No.: 50-281
  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
t. Owner Virginia Electric & Power Co, Oate _ __..5"+_/.... 7_,t...-/_~__:3__________
Name sooo Dominion Blyd,. Glen Allen, Ya 23060 Sheet _ _..d,...__ot _ _......_________ Addr-
2. Plant- Surry Power Sta ti on Unit -wt)
Nam* P.O. Box 315, Surry, Va. 23883 wc,t\'-3,,ibt>t3f..P'f ( De.? j'2-t. 7) Y<. ,e.J:\- 93-Sb Repair Organization P.O. No., Job No., etc.
3. Worlt Perfonned by Virginia Power Type Coda Symbol Stamp _ ___.;;N""/-'A;,;;__ _ _ _ __
Name Authorization No. _ _ _ _ _ _N...,_{,.,a..______ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _ _....,._ _ _ _ __ Addrna
4. Identification of System fY),i io "S ,EA ,r, 5*. (al Applicable Construction Code B31, 1 19---61-Edition, _ _.N,..I...A...____ Addenda, N-J, N-1 (bl Applicable Edition of Section XI Utilized for Repain or Replacemen11 19 ROWBO 6.: ldentificetion of Componen11 Repaired or Replaced and Replacement Component*
ASME Cade Natlonal Repaired, Stamped Name of Name of Menufacturer Board Other Year Replaced, (YN Component Manufacturer Serial No. No. Identification Built or Replacement .or Not., I UtSKtl tJD ., NO' ... * ',,' '*; *, ,* . 1')~~'1l,;/t11 *:'*,,' ,,,. .,., . ,"
7. D_e~ription of Work _£fv\.~"l?.li,!()L.:-S~~~A:l:.:::71Zl.....:5::tz::r:Z:1:J:§!Il::tiz!it:""e:!:'~1'L-Pt:.:.ii.{.(22.!:'..t.P.:!;_5~-!1<is::ce;ffl\ss.sc:;.ir~-::::n'\~t::::~:2:-+/-t:=-----'-......:.-"-:....,.."'"
8. Tests Conducted: HydrOStetic ~ Pneumatic O Nominal Operating Prenure 0 Other O Pressure I 25)(. D-esi~"'PSi Test :r,emi:,. &...., !z;:c,r,,:
  • F
* .. :i*.r1; : .:/J /r *  !. ' i * :; ' : ' I ,, !
  • I * ' ' '~' ~ ' ' I ' ' j r NOT.E:, Supplemental sh.~ in, form of lists, sketchea, or drawinga may be used, provided (11 size i1 8% In. x ,1 Hn.~, '(21 ,Inf~** ;
1 tion i~ item1 1 through 6 on this repo" ii included on each 1heet. and (31 each sheet 11 numberad and the numb~r of '1hND ii recorded et the top of thil form; ,), **.: .. ': (12/821 Thl1 Fann CE00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y; ,10017: . 1 ',' l  ;-
  • 1:'I,
**11 .;1 FORM NIS-2 (Backl
9. ~~m1~k1 - - - - - ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Appllcable MenufactUrer'1 Data R~om to be anached CERTIFICATE OF COMPLIANCE We cemfv that the statements made in the nipon ant correct and thl1 R;cf\'flc..t;"'"'W k conforms ta the rules of the ASME Code, Section XI. r~air or repl-ment Type Code Svmoal Stamp _ _.....:..:N.:..l..:.A.:.....__________________________________ Cenlficete of Authorrzation No. _N::.;.../..:.A.:------------- Expiration Oet*---.&Hi.il~Ag__ _ _ _ _ _ _ _ _ __ ist11ned Q ./ ~ ~~ Ownf,;;rff!i!ir,. OHiQnN, Title fs£ b&:<&14'4t. D11t1--~-----'7~'/-i!-._.~-----* 19 l/ CERTIFICATE OF INSERVICE INSPECTION I. the undersigned. holding a valid commission issued by the National Board of Boiler and Pressuni V111111I Inspectors and the State orProvinceof Virginia andemployedby HSBI & I Co, of Ha., I 'fo I" d , Ct* have inlPICted the components described in this Owners Reoon during the period S:~ (-9 0 to S ~IO -'j of
  • and state that to the best ot mv knowledge and belief, the Owner has performed axarnination1 and taken corrective measures described in thll
. Owner's Repon 1n accordance with the requirement* of the* ASME Coda, Section XI. '. .. By signing this cemficate neither the lmpec:1or nor his employer makes any warrantV, expfllllld or implied, concerning the  ; ex~minations and corrl!'Ct1ve measures described in this Owner's Repan. Funhermore, neither the Inspector nor his emplayer L'!!~I be liable in any m11Mer for any penanal injury or propeny damage or a 1011 of any kind arising from or connected with thl1  ;,._,..~ , 8&.- Commission1 _ _....:V..::a:..*=--=5:.:4~3::....______________ 1nsoector'1 Signature National Board, State, Province, and Endonement1 Date,_ _ _ _ _ 6'_-_~_b__19 9'3 . Attachment II Page 50 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co, Oat1 _ _ _ 5"""/......::;2-;;;....a.(,,_*/<i.......,3;:;.__ _ _ _ __
Name .....Su.PL1P""P1.1. . ..P~o.nm.iu.i..1.1nui.i.A.l.lD...._..e..r.1.lvi,id~-....__.Gi...11.Je.o......Pa...J...J....e...n..,*..._v"'-"ia-...2~1060 Shaet __3___ af ___5___________ Addi-
2. Plam_...;$;i.J1,11.i;r;.ir.....y'/-.i:P.1.iOLlllYue:.r~;;;iS..i.t..aLJt...1 .. u...__________
  • L.JO... Unit T"Vo Nam*
P.O. Box 315, Surry, Va. 23883 "'-'0 ' 11 ')1oc:.J;E,h?t/ (pee 12.-P) gg, +f 'f3-S"6 Addr- R~elr Organization P.O. Na., Job Na., etc.
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 O a t * - - - - - - - l l ~ - - - - - - - Add,...* 4,
  • Identification of Svstem-M a......,fV.,.__"5.....,T..i.,.::E:;..;..A...Wl 5.; (al Applicable Construction Code B31, 1 19~Edition,_....N.. ._I.. A____ Add1nda, N-J , N-1 (bl Applicable Edition of Section XI Utilized for Repail'I or Replacem1nu 19 BOWRO 6.l Identification of Companenu Repail'ld or Replaced and ReplKement Component, ASME Codi N1tlonal Repaired, Stamped Name of Name of Manufacturer Board Other Yur Replaced, (YN Component Manufacturer Serial No. No. Identification Built or Replacement or Not l-'T,f\' -:52.1 ~\ I 3 I.Jo
8. Tests Conducted: Hydrostatic Gil Pneumatic O Nominal Operating Pn!ssure 0 Other O Pressure 1.2.s iP<;sr~n psi Test Temp. ,.;i....,p,*-.,:zt
  • F
*' / NOTE: Supplememat sheen in form of lists, sketches. or drawings may be used; provided 111 size i18% In. x 11 in.;*(2),lnf~+ tlon in items 1 through 6 on this report is included on each 1heet, and 131 each sheet ii numbel'ld and the number of 1hND ii recorded at the top of thil form *. (12~1 Thl1 Form IE000301 may be obtained from the Order*Oept., ASME, 346 E. 47th St., New York, N.Y. 1,00n.c,, *.1' -.-;,-,-~ I' ' ' I \ \ / I., , I I I .i., ) I \1,j,*,,: 1:' FORM NIS-2 (Backl 11
9. Remarks _,;::_'_'..!.~..!JjPl!-'C"'-----=t...;.-s-1-1---'L'..._LS.:<.'i.._'5.,.,'I_._-..., ____._ _ _ _ ___.,5:;........::C::;::A~f;...___;:;C;.,,;?;;.;y"--4.:..:,,;;al.5...1.._5......_.7_.---'-I....
**1vi: .*, F, 1 ~ c:. c..4.> 4 s2- L 1 ,s,,, ' ' Appllcabl* M11nut11cturer'1 Data Raporu to ba inucned 3 X l'IL ~oc...kt./r t C"'c>,1 'J {5'15?., if CERTIFICATE OF COMPLIANCE We cemtv tnat th~ statements made in thll repon are correct and this ~,:.f le!c.c.,,,.,,c,-,f conforms to the rules of the ASME Code, Section XI. repair or **P*-m*m Type Code Symbol Stamp ___N;..;.a../..;.A;;...._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Cenlfic11te of Authomauon No. _N;;.;,,,./.;.A.:....____________ Explratlon 011t11 _ _ _..,N..l""'A...____________
signed.
1 <iJ £'... fi~ Owna~~0111ignn, Titl* . f l f £6'1-"'4¥e- ~, 2....(i!!!i' Oate_.._.....,....,._,,..__ r;_.._____ , 19 -9? ,- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressu,,. Ves111I Inspectors and the State orProvinceof 'lirginia andemployedby HSBI & I Co, of f/a..-Il=orcl. ct. have inwpected the components described in this Owners Reoort during the per~ 5'- /- fD to S:- /0 - 'f ':f , and 1t11t11 that to the best of mv knowtedg_e and belief, the Owner has performed 11xam1n11tion.1 and taken cornc:tiw measures described in this . Owner's Repon in accordance with the requil'9ments of the ASME Coda, Section XI. By 1igning this certificate neither the Inspector nor his employer makes any warrantV, expresad or implied, concerning the
  • examinations and correct1w measures described in this Owner'1 Repon. Funh11rmore, neither the Inspector nor his emplover
_~all be liable in anv manner for any personal injury or propeny d11m11911 or* 1011 of inv kind arising from or connected with this
~in~ion.~ f ~. CommiS1ion1 _ _....;V.;a:.:.~-=5:..4.:.:3=----------------- I nsoector'1 Signatura N11tlon111 Board, State, Provine*, 11nd Endon11m11nt1 D11t11 Attachment II
  • Page 51 of 86 Serial No.: 93-318 Docket No.: 50-281 FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the PrO¥isions of the ASME Code Section XI
1. Owner Virginia Electric & Power Co, oat1 _ _....::;s_,._J....z....?_,;;=:__._1__q_2_______
1 Name sooo Dominion Blvd,, Glen Al 1 en, Va 23060 ShHt_.-L/_ _ ot _ _....._ _ _ _ _ _ _ _ __ Addr-
2. Plant Surry Power Sta ti on Unit I\.Vo
. Nam* P.O. Box 315, Surry, Va. 23883 \Joi:i 3i'oc.i3b/.7':f (Dc..P CJZ-G.7) le.~ 93~.,Sb Fl9"alr Organization P.O. No., Job No., ate.
3. Wortc Performed by Virginia Power Type Codi Symbol Stemp _ _ _N_/..__A_ _ _ _ __
Name Authorization No. _ _ _ _ __...N.,.,l.,_l\...__ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Oat1 _ _ _ _ _ _........~.___ _ _ __ Add,- 4, Identification of Svnem _~'---'~'"1_".)..,__:S __"t'_c""'l4-,v,
5. (al Applicable Construction Codi B31, l 19~Edition,_....N..,/..,A____ Add1nd11, N-1, N-1 (bl Applicable Edition of Section XI Utilized for Repairw or Replacements 19 BOWBO 6.: Identification of Components Repaired or Replaced and R8')1acement Components ASME Codi National Repaired, StamPed Neme of Nama of Manufactur.r Board Other Year Replaced, IYN Component Manufacturer Serial No. No, ld1ntiflc:ation Built or Replacement
  • or Nol
.A JVO 11.:c. P'A }IA. t,/,, VJ 7, Description of Work M4i 11. St'=""::::71 '5e..c§id&y ?,t) i :'.'.1'j 12ef[9<;rr:n0;+-
8. Tests Conducted: Hydrostatic~ Pneumatic O Nominal Operating Pressure 0 Other O Pressure 1-2.S l(, pc..,;!in psi Test Temp, flmka:..,,....t *F NOTE: Supplemental sheen in form of lists, sketches, or drawings mav be used, provided 111 siz1 ii 8% in. x 11 in., 121 infoma*
tion in items 1 through 6 on this repon is included on each sheet, and 131 each sheet 11 numbered and the number of 1h11D ii recorded at the too of this form. 112/821 This Form CE000301 m.., be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 L ~ '\', . I
1/,,/ I<
\ ,. 1' FORM NIS-2 (Backl . r) '
9. Remarks J
& I l?oi.v, qb 1> Cf::,y l..flS'i'57-l"L . l 1/.,... I ( VA-I"~ fbcP, ,,. Appllcabla Manufacm,rar'* Daui Raporu to b* anactiad, l"?y 'f 151'6] - l,3 \ \I~ ' '* le:.~ l. Sf t../ j S '1 ':> 7 - 17 I._Vi" ~/\,;,o..,i 45 o ,. . ,. ,, , , CERTIFICATE OF COMPLIANCE . 'we* cemiv ,*hat the stat'~ments made in the report ant correct and this r2ef L'A<.'4":J$-"t. conforms to the rules of th~ ASME Code, Section XI. rapatr or r*P*-m*ni Type Code SymbOI Stamp _ _ ....;.;N""/-"A-'------------------------------------ Certificate of Authorization No. -N;.;.,./.:.A.:....____________ Explration Oat* ---AlNL-'/_.A~----------- Slgned CJ ~ / Ownar or 0 w n ~ i t l e _IJ:Z:btt;~ Data _ _./:&'--'-...,..v.,_2..,§_______ , 19 fl I CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pntm.1,w Ves*I Inspectors and the Stace orProvinceof '.'irginia andemployedby HSBI & I Co, of fferlEo*..d , c-f-,
  • hava inmected the componenu described in this Owners Reoort 'during the p:riod 5" 'D to S::- /D -Cf'{ , and state thSI to the best of
  • mv knowledge I
and belief, the Owner hes performed* examinations and takan corrective measures described in 11111 Owner's Report 1n accordance wtth the requirements *of the ASME Code, Section XI. Bv signing this certificate neither the Inspector nor his employer makn anv warrantV.* exp1'9118d or implied, concerning the examinations and corrective measures described in thi1 Owner's Report. Furthermore, nei1har the lnSQeCtor nor his employer sl:iall be Hable in any m~nner for any personal injury.or property damage or a 1011 of any kind arisjng from or c~nnected with thl1 Commission*--~V..:a:.:.*--=5:..4.:.:3::..- - - - - - - - - - - - - - - National Board, Stata, Provine*. and EndorHmenH Data s:- a..l, 19 q-3 . ,, Attachment II Page 52 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co, Date _ _ S:>=../....,2=6~/_9:.._":>_.___ _ _ _ __
Name sooo Dominion Blvd,, Glen Allen, Va Addr-23060 ShHt--~~-~*-~~----------
2. Plant snrry Power Sta ti oo Unit T""-" 't)
Name P.O. Box 315, Surry, Va. 23883 \..ID,;f3iS6bl31..l-7'"/ LDc.f 12-"-7) R_ v_-:if q~-Sb R~elr Organization P.O. No., Job No., nc. 3; Worx Performed by Virginia Power Type Code Symbol Stamp _ _---'N=-/:.:A:___ _ _ __ Name Authorization No. _ _ _ _ __..N.,.l..1:A,_______ P.O. Box 315, Surry, VA. 23883 Expiration Oata _ _ _ _ _ __ . . . . ~ ' - - - - - - - Addrea ~""("\...__.S......T...C-__c:.a;.;yY")a...-...__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
4. Identification of System _ _IV\1-,-'.A....
5. (al Applicable Construction Code B31, l .. 19~Edition, _ _.N...,/._.A...____ Addenda, N-J, N-2 (bl Applicable Edition of Section XI Utiliz~ for Aipaj~'or Aeplace~11~11 1!i 8QW80
*'I I 6;: lderitificetion of .Compon11n,t1 Repaired or Replaced and R~lacemen~ Compon~nt1* ' ASME' Code National Repaired, *StlmCNid Neme of Name of Manufacturer Board Other Year Repleced, (Y" Component Menufectun,r Serial No. No. Identification Built or Replacement or.Nol . tJ.., *' Iv 1-1z.-z.1~31,C.. 2.-tv1S- l D V. ,, l i. VA\v'-c.
8. Tests Conducted: Hydrostatic 12] Pneumatic O Nominel Opereting Pressure 0 Other O Pressure 1/Sxps:::,,"l?'I psi Test TemP.8<<bitdf "F
'NOTE: Supplememel sheets in form of lists. sketches, or drawings mey be used, provided 111 size ii 8% in. x 11 in., (21 informil* tion in items 1 through 6 on this report is included on each sheet. and 131 each sheet ii numbered and the number of shNU is recorded et the top of this form. (12/821 This Form (E000301 mev be obtained from the Order Dept ** ASME, 346 E. 47th St** New York, N.Y. 10017 I'* FORM NIS-2 (Backl 1 I '
  • 1 * ' 'I
9. Remarks IY-z __:.......;.J.:~,..._~--=-.::...---==~-'----"'-'-""""'-.....,-"""'-'--'-'-------------------------
VA Iv c:_ ~() u I b C..tv J '33 8 I to "i - 1 Appllcable Menufecturer'1 Cata Reporu to be attached CERTIFICATE OF COMPLIANCE We *cem~ that *the. statements made in the repon are correct and this ~:,::fl':K,crn ,.,,.. J:: conforms to the rules of the . ASME Code, Section XI. r8"eir or rapl-ment Type Code Symbol Stamp ___N ~ / . ; . A ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of .Authorization No. _N:.:..,../..:.A-=-------------Explration Date;.*--...llHul""AIL----------- Signed (i2-17. p ~ Owner or O~aaignN, Title
l3:'f: Date---~--- d. . .J.. 6
.... )"""'""'*__ _______ , 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commiuion iuued by the National Board of Boiler end Pressure Ves*I Inspectors and the Stne orProvinceof Virginia andempfoyedt,v HSBI & I Co, of rlo.r t. have ins,ected the components described* in this Owner's Reoon during the period O to S: * /O -'1 ':{ , and state that to the best of mv knowledge and belief, the Owner hes performed examinations and taken correctiw measures described in thll Owner's Report in accordance with the r9quirement1 of the ASME Coda, Section XI. By signing this cemfican, neither the l ~ o r nor his employer makes any warrantV, exprallld or implied, concerning the examinations and corrective measures described in this Owner's Repan. Furthermore, neither tt,e lnspc,ctor nor his emplover shall be liable in anv manner for any personal injury or proc,erty damage or I loss of any kind arising from or c<;>nnected with 1h11 inspeciionn:4 f. ~ -----l~L..::.i.t~"------'-'-----'~._.=-..;;...-----Commissions _ _~V..:a:..:...--=5:...4:.:3=----------,------- 1 nsoectar, Signature Netlonel Board, State, Provine*. and Endoraementl Date !l'-1 b 19 9'3 ..-;-i-*---:*- Attachment I I Page 53 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co, Oate _ _ _... (o,..__..,,/__.4._..../i-*-Cj___ 3 Name sooo Dominion Blyd,, Glen Allen, Addr-va 23060 Sheet _ _ _ \.___at_____________
2. Plant _ _.S,.J.1.1J.i.r..1r.,iy~.c;P~auowu;e...r....__.5..,t.a....t._1....* ... D----------
o.... Unit _ _ T_._....W~oa....,..__________ . Nam* P.O. Box 315, Surry, Va. 23883 wo1'1'-35Dc)\\-Z..ol/~ RR.'*f 93-D7~ A9"alr Organlzetlon P.O. No., Job No., ate.
3. Work Performed t,y Virginia Power Type Coda Symbol Stamp _ _ _;;.;.a....;.;;.._ _ _ _ __
Nam* Authorization No. _ _ _ _ __.....,.._""'------- P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ ___...,._...__ _ _ _ __ Addrea
4. Identification of System R<::;.A.C to< Lop I C\I(] +
5, (al Applicable Construction Cod* B31, 1 19~Edition, _ _.N...._/..,A._____ Addend11, ...... N,_-_J..__....N,_-_7..__CodeC.. (b) .Appticable Edition of :~jo~:-* xi, Utiliz~ tbt;R*~;~J.*C)r(RIP1~~*rit1° 19\' 1 ;aowao '. 11 i (': ', .,, *,: ' ' i'; , ) lj'~
  • 11 '. \1 * :r  ! :*  ; h / .: ' . :,1o i.i:
.' ., .. ' ... ':*I' '.*" .. . . 'i . ', ' ~ '.'*' ~ . J  ; ' ( * *' " * ,, ,, < ": * * * * * * 't - ' 6 *.. ld~ntification: cifiCorripoi11inti Repliintd or ~,epliced *and *R8')1ac:emeni' Compon11nt1 * ;_r .'* ,1;,*,.r\ . '*?,.t' * *~:!ASM&*\ Codi 'I* ,i,:J' . :, ~' ' ' Repairec1;"' *stanlOili *Natio~al Name of Name of' Manufacturer Board Other Vear Replaced, (Vet
.,compon1111i ,, * . 'Minufacturar I,.\';;
. Serlill No *. . No.
  • identification Built or Replacement ... ,~Pt:. or.
,J* II '
l.*,h ,*1 , 1;,,l,
*,:,;,,' \ .~,, *n,. *. ,r:-od \.HJ l<. tJ lvlA- 2.- £.<:.:- ~t.v- ZS57A utvlC.h.i. o... p\~c:.c..t, *.~ll"i.' C....-.\., .... ~ \ IY-a h'.f'n.  ;, .. * rod "T"- ~ P.-,;.J. :r...c. "°r?1j"81,,'ll~"l NIA 2,...U.-lk\1-ZSS?A }Cj'il:> . l~i'\A-c.c:,...cwtt ,,J,);~ I 1'1- ' . . 1-1-eJI. " " r t\J J(J, , z-f..c.-:l-l<.11-~S~7Q. u~kt.) (2:c..f l~c.c. l . ,.t..! .. D IJIA. . Z-tl.c.~Hc..11'-ZSS"?A '.}'i\q \ lc.e1~...,., ... :\- . ,:fv,C),,, ,!, \ .' 1*1 , ',; ,11 i,./,/*"i~-':(**, \.: .i*' ,!} .,*;;!i *,,tl *:'t' i.'i*,;*I ',;.;i,/**:':'*;1,i1*; f Description of Work..,.,..:1J1i..i:;.~~'"'::-F~""'-..t::l~=~..:f:.:::.:.:A-.::!>:.;k.:.:<..::.h.:.:..,.'1.;,'.::P..~c.~fl.::!,U~<.'::...J:.....:9..~-c.g:..!.\!:"'"~c..;a!c.. ..... B~.D!aaJ*~"':.!;c..-;::;:t"!....._.Ji::::.!~_!,;i~~..:..:  ;..!* ,',', 1.r1
8. Test1 Conducted: HydrOStatic o* p~"umatic O Nominal Operating Pn!ssure 0"
. O,ther O Pressure tJO\? * *
  • psi
  • Test T,erri'p, lJ OT *F 1,,.
y,'1 i' *,, ,;*.' term 0 NOTE:* Suppiemental shaer1' in of lists, *sketches, or drawings may bl! used, provided (11 size i1°8% In. x 11. in,;** 121 ,lnformii;*'.' tion in item1 1 through 6 on this repon ii included on each 1hN1, and 131 each shNt i1 numberwd an~ the number of 1hwa ii ~ded lilt the top of thil form: (12/821 This form !E000301 may be obtained from tha Order O~pt,, ASME, 3415 E. 47th St., New York, N.V. *10017*
  • FORM NIS-2 (Backl
~ ..
9. Remarks -~I_i_----!1\....:.:..:..rc..!=:4::!..!l.S!a.:r,_c;\......_..:;l2.o~J....._ _
C.._':>_f+-._3=2-;;...9..a....;;Z.;;;...;.l.:::'2..:::..----1l"---------------- Appllcabla Manu111ctur11r'1 Data Raporu to ba anactlad I,/. ,, I '21 l+9t tv vlr- c_ ~v s~"? 69 3 -- CERTIFICATE OF COMPLIANCE We cemfy that the statements made in the repon are correct and thl1 '2,i;f\""(,(,Y!:Js"' conforms to the rules of th* t ASME Code, Section XI. rapair or rapl-,nant Type Code SymbOI Stamo _ _...;;.;N..a./...;;A..a..._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Cenificate of Authorizauon No. _N;.;.,./...aA..;..._ _ _ _ _ _ _ _ _ _ _ _ Explratlon Oet*----"N,./..,A,...__ _ _ _ _ _ _ _ _ __ ,. . . .Q~.~~...£~ ~!**~£ ,.__/ Date _ _J!...J£..:-~~~-----.+-~----* 19 9J CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission iaulld by the National Board of Boiler and Pn!SIUre V11111I Inspectors and the State or Province of '.' i rginia and employed by HSBI & I Co, of fiar-'tfot'd' cf have in~ed the components described in this Owner s Reoort during tne period £- / - 90 to S-* / 6 - 9 t../ , and state that ta the best of my knowledge and belief, the Owner h11t performed exam1nation1 and taken corrective manures described in thl1 Owner's Report in accordance with the requirement* of the ASME Code, Section XI. By signing this cenificatll neither the lnsi,eaor nor his employer mak111 any warrant¥, expreaed or implied, concerning. the examinations and correct1w measures described in this Owner'i Repon. Furthermore, neither shall be liable in any manner for any penonal injury or propeny damage or a 1011 of any kind arising from or connected with this th* Inspector nor his employer . _.(L_J t. ~ CommiS1ion1 _ _......:.V..:a:..:*:.._.::5~4:..:3:...- - - - - - - - - : : - - - - - - - 1 nsoector-1 Signature N11tlon111 Board, StHII, Provine*. and Endon*m*nta Date_ _ _ _ I ~b--J-l~-19 CJJ Attactiinent II Page 54 of 86 Serial No.: 93-318 Docket No.: 50-281
  • 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 & Power Co, Date _ _ _......... lo,__,../__q._*.../_9. . .3>_________
Name sooo Dominion Blvd Addr- , Glen Allen, va 23060 Shet _ _~ - ~ - - ~ - - - - - - - - - -
2. Plam Surry Power Stati co Unit _ _T....:....1/\/ .......0______________
Name P.O. Box 315, Surry, Va. 23883 '-'Jo~3'i$t>l>ll"!>lf~'iS f<.'R~ q~-DS2.. Repelr Organization P.O. No., Job No,, nc.
3. Work Performed by Virginia Power Typo Code Symbol Stamp _ _ _.......__ _ _ _ _ __
Narmi Authorization No. ________....,._...__ _ _ _ __ P.O. Box 315, Surrv, VA. 23883. Expiration Date _ _ _ _ _ ___...,.__c....._ _ _ _ __ Addrea 4, Identification of System --=-R...:c=o..-"'~=}i-""-"QC""'-___t.__..o..,c;,""'-'\_a....n :t...__________________________
5. (al Applicable Construction Code B3 l, l 19--6.LEdition, NIA* Addenda, .......N1.,;-;;..]..__...NL-;;..7...__Code C&le (bl Applicable Edition of Section XI Utilized for Repeira or Replac9ment1 19 BOWBO 6 .. Identification of Components Repaired or Replaced and Replacement Components ASME Code
' Natlonal Repaired, Stainped Name of Name of Manufacturer Board Other Yur Replaced, (Y" * **component Manufacture.r Serial No, No. ld1ntiflcation Built* or Replacemen_t , ,o~,,No/,, I I  ! ' 1*\ I Vs ,,He:,._. ku-r 0~'<1--\ \..) \\\~"' 1\1/~ 2~1.c."' HC.\/-2.5$7(3 lJ !'\Kt-I -~cl" \AceJ. ,.HD ., i bA-1-d~\r'\4.' 1,:ri",.1: l ... '.l,1.',°!;lb'1*ti':, l'~ "~ i ::s;.....l, 'P-c-ti.,t ~TP C.2."l:,'Z..., tJ/~ z..,. f.c;~.~v-z.~B. \C\~\, *R.cp\~e.".""c;"'.'-1: . ,.N. ' ,~,. }\)uf " ** ( ,1:wc,.J.. f.b6 I \J t-1\c=. l-...\ U1'11(1\\ ~/t,., 2-2.~ - H<'., \I-Z$7 6 uNl<M . K-eP li<tcccl . MD ~\\',-c:..~ \~ '\\.-J'*c....!.*'ite.~ I i->u-\- +-Bbl :r ",-:~. ti7C>OS "' iNm** z.,.tc,"c.ll-,2SS"JB'. *l':\,C\.~ ~'C.\' ,~c,.~c;~~ :,N,.~,.i,J:  ; I, ,,,,: 1*',:,1*,:, ,,  ; ,:  :'l " "i' i ,, I
i ;~
,**, ,:"' I I I i : : ,*' ' . l . \ ' ' 'Ii * . : '* ', .  : . ':l, ' I
  • I ~~ . ' ~s * : I ';
'7 '., );>escripti~,:, of *.....,.p_\...,9:.._c. Work--'"&:...,.* ...c__: -'~....._o Q.,.f\""""'c.._-\--...._,_~_\ ...... .......a~-\.....J;.._\,:,.;,t'\."':'§:r-*-'-'-'-'-.;;.:.;.;;.__ _......;;a..;..;._..;....,;..~--'---i-.;;...;:..,.....~~-:--.- 1 .* , '  !
8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating* Pressure 0-' ,*i*' .'.:/);I)
OtherQ .~ressure ~DP psi Test,T~~P, ~OT .*F ,,' .:'\ , '  ::::i;:;;:,.i~~t\'! NOTE: Supplememal sheets in *form of lists,:sketchas, or drawings may be used, provided 11 l size iti 8% lri. ,x* 1-1*.in.;*'(21 lnf~t '\ 0 tion 1in *items I through 6 on this report i1 included on each shNt, and 131 each shee1: is numbarwd and the number of 1hNU ia , }ec~ded et the top of this form. ' '  :" . ' '. ,' . . ' ' ' *,'. ' ,- . ' ' *, ---*< **;_-*, . . * , - ~ ' ' * \. I t ' * (12/821 . This Form (E000301 mev*be obta1necHrom the Order Q~t., ASME, 34&*E; 47th St;, New York, N.V .*JOOU,.1 ...:. I': J
  • -,i~¥!t*
1:** 'I FORM NIS-2 (Backl \~
9. Remarks ___:_--'\.\-=~cI:;'j.0--.!.~:::;U.:::* .:.\-_ _-=C..;.;;S;...\s..f_3...._~=-::7...;b::;,_;'t;..:"3:>::;;....-_J_ _ _ _ _ _ _- , - - - - - - - ~ - - -
Appllcable Manufa.cturer'1 Data 1;'9POl'tll to be anachecl ssy ':fl\'!:>'"\~ .... z. . CERTIFICATE OF COMPLIANCE we cemtv tnat the statements made in the n!pon are correct and thi1 ~:ce\Ac"C.mc""-\- conforms to the rules of the ASME Code, Section XI. rapa1r or rapl-ment Type Code SymbOI Stamp _ _...:cN.:.,/c.;.;A:...._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ....:c:.L...:.:..------------Expiration Oat*--....1H.J./'-"'A'------------ 19 JJ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commiuion iuued bv the National Board of Boiler and Pressure Ves*l lnsi,ectors and the State orProvinceot '.'irginia andemployedby HSBI & I Co, of _ _ ___.t(.L!J4&.r"--!-L-1tb---""rccJ,,,._'f'J--"C'""'f.;...;._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ hava in~ed the components described in this Owner , Reoort during the period 5 qo to £-tr:.-&/</ , and mn*thn to .the best' 01 mv ~now1ec;i9e and belief, the Owner has . . performed exam1nation1 . and. taken correctiw*meatUres . described in thl1 Owner's Report 1n accordance with the requirement, of the ASME Code, Section XI. By signing thrs cemticate neither the lnsi,ector n~r his employer makea. any warrantV, expreued or implied, concerning the examinations and corrective measures described in thi1 Owner's Repon. Funhermore, neither the Inspector nor his employer shall be liable ,n any menner. tor any pe~nal injury or p~eny damage or a lou of a_ny kind ari1ing from or connected with thl1 inspection. ---f~~:,.::..._~~--~/~. ~ o r
  • Signatura
-::-:--&A=---------*---Commission, _ _....::V.:a=-=.*_.:5:..4.:.:3::.*---------------- National Board, Stata, Provlnca, and Endorsamantl Date_ _ ____,[.,._-_'f-'----_19 9J ,L,,-,.~ I )' I Attachment II Page 55 of 86 Serial No.: 93-318 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the PrO¥isions of the ASME Code Section XI ,. Owner Virginia Electric & Power Co, D11te_.....;;;&;,;;...- :J... ........,....-....... 3____________ Nama sooo Dominion Blvd,, Glen Allen, Ya 23060 Sheet of_.....,_ _ _ _ _ _ _ _ __ Addr-
2. Plant Surry Power station Unit f\AJD Nama P.O. Box 315, Surry~ Va. 23883 Repair Organlzetlon P.O. No., Job No., sta.
3. Work Performed by Virginia Power Type Code Symbol Stamp _ _.......;N.;.:/ ....A=-------
Neme Authorization No. _ _ _ _ __....N~{.l\.___ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _...,.,,_.._ _ _ _ __ Addrea
4. Identification of System ----'=~""O""W"-l""'A.....,)N..:...i.:M...... 9-...tff;;..i.._....s,.._p,1;;;!2;;cA:.::.,Yc.....-----------------------
5, la) Applicable Construction Code 831, l 19--62_Edition,_...,N.,./_.A...__ _ _ Addenda, N-J, N-1 (bl Applicable Edition of Section XI Utilized for Repeira or Replacements 19 ROWRO
6. Identification of Components Repaired or Replaced and Replacement Components ASME Code Natlonal Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (YN Component Manufacturer Serial No. No. ldantification Built or Replacement
  • or Nol I
I ' Vi'ALVE. 2 " I NA NA NA oz.-cs.-st WA ~{ACe-b Nk> PIPE 2. II I NA NA NA 02.-c.s - &r )\\~ 'lZE:p/ACe'i> Nb /:: I bot,AJ 2, // I f.11>< ' NA NA- oz. .-cs- S/ 'YA "/Zepl.ttcf;fi) "10 VALVE. 7.. I ~ELAN N/J,. NA O'Z- -cs-s1 /3!)1 i E:f> ~-*- .....,.,-- .,j . J'fO.!,t, i JohN H, Pl!?~ I ,'
l. II I f:: {Z. t SC. /.11::.f'\fVJ .NI>.- Nit oz -cc; - 5/ ,~s~ j~~GM~ ... /\.f O 7, ,Oe,scrip~ion of Work _ __.R ....e""'t"p""'...... V. .
IA( E;___ A;...k,c,Y....P-*-----'-'---'-~-""'-----..:....--~----'-'--'---i",----..:.
8. Tests Conduct&d: Hydrostatic~ Pneumatic O Nominal Oper11ting:Pressure O  ;-};:'.';l; Other D P~essure /. I x).f.r,i;,.1 psi' Test .i:. Tem.p, l;\Mbl eN1: OF .('1:,1i)fi 1
' *(*/f~::.,,\*~*1 ' 'I,,, 'i ' , 'ii, *, ' ,, j I ,f ,;11*'\ ' : t::~:i:lp , NOTE;, *Su pplememal sheets in* f.orm of lists.'sk'etch111, or drawings may be u'sed 1 provided 11 l size iti 8%' In. Ix ,1-1,in(*/ (21 lnfon:i:-, tion* i~I items 1 through s* on this repon is inctuded on each 1heet, and (3) each sh~ i~ numbered and the number c;;, *1heftial recorded et the tap of this form. * '*,* .,..,, ,., ....... :\*.*,.*'-J..:**1! 11,2/821* , , This Fonn*(E000301 mav be obtained from the Order*Oept,;-ASME, 345 E. 47th St;, New York, lll,Y*:,1()917,,; /'* ' I ~ I i' r I ,' ,II *i,i' (! ,, I ' **.1: / 1 , ' *I[ I ,,, I FORM NIS-2 (Bac;kl ' I. 2/f
9. Remarks ---5=~..::'S:._Y.L_.--=3::.!l-=:B:..:9:..:0:..:3=:..'. ,.-. !.I~L,;l-:Y!::!A.i::L.~~~E:.....,,)""-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _---:~~
,,,1*'
,! * :* ; Ac,"'j; cable Manutac
  • ar'1 .oaui R'aoaru ta b~ anacnacf.
ss 181712-1 P.IPE:21 34/ '5<o3 - / (lf:lbow Z} CERTIFICATE OF COMPLIANCE We ce~1ty t~at the stat~rri~nts made in the ,:.,pon ere correct and thl1 A,e)&A1Gb!f.('#Cconform1 to the rules of the ASME Code. Section .>< I. repair or rac,1-mant. Type Code SymbOI Stamp _ _....:.;N~/_:A.:...._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Cenificate of Au1hor1Zat1on No. _N;;.;../....;;A..;..._ _ _ _ _ _ _ _ _ _ _ _ Expiration D11t1 ---~HMl.,.A1;1...___________ Signed Q ./'.. ,/ O w n e r ~ ~ . Title ,,£/ ..:z::t_r ..::feau/cf&? Date _ ___.,....,l.,.. 1 tf-*_..,.('.____ , 19 1111.<<.... .9 / CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressuni V1111el lnsPectors and the State orProvinceot '.'irginia andemployedby HSBI & I Co, af f/().,r1"ForJ, Ci. have in-,acted the components descrit:.d in this Owners Reoon during the peri~ ({',,-.i,o to fto-i t , and 1t11ta that to the best of my ,nowtedge 'and belief, the Owner hn performed examination, and taken corrective measures described in thl1 Owner's Repon 1n accordance with the requirement1 of the ASME Coda, Section XI. , Bv. signing this cemticate n111th11r the lnti>ec:tor nor his employer makes any warTantV, upreaed or \mplilld, concerning the examinations and corrective me1S1ures described in this Owner's Repon. Funhermore, neither the Inspector nor his employer shall*~ *_liable in any menn.~r* for, any personal injury or propeny dimage or a 1011 of.any kind arising from or connected with this inspectioh~ ~ f.  :?~ ----~.L..l""'-.=.>'-'~'-='----"-'---..,U'.'.-~=----....;...----Commis1ion1 _ _......!V..::a:...:..-=5:..:4::.;3::.__ _ _ _ _ _,___ _ _ _ _ __ ,nsoector-1 Signature National Board, State, Province. and Endonamen11 Date,_ _ _ _ _QJ=---=-/_.__ 19 9J . ***,?.(*.*- .it~i\\f:: . . ~~*.,,** .....--:r.*. Attachment II Page 56 of 86 Serial No.: 93-318 Docket No.: 50-281
  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Prowisian1 of the ASME Code Section XI
t. Owner Virginia Electric & Power Co, *Date _ ~;.__-...:.1_-_;)_3_-________
___;;* Name 2. sooo Domfo,ipn *6*1-vd, , .Glen* M Jen, Va-Addr-23060;ShNi** *
  • 2 a-------------
s~1.. r S;;i...i.t...a~t-;...a...o......._________
2. Ptam_... 1ri;..r.:.y'i-.t:P.L.101J11wu:e:.i..... Unit _T_v,.) __0_ _..._ _- - - ' - - - - - - - - - -
Name P.O. Box 315, Surry, Va. 23883 Raoatr Organtzman P.O. No., Job No., sta.
3. Worlt Performed bv Virginia Power Type Code Symbol Stamp _ _ _N__/_A _ _ _ _ _ __
Name Authorization No. _ _ _ _ __ . . . . ~ - - - - - - - P.O. Box 315, Surrv, VA. 23883 ExpiretiOn Date _ _ _ _ _ _............._ _ _ _ __ Add,_
4. Identification of svnem_...;;W"""'I_Vf"_A_r.;..r,.J_M __ __S_P_.ul__,fi:-------------------------
-e__N1
5. (al Applicable Connruction Code B31 , 1 19~Edition, _ _,N,..I ...A
......___ Addenda, N-J , N-7 (bl Applicable Edition of Section XI Utilized for Repair, or Repl-mant1 19 BQWRQ 6., Identification of Componanu Repeirwd or Replac:ad and Repl~ent Componanu ASME-Code Natlonal Repaired, StamPed Name of Name of Manufacturar Board Ottler Year Reoleced, (YN i Component I Manufactunir Serial No. No. Identification Built or Replacement or Nol i! !El~ 2 I/
  • Pll/>IIK.O(l.N '
NA tvA c,z-c.s-s, 199/ /4plJ:J.lE71,(~ ,vo I I I I I
7. Oetcription of Work i2e:pLAC,f; VALyE
8. Test1 Conducted: Hydronatic ef Pneumatic O Nominal Operatin9 Pre11ure 0 Othar O Prmura /, l'tl dLs,4,.lpsi Test Temp, A111hie,v-t' *F NOTE: Supplememal sheeu in form of lim, sketches, or drawings may be u111d, provided l1 I 1lz* ii 8% In. x 11 in., (21 lnformt*
tlon in items I through 6 on thi1 n,port is includad on eec:h 1haet, and 131 eacn lhNt Is numberad and the number of 1hN11 ii recarded at the tOP of tltil form. (12/821 This Form IE00030J may be obtained fram tlle Order DIPt., ASME, 34& E. 47th St., New Yortc, N.Y, 10017
  • I I,, I' 1,1 I
I! : i ' *
  • I*'*
,r ,'r I!',' ) *,;,: .. 1*1 **,(,, r;1 1*1, .'! ' I' FORM:NIS-2 (Backl, i,*ii *,. '. I' I* , ri'll'I ,\r ,,,  ;  :, I
9. Rein1rk1.'___.,;....:s::... ..:....$....;1-l,..-----==3::...;_1;_;;'2>;...;9;.;.;.0:;..3.--.... G~.
, ..... =z-'_'....,l/~A;;.;.,l,~l/f5_,),...._*-*,--...,-,-"'-,....:,.......,.........,..,-----------..--..- , ',.. , Appllc:abl1 Manuf=r*r'* Daui Repana ta be anec:nad ssy lB 4 7t'2.. - I (p1PE z.~ (1SV 34t5(o3 -, / bo......., z 'I)_ ~e, CERTIFICATE OF COMPLIANCE we* cemtv mat the statements med9 in the l'l!Poff are correct 1nd thl1 MM~,;"'n<confonns to the rules of the ASME Code. Section XI. ret,airor.reai-,iant Typ1 Code Svmool Stamo----'_ _ N..;./_A"------------------------------------ Certificate ot Authonzat1on No. N/A Expiration 01t1 _ _ _Nu.,cl..1A _ _ _ _ _ _ _ _ _ _ __ ,,n-" 0 ,.~ _/~ -- 3 Sl
  • au ~£.~r~O~,Titla-h r.s_r- ~'7_.!'.'~::'~0-
 !+/-,..~~~ 01t1_..... ~_}. ~  :.: ;~/J.~'..._ ........\~,f,£ ______ , 19 _£....,.,_?__ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the N1tion11 Board of Boiler and Pn1m1ra v,-1 lnsoec:tors and thl State or Province at '.':. rgin ia and employed t,v _ _..H.._S ....B.,.I_ _.&.._,.I......,C,..o....,.__________________ of f(a; r FiJr d J C f. have intDKtld the components d11cribld in this Owners Reoon during the period. S:::-/-9u to 5-/0 -9~ and 1t1ta that tO the best OI my < no_;.ledge and belief, the *Owner has performed 9Xlffllnltions *,rid tlkln C O ~ ~ 'mea.ires Oescr1bed in thll Owner'.s Aepon in accordance with tha 1110uirement1 of the ASME Code. Section XI. By* signing this cemtican, neither the Inspector nor his employer m1k11 1ny w1rr1ntV, exPt'lllld or implied, concern1n9 the* examinations and corr~t1ve measures described in this Ownlr'1 Report. Funhennor1, neithlr the ln~tor nor his emplc,yer in1P~ion. n /_ shell be liable ,n anv manner tor any personal injury or propeny d1m191 or 1 1011 of 1nv kind arising from or connected with 1h11 ~ _____.lt_..~""~.::....,,<--"'--...--"':~~-
nsoactor1 Si11n*ture
~ ......- -......----Commis1ions _ ___:.V..:a:...:_..:::S~4~3::......______________ Natlonel Soard, State, Province, ana EndoraamenH D1t**------'-6'----..... /_19 93 Attachment II Page 57 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co, Dat, _ _ _(o ____-__./__5_.__ "9
_____3_________ Nama sooo Dominion Blyd,, Glen Al Jen, va 23060 ShNt _ _ _ _ ot_......._ _ _ _ _ _ _ _ __ Addr-
2. Plant Surry Power Sta ti on Unit __ r.._uu
__o______________ Nama P.O. Box 315, Surry, Va. 23883 3~oo to s 342.. 1z.r2.. ~ 9 3-o.5>6 Repair Organization P.O. No., Job No., ate:.
3. Wonc Performed by Virginia Power Type Code Symbol Stamp _ _ _N_./_A;.;;.__ _ _ _ __
Name Authorization No. _ _ _ _ __...N+-/.,.14..__ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Oat, _ _ _ _ _ _......,,..__ _ _ _ __ Add,_ 4, Identification of System _......;(?i.;;;..E:;;......;;C;..;l...;;.RC-=u--L_fA....;;..;.1_.1""'0""~--S-""'P""'2_A~'(f:,______________________ 5,
  • lal Applicable Construction Coda B3 l, 1 19 --6.L Edition, _ _.N..,I....A...____ Addenda, N-] N- 7 Codec...
(bl Applicable Edition of!Sec:tion XI Utilized for Repairw or Aeplacement1 19 80W80 6.i Identification of Componenu Repaired or Repltc:ed and Repltcement Component* ASME
."C..
Codi Natlon1I Repaired, s~ Name of Name of Manufactunir B01rd Othar Yur Replaced, IV" Component Manufactunir Serial No. No. ld1ntification Bullt or Replacement or Nol /let Nut ~ II B : ' NA fVA /VA .?-f'lS-17 N./:,.. l2et>I.~ ct;'{) Nh... 51" LJ'J) ~ 1"' I NA NA NA Z -1Z.S-t7 t,..:,.A IZel)l4CED *NA /../eK Nuf $qi B Aa. t:i:IVu, 1VA. N4 l-f2S-c7 /)JD f'epfA,GMeA.Jt (\I{\ StV)
  • 11 I t An.1>1/VA L ,v~ Nlf l -(Z.S ~ I 7 1993 7Z'e p{A.(11/ ~ l\J {\.
7. Description of Work _ _ _ M_o~b_,_i::__y,___V_A~L~v_E:___________________________
8. Test1 Conducted: HydrOltatic O Pneumatic O Nominal Operating Pressure 0 Other O Pressuni _ _ _ _ _ psi Test Temp, *F NOTE: Supplemem11I sheeu in form of lists, sketches, or drawin91 may be used, provided (1 I siz* i1 8% in. x 11 in., (21 lnfom,a.
tion in items 1 through 6 on this report is included on each 1h1111t, 1nd (31 each sheet i1 numberac:I and the number of shaea ii l'l!COl'ded at the top of thil form. (12/821 Thl1 Form tE000301 may be obt1inad from th1 Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 FORM NIS-2 1Backl
9. Remer.ks --'~......,,,,s~v:_. . .
3<.!!2::=.4.,__,,.8:....:7 ...."----"-'H I I ....e.._K_,___ A 1 S- ,, -f_.... v u___ e,.....__ _ _ _ _ _ _ _ _ _ _ __
  • Aoollcable Manufacturer', Data Reoona 10 be anachacl Ss1f 4 l9osz-l snA>  !
CERTIFICATE OF COMPLIANCE W~ certify th at the statements made in the report are correct and this .4t.~&IV,(' conforms to the rules Of the ASME Code, Section XI. repair or rapl-ment Type Code Svmt:>ol Stamp ___N.;.;.../..;.A.;...._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. _Na.a../...A______________ Expiratlon Date _ _ _Nu.A:/.1A:.__ _ _ _ _ _ _ _ _ __ . 'Signed /'l d~~d'c< ~ r or Owner',ca,..;QnN, Title CERTIFICATE OF INSERVICE INSPECTION Oate_... T~ /~ I, the undersigned. holding a valid commiuion iuuld by the National Board of Boiler and Pressuni Vas111I lnspacto~ and the State 9v' ~..,'"-'"'-.o::;~.=..-.:at::7_ _ _ _ _ , 19 ____.___ orProvinceot Virginia andamplovedbv HSBI !i I Co, of H~-rro,.J, cf. have in:'."::ed tha componenu descrit.d in this Owners Reoon during the period S- ( - 'f D to ~-/O-f1..__ , and stata thn to the best of mv knowledge and belief, the Owner has performed exam1nation1.and,taken correctiw. measures described in thl1 Owner's Repon ,n accordance with the l'IIQUintmentl of the ASME Code. Section XI. By signing thrs cenrficau, neither the !nsi,ec:tor nor his employer mak111 any warrantV, exprllllld or implied, concermng._the . examinations and corrective measures described in this Owner's Report. Furthermore, neither the lnsi,ector nor h_is emplover shall be liable in anv manner for any personal injury or property damage or a 1011 of any kind arising from or connected with thl1
  • in1Pection.
----~~..!,£**____,f.__.'-..:&JJ-.::;;;;...-=-* =-* _ _ _ _
nwector'1 Signature
....;..._____ commission1 _ _......;.V..;:a:..:..*-=5c..4:c3=--------------- National Board, State, Provlnca, and Endonamentl I- ( Oate _ _ _ _ _ _----'b=---'--'-- 7 19 !S Attachment II Page 58 of 86 Serial No.: 93-318 Docket No.: 50-281 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 Name
& Power Co, Date _ ____.lo_l....1___~ . .r-"q . . __3=------- sooo Dominion Blyd,, Glen Allen. Va 23060 Shat _ _.... \ _ _ ot _____________ Addr-
2. Plant Surry Power Station Unit :f"WD Nam*
P.O. Box 315, Surry, Va. 23883 Wb*3fSOD12."7Z.Y3 AA"'"° q3-J~ Repelr Organlzetlon P.O. No., Job No,, nc:.
3. Wortt Performed by Virginia Power Type Code Symbol Stamp _ ____;N;.;;..c../~A'-------
Nema Authorization No. ------N~/""ll,___ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _......,...,.._ _ _ _ __ Add,-*
4. Identification of System 5 9, tC:+'/ I.a jc.t;..:\:i OW"\
5.: (al Applicable Construction Cod* 831, 1 19--6.2_Edition, _ _..N.,....I A...____ Addend11,.....-..N....- .....J--.....N...... 1--Cod* C...* (bl Applicable Edition of &tc:tion* XI Utilized fbr'Aepairw ~r Aepl~mentl 19 RhWR'O ' .J '. 6,;, Identification of Comporienti* Aep*ai~ or Aepla~'*and Replacement Componei'it1* isa.1e*
  • Code Nation.el Repaired; Stli'ilpad Name of Name of Manufactur11r Board Other Year Replaced, (Y" Component * .
  • Manufactu'n,r Seriel No. No. Identification Built or Replacement .or.Nol.*,
I . t~~r 2-s::c-
8.
  • Tests Conducted: Hydronatic O : *Pneumstic 0 Nominal Operating Pressura ff Other O Pressun, NO? psi I
Test Temp, ~6 T °F NOTE: Supplememal sheeu in form of lists, sketches, or drawings may be used, provided (1 I size i18% In. x 11 in., (2)*1nforma~ tion in items 1 throu!tl 6 on this report i1 included on each 1heet, and (31 each sheet i1 numbered and the number of 1h..a ii recorded at the,top of thil form. (12/821 Thl1 Form CE000301 may be obtained from the Order Dept,, ASME, 346 E. 47th St., New York, N.Y. 10017 .-*.:..;.* . . ~;~~it~~~;) . ', (;' '1 j1,* 1 FORM NIS-2, (Backl
I i 11
9. Remarks _\:.....1(....,,o....,v.,.,.e,<...___,,So.:;+..,.,.J.;:......J)y=-::u;..:.~--......;;;s_s_,y (p_S_S
___3___ ___l&>__h;;;;......-_9...___ _ _ _ _ _ _ _ _ _ _ _ __
  • Appllcabl* Manufacturer', Data RepoMI to be afladled
,. .l I Covc.c 5 :h,;, ss y 3£.SSt..'=, - 7 . . 0 CERTIFICATE OF COMPLIANCE We cemtv that the sta tement~ made in the report ani cornic:t and thl1 f.ceM<:-:croco:I: conforms to the rules of th* ASME Code, Section XI. repair or **ol_,,,ent Type Code Svmool Stamp _ __..;.;N__/..;;A.;...._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ -;.;.L.,--------------Explration Date _____N...._I..A ___________ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commiuion iuued by the National Board of Boiler and Preaur11 Ves1el lnwectors and the State or Province of '.'i rginia and employed by HSBI & I Co, of d4..rT'Fc.,,..J J Ct" have insoected the components described in this Owner, Reoort during the period 5- l-9t> to £-({)- ltj . and state that to the best of mv k.now1~dge and belief, t_h~ Ow_ner has performed examinations an.d,taken con-e:ct"" measures c:lescribec:I in th.II Owner's Report ,n accordance with the requir11ment1 of the ASME Code, Section XI. By 1i1,1n11;1g th" remticate neither.the Inspector nor his employer mak111*11nv.warrantv *. exl)l'lllled or implied, concerf!ing the , examinations and correct Ml meaaures described in this Owner*, Report. Furthermore, neither the Inspector nor his emplover
shall be,lieble in anv manner for any personal injury or property damage or a lo119f any kind arising from or connected with thl1
...n.,..,.,*:.=:i....c~='--*-f11-.,_._e....,::..o~-'""=...;;.;;;.._____ Commission1 ____V;.;a=-:._5:;..:4:.:3:__*- - - - - - - - - - - - - - - i_n_sp_ect_(i1J?~io
naoector'1 Signature National eoarct, Stat*. Province, and EndonemenH Date,_ _ _ _____...b_-.... / ...
/ __ 19 q:J Attachment II Page 59 of 86 Serial No.: 93-318 Docket No.: 50-281 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 Ii Power Co, Date _ _ _:>--'/"--/"'"""t.;.......a/
___ '1..__:::> Nam* sooo Dominion Blyd,. Glen All en, va Addr-23060 Sheet _ _.....__ot ____ a,__________ Unit _ _T...;_Lv-=b;_,__ _ _ _ _ _ _ _ _ __
2. Plant Surry Power station Name P.O. Box 315, Surry, Va. 23883 Wt>"* 3>'5C>b 131 D'2,':{ ~Q_~ ';2) -61...[ I Addr- Repair Organization P.O. No., Job No., etc.
3. Wort( Performed by Virginia Power Type Code Symbol Stamp _ ____;N;.;../:....A;;.;;..._ _ _ _ __
Name Authorization No. _ _ _ _ _ _N....,..{..:A....__ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _.....,.....,._ _ _ _ __ 4, Identification of System _ _.... R~c:.='-9,-c:..~\-o-c_-C_o~a~l9,_J() ..........t'_______________________
5. (al Applicable Construction Code B31, 1 19---61-Edition,_....N,..,/_.A...____ Addenda, N-J, N-2 1
(bl Applicable Edition ofSectio;n XI Utilizecdor"Repairs'c!i} Rep:lacimien ts"19 BOWBO 6/iidehtificatioil of Components Repaired or ReJli~ild and Repl~ement Corriporiet'\tl * *:*; :i ' I ,' ,;,, ,ASME ,;,1 .. ,* ~ ,- ,, Codi ,; ,*i*, \, ', 'I ' National Repaired, Stimped Name of Name of Manufacturer Board Other Year Replaced, (Y* I,, Compo,nentc *, Manufacturer. Serial No. No. Identification Built or Replacement or Nol ,!  ! j , ' ', . l+cx tvu l.-
  • U!\~y\ l>l'\,~1')' NiA. 2- fl..C.-'5.V~ 2$SI I\ \)f0¥J,.) Rc.P l-4c.c..l .. ,,
'*1' . ' ,:*,'J I- 3/,/' ll-, II fvu\- \ \t-:)\<.,t-J \) I\ \<,I\) T\.'J/A 2-f.c---S V*ZSSIPI- \..)~ \<.tJ, Rc.~\Ad *'I' I *A-V ,"'\h II e,,c,J., l.)µ\c:;. ,u \)(\\cl-) tJ/A 7-ec.-5\l-l5SJA- L>t.) \;:;IU ~cP \,c:c.~ ft; f"r.s b l'~li&/s-,.Jwv Ca>Sbv 1:* ufl I:'.. f'J, f\)/A,,' Z--et.~5 V*z.9=,/ p. un*l"rv' I ~pe.-.;r~J *';,, *: n' ~ i 1 J.la tj t.1.\- C..,J,*,...1 .~1,' ?,oJ. \.lr,.I::~ \ I l \J jf).: ' z,.,ic..*S\/~2$\~ 11:i 'l '2- £,p1,,.un,v,\.- 7, Description of Work R~~vc. Ve..,\ 1/c__ C...nc 51.-,.:p
8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure 6ZJ Other O Pre~sure ND ? psi Test Temp, tJo T °F '
1i'. *.'I NOTE: Sup'plemental sheets*in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (21 infoma*' tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of shaeta ii recorded at 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 /, FORM NIS-2 (Backl
9. Remarks-~-_ l (I _\L_,.,, hul. n,..._ -*' 5c...v "2 o-z-,...,
1L..)c;......:...*_ _-=..;:...J~r---"~"--=-=O"--J ..._.1:-,..___!_..__L.::~~T-----'l.,._. ,::_ ' _ _ _ _ _ _ _ _ _ __ ,2:;..._-_..k2:;..._ .....-L,.... Appllc111bl11 ManufacflJrar'1 Data Rapom to ba attached CERTIFICATE OF COMPLIANCE We certify that the statements mede in the report are correct and thi1 gg,..:c/t..:pjlQrtOJro'conforms to the rules of the ASME Code, Section XI.
  • repair or repl-ment
  • Type Code Symbol Stamp _ _ _N - " - ' A - ' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Certificate of Authorization No. _N_._/.aA.a....------------Expiration Date _ _ _Nll.L/.1,Ai____________ Signed /:1 £or o ~/ ; i g://.-,/ ,TJ_:z:- ~ *.v&;d. Date-£/7d---'-""._,v,..__,z,.=-<-?_ _ _ _ _ , , 19 ?J ~er n n , 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 Statl or Province of Virginia and employed by HSBI !i I Co, of darJfii,.J . ct: have in(f3ted the components da1eribld in this Owner's Report during the period ________5::,__-_._(_-_q......,()..__to S - ID ~ ~ , and state thet to the best of mv knowledge and belief, the Owner has performed examination1 and taken corrective measures described in thi1, Owner's Report in accordance with the requirement1 of the ASME Coda, Section XI. By signing this certificate neither the Inspector nor his employer mak111 any warrantv, exprassad or implied, concerning the examinations and corrective measures described in this* Owner'1 Report. Furthermore, neither the Inspector nor his employer shall be liable in anv manner for any personal injury or property damage or 11 1011 of any kind arising from or connected with this inspection. -----~---~-~---f__. 1nsp111etor'1 -""'~""""--'""----*-Commissions _ _....;;V.:a::.:.*--=5~4:.:3=---------------- Signature Netlonel Board, Stat'!, Province, and EndorHm*n,tl Date_ _ ___,fo~--1--19 fJ --*-;:--, ...
    • ] _...... *,
Attachment II Page 60 o.f 86 Serial No.: 93*318 Docket No.: 50-281 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 & Power Co, Date _ _ . .;5;;;;.. . .__
/ 1_.'S......_j'_q"""~;;;;....---------
Nama
  • sooo Dominion Blvd, , Glen Al Jen , Va 2 3060 Sheet _ _ __ of _ _ _z..__________
Z-- Addr-
2. Plam_...S...1...i..r ..r...YF--P.;...,.Cuawu.e..ir.......S
.....t ...a~t-i..,n.,.n.,.__________ Unit _ _ _-_\_liv....;;;.b_ _ _ _ _ _ _ _ _ _ _ __ Nama P.O. Box 315, Surry, Va. 23883 Addraa Repair Organization P.O. No., Job No., ate.
3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N;;.;.c./.;;.A=---------
Nama Authorization No. _ _ _ _ ____.N..,.{,._l\a...._ _ _ _ __ P.O. Box 315, Surry, VA. 23883 e'xpiration Date _ _ _ _ _ __...,._...__ _ _ _ __ Addr-
4. Identification of System_-"'~--'-'~"'4"'""'G...t._D~'-"""L- ___b_.p._\._"'-. _'___
t"> .\-__________________________
5. (al Applicable Construction Code B31, 1 19--6.LEdition, _ _.N. _/,._A.. ____ Addenda, N-J , N-7 (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, Stall'iped Name of Name of Manufacturer Board Other Year Replaced, (Y" Component Manufacturer Serial No. No. Identification Built or Replacement .or Nol, II
 ;, ~ ' 1-tti<- Uv'< r ,.. .1:".,.\ J~1. P,.J. UI\Kl"l Nii 11,..R.c.-sv',2.ss1A lc:\<f'Z.. f-<.. Pf.c. ~ m CN'> .\- . Shur* Ku\- \< I\.' ' t.J /r,\- 2--f.~,-s./, ZSS I f.l, l'i'41 f<(:Ple1c,,--j... ' 1 ti .1 l -('ri . flt>d l)(\ 1. "  ;** ,I' , t I I~ >' '
7. ,Description of Work _ _'---'--------------'----'---:.._----'--'--------'-'----:-':-"'"----:
8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure ~
Other O Pressure N l>P psi Test Tem~. tJt, / °F :i,,!1,,,lf I NOTE: Supplemental sheets-in form of lists,* sketches, or drawings mev be used, provided (11 size is 8% in. x 11-in;; 121 Info~-:* , tion in items 1 through 6 on this repon is included on each sheet, and 131 each sheet is numbered and the number of shlllltl is recorded et the top of this form ..  ; ' i . (12/821 This Forrr;i (E000301 may be obtained from the Order Dept., ASME, 346 E. 47th St., New York, N.Y. 10017 ', FORM NIS-2 (Backl ,, -~
9. Remarks --'--~--='1:....._..:.JH:->=c=t--'-I\J--=0..,_-\-_-"-Y.'-O_._:S;;..;:5._,.y-'3=~"""3:;;......;.7....;.7_'-j._-_-z....-=---------------
  • c.sy Appllcable "'111nufacturer'1 Data Repom to be attached A/I Th. R~cl f:o. 3S'8'.312--*,
CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this 'k:f \.;c..,_..,s.o -r- conforms to the rules of the ASME Code, Section x I. repair or raplecement Type Code Symbol Stamp ___N ~ . ; ; . . A : . . . . . - - - - - - - - - - - - - - - - - - - ' - - - - - - - - - - - - - - - Certificate of Authorization No. _..;N;.;../..._A'-------------Expiration Date _ ___,N....._/..,A...___________ {M<tf ) ~~4:::'.'.'.' (. Signed Owner 0~1 DHignN. Title f l £ 44ov~ .,sZ? CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler end Pressure Vessel ln~ectors and the State or Province of Virginia and employed by HSBI & I Co, of Hti."'i:Eo"'J. ) er have inspected the components described in this Owner's Report during the period f- / -'f O to £-1 D - 'l i:f , and state that to the best of mv knowledge and l>elief, the Owner has performed examinations and taken corrective measures de_scr'ibed 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 w11rr11ntv, expressed or implied, concerning 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 II loss of any kind arising from or connected with this inspection. ------~-'t--!. . . . ~-~-:--::-:--1___._ lrrspectOr'sSignatur* __.~""""'""""'"'--'"---Commissions _ ___:V~a:..:.*-..:5:...4.:.::3______________ National Soard, Stat*. Province, and Endorsemantl Oate_ _ _ _.-..c'2_-_"t_,____19 q;> * ~ ** - * -1 :. . ... . . . . . . . * **'**. -~ai.- ... \.' * , . . . . . . . . . . __ - *-*** ' . . . . . . . . . ~--* * ~ ** ,t- " ' " *****":">...........a.*:_***--*- .. Attachment II Page 61 of 86 Serial No.: 93*318 Docket No.: 50*281 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 & Power Co. Date _ _ _ ---=5c......./__,_f...:1a....i.j_q,....aa3=--------
Nam* 5000 Dominion Blvd,, Glen All en, Va 23060 Sheet_--+-_ _ ot _ __._ _ _ _ _ _ _ _ __ Addr-
2. Plant _ _.S;uJ.i..Jr.1...1.r~y......E:.i.a..uwoue
...r.._..iS....t..,aut-iua..uDu.__________ Name Unit _T"'--vV ___D ~ - - - - - - - - - - - - P.O. Box 315, Surry, Va. 23883 WD -;I' 35{0013 I 6 z. s RQ. # T3'-6LJ ""L Addr . . Repair Organization P.O. No., Job No., ate.
3. Work Performed by Virginia Power Type Code Symbol S t a m P - - - ~ - - - - - - -
Nam* Authorization N o * - - - - - - ~ ~ - - - - - P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _.....,.<-=------ Addr-
4. Identification of System _ __,_f2...,1:..=-~::.::G=....t..c... ><.,___C....,o""""'e......_l""c::::.'-'vi.....::...+/-..,,__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
5. (a) Applicable Construction Code B3 l, 1 19__6LEdition, _ _N-/_A____ Addenda, N-J , N-7 Cod1C-(bl Applicable Edition of Section XI Utilized for Repail"I or Replacements 19 80W80
6. Identification of Components Repaired or Replaced and Replacement Components ASME Codi National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Y" Component Manufacturer Serial No. No, Identification Built or Replacement or Nol l "¥l \-1-....-i. t..)v.\- I Un['\"' l)V\ \<,.tJ tJ /J\- 7dlt"-SV-255Jf:, UC'IKlv l<. -d' I;1 .:c d .,f)fi}
I 11 I-to<. t.)u\- U'C\,l:,.t-) l)I\) \'Z t0 fJ{Y\ r2-ec-s v -255/ B uNKI\) R.c.?lt:1-c.<-cl Alo !IP 11 ,c_l*,~~l:S14+'d.,, Vlu tn:>S'ov \)f\~N tv/A 2- e c-sv--z.ss113 1.)1\)J<.fu Rc:.ec..~r.,.t JJ (b l ~/, 1.\--c)( 1'0ur Pr~Fi 6~. 11111\~ ),1-7 ~ C.G,.)(2.?7 NI~ t;tc,- ~\) 551.!3, l"\'H, Rc.rl"'c:.,c.l""'=-\- ,))() 11 \ L..\e-x !vu~ Cc..<di~GI *-J.?,al LlflK"" rJ/1\ 2-f.c,-S \/-Z.S$1f> \"i"i'2.. tefli<>c.e~-c,.,..\- Alo
7. Description of Work g.~v'YlD)le, yc...\V-c (,,Y)cl s1r.: f? "ti::, Vcw""ldt,v" &:c,,( rc..pc,:'[S
8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure ~
Other O Pressura TVDf? psi TestTemp.~F NOTE: Supplememal sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8~ in. x 11* in;, (21 lnfom'il-, tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/821 This Form (E00030l may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 ,,;:;.1',,. FORM NIS-2 (Back) 11 I .D ..i:.. \ ~ H-ex t,..10-\-- T. b n C..
9. Remarks--"----"-'-='--'----'---------------'---=...;..;.......;......;.
i. s'* -sy j - Z 2'1 (. '-I '7__ ,..__-===---------------,---,--~ Appllc11ble Menufecturer'1 Data Repom to be enached P. D. * -s~Y 3~-z7 zs- {p CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and thi1 rcp5ir /rc:f'l14e-c!M'lkonforms to the rules of th* ASME Code, Section XI.
  • repelr or repl-ment; Type Co.de Symbol Stamp ___N.;;.;....;;.A.;;...._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Certificate of Authorization No. __N""-/"'-'A'-------------Expiration Oate _ _.....,N.,./L.&JA..___________ 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 t:{9,k Tf., . .J c-r- have in~ted the componenu de1eribed in this Owner's Report during the period S:--/,qo to S:-£0 ~q~ , and state that to the best of my knowledge and belief,. the Owner has performed examination, and taken corrective measures descrit:ied in thl1 Owner's Report in accordance with the requirementl of the ASME Code, Section XI. ev*signing this certificate neither the Inspector nor his employer makes any werrantv, expres1ed or implied, concerning the examinations and corrective mea1ures described in thi1 Owner'1 Report. Furthermore, neither the Inspector nor hi1 employer shall *be liable in any manner for any personal injury or property damage or II los1 of any kind arising from or connected with this inspection. -------:~.,._..,._~* 1 -:--=:-_£_,___(S_~ nspector'1 Signature . . . . .-...,..._-Commissions _ _....V...ca;;;..;;..-.cS'-4=-3=---------:------- Natlon11I Board, State, Province, and Endonementl Date ~- l-l::93 19_ _ ~- ._.' .;. Attachment II Page 62 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co, Date _ _..... {o..........l. .l. .D_f_...C,_3 Name sooo Dominion Blvd,, Addr-Glen Allen, va 23060 ~"t--~-~--~----------
2. Plant Surry Power Station Nam*
Unit _ _ T....wa.;....,;:O~------------ P.O. Box 315, Surry, Va. 23883 Rei,alr Organization P.O. No., Job No., etc.
3. Worit Performed by Virginia Power Type Coda Symbol Stamp _ _ __.__ _ _ _ _ __
NanMI Authorization No. _ _ _ _ _.......,._..___ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration 011te _ _ _ _ _ __.....;...,:,_ _ _ _ __ Add,-.
4. Identification of Svnem Re.G.t;:--\;o{ LO(.> k.r1 \::
5. (al Applicable Construction Code B31, 1 19--6l_Edition, _ _.N.._./._.A..____ Addenda. N-J N-1 (bl Applicable Edition of Section XI Utilized for Repeifl or R11placem0nu 19 80W80
6. Identification of Components Repeintd or Replaced and Replacement Components ASME Code Natlon1I Repaired, Stamped Name of Name of Mllnufactuntr Board Other Yur Replaced, (YN Component Manufactuntr Serie! No. No. Identification Built or Replacement or Nol I
I I II tJu~ I \) ~'f;.t\) utJ\::.. tJ Iv/~ Z.-U-'S\/-2.SS\C. ~l=.tv le('\ ~e.!., ND l" ~I,,)~ Ic.....i:.,,..1 :r,, ~- P,t,J. \ff--~\',l'.'./oG #J/A, ~,ec,~v,Z.6.slC.. 19q1 Rei' !A-c.'e'n. .... r A.lD I Auie.c \ ~ '"\n. r6.d t->o.>°'" ~ e" I-'" \lr ~ Z.t- 7c, tJ/A 2.-R.c-Sll*2SSI C. Iq'i z. eeP \Ae."C.r>,c"" klb ,k~ C..1' 1\,. 'fOd I \.Jtu ~ l.J \.) l) "'~ ..J/A: 2* £,.c.-SII-ZS:>IC. Utu'!;tJ f2..c.? l IQ.C.Cd, t,.) b l" -f'n.. rod 1$~uC"-t;ur Corp ~T':\\ bos,2 µ/J\ 2,,-c.-sv -i.s~ ic_ l'MI f.c.p\,.cc...,u+- ~b 7, Description of Work f\C,.y>"lt>v(.... 'IA \\I~ '5\,:p *tc, 1/ene.oc' ~o< rep<\.~,
8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressure @
Other O Pressunt I\Jop psi Test Temp. tv D T °F NOTE: Supplemental sh1111t1 in form of lists. sketches, or drawings may be used, provided (1 I size i18% In. x 11 in., (21 lnfonra* tion in items 1 through 6 on this report is included on each 1heet, and (31 each sheet ii numbered and the number of shNtl ii recorded et the top of this form. (12/821 This Form CE000301 mr, be obtained from the Order Dept., ASME, 345 E. 47th St** New York, N.Y. 10017
I ~ I .
FORM NIS-2 (Backl \I
9. Remarks _\~..:...lv--=\l:.....,\e=------""'k""'5+-f-3-=S--<g_\~
...z_-_z______________. . . . . ______ J/i
  • Appllcabta Manufacturar'1 Data Raporu to b* attaehed I 'fnrey,~ fo.\ S"5y 3q~z.,1,;- J csy 3$~ 31'2. - I CERTIFICATE OF COMPLIANCE We cemtv tnat t.he statements made in the repon are correct and thl1 ~O~um:cn:!: conforms to the rules of the.
ASME Code. Section ;( 1. rapa1r or repl-mant Type Code Svmoo1 Stamo _ _ _N~/_A _____________________________________ ---'-'-.:.:...------------Expiration Oate _ _ _N1,U./.1;AL----------- CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, nold,ng a valid commission issued by the National Board of Boiler and Pressure Vestel Inspectors and the State or Province ot '!:. ~~nia and employed by HSBI & I Co, of _a...,Tr&" J I C7
  • have inw,ected thli components delCribed in this Owners Reoon during tha period 3'-{-'i'O to 5' -/7::,' j 1./
  • and state thft to the best at mv .rnow_1edqe _and ~lief, the Owner hlll performed exarmnetion1_ and taken correctiw measures described in thl1 Owner's Aepon ,n accordance with the l"l!Quirements of the ASME Code, Section XI.
By sig~m*g .1.h1s ~n,ficate n_enher the 1.nsi,ec:tor nor his employer makes. a_ny wammtV. expntlled or implied, concerning the examinations and corrective measures described in thi1 Owner's Repon. Funhermore, neither the tnspec.tor nor his employer shall be li11ble in ariv r;nn'1ner for any personal injury or propeny damage or* _Ion of iny .kind.a.rising from or connected with_ th.ta inspection ~ f.. /i) (') ----'.U:\--1-~"'~'-------~ * ---""":-:---~=-=--"=-----Commis1ion1 _ __..;V__a;;;.;;*_..;5::...:4c:3:...._______________ nw.ctor* Signature National Board, State, Provine*, and Endoraementl Oate _ _ _ _ _ b_-_(_1__19 1..? -~ > Ill" Attachment II Page 63 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co, Date _ ___..{p,_*..../.......i...b........{_q__-....3_________
Name sooo Dominion Blvd., Glen All en, va Addr-23060 ShHt ~ ot~_'l-"'---------------
2. Plant Surry Paver Station Nema Unit :f \J\/ b P.O. Box 315, Surry, Va. 23883 Wo:ff-310e>l3tozt,, 2.t ~'13-l>'/3 Reoelr Orgenlzetlon P.O. No., Job No., ate:,
3. Work Performed by Virginia Power Type Code Symbol Stamp _ _---'N...,/ __A;.;...._ _ _ _ __
Nam* Authorization No. ______N...,._/..,r.....______ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _............._ _ _ _ __ Add,_
4. Identification of System 12,ct:1.c...tot' Lo O \ c.w*i. .\-
5.: (al Applicable Construction Cod* B31, 1 19---12LEdition, _ _.N...I....A....____ Addenda, N-J N-7 (bl Applicable Edition of Section XI Utilized for Aep11ir1 or Aeplacemenu 19 BOWBO 6.i ldentificetion of Componenu Repaired or Replaced and Replacement Component, '*.: ASME' Code National
  • Repaired, Stamped Name of Name of Manufecturer Board Other Yur Replaced, (YN Component Manufacturer Serial No. No, Identification Built or Replacement . or Nol 111
~. roJ ~ -flc
  • s\1- ZS! IC. l)~ "<.rd. Ob
 ?'~ tJv\- -~-s11 ..z.s51c. 1111-eemcA~ tJ l) ,~ \~ Nu.\- "'1f'~1 11.o ~ 2-flc.-sv-zss1c. 2-tc.-so/, \)A) \.-.:1c:cd. ,Jb fui)' -:v, -\-\iroe<.l ri,,J L) \<l.J \.) t..)l=;~ tJ rlZ.c-5 v-z'5 I<- \J.1-)K~ kf\,qcc:J t..:>o 1; Description of Work '2.i:.~6,I'<.. V!:i lVc.. s\.,,:e +-o Viet1co1 w rce~i.c::
8. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pn!s1un1 131" Other D Pressure -.;r, e psi Test Temp, fJb T *F NOTE: Supplemental sheea in form of lists, sketches, or drawing1 may be used, provided 111 size i18% In. x 11 in., (21 lnforma*
tlon in items 1 through 6 on this report 11 included on each 1heet, and (31 eacn 1heet is numbered and the number of 1hND ii recorded at the tOP of this form. (12/821 Thl1 Form IE000301 may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 - ',):~:~* .-~-.iJ:t&;\; .. ;1: 3 FORM NIS-2 (Backl
9. Remarks _ _._\_.t._i_.!.:t-.)::....::V::..\"=--------'S~'S>:+Y--"'3'-'~<-~.::;.....;.7-7__j,_-_..;.z.._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Applicable Manuf~rer'1 Data Repom to be enached c:;r ~.,"3 7, S - 2... CERTIFICATE OF COMPLIANCE We ce'mty that the* statements made in the report are correct and tht,* e_IPlac.e.... cn+/- conforms to the rules of th* ASME Code, Section XI. repair or rapl-mant Type Code Symbol Stamp ___N;;.;..:.../..;.A.;.__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ .Certifica:7'thomation No. ---'N"""'-/-=-A=--------------Explration D11t*- NIA ,Slgned -i ~~Owner ~ / ,, le f t . fL e f t $ ~ Date_~,/.~-:::1..:=:f::"i:::;.c;;cf .......?.....0 ....? ' - - - - -
  • 19__,9-;!.._
.;. CERTIFICATE OF INSERVICE INSPECTION . I, the undersigned. holding a valid commiuion iuuacl by the National Board of Boiler and Pressuni Ves111I Inspectors and the Stat* or Provinct1 of '.' i rginia and employed by HSBI Ii I Co, of ffg,r.T t==c,c J , Cf- hava in.-:ted the components described in this Owner s Reoort during the period 5"-t _-9 D to 5"- ( 0 - Cf 'f . and state that
  • to the best of my knowledge and belief, the Owner has performec? examination, and taken corrective measures described in thl1 Owner's Report 1n accordance with the reciuirement1 of the ASME Code, Section XI.
* ._ By iigning this certificate n*either the IIISl)eCtor nor hi11 employer makn any warnntV, expniuad or implied, concerning th* . examinations and correct1w me111ures described in thi1 Owner*, Report. Furthermore, neither the Inspector nor his employer
s~all be liable in any menner for anv penonal injury or prooerty damage or 11 1011 of any kind ari1ing from or connected with thl1
'"-'""~ f:. ~ Commis1ion1 _ _........;V....;a=-.:.*........;5:..4..:..:3:__ _ _ _ _ _ _ _ _ _ _ _ _ __ ~Signature National Board, Stata, Provine*. and Endonamantl Date_ _ _ _ ~b~--/_/__19 q'.3 Attachment II Page 64 of 86 Serial No.: 93-318 Docket No.: 50-281 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 Name
& Power Co. Date~s_lL-~lf__/~9~3_ _ __ 5000 Dominion Blvd., Glen Allen, va. 23060 Sheet _ _....__ of _ _ _2.,./..._________ Addrea
2. Plant snrry power Sta ti on Name Unit J W D P.O. Box 315, Surry, Va. 23883 Address Repair Organization P.O. No., Job No., etc.
3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _ N_,_/"""Ac...-_ _ _ __
Name Authorization No. _ _ _ _ __.N...,.._/ar._ _ _ _ __ P.O. ~ox 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _..lJLJ~------ Addrea
4. Identification of System _ _S_c.._S,--=G:~t"-17~. . ...L~,1_,_~T'*<<=-~c..._t-i~e:.~n~-----------------------
5. (al Applicable Construction Code B31, 1 19--6.l_Edition,-~H ...L~A~___ Addenda, N-J N-7 Coda Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 ROW80
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 I4 " l-h*..1 l) L) +- \)~'r:;_f\) LI~ l<J\) fl! /I\ z- SI- Vt"!:, l)tJKt\l RQ'laCL..2  ;-//()
II lo d,::.~ I.JI,..) k.t-J urvl<..t-.) t0/A- 2-SJ.... -2..'(3 l)l)\:;.~ g,..p),q..-,..J_ ,00 l Iy~ " 1-\,. _){ ,'\, ,-I- lvbvG.. /vlAc}v,. P,oJ Lr~ 3% '31017 ~(t\, 2.-S.r -zy-.., l9'i..3 f<cfl"-c...e""-c"'~ /.If) (p d;<:,, v~1~V\ Lit:... wr .# H57'-t> f\J/p., 2-s:1..-2~~ tsqz R-colc;.- ...m~ N'(!) 1
7. Description of Work __.I._,,.,_::>...,_P_c..c....=c.....:..l-...../,_,_fZ_,_e..=-p-"c..='~f"'-~(o"--'_--='S'-1.v___,_i.....,ri:::.51--.....::Ch=-.,,e.=::c...=.\<:.....:....::,....__,,V...:..J4...:.....!..l.:..J_,.~.___ _ _ _ _ _ _ _ _ __
8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure @
Other D Pressure 1'00f psi TestTemp. l\)OT °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 l size is 8% in. x 11 in., (2l informa-tion in items 1 through 6 on this report is included on each sheet, and (3l each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form' (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 'I 1 FORM NIS-2 (Back) 1.1r1 1': 11
9. Remarks _)_Y"_...:l-t-"e.=)(,;:,..._l\:l~v;..;.\--_ _._*~<....::s=---4-y_LJ.;_\_q.:.;o:;......:'1...;S=---'2_
Applicable Manufacturer's Data Repom to be attached CtJT 38'9 3"17$ - / CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this t:rP l1<1tc.i;..., U! t: conforms to the rules of the ASME Code, Section XI. repair or raplacamant Type Code Symbol Stamp ___N-'-'-"'A;....._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No . .....:N""/'-=-'A:.....___________ Expiration Date _ ___,N,../<-LlA.____________ Signed CJ. . £ Ownar or O ~ a e . Title / . ~~ 7'T.z- ,19 9J CERTIFICATE OF INSERVICE INSPECTION 0 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 ~xa_minations 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. *..~ ~, / . ~ )../!LI t:./.23'/i~ . /_ -=~:;__L...,,::;..-</"1c.......::,_.__*-~~"-'-"':""'=-~-=-7:--'-=--------Commissions _ _:.::l\.~'a.~-~§~4~3--~_ __j\fd'~'t!!.;*:J/1.t~~'/'.:..______ Inapector's Signature N11tton11I Boerd, State, Province, and Endorsements Date----1,:;,h._,'Pl::J,....... 7 Y_ _ _ _ _19 95 Attachment II 'I ,,; Page 65 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co. Date_-------5_,/,_z_*...... 'f. . ./_9.:....3=-------
Nam* ' sooo Dominion Blyd., Glen Allen, va. 23060 Addr-Sheet d
2. Plant Surry power 5tati on
  • Name Unit T1.vu P.O. Box 315, Surry, Va. 23883 Wb~ ~Dbl'l."i<ib'Q Addrea Repair Org11nlz11tlon P.O. No., Job No., 9tC.*
3. Work Performed by Virginia Power Type Code Symbol Stamp _ _ _N~/_A _ _ _ _ _ __
N11m11 Authorization No. _ _ _ _ _ _N.,.,._l..cA.___ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ __.N..,I....A"'------- Addr-
4. Identification of System 5 A:!re-1.y In.~ c:.c..\-jDY"I
5. (al Applicable Construction Code B31, 1 19---6.LEdition,-~N ...I._.A
_ _ _ _ Addenda, N-], N-7 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 80W80
6. Identification of Corriponents 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 I 'ti.1 \n.. R"'..l l)NKt.J 0tvK\.> tv/f\ -z.-s:r -2 '-1-..... l>~K1v iLePlu..rcd _IV()
I !l'i 1l-\. (2.DJ_ M,,,.. ""~- r'rbJ J,\.T*° ?ob-.,i'C:.. NIA 2-SJ:'Z.'/3 Lqq~ Re.I' 1Ac.evn..,.,-\- A/f)
7. Description of Work ~ :;5Pc.c:.+ /fZ..:ec:...; { ~ 11 ~ "1.1~ '1,.j CY)c.c.K \/~ I 1/-c..
8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure ff Other D Pressure µop psi Test Temp. #JD T °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% in. x 11 in., (21 informa-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.*
(12/821 This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 -.* *---.~-- .. FORM NIS-2 (Back) y: 1l 9 .. Remarks_.,_\_'-f _ _---'--1Y"\c..i.:...,,rc::::,..Ji.:.,e=,d,s.___:.~..:.;~:::....=D=------"s::....s_y.,_____ljl..J/L....C,L:D::.....!.7..::S;_-___,l_ _ _ _ _ _ _ _ _ _ __ _Applicable Manufacturer'* Data Aeportl to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this~kf\Aec.t?1c.n+/- conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ___N ~ / ~ A - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Certificate of Authorization No. _N~/_A_____________ Expiration Date _ _ _N.u.l~A...____________ Signed ~- ~, ~.A.4-< - .;d: re-,--- Ctr&,N4e.-e;e- . .};:,.,,,.~ ..,t,.Y: Date--'---=-=->~=--=-=-------, 19 ,, ? w n e ~ r's De1ignee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Virginia and employed by_-"H,...S=..,B=I.__,&.,___,.I'---'C=o_.,_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ of HAR{ p;,:,;t.l), cbNA/ecn'cur have inspected the components described in this Owner's Report iuring the period te,Lzs;,/9 :$ to ~p.f'/92 , 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. .i...R.6 0-¥'/7~ --"~=-.J-,"'-~c..,,,.-~'!>'& ......"""""~=:.=.:~=-.::..,i.--------Commissions _ _ _*.:...;.::a..::..--=5:..4:.:3:..__ _ _.:;~_q::,:..,-'~"'--'O.=-:'/'------ lnspectar'a Signature Nation al Board, State, Province, and E ndorsemanu Date_&,-'-r,fa~~~,?~_ _ _19 7 V Attachment II Page 66 of 86 Serial No.: 93-318 Docket No.: 50-281
  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI
1. Owner Virainia Electric & Power Co, Date _ _ _....;{p=....f/_7..._*_/.__C/..._.3 Nam*
sooo Dominion Blvd,, Glen Allen, Va Addr-23060 ShNt _ _...__ot ___" ' - - - - - - - - - -
2. Plant Snrry Power stati au Name Unit _ _ r..,_,~VU~o~-----------
P.O. Box 315, Surry, Va. 23883 WD~ ~"&>b\l I 7C>~ f)g-\'I"" 93-QSZz Repair Orgenlzatlon P.O. No., Job No., aic.
3. Wortc Performed bv Virainia Power Type Code Symbol Stamp _ _ _=..:.:.,_ _ _ _ __
Name Authorization No. _ _ _ _ ___."-"'...__ _ _ _ __ P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _......,,._."------ Add~ 4, Identification of Svnem __.::S:c.9,~~=-~=-h-,../_..L=.a..,.,..:.,J""*.::c::.:ac...:=+-...ip ......r'l__,__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ I
5. (al Applicable Connruct1on <Ada B31, 1 19~Edition, _ _.ij.._/,_A....__ _ _ Addenda, N-J N-7 Coda C..*
(bl Applicable Edition of Sectici~ XI Utiliz~ f~~A~p1iraor!Repla~e'nt1 19' 90WB0 **;ii;, *, i *,!,:j*.: ,\ ;*:' . J \ I 6.-Jde'nt'ification of Compon11nt1 Aap~ired or A11piacjd':~n'd. R~llic:em~i, Compon~~tl ' . :*1'1,,1. ,J't /,'\ :ASM'e' Codi Natlon~I Rapaired; . *S~, Name of Name of Manufacturer Board Other Year Replaced, (YN ') .  ; or Replacement ,,or Nf,I. ,, ' \ i*c'omponent. Manufactili'et Serlil Nc:i. No. ** Identification Built ~ '--*-/._ ., w:-,,., c..1-;. VLv "'~ ' ' ,.,1*', l:," ~.l<. v~\it~ I Vd~n -C-..c.. I'. ' ~ ' ' **. 111 .*,.'1: :,,;' ,,'1
  • J ',,
1: ! :, ,,.-,\,.* . : ,-,' =-*__.L-.;.h~~=C:...=:a\s=.-_,;.V'..;.,q..:..,;:.\11=-c...=*.....;....:..:-"-.:,._.;.______________.___,,.,;;_.;._.;.;:.~---
7.
  • Description of Work _.,_R..,c...=cf......,l.:..el,,;~=*
0
8. Tests Conducted:
I I Hydrostatic Other n ff' Pressure Pneumatic 2..2,..'BD D Nominal Operating Preuu ra psi Test Temp, ~ '5C>D D °F ~I, ',' I I,') 1*', ',  ; ..NOTE: -Supplememal sneet1 in* form of lists, sketches, or drawings may be used; provided C1I1ize'i18% in*. x 111* ,in,;; (21* lnfonni~- tion i~ items 1 through 6 on this r~pon is included on each sheet, and (31 each sheet ii numberwd and the number of 1h:.... ii ~ded at the too of this form. ' 0 (12/821 This Form (E00030l rt;'IIY be obtiiined from tha Order O~~-, ASME, 345 E; 47th St., New York,' N.'( 1 *100n*' jif\ ."'"'5n./f >L*~ 1.-. 1!,".1"' )':, FORM NIS-2 (Backl ' - 1, ...~....l....i/...k._*_ _ _C.._I\J_T____.3_'1__'1>__5_3_q__.-_\_ _ _ _ _ _ _ _ _ __
9. Remarks ........:\0~_$_\.U'----'-i"::S~-C..:=\-\....;.;u.,K=-"-Y Appllcabla Manufacturar'* Data Repom to be ettached CERTIFICATE OF COMPLIANCE We cerufy tnat the statements made in the report ere correct and this f'c.P1¥Crnt: at conforms to the rules of th*
ASME Code. Section XI. repair or rao1-mem Type Code SymbOI Stamp _ ___:_:N.:./.:.A.:....._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. N/A Expiration Oet*----'lHul;.,A...__ _ _ _ _ _ _ _ _ __ .:sign~-~ /1 -~~ -r-c:o-- .t:--V6c.u6'&¢-: ~/ 4 C
  • Oat111_... i/.;.::6{:a.,;¢,=&----_.r4.__.9'.:::..___ _ _ _ , 19 Y' J f Own*ror~Title CERTIFICATE OF INSEAVICE INSPECTION I, the undersigned. holding a valid commiuion iuued by the National Board of Boiler and Pressure Ve-I lnse>ectors and thfi State
'.'irginia andemployedby HSBI & I Co, of 111tJ ec. -h *c"' h ~ inlPKted the components described in this Owners Reoon during the panod to ~4ip.'J} . and state that to the best of my know1e_dge and, belief, the Owner hn performed exanunations and takan correctiw measures described in thili Owner's Repon 1n accordance w11h the requiraments of the ASME Code, Section XI. By signing this C1!mficate neither the lntQeetor nor his employer makes any warrantV, expraaad or implied, concerning the examinations and correcttw me111ures described in this Owner's Report. Furthermore, neither the Inspector nor his employer sJ!all be liable in any mnnner for any penonal injury or propeftV damage or* loss of any kind arising from or connected with this
  • in1P11C1ion.
*~d#"Aq Commissions_..;::::~~ta~-~~~::!:,~_Y__ 3 __!~_:4'....:..,* Natlona1 Board, Stat*. Province, and EndartamanH ....::t!i::...tJ.~V~--- Oate,__:::6;...-___::_~....__,,_f'_ _ _ _ _ 19_ _,.~ tJ-- .. Attachment II Page 67 of 86 Serial No.: 93-318 Docket No.: 50-281 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* & Power Co, Date _ _ _ (.,.______ \S_-__ 5_3__________
Name sooo Dominion Blvd,, Glen Allen, Va 23060 Shaet _ _....__af ___ 2__________ Addr-
2. Plant Surry Power Sta ti on Unit TWO Name P.O. Box 315, Surry, Va. 2388j 3BOQ/33b2.2 RR.it ~3-bl]
Reoalr Organlzallon P.O. No., Job No., ate:. 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 _ _ _ _ _ _......_._,.._ _ _ _ __ Addrea 4., Identification of Synem St.!\FE:TY \NJ ec D(?b,l 5.,* (al Applicable Connruction Cod* B31, l 19---61_Edition, _ _..N.,./_.A_ _ _ _ Addende, N-J N-1 Codec-(bl Applicable Edition of Section XI Utilized for Repain or Repl-ments 19 BOWBO 6.: Identification of Components ReJ>ai..-d'or Replaced and Replai:emilnt Components* *i,:; A*SMe
  • 1 Code
*'!' *: *,1 Natlonel . 'Repli1red, .. .Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yft* * .* doms,oner:,t .. **,.Manufect~'nir**, r*<<" ** Serial No.* No. ., identification Built.* or,Replac~ment ,.or..Not.I " ** **,i N ,<L NA .NA 2-S"I- **1, * **ti, 224 *\ '* i 'tf A. , :li1\l, * '1;:* 1* 1301_ T I lV,\. ,,;1.,1', Nk ' NA. . 'Z.1,is.1,:-::22.4. NA. r-.((1,. ,. dA . _2-SI-.221-NA., NJ.. NA,, *' Z-.S1- Z"24 ~r , *.', :I ,1.,*.( Nt Ni I : ~ I: ' . 2::... 5(:... 22+ NA. *1' '
  • I:' t ~ i '}_': *
'1. DescriPt,ipn of Work.~-*-R~.;""et'p...4~t...£Z-_.+Yi.. 4...L..v.._.E....__________;________...;..a.;.__.;...;__ __.;.......;,......~.....,....
8. Tests Conduct~'. ~ .::;;mO~i~!2u;neu:~~cl?O, .~:-~::~ : ' . ' "
, 1 '
  • 1\
  • P~~ r{. 1
'f ! ', 1 1 ' '1/ J;*\
.;:~i *
*fr1\1J*,\i!,,:) I i ' ' ,' < ; ' '1' ' ' *: j ,f: .,, :*~ J{' I [ l'IOTE; SupplememaHheetl in,farm of lists,.sk11tch111, or drawings may be used; provided 111 size ii 8% in. x**11 1in'::*: 121.infama~ ., tian in items 1 through 6 an this repan is included an each sheet, and (31 each sheet* is numberwd end the number of shND ii ' .. I recorded lllt the toP of this form'." " ' " ' .. . . .' . "' ' . . ,.,.* ' "*' . (12/821 * . This Fo~ (E:000301 mav be obtained from the Order D~~t;, ASME, 346 E. 47th *s~;. New'vork; N.Y;*11001~7;' ' ' \i' 1 1 '.
  • II,,,-,-.-.-,.*;***
'*:*i' *** I it,," r I 1',. f:* ',Ii* Ii '*J ,, FORM NIS-2 (Backl ',i',. SY \ ( . ;; ,,, S\/ 0'5x4 .C )
9. Remerks -.....:'--'---"----------'.._ J1 '33S.?>- ltte~ Nut- :l'q)..__ _ _ __...._.....;;.....;;............._
_________ /-11>1sc. ....._...___ /"°"---------- .;::, . 1.:. :,.1!'.';;J). Appllc\ble Menufacturer'1 Cata Reporu to be enached S\/. 32oi ,s-*1 (6oL-\-_2 . .. . . ( E:OL.-r) 41i49S- I CERTiFICATE OF COMPLIANCE We cemfv that the statements made in the repon are correct and this ~4C6111{¥.,..- conforms to th.11 rules of th* ASME Code, Section x I. r*pe1r or rapl-ment Typa Code Symbol Stamp ___N /_A-'------------------------------------ Cenlficate of Authorization No. --'N""""/.a.A.a....------------Explratlon Data ---~Huf.,.Aa..___________ Signed/1~~ ~ . , or Own~N. rsz-Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued bv the National Board of Boiler and Prem,re V111111I lnsi,ectors and the Stata orProvinceof Virginia andemploylldby HSBI & I Co, of iiA&;~//.l) J C.CIIJIJC:C.TI cu-:"* have in-,ected the components described in this Owners Reoort during the period J/- tr* 9.?> to &-1.~- 7.} , and state that to the best of mv knowledge and belief, the Owner has performed examination, end taken correctiw*measures described in thl1 Owner's Report ,n accordance with the l"l!Quirements of the ASME Code, Section XI. By signing this certificate neither the lntJ)flCtor nor his employer m11k111 any werrantV, expreued or implied, concerning the examinatio~s and correct1vu measures described in thi1 Owner*,* Repon. Furthermore, neither the Inspector nor his emplayer shall be liable in anv manner for any personal injury or propeftV damage or I loss of any kind arising from or connected with thl1 in,pection. ~ A .....;;..;;.. - .- / A . * .. r..iS 0-0/ _/<-_.:::~:c......--....,.,,-----------Commissions _ _.....;.V..;;a;:..;;,.._.:5:..4.a.::.J_..,:;..(..::i.::.~..;./'!,:..;.:~'----=O;:;....' - . : . - - - - - - - 1 nsoector'1 Signatura National Board, State, Province, and EndorsemanH Data b - :J. ::2 19 93 ,** .. . ' .... *.;~~t?'!!t"'"' Attachment II Page 68 of 86 Serial No.: 93-318 Docket No.: 50-281
  • FORM NIS*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Prcwisions of the ASME Code Section XI
1. Owner Virginia Electric & Power Co, Date _ __u(,,~-;...1:..:5:::.....-....:a':}-"-3_-_ _ _ _ _ _ _ _ __
Name sooo Dominion Blyd,, Glen Allen, Va 23060 2 Sheet _ _ _ _ at _ _ _ _ _ _ _ _ _ _ __ z Addr-
2. Plant Surry Power Sta ti on Unit T o Name P.O. Box 315, Surry, Va. 23883 Repair Organlzetlon P.O. No., Job No., nc.
3. Work Performed by Virginia Power Type Coda Symbol Stamp _ _ _N ..../_A Name Authorization No. _ _ _ _ __..N~l..,:l\,.___ _ _ __
P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _......,.....,._ _ _ _ __ Addrea
4. Identification of System _ __,5""A"""""f::'....,E:.-r
... v_ _.,_l\..,IJ...f...e_r_,o___,\/.._________________________ 5*.. (al Applicable Construction Code B3 l, 1 19~Edition, _ _.N..,.I...A...____ Addenda, N-J N-1 Codec-(bl Applicable Edition of Section XI Utilized for Repairs or Replacemanu 19 BOWBO 6.; Identification of Components Repaired or Replaced and Replacement Components I* ASMe'* Code Natlonal Repaired,**. Stamped Name of Name of Manufacturer Board Other Year Replaced, IV"
Component Manufacturer Serial No; No. ldantifiation Built or Replacement or-Nol,!
i // f/llJIZ'Pw~ (iG 2 //j  ! ':f>plfCIA Lrtj NA- rVA 2-Sl-224. I' i' NA' H4. z. ,....s,-lz4 I '130 {-, T NA fvA .. z-s1-zz+ .i .I ,./1.JoV4 * . A/A * .-,, i ., ,,::  : ..NA,.", . 2_.:.:,_S/-Z.Z4 Nt4- ~ T,. , Caad*md, ~=:;"'~'~£.;"";;t O P:*m~-:~;;.'"'~~~~ ~ '":: *1:1: ~i * .NO~E, 'supplemental sheets in: form of lists,sk~i:hes, or drawings may be usitd; provided (11 size is 8% in. x' 1'11,in.',;-' 121', lnf~i,. : tion in items 1 through 6 on this report is included on MCh sheet, and 131 each sheet is numbered and the number of 1hNtsil ~ded at the top of this form
  • 112/821 ', This Form (E000301 may be obtained from tha Order Dept., ASME, 345 E. 47th St., New .York, N.Y;*10011.*
* .:,.,*.. :t.:1 1~ )I i I, ' I* '*i; *1
I,
, FORM NIS-2 (Backl
9. Remarks ' '-:.,,.')______s:_y'"--...;;o_B.......'3 ....4:....l --.1...{...1>__1...&..),;---------
_..,.,S"-*Y.,___'(_"7::...;3::_:5:;..5.;:;....;;;.3_-..;./.;..I..;:;.(,_.H.....e__K:......;;lv_,v__+_{ ' , ,, * " I*,  !'.APPll~bl* Manufacturer's Date Reporu to be anacned I S{ 32.DZ IS-1 ( 601..+) , , ,, CERTIFICATE OF COMPLIANCE W~ *c~mfv that the ~atemenu made in the repon 11111 cornict and this itr>~A4W(A1Lconforms to the rules of the ASME Code, Section XI. rei,eir or repl-ment Type Code Symbol Stamp _ _ _ N__/_A_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Cenlficate of Authorization No. --'N:.:.L./.:.A.:....------------Expiration Dete ---.llHul~Ai::a..___________ Sign ~~ A ~ ~ O *
  • i G n N , Titl*
,A,.( - n;;:- ~M;{l'N'c:f<<.., D11te _ _ _J,,.,-.::a!E! ...."6.=.....2.=-1____ , 19 5' ? CERTIFICATE OF INSERVICE INSPECTION I, the undersigned*. holding a valid commiuion iuued by the National Board of Boiler and Pn!SSUre Ves111I ln-,ectors and the State orProvinceof Virginia andemploylldby HSBI & I Co, of ftA-R.:rr-=ol!.D, et;..; &Jiac-r/cu-r haw intOKted the components described. in this Owner's Reoon during the period ~- "1-f"J to h - '}. 2.. -97
  • and state thn to the best of mv knowledge and belief, the Owner has performed exam,netions end taken correctiw measures described in thl1 Owner's Repon in accordance with the requirements of the ASME Coda, Section XI.
By 1igning thtS cenificate neither the lnsy:,ector nor his employer makes any werrentv, expresad or implied, concerning the examinations and correcuw measures described in thi1 Owner's Repon. Funhermore, neither the Inspector nor his employer shall be liable in anv manner for any personal injury or property damage or* 1011 of 1nv kind arising from or connected with ttll1 inq,ection . ~=~:....:::c-~4==~~~----::-:----------Commissions _ _ _V;..;a=..-=-a-=4.-=]_i-f...,,4._.~,..1-..,/f..,,..__8=-(J;;;;...:./_ _ _ _ __ ....:::~:;..,,.a* 1nsoector-1 Signatura National Board, Stata, Province, and EndoroemenH Date_-0<.6_-.,r:;>c.:J.:c...--------19 93 ~ - - Atta~hment II Page 69 of 86 Serial No.: 93-318 Docket No.: 50-281
  • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Prowi1ion1 of the ASME Code Section XI 1
1. Owner Virginia Electric & Power Co, 01te _ _ _5::::*~-...;;2.;;;;.7.:..,_-_9.;;;3~-------
Name sooo Dominion Blyd,, Glen Allen, va Addr-23060 Shee, _ _. . : . . . _ o f * - . . i : : = - - - - - - - - - - -
2. Plant Surry Power Station Unit Two Nam*
P.O. Box 315, Stirry, Va. 23883 380b II 0578 E~ :I+/- 93-09,9 Repair Organization P.O. No., Job No., aic.
3. Wortc Performed by Virginia Power Type Code Symbol Stamp _ _--:,N:.L/...:.A,:..__ _ _ __
Nam* Authorization No. ------N~(.llP.~----- P.O. Box 315, Surry, VA. 23883 Expiration Date _ _ _ _ _ _~._...._ _ _ _ __ Add,_*
4. Identification of svnem _ ____..F-'6=--E-'D.::;....,.,W~A=--r.... e... f2.""'----------------------------
5. (al Applicable Construction Code B31, 1 19___g_LEdition, _ _.N.._/._7<g,..___ Addend11, N-] N-7 (bl Applicable Edition of Section XI Utilized for Aep1in or Aeplac9ment1 19 80WRO 6 *. Identification of Componenu Aep1in1d or Replaced and Replacement Componenu ASME Code Natlonal Repaired, Stamped Name of Name of Manufactunrr Board Other Y111r Replaced, (YN Component M1nufac:tun1r Serial No. No. Identification Built or Replacement or Not I ..
II VAI\/E 311 b~Ol\lE= NII- NA OZ- FW-b/ NA Rer:,/4CE'i> , NO, I .. *,, *,,,* :1  !:.I bow 3" I NA NA NA 0 1
2. - r:w.- to/ NA f.1.nfACED . ND.
I PIPE 3 I/ I Nih. NA NI\ 02. - FvJ-lo/ .. NA fZe- p/4,c E?i) . c\tD A/lie 1+01t. / v~L\C~., 3 I, t>Atz.1./NCr *" N4 NP,. ... ' 02-.~. i::w-
    /?Owe,(!,_ NA oz.~~~:-~ I 1993 E'eh/Ac.~~+ NO *1 *I , :*':rs,, ,, . :, \ i:,: .' ii.: .. ~
    • i i 1
     ?, , De5!=r,ip~ion of Work ---'-'-R,.,s,..p..._..fA,::,;C:.,.e=-_,V.,..A"'l..,,~...i;: .......;*....;*'--'--.:+-...._.-.;.;.;.._;,.;;.....:...:.:..._.;...;._ _ _ _,:.__..;.;..;...;;;;_ __;......;""--:a.."*-'"-"'-"',;..";..*..., * ..:.**;.;., ,. T*** :oo.,,oo NOT~,:. Supplememal ~=:a:~:-;:~::=~-~F;.;::,~~;,.~ she,u in ,form of lists; sketches, or drawings mav be us~,,prov,ided 11 I size is:8% in; x 1 1. l: in.; :(2,1 ,.Inf~~: .* . .:, ' . :: *,*::,;::*ii,. tion iri' items 1 through 6 on this report is included on each sheet, and 131 each sheet. is numbentd 1nd the number of ~h..a ii* . ~ d i d at the top of this form. .,, .' .,**_.,,.1, ,.. . i **1 ', *Jr1* *.l*,.,'1 . i (12/82i, Thl1 Form IE000301 mav be obtained from*th11*0rder Dept., ASME; 345*E. 47th St., New York; N,:v"i.*1001'7. :, I, I I, f .' '. **~. '.I 1,,'I FORM NIS-2 (Backl 1'
    9. Remarks _ _ l _,.,_3_'1Y.:..:A..;::L~Vb..___ _ _ _ _ _ _ _ _ _ _ ___,._________
    --1N+T..___....2,.._<;'-9L.JB..._8""'fo,...-..........
    .. 1,, ./. J};,, Appllc11bl11 M11nui~CUJr11r'1 Date Reporu to be enachlld sy 412 57Sl-4 11 3 Elbo1o1 sy 410(,15-9 *3
    _ PIPE .. II- a/16 ZJ'2 CERTIFICATE OF COMPLIANCE ' We certify that the statements made in the repo" ere correct and this ~ & C c o n f o r m s to the rules of th* ASME Code, Section XI. . repair or r1101ecem11nt Type Code Symbol Stamp _ _'""""N""-"A.;..._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ .......;N"'/~A'-------------Expiretion Date _ _....1,N..,/..,A....__ _ _ _ _ _ _ _ __ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commiuion iuued by the National Board of Boiler end Pressurw Ves,el Inspectors end the State orProvinceof Virginia andemployedby HSBI Ii I Co, of #/lll.rpoal>
    • t!,otJNec+/cuf have in~ed the components d111eriblld in this Owner's Reoort duri~ the period 54s;,/~,> to o/,45"/lZ , and steta that to the best of mv knowledge and belief, the Owner hes performed 1111aminations and taken correctrve measures described in this Owner's Report in accordance with the requirements of the ASME Coda, Section XI.
    By signing this_ certificate neither the lntP11Ctor nor his employer makes any werrantV, expraued or implied, concernin9 thl examinations and corrective measures described in this Owner's Report. Furthermore, neither the Inspector nor his emplayer shall be* liable in anv manner for any personal injury or propertV damage or 11 1011 of any kind arising from or connected with this inspac:tion. -~,,L,....,,_,~u;,.*.::~===:__,~"-'""-'~--=* c=;;;...=::;.......;:...__ _ _ commissions _ _ _i::!::=...=...:..::....__ _ _....L...=-!<C.=.L------- /"~~ec;;;;.~ N11tlon111 Board, State, Province, and Endonement1 Dat*-5"'4:+h~.-S:_ _ _ _ _ _ 19-~-2...._ e *> ..* : ..... _.,,.?.':_".~~ ~- Attachment II Page 70 of 86 Ser;at No.: 93-318 Docket No.: 50-281 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 & Power Co, Oate*_ _ _ S""----2_,_*-_._-B_:s________
    Name-0 5000 1
    • Domio ion .. B'lyd, , G'Leny, Al 1 eD 1 ** Va 0 1 23060* Sh*~---___z. __ ot__2.. ____________
    Aeldr-
    2. Plant Surry Paver Sta ti no Unlt _ _ -r_vJ
    __o_____________ Name P.O. Box 315. Surry, Va. 23883 Rapelr Orvenlzetlon P.O. No., Job No** .ia.
    3. Wonc Performed bv
    • 1lirginia Power Type Code Symbol Stamp _ __..:;N:..../..:.A=------
    Name Autharization*Na. -----.....aN..(..,a....______ P.O. Box 315. Surrv,. VA. 23883 Expiration Date_--_ _ _ _ _ _...,......._ _ _ _ __ 4, Identification of Svnem _ _ _ _.......~ ....E:~s ..P ......!1t R...-=-------------------------- ......A..n:.-=... 5 *. (al Applicable Connruction Coda B31, l 19~Edition, _ _.N...,I...A...____ Addende, N-], N-2 lbl Applicable Edition of Section XI Utilized for Repain or Repl-manu 19 ROWRO 6.; Identification of Componanu R11>1irad or Replaced and Repl-nt Componanu ASME* Code, Natlanal Repaired, Stan1Pad. I Nama of Manufac:turar Board Replacad, IV" Name of iI Other Yur Component Manufacturer Sarial No. Na. ldantificatian Built or Replacement or Not iI PWr:: 3 , !-/vb IY4 NI+ 2 - t= r,v -(, I /99;? fZE;p/4 C6tltit ND i I I I I I I \ - ' I I
    7. Description of work /2£=Pll4.CE Y4LIJ{;;
    8. Tens Conducted: Hydrostatic WPneumnic O Nominal OP1rati119 Pre11J,1rw ~
    Othar O Prl!ssura / I f inf'tYPSi Ten Temp. dtt(/,<f""C
    • F NOTE: Supplememal sheeu in form of lists. sketches. or drawinga may be used, provided c, I slz* ii 8% In. x 11 in., 121 lnfoma***
    tlon in items I through 6 on this report' ii included on eactl 1hNt. and (31 Hen shift It numberad and the number of sh.... ii recorded at the too of this form. (121821: This Form IE000301"ffllV be atnalnecUram the.OrdlrOaot.* ASME;.34&-E~ 47th St;, New Yortr,N.Y;.10011-~' -~:;. 11 *~ 1', I , 1,* ,r! 11 I ji*/ i ,11* l ,, *1, *,*I- ',1 1,*l*:,, :1,t'* I.I .. ' iI i \1 I° '., I*, *. i I , I I ~, , , 1 \. I: ,'. 1)1  : ,1 ', ':i*,,;*,* .FORM N1S~2 (Backl, I It
    9. Remar~~,,:;:,.._ ___,...i..;NL..L.T--.....:...*..::'Z-;...;..~.;.~-!-8: 8::...:lo=-----/-1(J,...~
    ...... ___,,_v._,4_L._ll_E...)_.* - - - . . , . . . . - - - - - - - - - - - , - - - - - - - - - - - - ~ * ' Aoollcabl* ManufacNre,;, Daui Raporu to be lflaCMd I, ... S V "1- I '2. 5 7 z (? '" p,pe) sr 4/0& 75- q CERTIFICATE OF COMPLIANCE We cenitv tnat the statements mede in the ree,ort arw comic:t and thl1 A:!~<<U:c:<t<<fu<"'l:cinfonn1 to the rules of*th*-- ASME Code, Section XI. ret,air or ret1l.-mem Type Code Svmoo1 Stamo _ _ ....;.;N.:./..aA.a----------------------------------- Certificate of Au1norizat1on No. --'N;.;.../.a.A.;....____________ Explratlon Date _ _ _N..,,./_.A...____________ Sl9ned c:). cf~ ~ , t / Owner or Ownenoi;,;.., Title xr C £ &c#W Oat1 _ __.;i- ...,...u.....ef___ C____ , 19 Ya J........ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, nolding II valid commission issued by the National Board of Boiler and Preaura v,..1 lnsPectors and the State orProvinceot '.'i.rginia andemployedbv HSBI & I Co. of H/9/2.,F:ti &, I) .:.c+t'cvr. ~!-mected the components d11cribld:*. in this Owner s Reoon during the period to ~~@  ; and sta1a that** to the best 61 mv ~ nowledqe and belief,* the Owner has performed Ham1nation1 and* taken cornctiw measure, aescnbed in thl1 Owner's Repon ,n accoraanca_with th11111QuiranMn11 of the ASME .Code. Section XI, By signing this cemticate neither the lnsi,ector nor hi1 employer makes any warrantV. expraaed or implied, concerning the examinations and corrective measures described in thi1 Owner'1 Repon. Funhermore, neither It'll Inspector nor h,s ems,lgyer shall be 1'iabte ,n anv manner for any penanal injury or property damac.ae or a loss of any kind ari1ing from or connected with 11111 inspection. ~~tJ. (;;.§1,~/f.J ~ o~l _"'-d.~-'~""""""-"""""--~-,,e~--~~-::':---- ~ :naoector'1 Signature . . . . . . .~-----Commis1ion1 _ _....;..="":...:...-=...;-r.=r=----l~i.;~:.:~O~tu:4---,,-------- Nellonel Boercl, State, Provine*. end Endoraementa Oat1,_---'q,r-0=-~--=-----19 7 7'3 ... :_. ~ *- ... ,.... _......... ~.~.... -( - Attachment II Page 71 of 86 Serial No.: 93-318 Docket No.: 50-281
    • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Prcwision1 of the ASME Code Section XI
    1. awn.,. Virginia Electric & Power Co.
    N-- 5000 Dominion Blvd, , Gl eo - All en, Ya 2 3060 ShNt ___,___ at I Addi'-
    2. Plant Snrry Paver Stafi on Unit . ',W-0 Name P.O. Box 315, Surry, Va. 23883 seooo"3b+I R-lr Oroanlznlon P.O. No., Job No., ata.
    3. Wark Performed bv Virginia Power Type Codi Symbol Stamp _ _ _N__/_A_ _ _ _ __
    Name Authorization No. _ _ _ _ _....,.N_.l..,a...______ P.O. Box 315, Surrv, VA. 23883 Expiretion Oate _ _ _ _ _ _......,&,Q,______ Add-->--.. , 4, Identification of Synem _ _ _ _... A...;ei __"<Z_D_w __,A; __'l'e.=,aR.. 5*. (11 Applicable Construction Code B31, l 19___g_l_Edition, _ _.N,...t ....A...____ Addlnda, N-J N-1 lbl Applicable Edition of Section XI Utilized for Repairs or Repl-menu 19 ROWRO 6.1 Identification of Componanu Repair9d or Aepl~.and ReplllClfflent Componanu ASME Cada Natlonal Repaired, StamPld Name of Name of Manufacturer Board Other Yur Replac11d, IY11 Component I Manufacturer Serlel No, No. Identification Built or Replacement or Not I I /JM:. h c,te./ 3" VA<..VE' ' ]?14/ZL/ N C..- I/VA. /V,4 Z-t:=iv-j6 NA- 'icep/4c~ l--0 A,-,c-t,,,r;tr../ (f I µ,4, /VA-3 VAL.VE  ?;)Ate Lt~CC:, 2.-nv-30 (99D 12.1::p (4.cGMeJ t,/1) I I I
    7. D11eription of Work 72gpl4ci:: VA L\l'iE:
    8. Tests Conducted: Hydrostatic ~umatic O Nominel Opereting Pressure G"'
    Other O Pressure to: ~s-'Ctlr:dl psi Test Temp, 4t'f~c.f.vr: "F NOTE: Supplemental shNn in form of lists, sketches, or drawings may bll used, provided t1 I size ii 8~ In. x 11 in .. (21 lnforma* tlon in items I through 6 on this report ii included on Nd'I 1hNt, and 131 11ec:n 111111 11 numbered and the number of 1hN11 ii - ~ at the too of this form. (12'821: This Form tE000301 mey bl obtained from the Order DIPt., ASME, 34& E. 47th St., New York, N.Y. 10017 , 1,1,, 1, , ' .: 1." *.(' FORM NIS-2 (Backl  ! 1
    9. Remark*~~~C:.::i(\/~-"--r-~==Z.;..,:;l:;.::>-:;....,f;l""""~"'kl.....~-/.,__........~i.,...;.~-~..;.i.l,:"""::.4-L_II_E:.
    ~--------------------~ Applicable Menu1ec:iure,., Data Reporu to be aaacned* ..  ;(i'Htf CERTIFICATE OF COMPLIANCE We certify tn at the natemenu made in the repon are cornic:t and thl1 W,ac d1f:f:;,'Cconfonn1 to the rut es of the* ASME Code, Section ;(I. rec,air or rec,l-ent Typ1 Code Symoo1 Stamo ___N ~ / . . : . A - = - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Ceniflcate of Authonzauon No. ---'N~/.:.A.:-------------Explratlon Oate _ _ _.uN"'/_.A..____________ Signed ~or ~ £- own*,..~- d . -,,- Date _ __..J..,p._.tJ......,e,..___Z_5 ____ , 19 9 3 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. notding a valid commission iuued by the National Board of Boiler and PntUUre \/11*1 lnspacton and thl State or Province ot '.':. rginia ~nd employed bv HSBI & I Co, of ffe~1Fo12..0 1 CpµAJe.cfico/' hava in.-:ud the components d111cribed in this Owners Reoon during the period 6j;;1..,s;/y) to ¢,{",/J;:, and nata thel to the best ot mv rnowtedqe and beli1f, th* Owner ha c,erfonnact examination, and taken carrec:iiw menur11 aescrrbed in thll Owner's R.epon ,n accoraance with th111"111Quirernant1 of the ASME Code. Section XI, By 1ignmg this cemficate neither the i'rlffM!Ctor nor hi1 employer mak11 any warrentV, 1xpr9Uld or implied, concerning the examinations and corrective measures described in thi1 Owner', Repon. Funhennora, neither tht ln~tor nor his emplc,yer shall be liable in any manner for any penonal injury or proc,eny dam191 or a Ion of any kind arising from or connected with thll inapect~ion. #~~ __ £. d£,6 &P,:;-/f.7 ~~~!:ll"~~-.,,-~_,/c"-=-~ ~ -'r=~"""-"'=*_,_*_ _ _ commi11ion1---a_.Jl,..___..;_a;;...*..;;;9..;.4.=..J_-_ _ _ ~fUoecta,.. i ; n a ~ ,t-<<.':.* .f<-='. (J..;../_ __ Nattonal Board, State. Provtnce. and Endor1emen11 Oata*-~>J..:\v~tJ=t2.,___Z_S' _ _ _ _19 03 *: .,..£ .4 ..... -*,.~;,..;.;,,,,.. ¥it&+/-
    • Attachment II Page 72 of 86 Serial No.: 93-318 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions af the ASME Code Section XI
    1. Owner Virginia Electric & Power Co, Oate _ __.(i,...-___ 2...3_-....9....3° ___________
    Name sooo,,nom*inion aiva., Glen~AJleu, va- 210&0-sh*~-**_____ ot...-_z ___________ Addi-
    2. Plam Snrry Paver Sta ti on Unit Two Nam*
    P.O. Box 315, Surry, Va. 23883 Rac,alr Organtzailan P.O. Na., Job No., ata.
    3. Wortc Performed by Virginia Power Type Coda Symbol Stamp _ _....;.N;.:../..;.A=-------
    Name Authoriznion No. _ _ _ _ __.N....._/..,a_ _ _ _ __ P.O. Box 315, Surrv, VA. 23883 Expiration Date _ _ _ _ _ _.....,.....__ _ _ _ __ Add,_ __6'_______________________________ 4, Identification of svnem _'""~a.all,.:.:14..._lli.aa~-/IJ 5*. (11 APJ>licable Connruction Coda B31, 1 19---6.l_Edition, _ _.ij.._/._A....__ _ _ Addlnda, N-J N-7 (bl Applicable Edition of Section XI Utilized for Repain or Replacaments 19 ROWBO 6.; Identification of Companants Repairad or Replaced and Replacament Componants ASME-Coda, National Repaired, StamPld Ntme of Namaof Manufactu,., Board Other Year Replacad, (YN Component I Manufacturer Sarial No. No. Identification Built or Replacement or Not I ,). II I Nvf t NA NA NLL 2.- Ct-f-l:- 4, *iv* **-~ JZe!AceZ> NA ,).. ,, I S1lil) -z. NA- (\JA ,\I.,{._ l.-Ctt-E-4 1. . . . . . . . . . . . ~-~-*11 'lZD/;qc(f1) /\IA 1\./vf If I NA NI>. N.A z-Cl-{-E-4 /21:p/.tiCE"(l Nlf-1I Stvl) it I NA "'/1/4 ~ "1 A 2. ,tlf - F-4 IUN/r*"' ... '7ZEi>/4C/) NA Nu+ J#) z: I(! 4£1)//v 4 l. Nlr z- l!.U-E-4 /.98,9 f2EP/At.{E/lf@.,, NA
    7. 011teriPtion of Work {Zepl,.~ "B'oL TI~6-
    8. Tests Conducted: Hydrostatic Other O O
    Pressura Pneumatic NQP 0 Nominal Oparating Pressura psi Test Temo. NoT e "F NOTE: Supplemental sheas in form of lisu, sketches, or drawinga may be used, provided 111 size ii 8% In. x t 1 in .. 121 lnfonN* tion in items I through 6 on this report is includad on eadl lhNt, and C31 each lhNt ii numblrad and the number of 1h..a ia recorded at the too of this form * (12/821 This Form IE000301 may bl obtained from the Order Dept., ASME, 345 E. 47th St., New Yortc, N.Y. 10017- *:::~----* ~-4~*~ I FORM NIS-2 (Backl
    9. Remartls <!'5 Z?7~56-17"IS~ -
    ('5~ l'51* 3So25o-3 CERTIFICATE OF COMPLIANCE We cemtv tnat the natements made in the "'PG" arw corntc:t and this M!fd<sftrs"<<r:: conforms to the rules of the ASME Code. Section XI. repair or raot-m Type Code Svmoo1 Stamp _ _.....:..:N~/..:.A.:....._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Certificate of Authorization No. _N:..;.,./.:.A.:....------------Explratlon 01t1 _ _ _N1M./.1A_ _ _ _ _ _ _ _ _ __ Slgnad (ln{;; ~ n... er D1t1 _ ...<<....,.1"....c--<_.J_____ _..J CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding II valid commiuion iauecl bv the National Board of Boilar and Preaura Veswl lnsoectors and the State '.' i rginia ;ind employed t,v HSBI & I Co, of _4,;u;.u:.:.!....!::!!!!!U____:!&=.::""::.;*:.:.ll;:a...:<;:..:/.:....:~:....:c::....::v:.!,I,;..__ _ _ _ _ _..,..._,,_ _..,._ _ _ _ _ have ~IDICtld the components d11cribld in this Owner 1 Reoort during the period to ~ "<<?~ . and uam that to the best at mv .. naw1edqe ilnd beliaf, the Owner has performed examinations and taken cornc:tiw menur11 aescnblld in lflll. Owner's Report 1n accorOance with the raauiraments of the ASME Code, Section XI. 0 By signing tn,s* Ci!rt1ficat1i'nitithir the lntPeCtor nor his emc,loyer m1kas any warnntV, expreaed o*r implied, concernrng 11'11* examinations and correctrVII meaNres described in this Ownar's RePOrt. Funhennore, neither the lnspactor nor his emplayer shaU be liable ,n- anv manner for any personal injury or proc,eny damage or I lou of any kind arising from or connected with this inspection. /../, ;h ~~3- ~ ~,e'~..;_i.f/fJ . ,* .J~...::::~..,."/'r~-~'),~""-c:>""~""'-""""'"=-'~"-"--"'--------Commissions _ _.:::::1~'!:a=:!!a~4!::!}!:.._~¥t..::.0.!!_,:.._SB:~*j()~(-~------ .*  : neoector-1 Signuur* N*tlon*I Bo*nl, Stat*, Provtnc*,**nO Endon*m*nH 19,_ _ &-=3- Attachment II Page 73 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co, Cate*_ _ _ _ f£>_-_2_3_;._,_3________
    Name soma,, DQmin ign,, Blyd, , Gleg,.,,.,A lleD'I: va, 23060* Shan:,_..___ z. __ at_2______________ Addr-*
    2. Ptam Surry Paver Sta ti oa Unit 7'/1\/0 Nam*
    P.O. Box 315, Surry, Va. 23883 Raoalr Organization P.O. No., Job No., ino.
    3. Worlt Performed bv Virginia Power Type Code Symbol Stamp _ __.:;N""/..:.A=-------
    Name* Authoriznion No. _ _ _ _ __.Na.t...a....______ P.O. Box 315, Surrv, VA. 23883 Expiration Date-_ _ _ _ _ _....,.....__ _ _ __ Add,-~*
    4. Identification of svnem _ _-=(!;.r;/l...,rA_.__IZ_6- ___tN........&-
    5*. (al APJ>licable Connruction COda B31, 1 19___g_l_Edition,_....N ...I...A;a,,.____ Addenda, N-J N-7 (bt Applicable Edition of Section XI Utilized. for Repairs or Aii,1-manis 19 ROWBO 8.: ldantification of Compgnenu Repairad or Replaced and Repl~ent Components - ,. J ~ ASME Coda.,. National Repaired, Stam0ad . Name of Name of Manufacturer Boerd Odler Yur. Replaced, (YN Component I Manufacturer Serial No. No. Identification Built or Replacement or Not. I! ~ (/  ! $1,fl)/l. N,,f le v:. ur A/A NA Z-c11-1:: * /95>/ ~pl.4<-,r;~.it" NA-I~ /14 ll.l>WA t2Ei S71/l) 'if" I) I 5pg-c14LTf NA NA- 2-Ct.l-G-4 1988 1l.ep/qcen,e.,-J 111, z. I ~/l.PIA/,4L A/4- .., 14 z-c w -tE-4 /992 72epkB1A-1 /v~ 11 I I %- J.k14vv -0 J.Je'f /!Iv f-. /\/ovA- /'IA NA z-c1-1-e-t /930 'f?epki!Mi:Ja/ ,{J A. I j (( 51Vb I 1\/ov,4 /1(/r rvl't Z-CU-E-f tJ;)O "l"cpl4ce>11J NA
    7. Description of Work _ ......~ G_....
    ....e-.=Fp.._/A........,c.... B,----l__l-_1-;A/'1C:$,___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ I {/ B. Tests Conducted: Hydrostatic O Pneumatic 0 Nominal Operating Pressurw ~ Other O Pressure ND/> psi Test Temp. A/pT *F n NOTE: Supplemem11I shna in form of lists, 1k111tch111, or drawin91 nay be usl!d, provided I size ii 8% In. x 11 in .. (21 lnfonna* 6 tlon in items 1 through 6 on this report ii included on mdl sheet, and C31 Heil sheet 11 numberad and the number of 1hN111 ii recorded at the tOP of this form. (12/821: Thia Form tE00030t m.., be atnained tram ttleOrder.Oeot.~ ASME; 34a E.47th St., New,Vork, N.Y. 10017-- ,,,,_.;/--: ' ,;i' Ii , I' . .'il; I. i Ir ,i ,: i' , f :,1. I . 11* '**/ ,, . *i  ; 'Y~. )ii i ' !i I '! t ' i ,!l';il' FORM NIS-2 (Backl .ii',, 't*',;'1,* CERTIFICATE OF COMPLIANCE We cemtv triat the natements*m~*in'the ~ r t ant correct and thl1&{,~,dcditthQ: conform, to the rules of the ASME Code. Secuon I( I.
    • r9J1atr or r,"!' 1!'C8"'*m Typ~ Cbdti(Svmoo1
    , _*,1* 1 :\*.,'..(*i* Stamo""".;._...;.,N"""'"/,;;.A.;..;,"-----...;.,--------...,...__.--.....,:~,....-...... " *....**;,_:,' .;..;..,.;.--'----------* CeSlgnn:cate ? r ; a ~ t 1 o No.n-.~""'N"'"""/.:.A....._ _.-.,.-----t'-----Expiratlon D*t:_ NIA 1 au W- 'I+- Ownar or Ow;,.;:.;19nN, Title ~ Z::C£ "'~ Date * ,7..**J.e ,r,.,t ,19£,.,.._i_ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commission issued by the Netionel Board of Boiler and Preaure V**l lnspac:tors and th* Stete or Province of '! i rginia and emptoved by RSBI & I Co, of U11£.TF-Ot..b C.01,nec+t't"f have inmecied the components 0111cribed* in this Owner, Reoort during the period ,._ ;2¢. f'J to t, .. }.. r- f) , and sta19 thd to the best ot mv ~nowledqe and belief, th* Owner has performed exarn1n1tion1 end takan corrective menurH described in ttlll Owner's Report rn accordance with the l'IIQUiremenu of the, ASME Code. Section XI, By signing th!! ~mficate neither the Inspector nor his employer makn any warnntV, expraured or implied, con~rn1ng the examinatiei~s and correct1w meHures described in this Owner'1. Report, *Funhermor*, neither ttle Inspector nor h,s ernplc,yer shall be liabl~ *,n anv mim~er for anv penonal injury or propany damege or. 1011 of ,riv kind ari1ing from or connected V'litti thla inspac:tion. ~ '41,.'1/Cf'> .,.~;z:::a--..~'-"""'---'~--=~~-=--------Commi11ion1_=~\f:!8:!1=:S~l~J=--_J\µ~q;L_. ...!8~0~il,_____ ~  : naoectara Signature* National Boara, Stata, Province, and Endanementa Date¢~ 1sf5 ... c .. 4 ....... ,,;:..* . sc.;.;;;:,,;,; -.&e Attachment 11 Page 74 of 86 Serial No.: 93-318 Docket No.: 50-2&1
    • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Cod* Section XI
    1. Owner Virginia Elec~ric & Power Co, 7-01t1 _ _ _ _ _ _/.?- .9-3 Nama sooo Dominion Blyd Acse1r-
    , GJen Allen Ya 21060 Sh*t--~-~-------------
    2. Plam Surrr Paver Sta ti on Name P.O. Box 315, Surrv, Va. 23883 AdOHIIZ Ascclr 0,VCNl!IIIIOll'I l".O. No., JOl:I No., '111111.
    J. Work Performed bY 'lirqinia Power Type Code Symbol StaffiP _ __..;.N;.:./....:A.:....__ _ _ __ Name AuthoriUtian No. _ _ _ _ __........,.___ _ _ __ P.O. Box 315, Surrv, VA. 23883 Expinmon Date _ _ _ _ _ _ _ _....,._ _ _ _ __ Aocs.....
    4. ldentificeuon of Svn*m _ _ _""t,-~..._A_l._._:@ ......l2 ____ ___._L_.A.....,N.....,,
    (0D _______________________
    5. lal Applic111>le Connrucuon Cod* '931. 1 19--6l_Edition,_...N...,/._.A....__ _ _ Addenda,.....,N.aa-'""'J.....__,.._J;;;;.-.,_7__ CodeC-lbl Applical>I* Edition of Section XI Utilized for Rapain or Repl-nts 19 80WRO
    6.
    • Identification of Companenu Raoaintd or Raolacad and Replacement Comoonants ASME I Coda I
    N1me of I I Nanaof Manufacturer N1tlon1I Board Ottler Yur Reoairad. Aeolacea, ,v.. St1111Ded Component Manufacturer Serial No. No, Identification Built or Reolacamt1nt or Not stv-.) i3Be'1? <,V4 I (\IA, N~ 2-rz.C-HSS-15<> M4 flc~a> 1'1 t\ <.JV.) A~ ;:;-rz. i NA, j\l~ f'),A 2-~C.-ijsS-I~/ fvA 12.eMbvc-D NA I I
    7. Olnei'iOtion of Work ---"""-'[2...1:;'""""'M'-'-o:a..V.....;;;~a.::D..____.5.;.Ja:..::,J_,g.,.g:;all:E:.:f2::=._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
    8. Tens Conducted: Hvdronsuc U Pneumnic O Nominal Ooarilting Pressure tJ Other [J Pressure _ _ _ _ _ psi Ten Temo. "F NOTE: Supo1emema1 lhNn an form of lim, skatche, or drawin91 nwy be usact. provided I tlz* is 8% In. x 11 in .. (21 lnfOfflll* n
    *h-* tion in items 1 thrauC,,. 6 an this l'91JOrt ii included on -=ti 1hen, and 131 aac:n lhNt *ii numbarad and the numb11r of recorded at the too of thil form. 112/821 Thl1 Form 4E000301 mw be o<<n1inad from ttleOrdar Deot., ASME, 34& E. '7th St., N- York, N.Y. 10017 ~* ;~ *, '. FORM NIS-2 (Badcl
    9. Reme~lll _ _.1,f2.=E:.:..M:..:. Si-......1Pi;.."11a/2:..:.R..._DM.~C....if....._'..:'B::..:~::..-...;bl:.::::::**:::::*.-~**_...*..1:Ea;;.i..uR,,..;.._,_*:_:......- - - - - - - - - - -
    . .:::.O.:.V..::e-::::.'_-..::'z;.i::N:,&lu"',;.L.isl.li,6~*::X:...r.::.. ADPllcaale Menu1ec:turer'* Dau A-ru to ae .._,... s 11.., V isRt:12... /2.ED Ven otJ 'PRc§::R.t\-M, CERTIFICATE OF COMPLIANCE We cemrv tnat tne natemenu maa. in the reoon arw conwct and thl14,;e>,1!c,'1r<ir'Cconfonn110 tne rures of the ASME Code, Section XI. reoair or r e o , _ Type Code Svmoo1 Scamo _ _....;.:N~/..:A.:__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Caniflcat* of Autnorozauon No. _N~ * .._/_.A.._____________ Excilratlon 01ta _ _ _.iHul:.,A1:1.,_ _ _ _ _ _ _ _ _ __ Si9nedQ.~ wn., or l)wn I =,4 o ....,,... Title 'Tf-F 01ta-~x.,:.:IA::.,"er,~>(~6;r....----* 19 ?J CERTIFICATE OF INSEAVICE INSPECTION I, the unoenignea. no1d1ng I valid commr111an issued by th* National Board of Bailer and Pl'ftalre v,..1 lnmecton 11nd tne Stan or Province 01 * * ~ :-qinia and emci1ov1e1 by HSBI Ii I Co, of J/,q(l..,-/::o~I) , Ct>~IJ .-t:.v-1'cllr h - rnmected thl componenu oell:flbad in thrs Owner, HP.con ~uring tne period  ?
    • L * .,, to 7* '-
    • 9J and 118111 that to th* best or mv *now,~ and belief, the Owner ha cier1onneo e11em1na1ion1 and taken corncmw m1nure1 aescribed 1n thll o-r*1 Reoon in accordana with the rwau1rement1 of the ASME Code. Section XI.
    By 1rgnrng trm cenrfrcan neither the lflllNCIOr nor his emo1oyer m1kn env -rnimv, **cirwsad or implied, concern1n9 the 1xam1nat1on1 ana correcuve m111111res dncnbed in this Owner*, Reoon. Funhermore, nenhtr me lnSPeC1ar nor 1111 afflllloYW lhlll be li11bl11 ,n anv manner tar anv personal injury or proc,eny damage or I lou of 1nv kind ari1ing from or connected with thlt in-,eeuon. ' ~ ~ -""' 'J-C.-IIIS \-Rll I .........~~""'-"'-=--"-'"'-"-----------COmminian1 _ _..;Y~a:..;*:.....S:....:.:.l.:.3_ _ _ -~:...::;..e...c:~_, nao11CtOl"I Signaiur* NHlona1 Boera, State. Provtnca, ano Endorallfflann _,.J\hL,;4t~._B:.x..o~'------ Date Z- ~- 19f3 Attachment II Page 75 of 86 Serial No.: 93*318 Docket No.: S0-2a1 FOAM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Proviliom of the ASME Code Section XI
    1. Owner Virginia Electric & Power Name Co. Oate _ _ _ 7.;.+i_/""f+/_f.:....'3-----------
    { I sooo Dominion Blyd,, Glen Allen Va 23060 ShHt _ _....__at...../_ _ _ _ _ _ _ _ _ _ __ A.Odr-
    2. Plam surrr Paver Sta ti on Name P.O. Box 315. Surrv, Va. 23883 Recelr 01'981W!M.IOn ~.o. No ** Joo No., e,11.,
    3. Wark Perfonnea bv Virginia Power Type Code Symbol Stamcl-----""'-;.:...------
    Name Aultlorintion No. _ _ _ _ ___......,..___ _ _ __ P.O. Box JlS. Surrv, VA. 23883 Ezpinmon Dau ________._.._ _ _ _ __ AOCI,_ ...
    4. ldantificat1on of Svn*m _*~-~-~_F._e-......;..r+Y---'-41-J_,E..,C...n....a.....flJ....1_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
    5. (al Applicable Connrucuon Coda B31. l 19--5,LEdltion, _ _.!;l,../._A....____ Addenda. N-J 'l-7 (bl Applicabl* Edition of Section XI Utilized tor Rai,ain or Res,lacaman1119 RQWRQ 6., Identification of Companenu Raoairad or Replaced and Replac:ament Comoonanu ASME Codi Aeoa1rlld. StamDad Namaof I
    Name of Manufacturar National Boera Ottier Yur Reolaced. ,v.. Component Manufac:turar Serial No. No. Identification Built or Reptacamant or Not S":,1 Iv ,-:IR./2 6-llt N Al i=lL I M- lvA ~Z-5i-lt~-2.s Jl,/1 72Ed,1cGP fvo. SN'-'f!:,/f,3!-  ; &fl/11.,(1.,f::.LJ..... /v-f- lvA 0 Z-sl-HSS-lS /f(t/ z 7Zt/4~ Iva.... I I i I I i I I
    7. DetcriPtion of Work _ _ 7Z_e:_~,.....I_A__<;G
    ......__ ___v_.i3....._~ 5._~ . .@2...-_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
    8. Tens Conductea: Hvdronn,c O Pneumatic O Nominal Operating Pressu,. LJ Oth*r11 Prenura _ _ _ _ _ psi TenTamo. _ _ _ _ _"F NOTE: Supplememal sh..a ,n form of lisu. skatch111, or drawi1191 may be usaa. provided (1) size ii 8~ In. z 11 in .* (2) lnfonna*
    don in itemt I through 6 on tni1 ~ ii included on - " shaft, and 131 ,ac:n lhNI ii numbel9d and the numt>er of shwa * , - d i d at the too of thia form. (12/821 Thlt Form IE00030) ma,, be oatainad from ff'la Order Daot..ASME, 345 E.47111 St ** Ntw Voril, N.Y, 10017 FORM NIS-2 U3ackl
    9. Ramark1 ~~~/l/~S----=~~~--=-~..::'.:5"....:{:)~-~~,...f'i:;...1_,,;~?:[~~~t.:.::.,),___
    11 __________________ ~ Aoollcabl* MaZacturar"* Data R-ra m D* nDdlell CERTIFICATE OF COMPLIANCE we cem*v tMat tne natemenu made in th* raoon are cornet ana thl1 l'Wck.lP,-i;onfonn1 to tna ru1a1 of tha ASME Coda. Section A I. r-.>a1r or r-.,1-,n Tvpa Coda Svmoo1 Stamo _ _---'N""/;..;.;A;...___________________________________ Caniflcat* ot Au1Moriza11on No. --'N:.;...(.:.A.:....____________ Explratlon Oate---.iiHi.,l;..Ag,.,___________ Sltnad O ~ ,,j - Mf/' Own*;;,~,., o .. ,..,.., Titla fr:r Oat*-.l.l.j..;.v_L.v....J/..,.t/'------* I 19 93 CERTIFICATE OF INSERVICE INSPECTION I, th* unaenignea. Molding a valid camm1u1on iauad bv the National Boara of Boiler and p,._,,. VelWI lnmecton ana th* Stan or Province ot *: ~ :-,nnia and amolOVad t,y RSBI & I Co' of fl.:tr-t Fo ~ dJ ct. l'lrlll 1nroectr th8 CDfflOOnants OHCnbed in thi1 Owner, ;:;econ aunng tne oarlOd _ _ _ _ _ _ ___.5'._-__./._-_9~0=--ta §- I I~ -1 .1na uaa, tftat ta tha best or mv *nowoedga and belief, the Owner ha oerfonnea **arn1nat1on1 ana takan corncaw menura1 aescrrma rn tftll o - r * , Reoon ,n accordance with th* rwau1rarnenu of the ASME Code. Section XI. By 119nrng tM" cemt,cam nerthar the lnsoectar nor Ilia employer mall11 any -rnmv, **..-d or imotied, concerning tfte exarnrnauons and corr~uvw mea1Uns delCl'ibed in thie Ownar*, Reoon. Funherrnore, nerdlar me lnaoector nor 1111 ernDIOO,er shall be li11bl* ,n anv manner tor anv penonal injury or oraoenv damage or a lou of any kind ari1ing from or connected"'"" ttlll in1PKt1on. ------4-~~"-=-~-'--...;.........,.l"-'-.-*~-=:;...;;....;;;;.....;....__ commi11ion1 _ _.....:V:..:a~.--=5~4:!.:3_______________ nooecter'ISigr,atur~ Natlonar Boera, siata. Provine*. ana Endanementa Oate,_ _:::cJ..:....vl.:.:*1,--__ /4'------19 4? Attachment II Page 76 of 86 Serial No.: 93*318 Docket No.: 50*281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Previsions of the ASME Code Section XI
    1. Owner Virginia Electric Ii Power Co, N-5000 Dominion Blyrl Ao<<-, Glen Allen Ya 23060 Sh~--~-~-~-----------
    Unlt _ _'T~W;&.:i::.Q_ _ _ _ _ _ _ _ _ _ __
    2. Plant Surry Paver Sta ti on Name P.O. Box 315. Surrv, Va. 23883 3Bool~ "194-o R.7l.. # 93 -113
    3. Wont Perfannea bv 'lirqinia Power Type Codi Symbol StafflCl--_..;N;.:./..:A~-----
    Name AuUlariznioft No. _ _ _ _ _.....,.....,...__ _ _ __ P.O. Box J~S. Surrv, VA. 23883 Expirauon Date _ _ _ _ _ _.....,.....,_ _ _ _ __ Aelelrae . .......___,_Jt-J'-=...I_.E....caa..:.T.:.ID::.i.N_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ '* ldantification of Svn*m _ _s;:.a.A.;.;;..F...;:1c:_DJ I I S. 111 Applicable <Annrucuon Cod* 931. 1 19--5l_Edltian, _ _.!;l.,.I...A...____ Addenda, N-J !J-7 lbt APPiicabie Edition of Section XI Utillzld far Raplin or Repl-nu 19 RQWRQ
    6.
    • ldantification of Comc,onanu Repaind or Raplac:ld and Replamn.nt Comc,anenu AIME Codi National Repaired. Stlmllld i Reolacecl, Name of Nameof Manufac:turar Boera Omar Yur IY"
     ! or Replacement
    • or Not Component Manufacturar Serial Na. Na. ldantiflcnion Built H1=4yy 1/ey ,,
    /\lvT ~ NA I NiA J.r ,A OZ-S 1-TV-ZoZA. ,V/1 iepL4.Cr.;i) /VA ~~ "*i rvA (VA-K.:eplM.Eb NI:!. '511/1> 5 lie/( A/vi ft, 11 NA erz-st-TV- ZIJ"Z/1. 4 i (!,Vtl)IN4-l /VA N'A OZ -S/- TV-2D2A /9Jc. l&,,/4cM EM" 1 /./14 i ~ II i I!,, S7Vl>S ~  : A*tliNNAL NA I NA z-s,-TV- -zoz,. / .,?9.3 l12i.,pJACEM:WT tvA I I 'E____l=__L_A_(\J....,.(,-_'E___
    1. DIICriDtion of Work _ _.._j<_1;;_,,9_lA......_c....  : B=O..;L:~:-r...,1..;.~.;;.;(z~-------------------
    8. Tens Conducteo: Hvdronn1c LJ Pneumatic 0 Nominal Ooerating Pn1ssurw ~
    Other ti Prem.ira No? psi Ten T11mc. t,)()r °F NOTE: Supo1ememet shna 1n form of lim. sknctl*. or drawi1191 may be usad. grovidld t size ii 8% In. x 11 in., (21 lnfoma* n tlan in items 1 throu,,_.. 6 on this n,pon ii induded an adl 1hNt, 1nd C3t eacn snan ii numbend and ,n11 number of 1hN11
    • nicardl!d at tha tOD of thil form.
    112/821 Thl1 Form CE00030t may be obtainad from ttll On:ler Decn** ASME, 345 E. <17th St** N- York, N.Y. 10017 FORM NIS-2 IBackl
    9. Remeras _ _s_~i--4_0_0749-( f;;vt' ~ )
    Aoollceble MenufK'11.1 1 Deta A-na ta De nacfteO ____ ,:;;-,f({'---4_1_9o52 -2 (:z-rv p s ry,. -~ 0 . CERTIFICATE OF COMPLIANCE We cemrv tnat tne natementl made in the reoort .... COl'rwc:t and thlt M r ~ n f o r m s to tne ru1e1 of th* ASME Code. Sect1on J( I. recae1r or reca1-m Type Code Svmoo, S1amo _ _..;N:.:.:../.;.A:...._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Canlflcate of Autnorizauon No. _N_,...(...A______________ Explratlon D*te---~N"'/_.A..____________ ,I/. J> "'J-4? Own., or u~bea19nee. Title z:cr 4,.,~((VC.r4,a.- Oat1 _ _ _ _ 7.c....;.-_..1,/_____ t9_9....,.s...... CERTIFICATE OF INSERVICE INSPECTION
    1. the undersigned. nold,ng a valid comm1u1on iuuld by th* National Board of Boiler and Prnmra va..1 lnsoec1on ano the Stan orProv1nceo1 *.*~:::-ginia ancUmPIOVldbv RSBI & I Co. of
    ~o~ Lo AJ havw 1nmecnd th* comoonenn 01cr1bld in this Owners '1P.oon curing thll c,erlOd to ?4&z ;ino statll ttun to the best 01 mv *now1eoqe and belief, the Owner hM perfonnecl examination, ano taken correctiW me...1111 aescnma ,n thle OWMr'1 Reoon ,n accoraanc:a with the reouirement1 of the ASME Code. Section XI. By signing tn,s cemflcate neither th* lnsoectar nor his emoiover mekn env warnntV, * * ~ or implied. concern1n9 the exam1nat1on1 and corr!!CtlW mea1Ur11 decribed in thit Owner's AIPOrt. Funhermore, nenher me lnspectOr nor n11 emolCPter shall be liable ,n anv manner tor any penonal injury or p,aoeny damage or* lou of 1nv kind arising fn,m or connect.a with thlt in-,ec:iion. ,tA'.(3 7/ / ft.f ~~L:L&?fkz nmectar1 Signa1ura Commi11i0n1 _....:::....l.i~'~a~-!::::!§~4!;:l!;:-:__....i:.&::2::..../2e.J.~:::?:?/::...__ _ _ __ Ne110ne1 eoercl, S1e1e. Provine*. ana Enaoraam*nta Oau,_ _ _ _7_.___-___._(____19 93 Attachment II Page 77 of 86 Serial No.: 93-318 Docket No.: 50*2a1
    • FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Prcwisiom of the ASME Coda Section XI
    1. Ownar Virginia Electric & Power Co.
    Name saoo pami o ion a1vd. , c;1 en AJ Jen, Aocw-va , 3060 ShNt_ _...{_ _ ot-------------
    2. Pt1nr Surry Power Sta ti on Unit '2,.
    Name P.O. Box 315, Surrv, Va. 23883 AGGl'Wll R_I, oraemset!nn ~.o. No., Jab No., na.
    3. Wane Performea bV 'lirqinia Power Type Code SymbOI StamP----'..:...;;.;...._ _ _ __
    Name Auttlariznion Na. _ _ _ _ ___..~.__ _ _ __ P.O. Box 215, Surrv, VA. 23883 Ezoiration Daw _ _ _ _ _ __......,...__ _ _ __ Addffll!!I *
    4. ldantific11tion af Svn1m _ _ _ fof_lf_rN __5_18J __M ____________________________
    5. (al Applicable Connrucuon Coda !331, 1 19~Edltion, _ _.'!;l,.,.....I A-.___ Addenda, N-J 'l-1 lbl Applic.abl1 Edition of Section XI Utillzad for Raaain or Replacemenu 19 AQWBQ
    6.
    • Identification of Camoonen11 Reoairad or Raplaced and Reolacament Comoonenu I ASME Codi I National Reoairad, s~
    Reolacad, IY" Nama of I Nameof Manufacturer Boam Odlar Yur Comoonent Manufacturer Serial No. Na. ldentificaiion Bullt or Reolacamant or Nol Sf.)J?,8a?-. {rfl../ f.JNfEZ.l. I r,/A NA 2-HA,~H 5S'-2',t µA 7Zef>1 flt' ~T>
    }-'(},, SNv~B"E/L  ; G./21 ~/1,;f;(..L. f./A- /.Jft- z-~s-11-55-ZA /f$5 "/4"//4t.Mef /v4 i I I I I I
    7. 0111:riDtion of Work_lk+f"-=l-p...l_'..4-'C_,,*g_..;:s;;;.alll-...,v......,.b...k......!?--'-________________________
    8. T11n1 Conductea: Yvdronnic U Pneumatic O Nominal Ooenting Pres1Ure 0 Other O Prenure _ _ _ _ _ psi Ten Temo. *F NOTE: Supp1emema1 sh-. 1n tonn of 11111, sknctie. or drewi1191 nay ti. u1ad, provided 111 1ize ii 8~ In. x 11 in .. !21 lnfonne*
    tlon in itemn I throuc,J 6 on tni1 l'll1>0ff ii included on Ndl 1hwt, and 131 tac:n dlNI II numberad and the numbar of shwa * ~ 1t the too of mil form. 112/821 Thl1 Form IE000301 ffl8'1 be OCUlined from tfte Order Deen.. ASME, 345 E. 47th St., New Vortc, N.Y. 10017 FORM NIS-2 (Backt
    9. Remarks _ ___:N...:...SL...-...!...:/D~55:::.....!..../---!-(.-S:~'/v;..:1.1:.:.::B::.:::Bi.w;=;),'-----------------
    Aoollc:llale Menuf-rer'1 Dau A-na to ae nacnea CERTIFICATE OF COMPLIANCE We cen,rv tnat tne statements made in the reoon are cornet and thl1 i1._~A;4i;.§<!4,f'rc'onform, to tne rules of ma ASME Code. Section .,;. I. reoair ar reo*-m Type Code Svmoo1 Stamo _ _....:,N::.:l:..A:;:.._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Caniflcat1 of Au1norizat1on No. _N:.:...l..:A.:...____________ Explration Oat*---.'3HLol/;,,iAca,.._ _ _ _ _ _ _ _ _ __ SitMdc:J ~ / Owner o r ~ - Title . - £.r,e CERTIFICATE OF INSERVICE INSPECTION I, the undenignea. holding a valid comm1111on iuued bv the National Board of Boiler and Presaira ve-1 lnmectors and u,e Stata orProv1nceo1 **~:-ginia and*mPIOVedbv HSBI Ii I Co. of t/a.rTrord I ct have , n ~ th* components 011cr1bed in this Owner, ;:;P.oon our,ng the period S:-{-CZQ to £:-(~ :jj__ and netathal to the best or mv ,nowtedqe and belief, th* Owner ha perform.a exam1na11on1 and taken corncmw me... rn oescrrbed tn tflll Owmr's Reoon ,n accon:11nc:e with the rwou1rement1 of the ASME Code, Section XI. Bv 11gnmg 1n11 C1?n1f1cai. neither the lnsoecu,r nor his emoloyer makn anv warramv. e * ~ or implied, concern1n9 the exarn1net1ons ana correct111e mea1111ra dacribed in this O-r'1 Repon. Funhermore, nenher me ln~or nor"" llfflDI0¥9" shall be liable ,n anv manner for any c,ermnal injury or progeny damave or* Ion of any kind ari1ing from or connected with this inapectron. ----~,.__.:::...w'--=-----'---"f----~;;;... n10ector1 Signatura ___..;..___ commi11ion1 _ _National ......:v..:a::..-:.*--=S:..4.:.;3=--------------- eoara, Stata, Pravtnca. ana Enaorsemanta i I Attachment I I Page 78 of 86 Serial No.: 93-318 Docket No.: 50-281
    • 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 & Power Co, Oate _ ____,(.o_---=3_0_-__9_.3.___ _ _ _ _ __
    Name _su.0,1.10""0"'-"""P~ou.ro....i...* n........,i~a....o..._.e..._1...,v,..a.........~G....J..,e...o..._.,.,A...J...J........ eo..,,.......v. . a-.......2....1060 Shnt _ _ _/__ af __/ _ _ _ _ _ _ _ _ _ _ __ Addr-Unit _ _ _?i,_kJ-"-_D_ _ _ _ _ _ _ _ _ _ _ __
    2. Plam Surry Power Stati co Name P.O. Box 315, Surry, Va. 23883 '.3~ oo I 3oioo rc:.12.. :# 93- t:30 Rec,elr Organization P.O. No., Job No., ate.
    3. Work Performed by Virginia Power Typa COde Symbol Stamp _ _--'N"'/c....;A;.;:...._ _ _ _ __
    Name Authorization No. _ _ _ _ ___.N,.,._l.,ll______ P.O. Box 315, Surry, VA. 23883 Expiration Data _ _ _ _ _ __ . . . , . _ . ~ - - - - - - Add,_ 4, Identification of Svstem ___M_A_l_f..J __ 5_Ta_~M------------------------------ 5*. (al Applicable Construction COda B3 l, 1 19__g,l_Edition, _ _.N..,.I ....A...__ _ _ Addenda, N-J, N-1 (bl Applicable Edition of Section XI Utilized for Repain or Replacem*nts 19 BOWBO 6.: Identification of Componenu Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Year Replaced, (YN Oth*r Component Manufacturer Serial No, No, Identification Built or Replacement or Nol I s1U1.J°'/3f3 (?:IC. I (;,. tt I Ntv£ (.. L. tv4 4,.-1 2-"'1 S-H55-"Zg VA fZ.Ep/40:D f,.JA N.A. "Stv V f:i>/2 £9t. I 6,-12 /N f\lELL /VA,- 2-"-15-!1S5- ZB l.!:>8'S, 'f?~p!4C0U0Vt µ,4 I 7; Description of Work_.........,F, ___E'-'P:;..;;;;LA;..;;.;:(c::E=--..a:5:;..1'.l...:.;;U;..R B.. ....... ffi."'"'"::a....--------------------------- B. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure 0 Other O Pressure _ _ _ _ _ psi Ten Temp, *F NOTE: Supplemental sheeu in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (21 lnfonna* tion in items 1 through 6 on this repon is included on each 1heet, and 131 each sheet i1 numbered and the number of 1h..a ii recorded et the top of this form. (12/821 This Form tE00030) may be obtained from th* Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 , FORM NIS-2 (Back)
    9. Reme 1:1 rk1 _ ___:'>:........:.5_~-,4--.!.f. =9;.::0::.,0"'-2=,. .1.8...-........ / ~
    ,-+c_:..;;.~_N_v-"'&;..:8'""'"'"'""-----* -------------- Appllcable Manuf~ . Data Reporu to be attaehed CERTIFICATE OF COMPLIANCE We certify tnat the statements made in the report ant correct and thl1 tfV<dc6-¥.fNrconform1 to the rules of th* ASME Code, Section x I. rapair or rapl-mant Type Code SymbOI Stamp ___N~/-"A"'----------------------------------- Certificate of Authorization No. __N:.:. <./. :.A.:. . ____________ Expiratlon Date _ _ _NU-'/_.A..____________ Signed 0-c£.. ~ -- ._. Own*r or a~.
    D'rC Title 44,AA-W Date .......:n¥,l
    ...<<...,,l{..,,!f:a-al._..Q....__ _ _ _ _ , 19 9? CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressu,. Venel lnsoecton and the State Virginia andemployedby HSBI & I Co, of _ _ _ _ _ _ _ _,...._ _ _ _ hav1 inlPICted the components described ---..L1.==.L-'-'-""--'-=-=-t'--G=-o::;.;./i/.;...;.,l/.....;;e;;..!._r....;..1..a,_"'....;..-;- (;,/3o /r 3 , and state thll to the best of my Knowledge and belief, the Owner has performed examin1tion1 and taken correctiw measure, described in thl1 Owner', Repon in accordance with the requi,.mentl of the ASME Code, Section XI * . . . By 1ignmg*th1s C1!rt1ficate neithilr*the lnti)IIC:tor nor his employer makes any warrantv, exprnad or implied, concerning the examinations and correct1vu me111ures described in this Owner's Raport. Funh11rmor11, neither the Inspector nor his emplover *!!all be liable in any manner for any personal injury or propeny damage or II Ion of any kind ari1ing from or connected with this *. lntPection. J-..R.6 r;./~/rr'> I --~--'..:..~~~~~~~-::7"-------Commis1ion1_:::::'v~'a!:_:.:::::;S~i;~3=---JI\/~ ta_LJ~LO~/_ _ __ I nsoactor'1 Signatura National Board, State, Province, and Endorsamant1 Dat*,---=~=r-!5'::=rff-~:> 7~ _ _ _ 19 tz} Attachment II Page 79 of 86 Serial No.: 93-318 Docket No.: 50-281 FORM N1S*2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Prcwilians af the ASME Code Section XI
    1. Owner Virginia Electric & Power Co. Oate _ _ _.;:0~-__:;'5..;0;...._-_~..._3=---------
    N-- sooo Dominion Blvd*. Glen- Al Jen, va 23060-ShNt. _ _J-_ot_ _ _ _ _ _ _ _ _ _ __ Addi'-
    2. Plant 5urry Power Stati au Unit -"'-'o Nam*
    P.O. Box 315, Surry, Va. 23883 3~ 00 l'.30 -, 93 Reoalr Organization P.O. No., Job No., ina.
    3. Wark Perfonnl!ld bv Virginia Power Type Code Symbol Stamp _ __.::N~/..:.A.:...__ _ _ __
    Name Authorization No. _ _ _ _ __...N.{.e.a...______ P.O. Box 315, Surrv, VA. 23883 Expiration Oete _ _ _ _ _ _......,_ _ _ _ _ __ Add.... -. 4, Identification of Svstem _ __;.;M;.:..;;A;..;t.;.;/Ll;....._.5_f"!al.-=--""\.---'._-------------------------- 5*. (al Applicable Construction Cod* B31, l 19~Edition,_...1N.1.l""'Ai::a...._ _ _ Addend*. N-] N-2 (bl Applicable Edition of Section XI Utilized for Replin or Aepl-ment1 19 BOWBO 8.; ldtntificetion of Componenu Repaired or Aeolactd and AIPIKement Components ASME Code-Nttlontl Reptired, Stamoed Name of Name of Manuftcturtr Board Other Vear Rec,ltced, (VN Component I I Menuftctu111r Striel No. No. Identification Built or Reolacemant or Nol I l '$,vv9~72.. (}-RJIVAJ(:l-L. µ,4. /VA- Z-1£tf-ut:.5 - 2,,. ,U4 !ZepHarl> iC,',4 S'tvu"i31'3@2 i I ?e1,.,NtaL /V ,,A,- fv;&- 2-M5-1,r.;,c; _'2,, >'1'12.. VZ.rzpfA.lENe,T I I I
    7. Dncription of Work _ _ _~_E_P_1..._f4. C._E'_S,_,..,_u....;;"8"-'"g;..eJe_......;::a.....-------------------------
    8. Ten1 Conducted: Hydrostatic O Pneumatic O Nominnl Operating Pressure 0 OtherQ Pressura _ _ _ _ _ psi TestTemp. °F NOTE: Supplememal _sha.s in form of lists, sk11tch11. or drawings may be used, provided (11 size ii Bl,fi In. x 11 in., (21 lnforma*
    • tlon in items I through 6 on this repon is included on each 1hNt, and (31 tech shift 11 numbered and the number of 1heea is recarded et the too of this form.
    (12/821' This Form CE000301 may be otnainedfrom the Order-Deen., ASME, 34& E. 47th St., New-York, N.Y. 10017* i J ': /*,:,\,: ,\,: , 1 1 1, I I , l~ ' ', * ,,,::\ FORM NIS-2 (Backl 1, ',*':.' j" 1 I 11 1 j 1 )., ti'11,1:
    9. Remarl!-s _ _ _...,;$;:..'.5£*..!<'4':Jt.-'---=3::;..,::....:::2~5~3~3~--l~(-..:;.'.;,; .~;. 11-""?'-"T?"-.!!:i=..~;:<-,.,...........,.--,-------.--,.----------
    I Aoollcabla Manufacturer'* Dau Fleooru ta aa 8flllCtlad. CERTIFICATE OF COMPLIANCE We cen,ty tnat the statements made in the repan are COmtc:t Ind thll ,¢~e<::#<l<fA#i:"l'conform1 to the rUles of the ASME Code, Section XI. reoai'r or rec,1-.nam Type Code Svmoo1 Stamo _ _....:;N:.::l..:A~------....,..--------------------------- Cenificate ot Authorization No. __ N..,/_A.,_____________ Explration Dita ---~Hi.il~A..____________ Signed c:;;:J, '('_ /. * * *Owner or Own*r.og.:nN, Title 4 4. - 01ta_.....:J;.._.."",.,'"'c..e_.,., = r... .. a.....____ , ,s V CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid commiuion iuuad by the N1tion11 Board of Boiler and Prem,ra Vaswl lnsoactors and the State orProvinceot '!i.rginia indamploylldbv HSBI & I Co, of '.19/7TPo%o o 'Al ericGJr havw intDKtad the components deacribad in this Owner, Reoon during 'f.7 to 6/.,3° /f .3 and nata that  ; ' to the best ot mv rnowledge and belief, the Owner has oertormea ax11111n1tion1 and taken cornctive measures oescnblld in thll Owner's Repon in accordance with the reauirament1 of the ASME Code. Section XI. By 1ignmg thl! cemticate neither the lnti,ec:tor .nor his employer makes any warnntv, exoraued or implied, concern,ng the examinations and corrective measures described in this Owner's Reoon. Funhermora, neither the lnsi,ector nor h11 emptc,yer shall be liable ,n anv manner tor any personal injury or propeny damage or a lou of any kind ari1ing from or connected with tflll in-,ection. ~ '430/'t 7 _ / ===.a..*-=-----------Commissions_-=~l'~a~-=::§!:-4-3-!=:,_ _..ll\0~l<.L_!O:~O~/----- -,.--.,,d,~~~.l.-CC~=""* ~ :nooector, Signature National Board, State, Province, and Endor1emanta Oat*---=~!'}!'4=.,___ _ _ _ _ 19 7 f'3 Attachment II
    • Page 80 of 86 Serial No.: 93-318 Docket No.: 50-281
    • FORM NIS-2 OWNER~SREPORT FOR REPAIRS OR REPLACEMENTS As Required. by the Pravisiom of the ASME* Coda Section XI
    1. Owner* Virginia Electric &-. pC,wer Cg, Data*----"'1/?.._-_'sq=_:::._.? .....~'------*-*-**--------=
    N-5000 Dominion Blyd ** Gl-en-Al }eD:iz***va- 23060*Shut_*_ _f...-_-_.-~t. f. -- --- ---- ----- --- Addr- 0 Unlt ___-r_w_...o _______________
    2. Plam_...S..J1.i..Jr.r..i.r~y......P;.0.1.1Yiueo.r s...
    ....... t.,,,a.,..t...1...* .. Nam* n... D--------- P.O. Box 315, Surry, Va. 23883 Rac,alr Organization P.O. No., Job No., aia.
    3. Work Performed bV Virginia Power Typa Code Symbol Stamp ____N.;.:./...;A..;;.._____-_-.- ....-.*--.- ...- -
    Name-** Audloriznian-No.-_ _ _ _ _ _N._(..,a...______ P.O. Box 315, Surrv, VA *. 2388J.****'"'* Expirni0nD.~"'":-*-.-----""""""'""----.---
    4. Identification of svnem _ _,;.;M..;.A;.;.;,;/AJ,;;...._'s."""-~=A...."1....,.____________________________
    5 *. (al Applicable Connruction Coda BJ 1, 1 19_si_Edltion, _ _.N...{...A_ _ _ _ Addenda, N-J N-1 (bl Applicable Edition of Section XI UtillHd for Repain or Replacamenu 19 BOWBO 6.; Identification of Componanu Repaind or RepllCld end Repltcement Components ASME-Code-Natlontl Repaired, s........ Ntmeof Nam* of Manufacturer Board Odltr Vur Replaced, ... (VII Component Manufactunir Serial No. No. ldantiflcnion Built or Replacement *or Nol I'  ;*.*c . -**- - ... - -- -- ---**-~- ~ .. - ~:..:::** . I "* S'Nu'(s;>EtL '. (,.fZ /NilJ(;;LL. JVA .,C,-4 Z-,1,/S-ttS<;- -Z~ IVA 72ep/4ce'[) JhC 5N V'13"i3{:~ I G-f2/NfVQL f.//1_. All-l 2-~5-l-tSs-2$ I !>91- ~~~l~e...r M>>4 I I I
    7. Detcription of Work _ _ _ _72.. .; ;.;. : ;: i~f","-/4.""C""E=-___.__5./.J'""""U-=°ff._g""""'c:'-Q.-=------------------------
    8. Tens Conducted: Hydrostatic O Pneumatic O Nominal 0Ptrtting Pressu,. 0 Othar O Prenure _ _ _ _ _ psi Ten Temp. "F NOTE: Supplemental shNtl in form of llm, sketches, or drawinga may be used, provided (11 slz* ii Bl\ In. x 11 in., 121 lnfoma*"'"
    tlon in items I through 6 on this ~ ii included an actl 1htn, and 131 tac:n shift 11 numband end the number af 1hND it* recarded at the toP of dlil form. * (12/82!:~ Thia Form.tE000301'mavsba'obtalned-fram*th* Order DIPt.. ASMEt3461£47dl'St;~-New-Yortc;.N:Y-;j001J.;:, .., .. . _, :'. 0::.:"~ :::>'.?_"*."'; C... : .:, . . *:.5c~;:~0_,~~~;. <: ~_;o;.,;~,'.~:i_f*~-~i~>--~~:-* -* .
    . *'-_~-~ - ...": .-*!.. "-
    1 FORM NIS-2 (Backl* ~ 1 55 392S33 - /_ _ /)Nvljlj@l.. \ 9* Remarks _ _ _.::::_~~11--..::;..-~~~:;;...-.1. -1,,(.,___,;.........;~.;....-J.'------------------------- Appllc:aal* Manufac:Nrer'a Data Reporu to t,e eft8CftN* -_*-*;._: . "'"\::- '.-*"(": . ___ ,. *-- -----*-*-----*--*-**** --- --*- ....... ---*. CERTIFICATE OF COMPLIANCE We cenitv tnat the statements made in the report ara cornet and thl1 4~? E#C&'.'i:ts"'a6nfarm1 ta the rules of thr**-.- ASME Code. Section XI. repair or reptKefflem Typa Code Svmoo1 Stamo _ _ ....;.;Nca/..;;A.a...---------------------------------- Certificate of Authorizat,on No. _N;.;.../_.A.._____________ Expiratian Data _ _ _.... NI..A..____________ Sl;ned Oata _ _..,:z;._,11' ..."&ie.....,..fi,..11J ...______ , 19 ?J CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commiuion iuuad bv the National Board of Bailer and Preswra VH*l lnsoecton and the Stale* orProvinceof '.'i.rginia ;mdemployedbv HSIH & I Co, of ______ #Rl'(TF~~j) eotJNC::crr*c.,rr have i1J!D9C'ad the componenu deacribad-in this Owners Reoon during the period "" 3o to '3/,3o I ;Fl} and uata that"'*'* to the best ot mv rnowtedge and belief, the Ownar ha performed exanunation1 and talcan cornctiw measures described in tlll1 Owner's Repon ,n accordance with the ntQuiraffl9nt1 of the ASME Code. Section XI. Bv signing tn,s cemficatll neither the Inspector nor hi1 ami,lover makes anv wamintV, exc,naad or implied, concerntnlJ the* examinations and correcttve mea1Ures described in this Owner'1 Repc,n, Funhermore, neither the Inspector nor h11 emc,layer shall be liable rn anv manner tor anv penonal injury or progeny dam* or* 1011 of 1nv kind ari1ing from or connected with 1h11 inapection. \.. R./3 <.,,/}o(fJ Commission*-=~\T~a~-!::::!§~4~Jt:::..__ _ ...;V<~ctu~;tV'£!1./:_____ ,=<~.-1Signatur11 National Board, Stata, Provine*, and Endaraementa .. *...... . _..... ;: .. Attachment II Page 81 of 86 Serial No.: 93-318 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Cod* Section XI
    1. Owner Virginia Electric & Power Co, Date _ _ ___..0..._-_'3....._o_-_.9......,3,"---------
    N.,,,. sooo Dominion Blvd , Glen Allen, Addi'- va 23060 ShHt _ __.__at_......__________
    2. Plant Surry Power Sta ti on Unit 7wO Nam*
    P.O. Box 315, Surry, Va. 23883 R-lr Organization P.O. No., Job No., na.
    3. Wane Performed by Virginia Power Type Cod* Symbol Stamp _ ___;;;.<_:.=..,._ _ _ _ __
    Name Authorization No. _ _ _ _ __...,._...__ _ _ __ P.O. Box 315, Surrv, VA. 23883 ExpiretiOn Date _ _ _ _ _ _.....,......,_ _ _ _ __ Add,-
    4. Identification of svnem _ _ __.54"""'-P'.--ry--:~-~-,.£-c:%- .....V-...e>...&
    5. 111 Applicable Connruction Code B31, l 19__g,l_Edition, _ _.N...t....A...____ Addenda, N-J N-7 (bt Applicable Edition of Section XI Utilized for Repain or Repl-ments 19, 80WBO 6., Identification of Components Repaired or Replaced and Replacement Components ASME Codi Natlonal Repaired, St....-a Name of Name of Manufacturer Board Other Year Replaced, IYN II Component Manufacturer Serial No. No. Identification Built or Replacement or Not I!
    S1tJuB"i3En_ G-,z I"' 4\, ELL JV,4. fvA. 2- 5!-HS5 -1.7 ~4 ""/?Gp/Ace{) NA SN 1J56'iF{(_ I &-lf!./NIIIEI-L .,VA- fJ.A-z-5t-H55-'l.l /JJ3 'i2ptm,111e,;1 AliCl I I I
    7. Des:ription of Work _ ___,_?e-_e'pl-'-'/(IL..:...;;;C~e-""5._.A).,.,v_6_b=e""'(<'_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
    8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure 0 Other O Pressura _ _ _ _ _ psi Test Temp. "F NOTE: Supplememal sheen in form of lists. sketches. or drawings may be used, provided (11 size ii 8~ In. x 11 in .* (21 lnfonna*
    tlon in items 1 through 6 on this report i1 included on eac:11 sheet, and 131 each sheet: i1 numbered and the number of 1haea ii recorded at the too of this form. 112/821 This Form IE000301 may be obtained from the OrGer Daot** ASME, 346 E. 47th St ** New York, N.Y. 10017 FORM NIS-2 (Back) rer-1 Data Rec,oru to be enacnad CERTIFICATE OF COMPLIANCE We cemty tnat the statements made in the repon are COITI!Ct and thl1 ,e.fi,)~~onfonns to the rules of the ASME Code. Section ;(I. repe(r or raot-,nem Tvpe Code Symool Stamo ___ Nc.:..:../.:.A=----------------------------------- Cenificate of Authorization No. _N......._/__A ______________ explr1tion Date _ _ _Nu.c;/_.A..____________ Signed /)_ ~
    • r or
    ~o~ci.*1on-. / _ -._,.44--< k Title .!',£ D1t11 _.......,;T..,.,.,..,.,.....,..,,_e._,.,.?....,1J"-----* 19 fJ CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding a valid comm1uion iuued by the N1tionel Board of Boiler and Pl'll'IIUni V1111111I lnsoectors and the State or Province ot '.' ~ rgin ia .nd employed by HSB I & I Co, of .JIARTFOl{b ; tlolilA/1;CCI cor h~ in~ea the componenu detcribed in this Owner ! Reoon during the period 4£1ej,/;Z3 to ¥~a? . and uata that to the best at my ~now1edg11 and belief, the Owner has performed 11x1n11n1tion1 and taken corrwc:tiw measures oescribed in thl1 Owner's Repon in accortlance with the reouirement1 of the ASME Code, Section XI. By 1igmng th1! cenitican, n111th11r the_ Inspector nor his l!lfflPIOYlt' m1k111 any warrantY. upreaad or implied. concernin_g the examinations and corrective measures described in this OwrMr'1 Repon. Funhermora, neither th* ln~or nor his emptover shall be liable ,n any manner for anv penon&I injury or proc,eny damage or* loss of 1nv kind arising from or connected with thl1 in~ion. 0 _ _.__--~ t ______ commission1_..:::~~l'~a~~~:1:!:::~!:./f_-Y_~....:..,,/W[.!(f.~~...lJ1-2.£.~'L_ +..<.~--1-,,.....,~~==~=--,,*: .... j/ _ __ c::??r~'~110ector'1 Signatura Natlonal eoara, State, Province, and EndorHmenll Dat1,--=6.~i3&=*_ _ _ _19 f3 ate --I tm,r,?* * . -.;;.. ;;.,;;;:...1:£4-. ..,-.;* Attachment II Page 82 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co, oate _ _ ___.;;0;;....-_3_0_:.-_9_*"-3_________
    Name sooo Dominion Blvd,, Glen Allen, va 23060 ShNt _ _ _ _ _ at __....___________ Addi-
    2. Plant Surry Power Sta ti on Unit _ _.JW-='-'o,._______________
    Name P.O. Box 315, Surry, Va. 23883 Reoelr orvanlzailon P.O. No., Job No., ,no.
    3. Work Performed bv Virginia Power Type Code Symbol Stamp _ _ __,_.;;.;;.._ _ _ _ __
    Name Authorization No. _______..._....__ _ _ _ __ P.O. Box 315, Surrv, VA. 23883 ExpiratiOn O a t * - - - - - - - " ~ " - - - - - - - - Addrna 4, Identification of Svnem _ _--=.'5;...A;..._1='1.;;;tii.7;;..;...._Y_""/AJ""""T""B=C.::..T.""ID;;:;.;.;N;___ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
    5. (al Applicable Connruction Code B3 l, 1 19-51_ Edition, _ _.N...l.,.A....__ _ _ Addende,_N_-_J_~N---1--Code C..
    (bl Applicable Edition of Section XI Utilized for Repair1 or Replacements 19 ROWRO 8,; Identification of Components Repeired or Replaced and Replacement Components ASME Coda National Repaired, Stam0ed Name of I Name of Manufacturer Board Year Reolaced, IYN II Other Component Manufacturer Seriel No. No. Identification Bullt or Reolacement or Nol i I / S°AJ1J8°i5~ -Gfl.w,vg..c. /IV4 /.1,1.. . 2-S/- *J-155-Zf I.IA '12:splAcco A,A  ; 51Vc1'13{?~ I C,./l./ lVNE"'"£.L /VA.- ,-;4- -z_-S/- I-ISS- 24 (~.93 -eE()'4cEMe1vt AJ,4 i I I i I
    7. Oescriotion of Work _ __.'12=-'1?'1()""'/,""4""'C""~.._"""5_AJ ___'-'__/:,"'fa""e ~=--------------------------
    8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure 0 Other O Pressure _ _ _ _ _ psi Test Temo. *F NOTE: Supplememal sheeu in 'form of lim, sketches, or drawings mav be used, provided 111 size i1 8% in. x 11 in., (21 lnforme-tion in items I through 6 on this report ii included on each sheet, and 131 eacn 1hNt ii numbered and the number of shND ii recorded et the too of thil form.
    (12/821 This Form tE000301 mev be obtained from the Order Deot., ASME, 3415 E. 47th St., New York, N.Y. 10017 FORM NIS-2 (Backl Appllcabla ManufK'Nrar'1 Data Raporu to ba anachad CERTIFICATE OF COMPLIANCE We cerntv u,at the natements made in the n,pan an, corntc:t and this ,e...e~~Mtl'conforms to tne rules of the ASME Code, Section ;<I. repa,;'.;,, rept-,nent Type Code Svmoo1 Stamp _ _...;.;N.a./...;;A.;...._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ Ceniflc11te of Au1honza11on No. -N""'-/.:.A.:...------------Explretlon Oate _ _ _N...,./_.A...____________ Signed ~-u /I b , ~.,_, &(/  :'"'~
    • d:= .> =f:.._ drttt£~ Dete--a'\¥/.-=u,..,o(=k"--'""l..0 - - - - -
    • 19 'l.J Owner or O w n ~ .;GnN. Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigned. holding II valid commission issued by the Netional Board of Boiler and Preaura V*-* lnsoec:ton and the State or Province ot '.':. rginia and employed by HSBI & I Co, of H/9/erPOIL/:) I C(J]11lecn'o.t7_ have in0<<s the components de11:ribed in this Owner s Reoon during the period ~ /93 to ~3~ . and steta that 1
    to the*best or mv rnowledge and belief, the Owner has oerlormea axanunetions and taken corrective menurH described in thll Owner's Repon 1n accoroance wllh the reauirement1 of the ASME Code, Section XI. Bv signing this C1!mficate neither the Inspector nor hi1 employer makes anv wemintV, expreaad or implied, concern1n9 the exeminations and corrective measures described in this Owner'1 Repan. Funhermore, neithar the Inspector nor h,s ~plc,yar shall be liable ,n anv menner for any penanal injury or proc,eny damage or a 1011 of any kind ari1ing from or connected with tl'll1 inspection. -~Al /2. * -;::- #,.t{a~;&s:3/9'..$ -'~. Cb/ -""'2}.L"""'"-+-"'/'t'....,_...,_~-==-~--------------Commissions _ __;=~~=-~'"=-!:::=~-_!:'..{f_!4,.:!..::'...:tff~C,~:.....,,-------- 'nWKUlr'ISignature National Soard, State. Province, and Endar1ement1 ~ ~ /,),z Date----M<'-7'--==------- -~ 19 '7...../ Attachment II Page 83 of 86 Serial No.: 93*318 Docket No.: 50*281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Prowilions of the ASME Cod* Section XI
    1. Owner Vir.ci'inia' 'Eiectd:c *,. 'Power Name
    *co 1 o~---*\:..a.:\..:;.v=L-+Y--*_.-'--,J,-,'I._.Q....;.Q...;.3_ _ __ -Su.01.1,0,1.10.._..p.._01,1.m111.1,i.1.1n.,.i..1,oun.i....Ai;i.i.l.llv~d..._._.~G.l.1:e..i.D.i.....Ai::i..J.J.1:e..a.DL<*-V:,i.aQ,,,..-2u3060 ShNt ____ Acscs,- l'--- af,_ _._,- - - - - - - - - - -
    2. Plant Surry Povec Station Unit Tl{\10 Nam*
    P.O. Box 315, Surrv, Va. 23883 3~00122 ,:74 /1>e.P tf(-o~ 7l7l *' '/S-23 Raoalr Oraak.:man P.O. No., Joa No., no.
    3. Worlt Perfonnea bv Virginia Power Type Code Symbol Sta,np _ __.:;N:.!./.:.A.:..__ _ _ __
    Nama Authorization No. -----....ii.1.J...______ P.O. Box 315, Surrv, VA. 23883 ExpiratiOn Oate _ _ _ _ _ _....:..1-A------ Addrna ... ~*.... ,, ... .;*.,
    4. Identification of Svnem _ _12.;.l....;;;.f:_f4...;...;;(...;.Tl).;..( _e_ __,;G=:;;oD __L...;A;.....NT _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
    S. (al Applicable Connrucuon Coda B31, l 19__g_l_Edltion, _ _.!j.._.l...A...__ _ _ Addenda, N-] , N-1 (bl Applicable Edition of Section XI Utillzad for Repaira or Replacemenu 19 ROWRO 6.: Identification of Compon*nu Repeim or Replacad and Repl-..t Componanu AIME COde Natlonet Repaired, StamDed I Reolaclld, (YN Name of Name of Manufacturer Board Other Yur  !
    • or Replacement or Not Component Manufacturer Serial No. No. . Identification Built I
    I l3~~ I /.H:'11 # PIPE /711.f?<".., ~ II t-lub 1&5690 Nt!t NA. ('fC/1 77 = ,.,, A.,10,;-,-;, ,vo (s ~J4CII) II 1-11:14,.:,:t: c:!.ot...'b Lf:6-TUE2MOI/\JAI'::, rf 1 f rv,<:;.. IJ\l(:-11 l/4-TF ?t7,:; /VA {ZiT)..;. ttJq; '2t'Pl4ikMf3\,f ND I d I I iI I 7, Detcriotion of Work _ __.{Z~T.__.l)..__-"B"'-'-V__P.... A'"'-.=S=S.;._.,::L:.:/..i.::fv::..:f......_...lE:.i...L.1..1(M~l.!.lN.t..4a...!.f..:.f.=0;:.,N;:___ _ _ _ _ _ _ __
    8. Tens Conducted: Hvdrostnic ~Pneumatic 0 Nominal Operating Pressura 0 Other U Pressura -:Z '2. ~O psi Test Temp, ~ 50c.> *F NOTE: Supplememal sheftS 1n fonn of lim. sketch*. or drawings may be usad, provided n) slza ii 8~ In. x 11 in., (2) lnforma*
    tion in items I throu.,-i 6 on tnis n,pon is included on acn 1han. and 13) eac:n shNt 11 numberad and tne number of shwa ii recorded at the tOP of this form. (12/821 Thia form tE000301 mav be obtained from ttia Order DIDt.. ASME, 345 E. 47th St** New York, N.Y. 10017
    • FORM NIS-2 (Backl CERTIFICATE OF COMPLIANCE We cen,1v tnat tne natemenu made in the repan ara COITIIC't 1nd thlt~f<6cuk<< r ,onform1 to tne rules of the ASME Code. Section ;(I. recaeir or reci1-m Type Code Svmoo1 Stamc, _ _...;.;N""/..aA.:...._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
    Centflcate of Autriorization No. _N'"'""/_.A.:....------------Explratlon 01t*---.iHul:..AEL----------- CERTIFICATE OF INSERVICE INSPECTION
    C-L.~..c:.:L.<=......~-,-.....;::.:~.;;..:~=-;:;.::~::=r.&...:r.:-::-------~have 1n~ed the comc,onenu aetcr11:1ed in this Owner , to t?/J/V anti 1t1t1 tfln to the best at mv ~now1er::1qe and belief, the Owner ha performed examination, Ind taken cornc:tive menuret oescntlld in tflll Owner'* R~on ,n accon:tance with the l'IQUirament1 of the ASME Code. Section XI, By signing trii, <:1!mficat9 ne,mer the Inspector nor his emoloyer makes any wanantV, exonuaa or implied, concerning the 1x1mina11ons ana correct11111 measures dmc:ribed in thi1 Owner't Rec,on. Funhermore, neither me lnq,ector nor n11 emotcwer shall be liable ,n anv manner for any pa,.,nll iniurv or p,aoeny damave or a lou of 1ny kind ariaing from or connected w1tll tlllt inspec:iion.
    '"""""-H'-;...,,,,............~=-==~~------Commi11ion1__:::/..fl/3,:::'!:::!'a!=~:~~~7,=~=~:.__ _Jl,~~£!('J:....i.,..!!~::....:::Cl...:_'_
                                                                                                                                             / __
       ~~;:.11tur11                                                                NHIOn111 Soans, State. Provtnca, ano Enaorsam11n111 01u,_ _.J...;...._v_L---tv....__7    ___19       t::)3
           -                         1
    

    Attachment II Page 84 of 86 Serial No.: .93-318 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS A1 Required by the Prcwiliom of tho ASME Code Section XI

    1. Owner Virginia Electric & Power Co, oate _____7.r.----:/_-___3_3____-_-__"_._.-.____

    Name sooo Dominion Blyd,, Glen Allen, Va 23060 ShHt--.....1--ot _ _.__ _ _ _ _ _ _ _ _ __ Addr-Unit __r°..:...;r..t.J.:;...D;;.__ _ _ _ _ _ _ _ _ _ _ __

    2. Plant Surry Power Stati oo Nama P.O. Box 315, Sur:rv, Va. 23883 38 DO I 39"7 2. ?a 'K:.12. 11= q 3- //2 R-lr O,van11:a1:1an P.O. Na., Job No., na.
    3. wane Performea bv 'lirginia Power Type Code Symbol StamP--.....::.:.!...::..:...._ _ _ _ __

    Name Aull'lorizaian No*-----.....1:.....A------- P.O. Box 315, Sur:rv, VA. 23883 ExpiratiOn Oau _ _ _ _ _ ___.u...1:1------- Add,_

    4. Identification of Svn11m _ _--'7Z.~G::.4:;;:..;:C:..":...;;.0.:.;l'Z.=-....i..C.;;0;.:.0:::L::;"4;i..:N~T-------------------------
    5. lal APPiicabie Connruction Cod* BJ 1, l 19--6,LEdltion, _ _.N...,l...l\...__ _ _ Addenda,....1,1Ni.:-:..]i.-_..iNi.:-:..1L.--Coda C...

    lbt Applicable Edition of Section XI Utilized for Rer,ain or ReplKe1Mnt119 ROWRQ 6., Identification of Componanu Raoairad or Raolaced 111d Replacement Componanu

                                                                                            *,      .* .'* ~
    

    ASME Code National Repairad. StarnP9d I Manufacu,,., Reol.:.a, IYN Name of I! Name of Board Other Yur Component Manufactumr Serial No. No. Identification Built or Replecamant or Nol l I 1\/4. Wt:L. 7> fV,C. A/4 2.- IZ.C. -.I.e. V - 5$3 N.L lccpA. lfc.. .V,A. I I I I I ' I -* I I

    7. Datcriotion of Work ___ 7ZE

    ___-=-tf""A_....lf?-.._........M

                                                                         .....~_l_ef1-------------------------------
    
    8. Tests Conducted: Hvdronatic O Pneumatic O Nominal Operating Pressu,. 0 Other n Pressu111 _ _ _ _ _ psi Test Temp, "F NOTE: Supplememal shaftll 1n form of lists. sketch*. or drawings may be used, provided '11 size ii 8'1\ In. x 11 in., (21 lnfonna.

    tian in items I through 6 on this report ii included on eadl 1hN1, and 13t aacil lhNt It numbend and the number of shND ii reconttld at the too of this form. 1121821 This Form IE00030t may be obtained from me Order Daot.. ASME, 34& E. 47dl St ** New York, N,Y. 10017

    FORM NIS-2 IBackl

    9. Remarks --=-..,..u:....------------------------------------------- Aoollcable Manufac:iurer, Data Fil9"0"9 to De aaacnao CERTIFICATE OF COMPLIANCE We cenirv 1nat tile natemenu mlllde in the res,on arw cornict and thlt 7Cep"' I {s, conforms to tile ru1es of the ASME Code, Section A I. rec,eir or rec,_1.-nem Type Code Svmoo1 Stamo ___N.;.;..;./.:.A.a....__________________________________

    Ceniflc1te of Author1zat1on No. N/A Expiration 01t*---.llHu{:.iAEL----------- Sl1Md () t:: / Owner or l ) w ~ w , Title

                                                             ./                     ..:£5 L Llkd rM.£               Date         Jv ('1.(f    /              ,19    93 CERTIFICATE OF INSERVICE INSPECTION I, the undersignea. holding a valid comm1uion iuued bv the National Board of Boiler and Pr-.re Venal lnmec:to" and the Stfle or Province         01        *:*:. :::ginia                               and emo1ovec1 tlV     HSBI Ii I Co.                                                      at
       --.:.u.:..:.~;:,.7i~7:.....:"0:::..~=D~~e.~o...M~'AJ=~'-C;;;;.:.7i.:.f.:C;..cJ_1'";...._ _ ~~~---------hllllW .)!'SMCled                 the componenu aHcr1bed in this .Owner
    
    • Reoon aunng the period to ~/Zz and statll that ta the best ot mv ,now1~ and belief, th* Owner has pertormect examination, and taken cornc:tiW menures oescnbed 1n tlilt OWMr's R~on* ,n accort11nce with the rwauirernentt of the ASME Code, Section XI.

    By 1ignmg th11 c:emfieam netther the lnsoector nor hit emotayer m1k11 any -rnintV, ,x.,,_a or implied, concerning the IXllfflinations ana corr@Ctl\19 measures described in this Owner's Reoon. Funhermore, neither the ln9'J'Ctar nor 1111 emoloYff lhall be lieble ,n anv m11nn11r for 1nv 01nonal injury or proc,eny damage or 11011 of any kind arising from or connected with tt'll1 in~ion.

            .                                                                                                        ~41~
         .......::;;.~-1-C.."£_-...=h*=./~_;~~------Cammission1_=*~*a~-=§~fr!Z__.1'.~~~_J,r't~~~~--:----:-----
                                ~gnature                                                                            NatlOnal Board, Stata, Province, and Endor1emen11 o,u.___J-'-v_/__..~~~~-19~~'-3~
    

    Attachment II Page 85 of 86 Serial No.: 93-318 Docket No.: 50-281 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS Aa Required by the Prmrision1 of the ASME Code Section XI

    1. Owner Virginia Electric & Power Co. 011e _ _ 3....________

    7.i..--..::O;..;::Co"""-___.q.... Name sooo Dominion Blyd , Glen AJ]en, Va Addi'- 23060 ShHt--~-~---L~-------~

    2. P11nt Surry Power Sta ti on Name Unit --l-=""--------------

    P.O. Box 315, Surrv, Va. 23883 R-lr O,venlzailan P.O. No., Job No., .ia.

    3. Wont Pertonnl!(j bv 1 lirqinia Power Type Code Symbol StafflP _ ____;..;.;....;;..;;.__ _ _ __

    Neme Authorization No. _ _ _ _ _.....,.....,__ _ _ _ __ P.O. Box 315, Surrv, VA. 23883 Expiration 01te _ _ _ _ _ _....._.....__ _ _ __ Aaa,-*, *:.

    4. Identification of Svnem _ _..;;~;..;H;.;....;A._fl...;;&

    __ I rJ_cr-

    5. (11 Applicable Connrucuon Code B31, l 19---5..Z...Edition, _ _..N,..I...A._____ Addende, N-] 'J-7 (bl Applicable Edition of Section XI Utilized for Ret>ain or R11Pl-nt1 19 ROWRO
    • 6., Identification of Component* Reo1irwd or RIIPIIC9d and R11Plec:ement Componentl ASME COda N1tlon11 Rep1irlld, Stamoed I Reoleclld, (Y" Name of I Name of Manufacturar Board Omar Yur Component I

    Manuiec:turer Serial No. No. Identification Built or Aeolac1m1nt or Not

                                ;
    

    I TIZ.Uv\ ' ASSc:i1.<l3Ly' N~ fv p. I NA 2-l'.tl - R\f - 2IZl.. NA '12.~pl A.C(::]) (',A 3 II Nu* ~ I NA NA NA ~-~I-{ ~f"/l\f-1t7? NA tz~o IAcGo fvl4

                      . l I(    '
    

    Nui I~ I NIA- NA N~ 2-t/.l -F6r-;,in tJ ~ IZ.~p (AceD tvA TlZ.lii-\ I Co~-

                                                                                                                                                                                  ,JA A <;c.i:; MB<..){      I \J1J LeAiv                           NA          I      NA            1-e.n -Ft{-z1zi                         ['}91        I/Zc{)/ NGN.e.Ji
                     ;J II       I ALL£()
    

    N0r ~ iAJuTol- SoLT NA. rJ A 12-e u~Hlf- irzz l992. ~eofAL~\ ~A(

    7. OHCl'iDtion of Worlc _.....;.{L_E_l'A__;_I\i!-;_..:.V..;.A-.:..;.L\l-=e'----------------------------
    8. Test1 Conducted: Hvdronatic O Pneumatic 0 Nominal Ooerating Pn!ssurw ~

    Other n Pressura JI)() f psi Test Temp, Jt/01 °F NOTE: Supplememal shnn an form of liltl, sk11tch111, or drawings may be used, provided 11) 1lz1 ii 8% In. x 11 in., (21 lnforma* don in items I through 6 on ttlis report i1 incluclld on eed'I 1hen, ind 13) 11c:h stiNt ii numberacl incl the number of 1hwa ii rec:oraecl It the tOD of thil form. (12/821 Thl1 Form tE000301 mev b9 otnainecl from ma Order Deot., ASME, 345 E. 47th St., New Vorit, N.Y. 10017

    FORM NIS-2 IBackl

    9. Remarks ----==s=*s......lyt-_3:;._2....;;.fo...;;.Y....;3;._2_-_/~C..:..;,"12_1...;.M.....;.:.A~5~;;.;:e,u;;,,...;.;.;B,.:;;;.;L;;...J~""')~---------

    ADDllcllble Menufac:turer"1 Data Reoora to be anacned *

                                                                     "I.,\) f2. o  1 - D - ..93 0-1
                                                                 -I         uvT CERTIFICATE OF COMPLIANCE We cen,tv tnat the natemenu made in the~" are cormct anc:I thl1 #~cdciW<< z:::'.'.c:onfarm, to the ru1111 of the ASME Code. Section J( I.                                                                                repeir or reo1-,wem Type Code Svmoo1 Stamo _ _            .....:.;N;.:;l..:A~----------------------------------
    

    Clnlflcate of Authorization No. __N_._/_A_____________ Explratlan Oate _____N~/..r:A.___________ oat*-----2"",,..fi...&.......__. 19 J::3 CERTIFICATE OF INSERVICE INSPECTION I, the undersignea. holding I valid comm,uian iuuac:I by the National Bo*c:1 af Bailer 1nc:I Pmsmre ve. .1 lnsoectar1 and tt,e State or Province ot *::. ::-ginia and emalavea by HSBI & I Co, of 1-/Afl:rFo 11-0 1 C.o ,J ~Hlcr, CI.Jr° hllW 1nmectac:I the comaonenu a1tcr1bea in this Owner, RP.con during tne aerlOCI 7

    • C.
    • 9, 10 -,. l
    • f .5
    • and stltll thn to the best 01 mv *now1eoge anc:I belief, the Owner na oertarmao exam1nat1an1 and t1ken correc:tiW measures aescnbed 1n thl1 Owner's Repon 1n accordance wtth the l"IQUireffl9n11 af the ASME Code. Section XI.

    By signing ttu, cemticate netther the lnaoectar nor his emolayer makn anv -rnntY, **ixaad ar imatiac:I. concern1n9 the axaminat1on1 and corrective meaaures described in thi1 Owner*, Rec,an. Funherrnare, nei1her the Inspector nor h11 emaloYW shall be liable ,n anv manner for anv aenona& injury or arac,env damage ar a lou of 1nv kind ari1ing from or connected with thll inspeciion. 1-A.6 -, /, /f 'J /

        ~Afl'"::.!A!~...!...d,c,~~~*~,..~,e;,~-~--------Cammi11ian1_..:.....l~7!1:?:::=~B:!4:!3=.._ _                                JV~ 4*:.:*~?.!..;"()~/---:::--
    

    nooector, Signetur* NatlOn*I eoanl, State. Province. and Endortamenll Date_ _ D_.:...1_-_ _0_G? ____19 q :Z

    Attachment II Page 86 of 86 Serial No.: 93-318 Docket No.: 50-281 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 & Power Co, 7-00 Data_....;._ _ _-93 _ _ _*_ _ _ _ _ _ _ _ __

    Name sooo Dominion a1vd,, Glen All eo, Va Addi-23060 ShN1 _ _ -z__ at_ _z___________

    2. Ptam Surry Power Station Unit Tic:'Q Name P.O. Box 315. Surry, Va. 23883 RIPllr Orgenlznlon P.O. No., Joo No., na.
    3. Wortc Perfonnea bv 1 lirqinia Power Type Code Symbol StamP----'.;;.:....;.;.__ _ _ _ __

    Nln19 Au1tlorization No. _ _ _ _ _...........,..___ _ _ __ P.O. Box 315. Surrv, VA. 23883 ExpiratiOn Dau _ _ _ _ _ __ . . . ~ - - - - - -

    4. Identification of Svn11m _......,,(!...H:.,_,_,A.,.@;;...&
                                                              ........l....
    

    1U_C.,..-

    5. (al Applicable Connruction Coda B31, 1 19~Edition, _ _.N...I._.A...____ Addanaa. N-] N-1 (bl Applicable Edition of Section XI Utilized for Replin or Replacaman11 19 ROWAO
     &. , Identification of Componan11 Raoairad or Replaced and Repl-n1 Components ASME Coda N1tlonal                                        Repairad,      StlmPld I                                                                                                                 Reolacl<i,       (YN Name of         II        Nameof                              Manufactunr          Boera                 Omer           Yur Component                Manufac:tunr                           Serial No.            No.            Identification      Built  or Aeolacamant or Not I
    

    I I I

                                   ~ I\ /2.'!N ('IAL-
                      .l- II l\lu+      \ f>                                                       r.JA               f\*.L4        Z-l t;-l-ft\}-Z.171 L.99l    !2EplAW\/lfN        NA\-
    

    i' I I I I .. I i I

    7. OH:riOtion of Worll _ ____..tZ.......aae-P_A.....llt-...._....V_A_L_..rE_i:::_________________________
    8. Tests Conductea: Hydrostatic O Pneumnic 0 Nominal OoamiOCJ Pressure ~

    Othar U Pressun #Qt' psi Test Temo. A/(),..- °F NOTE: Supo1emental shlMII in form of lists, sk11tctl111. or dniwin91 mav be used, provided (1) 1iz1 is 8~ In. x 11 in., (21 lnforma* tlon in items 1 through 6 on tnis l'l'10l't is included on Nd'l shan, and 131 1ac:n snNt 11 numbered end the number of shND ii recorded at the too of this form. 112/821 This Form IE00030J mr, be obtained from the Order Oesn., ASME, 345 E. 47th St** N- Yorll, N.Y. 10017

    FORM NIS-2 IBackl CERTIFICATE OF COMPLIANCE We cerwv tnat tne natementt made in the reoon are coffl!C'l 1na thl1 ~,!,\ eAcWM~nform1 to tne ru1e1 of the ASME Code. Section A I. r11111ir or r11111-1111 TvP* Code Svmoo1 Stamo _ __;.;N""/...;;A""----------------------------------- Cenlficate ot Autnor,zauon No. --'N""'-/.,_A=--------------Explration D*te-----H~l.,,A.___________ S~ned Q.!,(~~. Titp_z:- oate _ ___,,.... ~---+"")"-~----* 19~2...__t_ CERTIFICATE OF INSERVICE INSPECTION I, the underngnea. no10,ng

    • valid comm111ion iaued by the National Boera of Boiler and,.....,,. Ve*l lnmec:ton ana the State or!Jo,.ince 01 *::. .::-ginia and emploved bY RSBI & I Co, of
     !f!!l.ll.,Fo&t) /                   Co~ ,J (! cr,'c&JT                                       have 1n1DKtld the componenu OIICflbld in thi1 Owner s i=iP.oon au ring tne pe"od                      2 * '* f J          to        '2 * '
    
    • f .I ,.na stHI thn to the best or mv *now1edge and belief, the Owner ha oerformeG Ham1nnion1 and taken corractive menu,., aescnbed 1n thil Owwwr'1 Repon ,n accorOanc:a with the 1"1QUirament1 of the ASME Code, Section XI.

    By signing 1n*,s cen,tican neither the lnsoec:tor nor his emoloyer mak11 anv -rnntV, e x ~ or imotild, concerning th* examinations ana correcuw ml!l1Urt!I dmcribed in this Owner*, Rec,on. Funhermora, naither the ln1P9Ctor nor n11 emc,IO¥W lhall bl liable ,n anv manner for anv penonal injury or proc,eriv damage or a 1011 of 1nv kind ari1ing from or connected w,th thll in-,.ction .

      .z' A- ~
     .....aaa=-~---=-c=-=-=~~---~----------Commi11ion1 - --===~":!a,!:!:*
                                                                                        .,. '-*' s4 0 L. ~/:J
                                                                                         **-    ~!3!:!
    

    v;4 . fo I

                                                                                                     ..!:;;i~~----Jl...~.!.,,~~:____
    

    n10ectar1 Signeture Natton11 Board, St1t1, Province, ancs Endanemante Oate.......::;7_*_._e_*..:..."-=3"--_ _ _ _19 q '3

                                                                     '**}}