IR 05000528/2009004

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IR 05000528-09-004, IR 05000529-09-004 and IR 05000530-09-004, on 07/01/09 09/30/09; Palo Verde Nuclear Generating Station, Units 1, 2, and 3; Surveillance Testing, Identification and Resolution of Problems, and Event Follow-up
ML093070323
Person / Time
Site: Satsop  Arizona Public Service icon.png
Issue date: 10/30/2009
From: Hay M C
NRC/RGN-IV/DRP/RPB-D
To: Edington R K
Arizona Public Service Co
References
IR-09-004
Download: ML093070323 (42)


Text

October 30, 2009

Randall K. Edington, Executive Vice President, Nuclear and Chief Nuclear Officer Mail Station 7602 Arizona Public Service Company P.O. Box 52034 Phoenix, AZ 85072-2034

SUBJECT: PALO VERDE NUCLEAR GENERATING STATION - NRC INTEGRATED INSPECTION REPORT 05000528/2009004, 05000529/2009004, AND 05000530/2009004

Dear Mr. Edington:

On September 30, 2009, the U.S. Nuclear Regulatory Commission (NRC) completed an integrated inspection at your Palo Verde Nuclear Generating Station, Units 1, 2, and 3, facility. The enclosed integrated report documents the inspection findings, which were discussed on October 1, 2009, with Mr. D. Mims and other members of your staff.

The inspection examined activities conducted under your licenses as they relate to safety and compliance with the Commission's rules and regulations and with the conditions of your licenses. The inspectors reviewed selected procedures and records, observed activities, and interviewed personnel.

This report documents one NRC-identified finding and two self-revealing findings of very low safety significance (Green). All of these findings were determined to involve violations of NRC requirements. However, because of the very low safety significance of these violations and because they were entered into your corrective action program, the NRC is treating these findings as noncited violations consistent with Section VI.A.1 of the NRC Enforcement Policy. If you contest these noncited violations, you should provide a response within 30 days of the date of this inspection report, with the basis for your denial, to the U.S. Nuclear Regulatory Commission, ATTN: Document Control Desk, Washington DC 20555-0001; with copies to the Regional Administrator, U.S. Nuclear Regulatory Commission Region IV, 612 E. Lamar Blvd., Suite 400, Arlington, Texas 76011-4125; the Director, Office of Enforcement, U.S. Nuclear Regulatory Commission, Washington DC 20555-0001; and the NRC Resident Inspector at the Palo Verde Nuclear Generating Station, Units 1, 2, and 3, facility. In addition, if you disagree with the characterization of any finding in this report, you should provide a response within 30 days of the date of this inspection report, with the basis for your disagreement, to the Regional Administrator, Region IV, and the NRC Resident Inspector at Palo Verde Nuclear Generating Station, Units 1, 2, and 3, facility. The information you provide will be considered in accordance with Inspection Manual Chapter 0305.

Arizona Public Service Company -2-

In accordance with 10 CFR 2.390 of the NRC's "Rules of Practice," a copy of this letter, its enclosure, and your response (if any) will be made available electronically for public inspection in the NRC Public Document Room or from the Publicly Available Records (PARS) component of NRC's document system (ADAMS), accessible from the NRC Web site at http://www.nrc.gov/reading-rm/adams.html (the Public Electronic Reading Room).

Sincerely,/RA/

Michael C. Hay, Chief Projects, Branch D Division of Reactor Projects Docket Nos. 50-528 50-529 50-530 License Nos

. NPF-41 NPF-51 NPF-74

Enclosure:

NRC Inspection Report 05000528/2009004, 05000529/2009004, and 05000530/2009004

w/Attachment:

Supplemental Information cc w/enclosure:

Mr. Steve Olea Arizona Corporation Commission 1200 W. Washington Street Phoenix, AZ 85007 Mr. Douglas Kent Porter Senior Counsel Southern California Edison Company Law Department, Generation Resources P.O. Box 800 Rosemead, CA 91770

Chairman Maricopa County Board of Supervisors 301 W. Jefferson, 10th Floor Phoenix, AZ 85003

Mr. Aubrey V. Godwin, Director Arizona Radiation Regulatory Agency 4814 South 40 Street Phoenix, AZ 85040 Arizona Public Service Company -3-

Mr. Scott Bauer, Director Regulatory Affairs Palo Verde Nuclear Generating Station Mail Station 7636 P.O. Box 52034 Phoenix, AZ 85072-2034 Mr. Dwight C. Mims Vice President Regulatory Affairs and Plant Improvement Palo Verde Nuclear Generating Station Mail Station 7605 P.O. Box 52034 Phoenix, AZ 85072-2034

Mr. Jeffrey T. Weikert Assistant General Counsel El Paso Electric Company Mail Location 167 123 W. Mills El Paso, TX 79901 Mr. Eric Tharp Los Angeles Department of Water & Power Southern California Public Power Authority P.O. Box 51111, Room 1255-C Los Angeles, CA 90051-0100 Mr. James Ray Public Service Company of New Mexico 2401 Aztec NE, MS Z110 Albuquerque, NM 87107-4224 Mr. Geoffrey M. Cook Southern California Edison Company 5000 Pacific Coast Hwy. Bldg. D21 San Clemente, CA 92672 Mr. Robert Henry Salt River Project 6504 East Thomas Road Scottsdale, AZ 85251

Mr. Brian Almon Public Utility Commission William B. Travis Building P.O. Box 13326 Austin, TX 78701-3326 Arizona Public Service Company -4-

Environmental Program Manager City of Phoenix Office of Environmental Programs 200 West Washington Street Phoenix, AZ 85003 Mr. John C. Taylor Director, Nuclear Generation El Paso Electric Company 340 East Palm Lane, Suite 310 Phoenix, AZ 85004 Chief, Technological Hazards Branch FEMA Region IX 1111 Broadway, Suite 1200 Oakland, CA 94607-4052 Arizona Public Service Company -5-

Electronic distribution by RIV: Regional Administrator (Elmo.Collins@nrc.gov) Deputy Regional Administrator (Chuck.Casto@nrc.gov) DRP Director (Dwight.Chamberlain@nrc.gov)

DRP Deputy Director (Anton.Vegel@nrc.gov) DRS Director (Roy.Caniano@nrc.gov) DRS Deputy Director (Troy.Pruett@nrc.gov) Senior Resident Inspector (Ryan.Treadway@nrc.gov) Resident Inspector (Michelle.Catts@nrc.gov)

Resident Inspector (Jim.Melfi@nrc.gov) Resident Inspector (Joseph.Bashore@nrc.gov) Branch Chief, DRP/D (Michael.Hay@nrc.gov) PV Site Secretary (Regina.McFadden@nrc.gov) Senior Project Engineer, DRP/D (Don.Allen@nrc.gov) Public Affairs Officer (Victor.Dricks@nrc.gov) Team Leader, DRP/TSS (Chuck.Paulk@nrc.gov)

RITS Coordinator (Marisa.Herrera@nrc.gov) Regional Counsel (Karla.Fuller@nrc.gov) Congressional Affairs Officer (Jenny.Weil@nrc.gov) OEMail Resource DRS STA (Dale.Powers@nrc.gov)

OEDO RIV Coordinator (Leigh.Trocine@nrc.gov) ROPreports

File located: R:\_REACTORS\_PV\2009\PV2009-004RP-RIT.doc ADAMS ML093070323 SUNSI Rev Compl. Yes No ADAMS Yes No Reviewer Initials MH Publicly Avail Yes No Sensitive Yes No Sens. Type Initials MH RIV:RI:DRP/D RI:DRP/D RI:DRP/D SRI:DRP/D SPE:DRP/D C:DRS/OB JBashore MCatts JMelfi RTreadway DAllen RLantz

/RA - E/ /RA - E/ /RA/ /RA - E/ /RA - E/ /RA/ 10/29/09 10/29/09 10/27/09 10/22/09 10/22/09 10/26/09 C:DRS/EB1 C:DRS/EB2 C:DRS/PSB1 C:DRS/PSB2 C:DRP/PBD TFarnholtz NO'Keefe MShannon GWerner MHay

/RA RKellar for

/ /RA/ /RA PElkman for/ /RA/ /RA/ 10/26/09 10/22/09 10/28/09 10/28/09 10/30/09 OFFICIAL RECORD COPY T=Telephone E=E-mail F=Fax Enclosure U.S. NUCLEAR REGULATORY COMMISSION REGION IV Dockets: 50-528, 50-529, 50-530 Licenses:

NPF-41, NPF-51, NPF-74 Report: 05000528/2009004, 05000529/2009004, 05000530/2009004 Licensee:

Arizona Public Service Company

Facility:

Palo Verde Nuclear Generating Station, Units 1, 2, and 3 Location:

5951 S. Wintersburg Road Tonopah, Arizona Dates: July 1 through September 30, 2009

Inspectors:

J. Bashore, Resident Inspector M. Catts, Resident Inspector J. Melfi, Resident Inspector R. Treadway, Senior Resident Inspector Approved By: Michael C. Hay, Chief, Project Branch D Division of Reactor Projects Enclosure

SUMMARY OF FINDINGS

IR 05000528/2009004, 05000529/2009004, 05000530/2009004; 07/01/09-09/30/09; Palo Verde Nuclear Generating Station, Units 1, 2, and 3; Surveillance Testing, Identification and Resolution of Problems, and Event Follow-up.

This report covered a 3-month period of inspection by resident inspectors. The inspection identified three Green findings. The significance of most findings is indicated by their color (Green, White, Yellow, or Red) using Inspection Manual Chapter 0609, "Significance Determination Process." Findings for which the significance determination process does not apply may be Green or be assigned a severity level after NRC management's review. The NRC's program for overseeing the safe operation of commercial nuclear power reactors is described in NUREG-1649, "Reactor Oversight Process," Revision 4, dated December 2006.

A. NRC-Identified and Self-Revealing Findings

Cornerstone: Mitigating Systems

Green.

The inspectors identified a noncited violation of 10 CFR Part 50, Appendix B, Criterion XVI, "Corrective Action," for the failure of the licensee to promptly identify and correct a deficiency associated with the emergency diesel generator voltage regulator K-4 relay in a timely manner. Specifically, on October 16, 2004, maintenance personnel identified that the K-4 relay had a high resistance of approximately 800 ohms but did not replace the relay as required by procedures. This resulted in the failure of the emergency diesel generator to start following maintenance activities on May 7, 2009. This issue was entered into the licensee's corrective action program as Palo Verde Action Request 3385257. The finding is more than minor because it is associated with equipment performance attribute of the Mitigating Systems Cornerstone and affects the associated cornerstone objective to ensure the reliability and capability of systems that respond to initiating events. Using Manual Chapter 0609.04, "Phase 1 - Initial Screening and Characterization of Findings," the finding was determined to require a Phase 2 and Phase 3 analysis by a senior reactor analyst, because the finding resulted in an actual loss of safety function of a single train for greater than its technical specification allowed outage time. Based on the analysis performed, the analyst concluded that the finding had very low safety significance. This assessment was based on three failures of the K-4 relay having occurred in approximately 170 starts and crediting seven hours for the station batteries during a loss of offsite power event resulting in a core damage frequency of 3.8E-7. This finding was evaluated as not having a crosscutting aspect because the performance deficiency is not indicative of current performance (Section 1R22).

Green.

A self-revealing noncited violation of 10 CFR Part 50, Appendix B, Criterion XVI, "Corrective Action," was identified for the failure of maintenance personnel to promptly identify and correct a deficiency associated with the Unit 2 emergency diesel generator train B fuel oil transfer pump. Specifically, in December of 2004 Unit 3 train A diesel fuel oil transfer pump failed due to water intrusion through electrical conduit. During an extent of condition review water intrusion was also found to affect Unit 2 train B transfer pump. Due to ineffective corrective actions, on April 22, 2009 Unit 2 train B diesel fuel oil transfer pump failed due to the effects of water intrusion causing an electrical short to ground. This issue was entered into the licensee's corrective action program as Palo Verde Action Request 3385257.

The finding is greater than minor because it is associated with the equipment performance attribute of the Mitigating Systems Cornerstone and affects the cornerstone objective of ensuring the reliability of systems that respond to initiating events to prevent undesirable consequences. Using Manual Chapter 0609.04, "Phase 1 - Initial Screening and Characterization of Findings," the finding was determined to require a Phase 2 and Phase 3 analysis by a senior reactor analyst, because the finding resulted in an actual loss of safety function of a single train for greater than its technical specification allowed outage time. Based on the analysis performed, the analyst concluded that the finding had very low safety significance because the fuel oil transfer pump was capable of performing a majority of its intended safety function resulting in a core damage frequency of approximately 1.7E-7. This finding was evaluated as not having a crosscutting aspect because the performance deficiency is not indicative of current performance (Section 4OA2).

Green.

A self-revealing noncited violation of Technical Specification 5.4.1.a, "Procedures," was identified for failure of fire protection personnel to adequately implement a functional test procedure. Specifically, on September 21, 2009, fire protection personnel failed to correctly implement procedural steps resulting in the inadvertent actuation of fire dampers in the Unit 1 control building ventilation system during functionality testing of the CO fire suppression system. This issue was entered into the licensee corrective action program as Palo Verde Action Request 3381290.

The finding is more than minor because it is associated with the human performance attribute of the mitigating systems cornerstone and affects the cornerstone objective of ensuring the reliability, availability and capability of systems that respond to initiating events to prevent undesirable consequences. Using Manual Chapter 0609.04, "Phase 1 - Initial Screening and Characterization of Findings," the finding was determined to have a very low safety significance because the finding did not result in a loss of system safety function, an actual loss of safety function of a single train for greater than its technical specification allowed outage time, or screen as potentially risk-significant due to a seismic, flooding, or severe weather initiating event. This finding has a crosscutting aspect in the area of human performance associated with work practices because work control activities did not use human error prevention techniques, such as self-checking or peer-checking, so that work activities are performed safely H.4(a) (Section 4OA3).

B. Licensee-Identified Violations

None.

REPORT DETAILS

Summary of Plant Status

Unit 1 operated at essentially full power for the duration of the inspection period. Unit 2 operated at essentially full power for the duration of the inspection period.

Unit 3 operated at essentially full power for the duration of the inspection period.

REACTOR SAFETY

Cornerstones: Initiating Events, Mitigating Systems, and Barrier Integrity

1R01 Adverse Weather Protection

.1 Summer Readiness for Offsite and Alternate-ac Power

a. Inspection Scope

The inspectors performed a review of the licensee's preparations for summer weather for selected systems, including conditions that could lead to loss-of-offsite power and conditions that could result from high temperatures. The inspectors reviewed the licensee's procedures affecting these areas and the communications protocols between the transmission system operator and the plant to verify that the appropriate information was being exchanged when issues arose that could affect the offsite power system. Examples of aspects considered in the inspectors' review included:

  • The coordination between the transmission system operator and the plant during off-normal or emergency events
  • The explanations for the events
  • The estimates of when the offsite power system would be returned to a normal state
  • The notifications from the transmission system operator to the plant when the offsite power system was returned to normal During the inspection, the inspectors focused on plant-specific design features and the licensee's procedures used to mitigate or respond to adverse weather conditions. Additionally, the inspectors reviewed the Updated Final Safety Analysis Report and performance requirements for systems selected for inspection, and verified that operator actions were appropriate as specified by plant-specific procedures. Specific documents reviewed during this inspection are listed in the attachment. The inspectors also reviewed corrective action program items to verify that the licensee was identifying adverse weather issues at an appropriate threshold and entering them into their corrective action program in accordance with station corrective action procedures. The inspectors' reviews focused specifically on the following plant systems:
  • Non essential 13.8 kV and 4160 Vac distribution system
  • Essential 4160 Vac distribution system, including the engineered safety feature (ESF) transformers These activities constitute completion of one readiness for summer weather affect on offsite and alternate ac power sample as defined in Inspection Procedure 71111.01-05.

b. Findings

No findings of significance were identified.

.2 Readiness for Impending Adverse Weather Conditions

a. Inspection Scope

The inspectors completed a review of the licensee's actions in response to impending adverse weather involving severe thunderstorm and high wind conditions experienced on July 20, 2009. Inspectors verified operations personnel appropriately reviewed the abnormal operating procedure entry conditions and compared actual weather conditions to the entry requirements. The inspectors also verified that all maintenance activities were reviewed for emergent plant risk and restoration, and appropriate protected area announcements were made to advise site personnel to take shelter.

These activities constitute completion of one impending adverse weather sample as defined in Inspection Procedure 71111.01-05.

b. Findings

No findings of significance were identified.

1R04 Equipment Alignment

Partial Walkdown

a. Inspection Scope

The inspectors performed partial system walkdowns of the following risk-significant systems:

  • September 17, 2009, Unit 1, train A emergency diesel generator The inspectors selected this system based on its risk significance relative to the Reactor Safety Cornerstones at the time of its inspection. The inspectors attempted to identify any discrepancies that could affect the function of the system, and, therefore, potentially increase risk. The inspectors reviewed applicable operating procedures, system diagrams, Updated Final Safety Analysis Report (UFSAR), technical specification requirements, administrative technical specifications, outstanding work orders, condition reports, and the impact of ongoing work activities on redundant trains of equipment in order to identify conditions that could have rendered the system incapable of performing its intended functions. The inspectors also walked down accessible portions of the system to verify system components and support equipment were aligned correctly and operable. The inspectors examined the material condition of the components and observed operating parameters of equipment to verify that there were no obvious deficiencies. The inspectors also verified that the licensee had properly identified and resolved equipment alignment problems that could cause initiating events or impact the capability of mitigating systems or barriers and entered them into the corrective action program with the appropriate significance characterization. Specific documents reviewed during this inspection are listed in the attachment. The inspectors incorporated NRC Operating Experience Smart Sample FY2008-01, Revision 0, "Negative Trend and Recurring Events Involving Emergency Diesel Generators," supplemental guidance for IP-71111.04," into the inspections.

These activities constitute completion of one partial system walkdown sample as defined in Inspection Procedure 71111.04-05.

b. Findings

No findings of significance were identified.

1R05 Fire Protection

Quarterly Fire Inspection Tours

a. Inspection Scope

The inspectors conducted fire protection walkdowns that were focused on availability, accessibility, and the condition of firefighting equipment in the following risk-significant plant areas:

  • July 20, 2009, diesel-driven fire pump house
  • July 20, 2009, station blackout gas turbine generators
  • September 14, 2009, Unit 3, auxiliary building, 100 foot, 120 foot, 140 foot elevations

The inspectors reviewed areas to assess if licensee personnel had implemented a fire protection program that adequately controlled combustibles and ignition sources within the plant; effectively maintained fire detection and suppression capability; maintained passive fire protection features in sound material condition; and had implemented adequate compensatory measures for out of service, degraded or inoperable fire protection equipment, systems, or features, in accordance with the licensee's fire plan.

The inspectors selected fire areas based on their overall contribution to internal fire risk as documented in the plant's Individual Plant Examination of External Events with later additional insights, their potential to affect equipment that could initiate or mitigate a plant transient, or their impact on the plant's ability to respond to a security event. Using the documents listed in the attachment, the inspectors verified that fire hoses and extinguishers were in their designated locations and available for immediate use; that fire detectors and sprinklers were unobstructed, that transient material loading was within the analyzed limits; and fire doors, dampers, and penetration seals appeared to be in satisfactory condition. The inspectors also verified that minor issues identified during the inspection were entered into the licensee's corrective action program. Specific documents reviewed during this inspection are listed in the attachment.

These activities constitute completion of four quarterly fire protection inspection samples as defined in Inspection Procedure 71111.05-05.

b. Findings

No findings of significance were identified.

1R06 Flood Protection Measures

a. Inspection Scope

The inspectors reviewed the Updated Final Safety Analysis Report, the flooding analysis, and plant procedures to assess susceptibilities involving internal flooding; reviewed the corrective action program to determine if licensee personnel identified and corrected flooding problems; inspected underground bunkers/manholes to verify the adequacy of sump pumps, level alarm circuits, cable splices subject to submergence, and drainage for bunkers/manholes; and verified that operator actions for coping with flooding can reasonably achieve the desired outcomes. The inspectors also walked down the areas listed below to verify the adequacy of equipment seals located below the flood line, floor and wall penetration seals, watertight door seals, common drain lines and sumps, sump pumps, level alarms, and control circuits, and temporary or removable flood barriers. Specific documents reviewed during this inspection are listed in the attachment.

  • August 18, 2009, Units 1, 2, and 3, auxiliary buildings, 52 foot, 70 foot elevations

b. Findings

No findings of significance were identified.

1R11 Licensed Operator Requalification Program

a. Inspection Scope

Quarterly Inspection On September 15, 2009, the inspectors observed a crew of licensed operators in the plant's simulator to verify that operator performance was adequate, evaluators were identifying and documenting crew performance problems and training was being conducted in accordance with licensee procedures. The inspectors evaluated the following areas:

  • Licensed operator performance
  • Crew's clarity and formality of communications
  • Crew's ability to take timely actions in the conservative direction
  • Crew's prioritization, interpretation, and verification of annunciator alarms
  • Crew's correct use and implementation of abnormal and emergency procedures
  • Control board manipulations
  • Oversight and direction from supervisors
  • Crew's ability to identify and implement appropriate technical specification actions and emergency plan actions and notifications The inspectors compared the crew's performance in these areas to pre-established operator action expectations and successful critical task completion requirements. Specific documents reviewed during this inspection are listed in the attachment.

These activities constitute completion of one quarterly licensed-operator requalification program inspection sample as defined in Inspection Procedure 71111.11.

b. Findings

No findings of significance were identified.

1R12 Maintenance Effectiveness

a. Inspection Scope

The inspectors evaluated degraded performance issues involving the following risk significant systems:

  • May 18, 2009, Unit 3, emergency diesel generator train A voltage regulator failure The inspectors reviewed events such as where ineffective equipment maintenance has resulted in valid or invalid automatic actuations of engineered safeguards systems and independently verified the licensee's actions to address system performance or condition problems in terms of the following:
  • Implementing appropriate work practices
  • Identifying and addressing common cause failures
  • Characterizing system reliability issues for performance
  • Charging unavailability for performance
  • Trending key parameters for condition monitoring
  • Verifying appropriate performance criteria for structures, systems, and components classified as having an adequate demonstration of performance through preventive maintenance, as described in 10 CFR 50.65(a)(2), or as requiring the establishment of appropriate and adequate goals and corrective actions for systems classified as not having adequate performance, as described in 10 CFR 50.65(a)(1) The inspectors assessed performance issues with respect to the reliability, availability, and condition monitoring of the system. In addition, the inspectors verified maintenance effectiveness issues were entered into the corrective action program with the appropriate significance characterization. Specific documents reviewed during this inspection are listed in the attachment.

These activities constitute completion of two quarterly maintenance effectiveness samples as defined in Inspection Procedure 71111.12-05.

b. Findings

No findings of significance were identified.

1R13 Maintenance Risk Assessments and Emergent Work Control

a. Inspection Scope

Risk Assessment and Management of Risk The inspectors reviewed licensee personnel's evaluation and management of plant risk for the maintenance and emergent work activity affecting risk-significant and safety-related equipment listed below to verify that the appropriate risk assessments were performed prior to removing equipment for work:

  • August 13, 2009, station blackout generator train B out of service for emergent maintenance The inspectors selected this activity based on potential risk significance relative to the Reactor Safety Cornerstones. The inspectors verified that licensee personnel performed risk assessments as required by 10 CFR 50.65(a)(4) and that the assessments were accurate and complete. When licensee personnel performed the emergent work, the inspectors verified that the licensee personnel promptly assessed and managed plant risk. The inspectors reviewed the scope of maintenance work, discussed the results of the assessment with the licensee's probabilistic risk analyst or shift technical advisor, and verified plant conditions were consistent with the risk assessment. The inspectors also reviewed the technical specification requirements to verify risk analysis assumptions were valid and applicable requirements were met. Specific documents reviewed during this inspection are listed in the attachment.

These activities constitute completion of one emergent work control inspection sample as defined in Inspection Procedure 71111.13-05.

b. Findings

No findings of significance were identified.

1R15 Operability Evaluations

a. Inspection Scope

The inspectors reviewed the following issues:

  • September 24, 2009, Unit 1, operability determination for the train A and C dc electrical power sources and train A ac vital instrument bus electrical distribution system during restoration of ventilation system fire dampers The inspectors selected these potential operability issues based on the risk-significance of the associated components and systems. The inspectors evaluated the technical adequacy of the evaluations to ensure that technical specification operability was properly justified and the subject component or system remained available such that no unrecognized increase in risk occurred. The inspectors compared the operability and design criteria in the appropriate sections of the technical specifications and UFSAR to the licensee's evaluations, to determine whether the components or systems were operable. Where compensatory measures were required to maintain operability, the inspectors determined whether the measures in place would function as intended and were properly controlled. The inspectors determined, where appropriate, compliance with bounding limitations associated with the evaluations. Additionally, the inspectors also reviewed a sampling of corrective action documents to verify that the licensee was identifying and correcting any deficiencies associated with operability evaluations.

Specific documents reviewed during this inspection are listed in the attachment.

These activities constitute completion of three operability evaluation inspection samples as defined in Inspection Procedure 71111.15-05.

c. Findings

No findings of significance were identified.

R18 Plant Modifications

a. Inspection Scope

The inspectors reviewed the following temporary modification to verify that the safety functions of important safety systems were not degraded:

  • July 13, 2009, Unit 1, installation of emergency diesel generator cooldown temporary monitoring equipment The inspectors reviewed the temporary modification and the associated safety evaluation screening against the system design bases documentation, including the UFSAR and the technical specifications, and verified that the modification did not adversely affect the system operability/availability. The inspectors also verified that the installation and restoration were consistent with the modification documents and that configuration control was adequate. Additionally, the inspectors verified that the temporary modification was identified on control room drawings, appropriate tags were placed on the affected equipment, and licensee personnel evaluated the combined effects on mitigating systems and the integrity of radiological barriers.

These activities constitute completion of one temporary plant modification inspection sample as defined in Inspection Procedure 71111.18-05.

b. Findings

No findings of significance were identified.

1R19 Postmaintenance Testing

a. Inspection Scope

The inspectors reviewed the following postmaintenance activities to verify that procedures and test activities were adequate to ensure system operability and functional capability:

  • July 11, 2009, station blackout generator train B corrective maintenance of field flash relay for the generator The inspectors selected these activities based upon the structure, system, or component's ability to affect risk. The inspectors evaluated these activities for the following (as applicable):
  • The effect of testing on the plant had been adequately addressed; testing was adequate for the maintenance performed
  • Acceptance criteria were clear and demonstrated operational readiness; test instrumentation was appropriate The inspectors evaluated the activities against the technical specifications, the UFSAR, 10 CFR Part 50 requirements, licensee procedures, and various NRC generic communications to ensure that the test results adequately ensured that the equipment met the licensing basis and design requirements. In addition, the inspectors reviewed corrective action documents associated with postmaintenance tests to determine whether the licensee was identifying problems and entering them in the corrective action program and that the problems were being corrected commensurate with their importance to safety. Specific documents reviewed during this inspection are listed in the attachment. The inspectors incorporated NRC Operating Experience Smart Sample FY2008-01, Revision 0, "Negative Trend and Recurring Events Involving Emergency Diesel Generators," supplemental guidance for IP-71111.19," into the inspections.

These activities constitute completion of two postmaintenance testing inspection samples as defined in Inspection Procedure 71111.19-05.

b. Findings

No findings of significance were identified.

1R22 Surveillance Testing

a. Inspection Scope

The inspectors reviewed the UFSAR, procedure requirements, and technical specifications to ensure that the four surveillance activities listed below demonstrated that the systems, structures, and/or components tested were capable of performing their intended safety functions. The inspectors either witnessed or reviewed test data to verify that the significant surveillance test attributes were adequate to address the following:

  • Preconditioning
  • Evaluation of testing impact on the plant
  • Acceptance criteria
  • Test equipment
  • Procedures
  • Jumper/lifted lead controls
  • Test data
  • Testing frequency and method demonstrated technical specification operability
  • Test equipment removal
  • Restoration of plant systems
  • Fulfillment of American Society of Mechanical Engineers Code requirements
  • Updating of performance indicator data
  • Engineering evaluations, root causes, and bases for returning tested systems, structures, and components not meeting the test acceptance criteria were correct
  • Reference setting data
  • Annunciators and alarms setpoints The inspectors also verified that licensee personnel identified and implemented any needed corrective actions associated with the surveillance testing.
  • July 13, 2009, Unit 3, at-power moderator temperature coefficient testing
  • September 14, 2009, Unit 1 train A condensate storage and transfer pump inservice test
  • September 24, 2009, Unit 1 CO 2 fire suppression system functional test Specific documents reviewed during this inspection are listed in the attachment.

The inspectors incorporated NRC Operating Experience Smart Sample FY2008-01, Revision 0, "Negative Trend and Recurring Events Involving Emergency Diesel Generators," supplemental guidance for IP-71111.22," into the inspections.

These activities constitute completion of four surveillance testing inspection samples as defined in Inspection Procedure 71111.22-05.

b. Findings

Introduction.

The inspectors identified a Green noncited violation of 10 CFR Part 50, Appendix B, Criterion XVI, "Corrective Action," for the failure of the licensee to correct a deficiency associated with the emergency diesel generator voltage regulator K-4 relay in a timely manner. Specifically, on October 16, 2004, maintenance personnel identified that the K-4 relay had a high resistance of approximately 800 ohms but did not replace the relay as required by procedures.

Description.

On April 26, 2009, the Unit 3 train A emergency diesel generator (EDG) was taken out of service for planned maintenance during refuel outage 3R14. Unit 3 was in cold shutdown, Mode 5, and was installing two new modifications for EDG 3A, one for the K-1 relay and one for the governor control system. Following maintenance activities on May 7, 2009, the licensee performed a postmaintenance test on EDG 3A when the generator experienced a sudden loss of field excitation resulting in a loss of generator output voltage and subsequent failure of the EDG to start. The loss of excitation condition repeated itself numerous times over the following nine days as Palo Verde attempted to troubleshoot the cause of the failure. On May 14, 2009, the licensee determined the cause of the failure was from a faulty K-4 relay. The relay was replaced and on May 15, 2009, EDG 3A successfully completed its postmaintenance run and subsequent surveillance test, and the EDG was declared operable.

During the licensee's root cause investigation, it was noted that an intermittent high resistance condition could be created with the K-4 relay that would send a continuous gating signal to the rectifier bridge causing a loss of excitation and subsequent failure of the EDG to start. The purpose of the K-4 relay is to provide a means for the automatic voltage regulator to send firing signals to the rectifier bridge through a series of contacts. The licensee's root cause analysis determined that this high resistance condition was caused by a loose connection in the K-4 relay at a specific pin-to-socket interface. This particular type of relay has 20 pins that each are designed to fit tightly in their respective socket in the base plate of the relay. After further analysis, the licensee determined that the K-4 relay pin 5 socket did not conform to the other sockets because it was oversized and therefore did not allow for a tight fit.

The inspectors reviewed the root cause investigation and noted that similar failures had occurred for EDG 3A K-4 relay in 2001 and 2004. In October 2001, EDG 3A failed to reach rated voltage due to loss of excitation during performance of the 18-month integrated surveillance test. During the licensee's troubleshooting efforts, it was determined that there was a high resistance condition associated with the pin 5 socket of the K-4 relay. Palo Verde's corrective actions included inserting a foam spacer in the K-4 relay that was found missing. In October 2004, maintenance personnel were replacing faulty rectifier bridge components for EDG 3A. During postmaintenance surveillance testing the licensee noted that the voltage regulator failed to flash the excitation field resulting in the EDG failing to start. During the licensee's troubleshooting efforts, it was determined that there was a high resistance condition associated with the pin 5 socket of the K-4 relay.

The licensee also noted that bumping the K-4 relay support bracket would cause resistance to change in a range from 800 ohms to 1 ohm. Palo Verde's corrective actions included inspection and cleaning of the K-4 relay.

During their review of this issue, the inspectors noted that while the October 2001 failure was evaluated as an adverse condition, the October 2004 failure was not evaluated. The inspectors also noted that in October 2001, the failure was not considered a maintenance rule functional failure because the K-4 relay failure was thought to have been caused by the maintenance that was just performed. The inspectors reviewed the licensee's maintenance rule procedures and determined that both the 2001 and 2004 failures should have been considered maintenance rule functional failures. The inspectors reviewed the licensee's corrective action procedures and also noted that if a repeat maintenance rule functional failures occurs within a three year period, a root cause investigation is required to be performed. The inspectors also noted that when maintenance personnel identified the high resistance condition on the K-4 relay in 2004, the maintenance procedure that was used required replacement of any faulty relays identified. The inspectors observed that instead of the K-4 relay being replaced, the step in the maintenance procedure was lined out as not required, and the relay was only cleaned. After review of this issue, the inspectors determined that because the licensee failed to initiate a root cause investigation following the relay failure and because maintenance personnel failed to follow maintenance instructions in 2004, the faulty K-4 relay was never replaced as required by station procedures.

Analysis.

The performance deficiency associated with this finding involved the failure of the licensee to correct a condition adverse to quality in a timely manner. The finding is more than minor because it is associated with equipment performance attribute of the Mitigating Systems Cornerstone and affects the associated cornerstone objective to ensure the reliability and capability of systems that respond to initiating events. Using Manual Chapter 0609.04, "Phase 1 - Initial Screening and Characterization of Findings," the finding was determined to require a Phase 2 and Phase 3 analysis by a senior reactor analyst, because the finding resulted in an actual loss of safety function of a single train for greater than its technical specification allowed outage time. Based on the analysis performed, the analyst concluded that the finding had very low safety significance because with only three failures of the K-4 relay in approximately 170 starts and crediting seven hours for the station batteries during a loss of offsite power event, the resulting core damage frequency is 3.8E-7. This finding was evaluated as not having a crosscutting aspect because the performance deficiency is not indicative of current performance.

Enforcement.

Title 10 of the Code of Federal Regulations Part 50, Appendix B, Criterion XVI, "Corrective Actions," states, in part, that measures shall be established to assure that conditions adverse to quality are promptly identified and corrected. Palo Verde Procedure 01DP-OAP10, "Corrective Action Program," stated, in part, that measures will be established to assure that conditions adverse to quality, such as failures, malfunctions, and deficiencies are promptly identified and corrected. Contrary to the above, on October 16, 2004, the licensee identified a deficiency with the emergency diesel generator voltage regulator K-4 relay but failed to take appropriate corrective actions which left this deficiency uncorrected for the Unit 3 Train A emergency diesel generator until May 2009. Because the finding is of very low safety significance and has been entered into the licensee's corrective action program as Palo Verde Action Request 3385257, this violation is being treated as an NCV consistent with Section VI.A.1 of the Enforcement Policy: NCV 05000530/2009004-01, "Failure to Correct a Condition Adverse to Quality with the Emergency Diesel Generator Train A K-4 Relay in a Timely Manner."

1EP6 Drill Evaluation

a. Inspection Scope

The inspectors evaluated the conduct of a routine licensee emergency planning training evolutions on September 15, 2009, to identify any weaknesses and deficiencies in classification, notification, and protective action recommendation development activities. The inspectors observed emergency response operations in the control room (simulator)and the technical support center to determine whether the event classification, notifications, and protective action recommendations were performed in accordance with procedures. The inspectors also attended the licensee drill critique to compare any inspector observed weakness with those identified by the licensee staff in order to evaluate the critique and to verify whether the licensee staff was properly identifying weaknesses and entering them into the corrective action program. As part of the inspection, the inspectors reviewed the drill package and other documents listed in the attachment.

These activities constitute completion of one sample as defined in Inspection Procedure 71114.06-05.

b. Findings

No findings of significance were identified.

OTHER ACTIVITIES

4OA1 Performance Indicator Verification

.1 Data Submission Issue

a. Inspection Scope

The inspectors performed a review of the data submitted by the licensee for the first quarter 2009 performance indicators for any obvious inconsistencies prior to its public release in accordance with Inspection Manual Chapter 0608, "Performance Indicator Program."

This review was performed as part of the inspectors' normal plant status activities and, as such, did not constitute a separate inspection sample.

b. Findings

No findings of significance were identified.

.2 Reactor Coolant System Specific Activity

a. Inspection Scope

The inspectors sampled licensee submittals for the Reactor Coolant System Specific Activity performance indicator for Palo Verde Units 1, 2 and 3, for the period from the third quarter 2008 through the second quarter 2009. To determine the accuracy of the performance indicator data reported during those periods, performance indicator definitions and guidance contained in NEI Document 99-02, "Regulatory Assessment Performance Indicator Guideline," Revision 5, was used. The inspectors reviewed the licensee's reactor coolant system chemistry samples, technical specification requirements, issue reports, event reports, and NRC integrated inspection reports for the period from the third quarter 2008 through the second quarter 2009 to validate the accuracy of the submittals. The inspectors also reviewed the licensee's issue report database to determine if any problems had been identified with the performance indicator data collected or transmitted for this indicator and none were identified. In addition to record reviews, the inspectors observed a chemistry technician obtain and analyze a reactor coolant system sample. Specific documents reviewed are described in the attachment to this report.

These activities constitute completion of three reactor coolant system specific activity samples as defined in Inspection Procedure 71151-05.

b. Findings

No findings of significance were identified.

.3 Reactor Coolant System Leakage

a. Inspection Scope

The inspectors sampled licensee submittals for the Reactor Coolant System Leakage performance for Palo Verde Units 1, 2, and 3 for the period from the third quarter 2008 through the second quarter 2009. To determine the accuracy of the performance indicator data reported during those periods, performance indicator definitions and guidance contained in NEI Document 99-02, "Regulatory Assessment Performance Indicator Guideline," Revision 5, was used. The inspectors reviewed the licensee's operator logs, reactor coolant system leakage tracking data, issue reports, event reports, and NRC integrated inspection reports for the period from the third quarter 2008 through the second quarter 2009 to validate the accuracy of the submittals. The inspectors also reviewed the licensee's issue report database to determine if any problems had been identified with the performance indicator data collected or transmitted for this indicator and none were identified. Specific documents reviewed are described in the attachment to this report.

These activities constitute completion of three reactor coolant system leakage samples as defined in Inspection Procedure 71151-05.

b. Findings

No findings of significance were identified.

4OA2 Identification and Resolution of Problems

Cornerstones: Initiating Events, Mitigating Systems, Barrier Integrity, Emergency Preparedness, Public Radiation Safety, Occupational Radiation Safety, and Physical Protection

.1 Routine Review of Identification and Resolution of Problems

a. Inspection Scope

In accordance with various base line inspection procedures discussed in previous sections of this report, the inspectors routinely reviewed issues during base line inspection activities and plant status reviews to verify that they were being entered into the licensee's corrective action program at an appropriate threshold, that adequate attention was being given to timely corrective actions, and that adverse trends were identified and addressed. The inspectors reviewed attributes that included: the complete and accurate identification of the problem; the timely correction, commensurate with the safety significance; the evaluation and disposition of performance issues, generic implications, common causes, contributing factors, root causes, extent of condition reviews, and previous occurrences reviews; and the classification, prioritization, focus, and timeliness of corrective actions. Minor issues entered into the licensee's corrective action program because of the inspectors' observations are included in the attached list of documents reviewed.

These routine reviews for the identification and resolution of problems did not constitute any additional inspection samples. Instead, by procedure, they were considered an integral part of the inspections performed during the quarter and documented in Section 1 of this report.

b. Findings

No findings of significance were identified.

.2 Daily Corrective Action Program Reviews

a. Inspection Scope

In order to assist with the identification of repetitive equipment failures and specific human performance issues for follow-up, the inspectors performed a daily screening of items entered into the licensee's corrective action program. The inspectors accomplished this through review of the station's daily corrective action documents.

The inspectors performed these daily reviews as part of their daily plant status monitoring activities and, as such, did not constitute any separate inspection samples.

b. Findings

No findings of significance were identified.

.3 Selected Issue Follow-up Inspection

a. Inspection Scope

In addition to the routine review, the inspectors selected the two below listed issues for a more in-depth review. The inspectors considered the following during the review of the licensee's actions: (1) complete and accurate identification of the problem in a timely manner; (2) evaluation and disposition of operability/reportability issues; (3) consideration of extent of condition, generic implications, common cause, and previous occurrences; (4) classification and prioritization of the resolution of the problem; (5) identification of root and contributing causes of the problem; (6) identification of corrective actions; and (7) completion of corrective actions in a timely manner.

  • April 22, 2009, Unit 2, emergency diesel generator train B out of service for emergent work on the fuel oil transfer pump as documented in Condition Report/Disposition Request 3317532
  • April 30, 2009, Units 1, 2, and 3, non quality related parts installed in quality applications as documented in Condition Report/Disposition Request 3321953 The inspectors incorporated NRC Operating Experience Smart Sample FY2009-01, Revision 0, "Inspection of Electrical Connections for Motor Control Center, Circuit Breakers, and Interfaces," supplemental guidance for IP-71152," into the inspections.

Documents reviewed by the inspectors are listed in the attachment.

These activities constitute completion of two in-depth problem identification and resolution samples as defined in Inspection Procedure 71152-05.

b. Findings

Introduction.

A self-revealing Green NCV of 10 CFR Part 50, Appendix B, Criterion XVI, "Corrective Action," was identified for the failure of maintenance personnel to correct a deficiency associated with the Unit 2 emergency diesel generator Train B fuel oil transfer pump in a timely manner.

Description.

On April 22, 2009, the Unit 2 emergency diesel generator Train B fuel oil transfer pump failed surveillance test Procedure 73ST-9DF01, "Diesel Fuel Oil Pump Inservice Test," Revision 19, due to a supply breaker opening and interrupting power to the pump. Operations personnel declared the Train B emergency diesel generator inoperable. Palo Verde Action Request 3316970 was written by operations personnel to document the pump failure and required a root cause to be performed for the pump failure.

Each emergency diesel generator has its own diesel fuel oil transfer system which consists of one diesel fuel oil storage tank located in a vault, one diesel fuel oil transfer pump located inside the diesel fuel oil storage tank, and one diesel fuel oil day tank. The diesel fuel oil transfer pump takes suction from the diesel fuel oil storage tank and pumps fuel oil to the diesel fuel oil day tank. The diesel fuel oil day tank then supplies fuel to the emergency diesel generators via gravity drain.

A root cause evaluation was performed on the pump failure in Condition Report/Disposition Request 3317532. The direct cause of the failure was determined to be intrusion of moisture into the emergency diesel generator fuel oil transfer pump motor connection box located in the diesel fuel oil storage tank vault. This moisture resulted in corrosion of the motor connection box causing an electrical short to ground and subsequent tripping of the fuel oil transfer pump. The root cause was determined to be the diesel fuel oil storage tank vault electrical conduit and penetrations were not effectively maintained and monitored to prevent the intrusion of moisture into the motor connection box.

The inspectors determined that similarly, water intrusion was found in the Unit 3 Train A diesel fuel oil transfer pump electrical conduit in December 2004. In 2004, as part of the extent of condition, Work Order 2762023 inspected all six emergency diesel generator's and tested each fuel oil transfer pump, including the Unit 2 Train B fuel oil transfer pump.

During performance of this work order, maintenance personnel found a small amount of moisture in the Unit 2 Train B electrical conduit. This moisture was wiped up and the conduit was sealed, but the work order did not require the removal of moisture or drying out of the conduit. Over time, the moisture migrated to the connection box causing corrosion, and as the corrosion worsened it eventually caused the pump trip in 2009.

As a corrective action, the licensee replaced the electrical conduit and the emergency diesel generator fuel oil transfer pump motor connection box in 2009. The licensee performed an extent of condition review for all of the other emergency diesel generator fuel oil storage tank vaults to inspect for the presence of moisture or corrosion in the transfer pump connection boxes. No other moisture or corrosion was found. The root cause team developed corrective actions to prevent reoccurrence by initiating a preventative maintenance task to test the power cables and to perform a visual inspection of the connection boxes for each of the fuel oil transfer pumps.

Analysis.

The performance deficiency associated with this finding involved the failure of maintenance personnel to correct a condition adverse to quality with the emergency diesel generator Train B fuel oil transfer pump in a timely manner. The finding is more than minor because it is associated with the equipment performance attribute of the Mitigating Systems Cornerstone and affects the cornerstone objective of ensuring the reliability of systems that respond to initiating events to prevent undesirable consequences. Using Manual Chapter 0609.04, "Phase 1 - Initial Screening and Characterization of Findings," the finding was determined to require a Phase 2 and Phase 3 analysis by a senior reactor analyst because the finding resulted in an actual loss of safety function of a single train for greater than its technical specification allowed outage time. Based on the analysis performed, the analyst concluded that the finding had very low safety significance because while the fuel oil transfer pump was degraded from January 21 through April 22, 2009, it is still credited to perform a majority of its intended safety function and the resulting core damage frequency is approximately 1.7E-7. This finding was evaluated as not having a crosscutting aspect because the performance deficiency is not indicative of current performance.

Enforcement.

Title 10 of the Code of Federal Regulations, Part 50, Appendix B, Criterion XVI, "Corrective Action," states, in part, that measures shall be established to assure that conditions adverse to quality are promptly identified and corrected. In 2004, Procedure 90DP-0IP10, "Condition Reporting," Revision 19, Step 3.7.1, required, in part, that corrective actions include those actions that will correct an adverse condition.

Contrary to this, on December 21, 2004, maintenance personnel failed to correct the adverse condition of moisture in the fuel oil transfer pump electrical conduits. Specifically, maintenance personnel failed to ensure the emergency diesel generator fuel oil storage tank vaults were effectively maintained and monitored to prevent the intrusion of moisture into the emergency diesel generator fuel oil transfer pump motor connection box, resulting in corrosion of the motor connection box causing an electrical short to ground and tripping of the fuel oil transfer pump. Because the finding is of very low safety significance and has been entered into the licensee's corrective action program as Palo Verde Action Request 3385257, this violation is being treated as an NCV consistent with Section VI.A.1 of the Enforcement Policy: NCV 05000529/2009004-02, "Failure to Correct a Condition Adverse to Quality with the Emergency Diesel Generator Train B Fuel Oil Transfer Pump in a Timely Manner."

4OA3 Event Follow-up

.1 Event Follow Up

a. Inspection Scope

The inspectors reviewed the below listed event for plant status and mitigating actions to: (1) provide input in determining the appropriate agency response in accordance with Management Directive 8.3, "NRC Incident Investigation Program;" (2) evaluate licensee actions; and (3) confirm that the licensee properly classified the event in accordance with emergency action level procedures and made timely notifications to NRC and state/governments, as required.

  • June 21, 2009, Unit 2, drop in instrument air header pressure and drop in atmospheric dump valve 185 nitrogen accumulator pressure
  • July 7, 2009, Unit 1, loss of letdown due to malfunction of dilution control valve 201P
  • September 21, 2009, Unit 1, loss of essential ventilation system to 100' elevation of the control building Documents reviewed by the inspectors are listed in the attachment.

These activities constitute completion of three samples as defined in Inspection Procedure 71153-05.

b. Findings

Introduction.

A self-revealing noncited violation of Technical Specification 5.4.1.a, "Procedures," was identified for failure of fire protection personnel to adequately implement a functional test procedure. Specifically, on September 21, 2009, fire protection personnel failed to correctly implement procedural steps and prevent actuation of fire dampers in the Unit 1 control building ventilation system during functionality testing of the CO 2 fire suppression system.

Description.

On Monday, September 21, 2009, at 2:40 p.m., Palo Verde Unit 1 entered several short duration technical specifications limiting conditions for operation due to inadvertent operation of a test switch during a fire suppression functional test. This test was performed to ensure the CO 2 fire suppression system actuates during receipt of a simulated actuation signal, and was conducted for the 100' elevation of the control building. While conducting the test, fire protection personnel failed to follow a step in Procedure 14FT-9FP08, "CO 2 Fire Suppression System Functional Test," which required a CO 2 test switch to be placed in "test." Consequently, 19 fire dampers went closed affecting ventilation to train A and C battery rooms, train A and C dc equipment rooms and the train A essential switch gear room, rendering each inoperable. The shift manager entered limiting condition for operation action statements for Technical Specification 3.8.4, "DC Sources," and Technical Specification 3.8.9, "AC and DC Distribution Systems," for the train A and C battery rooms, train A and C dc equipment rooms and the train A essential switch gear room. Maintenance personnel opened the affected dampers and each technical specification action statement was exited before a shutdown of the unit was required.

The licensee initiated Palo Verde Action Request 3381290 to evaluate and identify the cause of the performance deficiency. The licensee also conducted a human performance review board to assess the actions taken by the individuals involved. The licensee determined the cause of the event was due to the failure of fire protection personnel to use human error prevention tools as prescribed by procedures. The inspectors reviewed control room logs, maintenance work procedures, and interviewed operations and fire protection personnel and determined there were no other performance deficiencies of more than minor significance noted and the licensee's corrective actions following the event were appropriate.

Analysis.

The performance deficiency associated with this finding involved the failure of Fire Department personnel to adequately implement a surveillance procedure to test CO 2 fire suppression system functionality. The finding is more than minor because it is associated with the procedure quality attribute of the mitigating systems cornerstone and affects the cornerstone objective of ensuring the reliability, availability, and capability of systems that respond to initiating events to prevent undesirable consequences. Using Manual Chapter 0609.04, "Phase 1 - Initial Screening and Characterization of Findings," the finding was determined to have a very low safety significance because the finding did not result in a loss of system safety function, an actual loss of safety function of a single train for greater than its technical specification allowed outage time, or screen as potentially risk-significant due to a seismic, flooding, or severe weather initiating event. This finding has a crosscutting aspect in the area of human performance associated with work practices because work control activities did not use human error prevention techniques, such as self-checking or peer-checking, so that work activities are performed safely H.4(a).

Enforcement.

Technical Specification 5.4.1.a, "Procedures," requires that written procedures be established, implemented, and maintained covering the activities specified in Regulatory Guide 1.33, Revision 2, Appendix A, dated February 1978. Regulatory Guide 1.33, Appendix A, Section 8(b)h, requires that Fire Protection System Functional Tests that can affect the performance of safety-related equipment should be performed in accordance with written procedures. Procedure 14FT-9FP08, "CO 2 Fire Suppression System Functional Test," Step 8.4.8 stated, "to place test switch TS-1 in the "test" position to prevent dampers from actuating." Contrary to the above, on September 21, 2009, fire protection personnel failed to adequately implement procedures for functionality testing of the CO 2 fire suppression system and place the TS-1 test switch in the "test" position. However, because the finding is of very low safety significance and has been entered into the licensee's corrective action program as Palo Verde Action Request 3381290, this violation is being treated as a noncited violation consistent with Section VI.A of the NRC Enforcement Policy: NCV 05000528/2009004-03, "Failure to Follow Procedures Results in Loss of Ventilation to Safety-Related Equipment."

.2 Event Report Reviews

a. Inspection Scope

The inspectors reviewed the below listed Licensee Event Report and related documents to assess: (1) the accuracy of the License Event Report; (2) the appropriateness of corrective actions; (3) violations of requirements; and (4) generic issues.

b. Findings and Observations

.1 (Closed) Licensee Event Report 05000529/2009-001-00, Emergency Diesel Generator Fuel Oil Transfer Pump Failure

On April 22, 2009, at approximately 10:05 a.m., while performing Surveillance Test 73ST-9DF01, "Diesel Fuel Oil Pump - Inservice Test," Revision 19, the emergency diesel generator B fuel oil transfer pump failed. Troubleshooting identified the breaker for the transfer pump was found opened in the trip free position that was caused by an electrical short to ground between a terminal and the fuel oil transfer pump electrical connection box. The failure was determined to be caused by moisture in the cable connection box that initiated a corrosion process that eventually caused an electrical short to ground. The faulty terminal was repaired and the transfer pump was retested satisfactorily. Prior to this event, moisture was discovered in the electrical conduit and the cable connection box in the Unit 3 emergency diesel generator A fuel oil transfer pump in December 2004. As part of the extent of condition, the other diesels fuel oil transfer pump cable connection boxes were inspected, and moisture was found in the Unit 2 fuel oil transfer pump B box. Corrective maintenance for the Unit 2 box consisted of wiping the moisture out of the connect box and sealing the conduits entering and leaving the connection box. The failure of the connection box in 2009 was caused by residual moisture left in the conduit from 2004. The inspectors reviewed the licensee event report and determined a violation of NRC requirements exists. This violation is documented in Section

4OA2 of this report.

This Licensee Event Report is closed.

.2 (Closed) Licensee Event Report 05000528/2007-006-00, Required Shutdown due to Inoperable Steam Admission Bypass Valve to Auxiliary Feedwater Pump

On October 15, 2007, while performing surveillance test Procedure 73ST-9AF02, "AFA P01 Recirc Flow-Inservice Test," the auxiliary feedwater turbine steam admission bypass valve SGA-UV-138A, failed to close. The valve was declared inoperable, quarantined, and a troubleshooting plan was developed and implemented.

Troubleshooting and corrective maintenance efforts were unsuccessful in restoring the valve to an operable status within the technical specification required time of seven days; therefore a reactor shutdown was initiated at approximately 3 am on October 22, 2007. The cause of the failure of SGA-UV-138A was the accumulation of iron oxide on the internal plunger assembly of the valve causing excessive frictional forces between the plunger and the internal surfaces of the valve body. Subsequent to the shutdown, the valve body was replaced and successfully retested. The inspectors reviewed this issue and documented a Green noncited violation of 10 CFR Part 50, Appendix B, Criterion XVI, "Corrective Actions," in Section

4OA2 of NRC Inspection Report 05000528;529;530/2007005.

The licensee documented the failure of valve SGA-UV-138A in Condition Report/Disposition Request 3064675 and Condition Report/Disposition Request 3078032. The inspectors reviewed the root cause evaluation and the licensee event report and determined no additional violation of NRC requirements exists. This Licensee Event Report is closed.

.3 (Closed) Licensee Event Report 05000528/2007-007-00, Engineered Safety Feature Actuation and Required Shutdown due to failed Diode in Actuation Circuitry

On November 22, 2007, at approximately 7:18 p.m., the "BOP ESFAS A IN TEST" alarm was received in the Unit 1 control room. Shortly after this unexpected alarm, other unexpected alarms were received and the essential spray pond pump started automatically. The balance of plant engineered safety feature actuation system train 'A' load sequencer was declared inoperable, and troubleshooting to identify the cause of the event was commenced. Troubleshooting and corrective maintenance were not completed in time to restore the train to operable status within the technical specification required time of 24 hours2.777778e-4 days <br />0.00667 hours <br />3.968254e-5 weeks <br />9.132e-6 months <br />, and Unit 1 was shut-down on November 23, 2007. The cause of the balance of plant engineered safety feature actuation system failure was the failure of a relay coil suppression diode. The failed diode was replaced and the balance of plant engineered safety feature actuation system load sequencer was successfully retested on November 25, 2007. The inspectors reviewed this Licensee Event Report and no findings of significance and no violation of NRC requirements occurred. This Licensee Event Report is closed.

.4 (Closed) Licensee Event Report 05000528;529;530/2008-001-00, Inadequate Surveillance Test Procedure Resulting in Failure to Meet Technical Specification Requirements

On February 1, 2008, during performance of the licensee's Component Design Bases Review initiative, engineering personnel determined that surveillance test Procedure 40ST-9ZZ20, "Remote Shutdown Disconnect Switch and Control Circuit Operability," was not adequate to meet the technical specification surveillance requirements. All three Palo Verde units entered Technical Specification Surveillance Requirement Condition 3.0.3 for the affected components, and the licensee performed risk assessments to support continued operability until such time as the components could be adequately tested. The cause of this condition was that the surveillance test procedure did not ensure that each circuit was verified to meet the requirements of the technical specification. The licensee's corrective actions included revising the surveillance test procedures to adequately demonstrate compliance with the technical specifications. This failure to comply with the technical specification surveillance requirements for the remote shutdown system constitutes a violation of minor significance that is not subject to enforcement action in accordance with the NRC's Enforcement Policy.

The inspectors reviewed this Licensee Event Report and no findings of significance and no additional violations of NRC requirements occurred. This Licensee Event Report is closed.

.5 (Closed) Licensee Event Report 05000528;529;530/2009-003-00, Surveillance Test Procedure Inadequate to Meet the Requirements of the Technical Specifications

On May 13, 2009, Palo Verde engineers discovered surveillance requirements were not completely implemented in surveillance test Procedure 40ST-9ZZ05, "Weekly Electrical Distribution Checks." The procedure did not verify the supply breaker alignment for four Class 1E 125 Vdc distribution panels as required by technical specifications.

All three Palo Verde units entered Technical Specification Surveillance Requirement Condition 3.0.3 for the affected components, and the licensee performed risk assessments to support continued operability until such time as the components could be adequately tested. The cause of this condition was that the initial surveillance test procedure written when the technical specifications were implemented lacked the appropriate technical rigor. The licensee's corrective actions included revising the surveillance test procedures to adequately demonstrate compliance with the technical specifications. This failure to comply with the technical specification surveillance requirements for the Class 1E 125 Vdc distribution system constitutes a violation of minor significance that is not subject to enforcement action in accordance with the NRC's Enforcement Policy.

The inspectors reviewed this Licensee Event Report and no findings of significance and no additional violations of NRC requirements occurred.

This Licensee Event Report is closed.

4OA5 Other Activities

.1 Quarterly Resident Inspector Observations of Security Personnel and Activities

a. Inspection Scope

During this inspection period the inspectors conducted observations of security force personnel and activities to ensure that the activities were consistent with licensee security procedures and regulatory requirements relating to nuclear plant security. These observations took place during both normal and off-normal plant working hours. These quarterly resident inspector observations of security force personnel and activities did not constitute any additional inspection samples. Rather, they were considered an integral part of the inspectors' normal plant status reviews and inspection activities.

b. Findings

No findings of significance were identified.

4OA6 Meetings, Including Exit

On October 1, 2009, the inspectors conducted an exit to present the inspection results to Mr. D. Mims, Vice President, Regulatory Affairs and Plant Improvement, and other members of the licensee's management staff. The licensee acknowledged the issues presented.

The inspectors noted that while proprietary information was reviewed, none would be included in this report.

4OA7 Licensee-Identified Violations

None. ATTACHMENT:

SUPPLEMENTAL INFORMATION

KEY POINTS OF CONTACT

Licensee

G. Andrews, Director, Unit 3 Assistant Plant Manager
S. Bauer, Department Leader, Regulatory Affairs
R. Bement, Vice President, Nuclear Operations
P. Borchert, Unit 1 Assistant Plant Manager
F. Burdick, Regulatory Affairs
R. Buzard, Section Leader, Compliance
D. Carnes, Unit 2 Assistant Plant Manager
K. Chavet, Senior Consultant, Regulatory Affairs
L. Cortopossi, Plant Manager, Nuclear Operations
D. Coxon, Unit Department Leader, Operations
E. Dutton, Acting Director of Nuclear Assurance
D. Hautala, Senior Engineer, Regulatory Affairs
J. Hesser, Vice President, Engineering
G. Hettel, Director, Operations
D. Mims, Vice President, Regulatory Affairs and Performance Improvement
P. Paramithas, Department Lead, Modification Engineering
T. Radtke, General Manager, Emergency Services and Support
M. Ray, Director, Emergency Planning Programs
H. Ridenour, Director, Maintenance
S. Sawtschenko, Department Leader, Emergency Preparedness
J. Summy, Director, Plant Engineering
J. Taylor, Unit Department Leader, Operations
T. Weber, Section Leader, Regulatory Affairs

Nuclear Regulatory Commission

M. Runyan, Senior Reactor Analyst, Region IV

LIST OF ITEMS OPENED, CLOSED, AND DISCUSSED

Opened and Closed

05000530/2009004-01 NCV Failure to Correct a Condition Adverse to Quality with the Emergency Diesel Generator Train A K-4 Relay in a Timely Manner (Section 1R22)
05000529/2009004-02 NCV Failure to Correct a Condition Adverse to Quality with the Emergency Diesel Generator Train B Fuel Oil Transfer Pump in a Timely Manner (Section 4OA2)
05000528/2009004-03 NCV Failure to Follow Procedures Results in Loss of Ventilation to Safety-Related Equipment (Section 4OA3)

Attachment

Closed

05000529/LER-2009-001-00 LER Emergency Diesel Generator Fuel Oil Transfer Pump Failure (Section 4OA3)
05000528/LER-2007-006-00 LER Required Shutdown due to Inoperable Steam Admission Bypass Valve to Auxiliary Feedwater Pump (Section 4OA3)
05000528/LER-2007-007-00 LER Engineered Safety Feature Actuation and Required Shutdown due to failed Diode in Actuation Circuitry (Section 4OA3)
05000528;529;530/2008-001-00 LER Inadequate Surveillance Test Procedure Resulting in Failure to Meet Technical Specification Requirements(Section 4OA3)
05000528;529;530/2009-003-00 LER Surveillance Test Procedure Inadequate to Meet the Requirements of the Technical Specifications (Section 4OA3)

LIST OF DOCUMENTS REVIEWED

In addition to the documents called out in the inspection report, the following documents were selected and reviewed by the inspectors to accomplish the objectives and scope of the inspection and to support any findings:

Section 1R01: Adverse Weather Protection

PROCEDURES
Number Title Revision40AO-9ZZ21 Acts of Nature 26 51DP-9OM03 Site Scheduling 23
40AO-9ZZ12 Degraded Electrical Power 37 40AO-9ZZ25 ECC Directed Turbine Unloading 9 40OP-9ZZ19 Hot Weather Protection 3
70DP-0RA05 Assessment and Management of Risk When Performing Maintenance in Modes 1 and 2
40DP-9OP34
Switchyard Administrative Controls
Attachment

Section 1R04: Equipment Alignment

PROCEDURES
Number Title Revision40OP-9DG01 Emergency Diesel Generator A 61
DRAWINGS Number Title Revision01-M-DGP-001
P & I Diagram Diesel Generator System, Sheet 1
01-M-DGP-001
P & I Diagram Air Intake & Exhaust Diesel Generator System,
Sheet 2
50 01-M-DGP-001
P & I Diagram Lube Oil Diesel Generator System, Sheet 3
01-M-DGP-001
P & I Diagram Jacket Water Diesel Generator System,
Sheet 4
50 01-M-DGP-001
P & I Diagram Cooling Water Diesel Generator System,
Sheet 5
01-M-DGP-001
P & I Diagram Starting Air Diesel Generator System, Sheet 6
01-M-DGP-001
P & I Diagram Fuel Oil Diesel Generator System, Sheet 7
01-M-DGP-001
P & I Diagram Control Air Diesel Generator System, Sheet 8
01-M-DGP-001
P & I Diagram Diesel Generator System, Sheet 9 50
PALO VERDE ACTION REQUESTS
3361344
3312043
3358340
3358360
3292998
3377235
3347593
3360757
3329837
3343785
3316959
3378191
3300357
3303013
3305907
3305910
3305911
3306176
3306933
3319433
3347623
3351639
3355706
3327583
CONDITION REPORT ACTION ITEMS
3355306
CONDITON REPORT / DISPOSITION REPORTS
22007
Attachment

Section 1R05: Fire Protection

PROCEDURES
Number Title Revision14DP-0FP02 Fire System Impairments and Notifications 14 40OP-9SG02 Station Blackout Generator 1 Operation 1
40OP-9SG03 Station Blackout Generator 2 Operation 1 14AC-OFP05 Pre-Fire Strategies Manual Control 1
DRAWINGS Number Title Date
AO-M-HSP-001-R2 Air Balance P&ID Fire-Pump House
6/25/85
WORK ORDERS
3034922
3162525
3348685
PALO VERDE ACTION REQUESTS
3355232
3298357
2934348
3177439
3355232
2980758
3346689
CONDITON REPORT / DISPOSITION REPORTS
28626
CONDITION REPORT ACTION ITEMS
27886
2934348
FIRE SYSTEM COMPONENT CONDITION RECORDS
29271
3315927
MISCELLANEOUS
VTD-P115-00012, Peerless Pump Company Horizontal Centrifugal Pumps Instructions Installation Operation Maintenance, Revision 0
Updated Final Safety Analysis Report, Section 9.5, Revision 11
Pre-Fire Strategies Manual for Control Building Elevation 100' - 0", Revision 7
Attachment

Section 1R06: Flood Protection

PROCEDURES
Number Title Revision14FT-9FP70 Appendix R and Former Technical Specification Penetration Seal Surveillance
31MT-9ZZ12 Replacement/Rework of Penetration and Internal Conduit Seals 8
MISCELLANEOUS
Calculation 13-MC-ZA-0809, As Built Auxiliary Building Flooding Calculation, Revision 6
Calculation 13-MC-ZA-0810, Flooding Between Adjacent Safety-Related Rooms, Revision 8

Section 1R11: Licensed Operator Requalification Program

PALO VERDE ACTION REQUESTS
3379597
3379600
MISCELLANEOUS
Simulator Scenario,
SES-0-09-AS-04, TLI Failure / RPCB (Loss of Feed Pump) /
FRP (LOAF-condensate pumps) Simulator Evaluation Summary Sheet, 09/15/2009
Form
EP-0541, Palo Verde NAN Emergency Message Form, 09/15/2009
Simulator Performance Indicator Evaluation Form, Revision 4

Section 1R12: Maintenance Effectiveness

PROCEDURES
Number Title Revision01DP-0ZZ01 Operational Decision Making
01PR-OAP04 Corrective Action Program
90DP-0IP10 Condition Reporting
32MT-9PE01 18 Month Cleaning, Inspection and Testing of the Class 1E Diesel
Generator
70DP-0MR01 Maintenance Rule 8
PALO VERDE ACTION REQUESTS
3344761
3337724
3298296
3338425
Attachment
CONDITION REPORTS / DISPOSITION REPORTS
3346271
3338918
3338918
3325283
2432009
WORK ORDERS
3141993
2431019
2728901
244601
243880
MISCELLANEOUS
Unit 2 Control Room Logs, June 5, 2009 Troubleshooting Game Plan for MSIV 181 Train B, March 20, 2009

Section 1R13: Maintenance Risk Assessments and Emergent Work Control

PROCEDURES
Number Title Revision70DP-0RA05 Assessment and Management of Risk When Performing
Maintenance in Modes 1 and 2
01DP-0ZZ01 Operational Decision Making
40OP-9GT03 Station Blackout Generator 2 Operation
PALO VERDE ACTION REQUESTS
3365241
CONDITON REPORTS / DISPOSITION REPORTS
33656952
WORK ORDERS
295966
3365243 3365243

Section 1R15: Operability Evaluations

PROCEDURES
Number Title Revision40DP-9OP26 Operations Palo Verde Action Request Processing and Operability Determination and Functional Assessment
81DP-0DC13 Deficiency Work Order
Attachment Number Title Revision40OP-9HJ01 Control Building HVAC (HJ)
40OP-9HJ02 Control Building HVAC (Smoke Removal)
40ST-9EC03 Essential Chilled Water & Ventilation Systems Inoperable Action Surveillance
40AO-9ZZ20 Loss of HVAC
40DP-9OP02 Conduct of Shift Operation
40DP-9OP22 Operations Log Keeping
40DP-9OP23 Technical Specification Component Condition Record SWMS Procedure
DRAWINGS
Number Title Revision03-P-AFF-131 M.S.S.S. Isometric Turbine Driven Pump Auxiliary Feedwater System
0 01-M-HJP-001 P & I Diagram Control Building HVAC
01-M-HJP-002
P & I Diagram Control Building HVAC
PALO VERDE ACTION REQUESTS
26016
3326054
3338222
3338300
3324435
3325566
3324567
332549
CONDITON REPORTS / DISPOSITION REPORTS
29999
3327134
CONDITION REPORT ACTION ITEMS
3336564
3343875
3382436
WORK ORDERS
26188
3381297
ENGINEERING WORK REQUESTS
3381319
3382891
Attachment FIRE SYSTEM COMPONENT CONDITION RECORD
3381295
TECHNICAL SPECIFICATION COMPONENT CONDITION RECORD
3381310
MISCELLANEOUS
Calculation 03-MC-AF-503, Auxiliary Feedwater System - Axial Restraint, Revision 4
BART Test Heterotrophic Aerobic Bacteria Data Sheet
BART Test Iron-Related Bacteria Data Sheet
PNVGS Updated Final Safety Analysis Report, Section 9.4, Air Conditioning,
Heating, Cooling and Ventilation Systems, Revision 11
PVNGS Technical Specifications Bases, Revision 35
PK Battery Room Essential Exhaust Fan Operability Considerations, June 23, 2006
Control Room Narrative Logs for September 21, 2009 and September 22, 2009
Study 13-MS-A107, Loss of Essential Chillers Study, Revision 1
Calculation 13-MC-HJ-0003, "HJ System Heat Load and Equipment Selection Calculation," Revision 6

Section 1R18: Plant Modifications

PROCEDURES
Number Title Revision40DP-9OP29 Power Block Permit and Tagging 35 30DP-9MP03 System Cleanliness and Foreign Material Exclusion Controls 15
WORK ORDERS
3344401
3344258

Miscellaneous

S-09-0170, 50.59 screening for temporary installation of a strip chart recorder to monitor specific key parameters, to support determination of the cause for the Unit 1, Train B, emergency diesel generator cooldown cycle trips, Revision 0
Attachment

Section 1R19: Post-Maintenance Testing

PROCEDURES
Number Title Revision40OP-9GT03 Station Blackout Generator 2 Operation
01DP-0ZZ01 Operational Decision Making
01PR-OAP04 Corrective Action Program
32MT-9PE01 18 Month Cleaning, Inspection and Testing of the Class 1E Diesel Generator
PALO VERDE ACTION REQUESTS
3365241
3298296
3338425
CONDITON REPORTS / DISPOSITION REPORTS
33656952
3325283
2432009
WORK ORDERS
295966
3365243
3365243
2431019
2728901 244601

Section 1R22: Surveillance Testing

PROCEDURES
Number Title Revision72ST-9RX02 Moderator Temperature Coefficient at Power 24 01PR-0AP04 Corrective Action Program 0
90DP-0IP10 Condition Reporting 18 32MT-9PE01 18 Month Cleaning, Inspect and Testing of the Class 1
EDG 10 70DP-0MR01 Maintenance Rule 8 14FT-9FP08 CO2 Fire Suppression System Functional Test 11 14DP-0FP31 Fire System Impairment 13 14DP-0FP01 Firewatch Requirements 10 14DP-0FP02 Fire System Impairments and Notifications 14
73DP-0FP01 Fire Protection Test Program Requirements 26
DRAWINGS
Number
Title RevisionB72-08600-712 Schematic-Switching Module C 01-M-HJP-002 P & I Diagram Control Building HVAC 14 01-M-HJP-001 P & I Diagram Control Building HVAC 26 01-M-FPP-004 P & I Diagram Fire Protection System (CO2 System) 10
Attachment
WORK ORDERS
3312124
2431019
243880
2728901
244601
03096436
PALO VERDE ACTION REQUESTS
3381290
CONDITION REPORTS / DISPOSITION REPORTS
25283
2432009
MISCELLANEOUS
Significant Root Cause Investigation Report, "Loss of Excitation on Unit 3 'A'
Emergency Diesel Generator during Retest," Revision 0
Prompt Human Performance Evaluation Form, September 21, 2009
Personal Statements of Events from Fire Department and Operations Personnel,
September 21, 2009
PVNGS Updated Final Safety Analysis Report, Section 9.5.1, Revision 13

Section 1EP6: Drill Evaluation

PROCEDURES
Number Title RevisionEPIP-02 Operation Support Center Actions
EPIP-03 Technical Support Center Actions
EPIP-04 Emergency Operations Facility Actions
EPIP-99 Emergency Plan Implementing Procedure Standard Appendices, Appendix B, Protective Action Recommendations
EPIP-99 Emergency Plan Implementing Procedure Standard Appendices, Appendix D, Notifications
SECTION 4OA1:
PERFORMANCE INDICATOR VERIFICATION
PROCEDURES
Number Title Revision74DP-0LC01 RCS Activity Performance Indicator
5 74OP-9SS01 Primary Sampling Instructions
33 74ST-9RC02 RCS Specific Activity Surveillance Test 12
Attachment Number Title Revision40ST-9RC02 ERFDADS (Preferred) Calculation of RCS Water Inventory 51 74CH-9ZZ15 RCS Gross Activity and Dose Equivalent I-131 Determination
4
MISCELLANEOUS
Technical Specification 3.4.16, RCS Leak Detection Instrumentation Technical Specification 3.4.17, RCS Specific Activity
NEI 99-02, Regulatory Assessment Performance Guideline, Revision 5

Section 4OA2: Identification and Resolution of Problems

PROCEDURES
Number Title Revision73ST-9DF01 Diesel Fuel Oil Transfer Pump - Inservice Test
40DP-9OP26 Operations PVAR Processing and Operability Determination / Functional Assessment
PALO VERDE ACTION REQUESTS
21629
3316970
3332198
3332070
3332477
3332885
3333364
3333380
3333384
3333386
3333397
3333400
3333398
3333439
3333476
3333470
3333486
3333498
3333499
3333517
3333519
3333530
3333404
3333547
3334881
3334891
3334885
3333738
3333962
3334078
3333989
CONDITION REPORTS / DISPOSITON REPORTS
3317532
2761657
2763326
3321953
3333318
3333126
3333212
3334288
3334689
3333380
3333384
3334682
3334658
3334666
3334679
3334675
3334676
3336549
3334670
3335435
3334720
3334784
3334781
3334780
3334786
3334681
3334806
3336529
3336531
3336533
3334824
3335109
3335107
WORK ORDERS
3316972
3317291
3128064
MISCELLANEOUS
Exelon Power Labs Project Number
APS-44631, May 14, 2009
UFSAR Section 9.5.4.2.1, Diesel Generator Fuel Oil Storage Tanks, June 2007
Attachment

Section 4OA3: Follow-up of Events and Notices of Enforcement Discretion

Procedures

Number Title Revision40ST-9ZZ05 Weekly Electrical Distribution Checks 13
40ST-9ZZ20 Remote Shutdown Disconnect Switch and Control Circuit Operability
PALO VERDE ACTION REQUESTS
27869
3129077
3099500
3076744
CONDITION REPORTS / DISPOSITON REPORTS
3101582
3064675
3078032
3351389
3351396
MISCELLANEOUS
LER 05000529/2009-001-00, dated July 21, 2009
LER 05000528;529;530/2009-003-00 dated July 13, 2009
LER 05000528;529;530/2008-001-00 dated April 1, 2008
LER 05000528/2007-007-00, dated January 22, 2008
LER 05000528/2007-006-00, dated December 21, 2007