ML18151A303

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ISI Summary Rept for 1998 Refueling Outage,Including Form NIS-1, Owners Rept for ISIs & Form NIS-2, Owners Rept for Repairs & Replacements.
ML18151A303
Person / Time
Site: Surry Dominion icon.png
Issue date: 01/29/1999
From:
VIRGINIA POWER (VIRGINIA ELECTRIC & POWER CO.)
To:
Shared Package
ML18151A304 List:
References
NUDOCS 9902180302
Download: ML18151A303 (179)
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Text

{{#Wiki_filter:* Attachment 1 Surry Power Station Unit 1 Inservice Inspections Abstract of Examinations

  • *
  • Attachment I
  • Page I of 27 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-1 OWNER'S REPORT FOR INSERVICE INSPECTIONS As required by the Provisions of the ASME Code Rules Virginia Electric and Power Company, 5000 Dominion Blvd., Glen Allen. VA 23060 1. Owner------------------------------------------(Name and Address of Owner) 2. Plant -----'=S""u"'rr'-'v....,P_,o..:..:w:.:.:e,,_,r_,S"'t"'"at"'-io""n,.,_,,....:c5"'5'-'-7-"0....!H~o"-'g:::...lce:cs"-'la:oon!!:d,_,R'°"d"'."-' (N ame and Address of Plant) N.-\ 3. Plant Unit __________
4. Owner Certificate of Authorization (if required)

________ _ S. Commercial Service Date _1_2_12_2_n_2 __ 6. National Board Number for Unit ____ N_ . .\ ________ _ 7. Components Inspected Manufacturer Component or Manufacturer or Installer State or National Appurtenance or Installer Serial No. Province No. Board No. Reactor Vessel Rotten.lam 137-1 VA 58201 NA Steam Generator Westinghouse Tampa Division 2982 VA 5820-1 682 1 Dr C TD RHR Heat Ex Atlas Industrial Manufacturing ,* J_RI-Lf:-lR r,,mn:111\ 891 VA 'iR..,11 741 Class I & 7 Pi11ing Suuthwest Fahricating Company NA NA NA Clas, I & 2 Comp-oncnt Suppons Suuthwcst Fahricating Company NA NA NA .,.. Note: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (I) size is 8Y2 in. x 11 in., (2) information in items I 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. 9902180302 990204 PDR ADOCK 05000280 G -PDR i 1 he Order Dept., ASME, 22 Law Drive, Box 2300, Fairfield, NJ 07007-2300. FORM NIS-1 (Back) 4/27/97 8. Examination Dates ------------ 11/16/98 to ------------ Second Period (10-14-96 14-00)

9. Inspection Period Identification

Third Interval ( 10-14-93 14-03)

10. Inspection Interval Identification

1989 11. Applicable Edition of Section XI ----------- Addenda None February 5, 1997, Revision 7 12. Date/Revision of Inspection Plan -----------------------------------

13. Abstract of Examinations and Tests. Include a list of examinations and tests and a statement concerning status of work required for the lospec;ion Plan. * *
  • d :'.)ee Attachment I. Pages 1 through XX of abstract of examinations pertorrne See Attachment
1. Pages 1 through X of abstract of system pressure tests 14. Abstract of Results of Examinations and Tests. Sec Attachment I. (Examination Summary, Pages 1-X) 15. Abstract of Corrective Measures.

Sec Attachment

1. (Examination Summary, Pages X and X) We certify that a) the statements made in this report are correct, b) the examinations and tests meet the Inspection Plan as required by the ASME Code, Section XI, and c) corrective measures taken conform to the rules of the ASME Code, Section XI. NA Certificate of Authorization No. (if applicable)

Date j~,vu"4J -:J., 7 Signed Expiration Date Virginia Elect. & Power Co. Owner NA CERTIFICATE OF INSERVICE INSPECTION I. the undcr,1gned. holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of Yic~inia and employed by Hartford S B T & I Co of ___ ___...H ... * ... ir ... ,~r,_,r~d~C-'T~------ have inspected the components described in this Owner*s Report during the period ____ .J,_l..,_J.,l~llc..J _____ to I I /16198 . and state that to the best of my knowledge and belief. the Owner has performed examinations and tests 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 examinatiom. tests. 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. National Board. State. Province. and Endorsemenb Inspector's Signal"/ Date 4&? '7 19 7/ Commissions --~NB~~7~9~3~3~V~A~8~8~3 ________ _ * *

  • Introduction Examination Summary Virginia Electric and Power Company Surry Power Station Unit 1 1998 Refueling Outage 3rd Interval, 1st and 2nd Periods Attachment I Page 2 of27 Serial No.: 99-038 Docket No.: 50-280 This report covers Inservice examinations and tests of Class 1 and Class 2 components, piping and component supports that were conducted at Surry Power Station Unit 1 from April 26, 1997 through November 16, 1998. The examinations were conducted to meet the requirements of ASME Section XI, 1989 Edition, of the ASME Boiler and Pressure Vessel Code. Examination procedures were approved prior to the performance of the examinations.

Certification documents relative to personnel; equipment and materials were reviewed and determined to be satisfactory. Inspections, witnessing and surveillance of the examinations and related activities were conducted by personnel from the Hartford Steam Boiler Inspection and Insurance Company, One State Street, Hartford, Connecticut 06102 (Mr. R.A. Smith), 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 1989 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 or surface examination. Examinations Examinations were conducted to review as much of the examination zones as was practical within geometric, metallurgical and physical limitations. When 100% of the required ultrasonic examination volume could not be examined, the examination method was evaluated and alternate beam angles or volumetric techniques were considered in an attempt to achieve the maximum Page 1 of 2

  • *
  • Attachment I Page 3 of27 Serial No.: 99-038 Docket No.: 50-280 examination volume. In the case of surface examinations where full coverage could not be achieved, alternative methods were considered and employed when possible to achieve maximum allowable coverage.

When alternative methods would not increase the examination coverage, an alternate component was considered for examination. However, where 100% examination was not possible the examination was considered a partial and so noted on the examination report. When the reduction in coverage was 10% or greater, per Code Case N-460, a subsequent relief request will be provided by separate correspondence. Examinations that do not receive the required examination coverage will be identified by a 'P' in the remarks column of the examination abstract. Results During the current time frame of examinations, for all examinations of components, piping and component supports, no reportable conditions were identified. Analytical Evaluation No analytical evaluation of examinations was required. Evaluation Analyses None required or performed . Statement of Interval Status Virginia Electric and Power Company have completed 76 percent of the Second Period examinations and 56 percent of the 3rd interval examinations . Page 2 of 2 Attachment I Page 4 of27 Abstract of Examinations Performed Serial No.: 99-038 Docket No.: 50-280

  • IWB, IWC and IWF Sect XI Sect XI Sect XI Exam Exam Drawing Number Mark No. Line No. Class Category Item Method Date Remarks 11448-WMKS-OIOOAIZ FLANGE A I Yi'-CH-97-1502 B-G-2 87.50 VT-I 11/5/98 l 1448-WMKS-0100A4Z l-RC-H012 2"-RC-53-1502 F-A Fl.ID VT-3 10/20/98 11448-WMKS-O 1 OOASZ l-RC-H002 2"-RC-53-1502 F-A Fl.ID VT-3 10/20/98 11448-WMKS-O I OOASZ I-RC-HOOS 2"-RC-53-1502 F-A Fl.ID VT-3 10/20/98 11448-WMKS-OlOOASZ 1-RC-HOlO 2"-RC-53-1502 F-A Fl.ID VT-3 10/20/98 l 1448-WMKS-0100A7Z l-CH-H006 2"-CH-8-1503 F-A Fl.ID VT-3 10/20/98 l 1448-WMKS-0100A7Z 1-CH-HOlO 2"-CH-8-1503 F-A Fl.ID VT-3 10/20/98 l 1448-WMKS-0100A7Z l-CH-H014 2"-CH-8-1503 F-A Fl.ID VT-3 10/20/98 11448-WMKS-0100A7Z 1-CH-HOIS 2"-CH-8-1503 F-A Fl.IO VT-3 10/20/98 11448-WMKS-OlOODl H004-I 30"-SHP-1-601 2 C-C C3.20 MT 11/4/98 11448-WMKS-OlOOGI 1-WFPD-HOIOA 14"-WFPD-17-601 2 F-A Fl.20 VT-3 10/24/98 11448-WMKS-OlO!AlZ 1-01 !Yi'-CH-95-1502 B-J 89.40 PT 10/22/98 11448-WMKS-OIOIAIZ 1-04 I Yi' -CH-95-1502 B-J 89.40 PT 10/23/98 11448-WMKS-O l O 1 A2Z l-RC-H002 2"-RC-56-1502 F-A Fl.ID VT-3 10/22/98 KS-0101A2Z l-RC-HCV-15578 2"-RC-56-1502 B-G-2 87.70 VT-I 10/22/98 A KS-0101A3Z 1-CH-HCV-l 556B 2" -CH-9-1502 B-G-2 87.70 VT-1 10/22/98 A 11448-WMKS-O 10 l AZ-1 1-05DM 29"-RC-4-2501R 8-F 85.70 UT/PT 10/22/98 p 11448-WMKS-OlOIAZ-l 1-06DM 31"-RC-5-2501R B-F 85.70 UT/PT 10/22/98 p 11448-WMKS-O 101 G l HOOS-IA 14"-WFPD-13-601 2 C-C C3.20 MT 10/29/98 11448-WMKS-O!OlGl H005-2A 14"-WFPD-13-601 2 C-C C3.20 MT 10/29/98 l 1448-WMKS-0102A2Z l-RC-H006 2"-RC-59-1502 F-A Fl.ID VT-3 10/20/98 11448-WMKS-O 102D l H002-l 30"-SHP-3-601 2 C-C C3.20 MT/PT 11/6/98 p 11448-WMKS-O l 02G 1 HOOS-IA 14"-WFPD-9-601 2 C-C C3.20 MT 11/4/98 11448-WMKS-0102Gl H005-2A 14"-WFPD-9-601 2 C-C C3.20 MT 11/4/98 l 1448-WMKS-0!03A2-1 1-SHP-HOSO 4" -SHP-37-60 I 2 F-A Fl.40 VT-3 2/27/98 11448-WMKS-0103A2-2 l-SHP-H058 4" -SHP-38-60 I 2 F-A Fl.40 VT-3 2/27/98 l 1448-WMKS-0103A2-3 l-SHP-H054 4"-SHP-39-601 2 F-A Fl.40 VT-3 2/27/98 11448-WMKS-O l 22A2 1-S1-H031A 12" -SI-47-1502 F-A Fl.ID VT-3 10/20/98 A 11448-WMKS-0122A2 1-S1-H031B 12"-SI-47-1502 F-A Fl.ID VT-3 10/20/98 A 11448-WMKS-O I 22A2 1-S1-H032A 12"-SI-47-1502 F-A Fl.ID VT-3 10/20/98 A -=KS-0122A2 l-SI-H032B 12"-SI-47-1502 F-A Fl.ID VT-3 10/20/98 A KS-0122A2 l-SI-H033B 12" -SI-47-1502 F-A Fl.ID VT-3 10/20/98 11448-WMKS-O 1220 I l-S1-H004A 12" -SI-46-1502 F-A Fl.ID VT-3 10/20/98 A Page 1 of 4 Attachment I Page 5 of27 Abstract of Examinations Performed Serial No.: 99-038 Docket No.: 50-280
  • IWB, IWC and IWF Sect XI Sect XI Sect XI Exam Exam Drawing Number Mark No. Line No. Class Category Item Method Date Remarks 11448-WMKS-0122Dl 1-SI-H004B 12" -SI-46-I 502 F-A Fl.10 VT-3 10/20/98 A l 1448-WMKS-0122Dl 1-SI-H006B 12" -S 1-46-1502 F-A Fl.10 VT-3 10/20/98 l 1448-WMKS-0122Kl 1-SI-88 6"-RC-18-1502 B-G-2 B?.70 VT-I 10/22/98 11448-WMKS-0122Kl l-SI-H002 6"-SI-48-1502 2 F-A Fl.20 VT-3 10/22/98 l 1448-WMKS-0122K1BZ 1-SI-H003 2" -Sl-81-1502 2 F-A Fl.20 VT-3 10/20/98 11448-WMKS-O 122Ll 1-SI-H005A 12"-Sl-45-1502 F-A Fl.10 VT-3 10/20/98 A 11448-WMKS-0122Ll 1-SI-HOOSB 12" -SI-45-1502 F-A Fl.10 VT-3 10/20/98 A 11448-WMKS-l 101A3 0-03 12"-CS-1-153 2 C-F-1 CS.II UT/PT 10/24/98 p 11448-WMKS-1106A4 1-16 3"-Sl-70-1503 2 C-F-1 CS.21 UT/PT 10/23/98 11448-WMKS-l

!06A4 2-40 2" -Sl-76-1503 2 C-F-1 CS.30 PT 10/28/98 11448-WMKS-l 106A4Z 1-SI-HOIS 2"-SI-74-1502 2 F-A Fl.20 VT-3 10/20/98 l 1448-WMKS-l 106A4Z l-SI-H016 2"-SI-74-1502 2 F-A Fl.20 VT-3 10/20/98 11448-WMKS-RC-E-lB.1 CLMANWAY 1-RC-E-IB B-G-2 B?.30 VT-I 10/22/98 11448-WMKS-RC-E-lB.1 HLMANWAY 1-RC-E-IB B-G-2 B?.30 VT-I 10/22/98 .KS-RC-E-IB.1 TUBES 1-RC-E-IB B-Q B16.20 ET 11/12/98 I KS-RC-E-IB.2 1-RC-l-02ANIR 1-RC-E-IB B-D B3.140 VT-I 11/5/98 11448-WMKS-RC-E-IB.2 1-RC-l-02BNIR 1-RC-E-IB B-D B3.140 VT-1 11/5/98 11448-WMKS-RC-R-l.3 S-41 l-RC-R-1 B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.3 S-42 I-RC-R-1 B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.3 S-43 1-RC-R-I B-G-1 B6.30 MT/UT I 0/31/98 11448-WMKS-RC-R-l.3 S-44 1-RC-R-l B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.3 S-45 1-RC-R-I B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.3 S-46 1-RC-R-I B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.3 S-47 I-RC-R-1 B-G-1 B6.30 MT/UT 10/30/98 11448-WMKS-RC-R-l.3 S-48 1-RC-R-l B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.3 S-49 1-RC-R-l B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.3 S-50 1-RC-R-l B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.3 S-51 1-RC-R-l B-G-1 B6.30 MT/UT 10/30/98 11448-WMKS-RC-R-l.3 S-52 1-RC-R-I B-G-1 B6.30 MT/UT 10/30/98 11448-WMKS-RC-R-l.3 S-53 1-RC-R-I B-G-1 B6.30 MT/UT 10/31/98 ~KS-RC-R-1.3 S-54 1-RC-R-I B-G-1 B6.30 MT/UT 10/30/98 WMKS-RC-R-1.3 S-55 l-RC-R-1 B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.3 S-56 1-RC-R-I B-G-1 B6.30 MT/UT 10/31/98 Page 2 of4 Attachment I Page 6 of 27 Serial No.: 99-038 Abstract of Examinations Performed Docket No.: 50-280 IWB, IWC and IWF Sect XI Sect XI Sect XI Exam Exam Drawing Number Mark No. Line No. Class Category Item Method Date Remarks 11448-WMKS-RC-R-l .3 S-57 l-RC-R-1 B-G-1 B6.30 MT/UT 10/29/98 11448-WMKS-RC-R-l .3 S-58 1-RC-R-l B-G-1 B6.30 MT/UT 10/31/98 11448-WMKS-RC-R-l.4 CCW-41 l-RC-R-1 B-G-1 B6.50 VT-I 10/31/98 11448-WMKS-RC-R-l .4 CCW-42 1-RC-R-1 B-G-1 B6.50 VT-1 10/31/98 11448-WMKS-RC-R-l.4 CCW-43 1-RC-R-l B-G-1 B6.50 VT-1 10/31/98 11448-WMKS-RC-R-l.4 CCW-44 1-RC-R-1 B-G-1 B6.50 VT-I 10/31/98 11448-WMKS-RC-R-l.4 CCW-45 1-RC-R-l B-G-1 B6.50 VT-I 10/31/98 11448-WMKS-RC-R-l.4 CCW-46 1-RC-R-l B-G-1 B6.50 VT-I 10/31/98 11448-WMKS-RC-R-l.4 CCW-47 1-RC-R-l B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l .4 CCW-48 1-RC-R-l B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CCW-49 l-RC-R-1 B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CCW-50 1-RC-R-l B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CCW-51 1-RC-R-1 B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CCW-52 l-RC-R-1 B-G-1 B6.50 VT-1 10/29/98 .MKS-RC-R-1.4 CCW-53 1-RC-R-l B-G-1 B6.50 VT-1 10/29/98 MKS-RC-R-1.4 CCW-54 1-RC-R-l 'B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CCW-55 l-RC-R-1 B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CCW-56 l-RC-R-1 B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l .4 CCW-57 1-RC-R-1 B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CCW-58 1-RC-R-1 B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CVW-41 1-RC-R-l B-G-1 B6.50 VT-1 10/31/98 11448-WMKS-RC-R-l.4 CVW-42 1-RC-R-l B-G-1 B6.50 VT-1 10/31/98 11448-WMKS-RC-R-l.4 CVW-43 1-RC-R-l B-G-1 B6.50 VT-I 10/31/98 11448-WMKS-RC-R-l.4 CVW-44 1-RC-R-l B-G-1 B6.50 VT-I 10/31/98 11448-WMKS-RC-R-l.4 CVW-45 1-RC-R-l B-G-1 B6.50 VT-I 10/31/98 11448-WMKS-RC-R-l.4 CVW-46 1-RC-R-l B-G-1 B6.50 VT-1 10/31/98 11448-WMKS-RC-R-l .4 CVW-47 1-RC-R-l B-G-1 B6.50 VT-1 10/29/98 11448-WMKS-RC-R-l.4 CVW-48 1-RC-R-l B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CVW-49 1-RC-R-l B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l.4 CVW-50 1-RC-R-l B-G-1 B6.50 VT-I 10/29/98 ~-RC-R-1.4 CVW-51 1-RC-R-l B-G-1 B6.50 VT-I 10/29/98 I KS-RC-R-1.4 CVW-52 1-RC-R-l B-G-1 B6.50 VT-I 10/29/98 11448-WMKS-RC-R-l .4 CVW-53 1-RC-R-l B-G-1 B6.50 VT-I 10/29/98 Page 3 of 4 Attachment I Page? of27 Abstract of Examinations Performed Serial No.: 99-038 Docket No.: 50-280

  • IWB, IWC and IWF Sect XI Sect XI Sect XI Exam Exam Drawing Number Mark No. Line No. Class Category Item Method Date Remarks 11448-WMKS-RC-R-l

.4 CVW-54 1-RC-R-I B-G-1 B6.50 VT-1 10/29/98 11448-WMKS-RC-R-l .4 CVW-55 1-RC-R-I B-G-1 B6.50 VT-1 10/29/98 11448-WMKS-RC-R-l.4 CVW-56 1-RC-R-I B-G-1 B6.50 VT-1 10/29/98 11448-WMKS-RC-R-l.4 CVW-57 1-RC-R-I B-G-1 B6.50 VT-1 10/29/98 11448-WMKS-RC-R-l .4 CVW-58 1-RC-R-1 B-G-1 B6.50 VT-1 10/29/98 11448-WMKS-RC-R-l .4 N-41 1-RC-R-1 B-G-1 B6.IO VT-1 10/31/98 11448-WMKS-RC-R-l .4 N-42 1-RC-R-1 B-G-1 86.10 VT-1 10/31/98 11448-WMKS-RC-R-l .4 N-43 1-RC-R-1 8-G-1 86.10 VT-1 10/31/98 11448-WMKS-RC-R-l .4 N-44 1-RC-R-1 8-G-I 86.10 VT-I 10/31/98 11448-WMKS-RC-R-l .4 N-45 1-RC-R-l 8-G-I B6.10 VT-1 10/31/98 11448-WMKS-RC-R-l.4 N-46 1-RC-R-1 8-G-I B6.10 VT-1 10/31/98 11448-WMKS-RC-R-l.4 N-47 1-RC-R-1 B-G-1 B6.IO VT-1 10/29/98 11448-WMKS-RC-R-l .4 N-48 1-RC-R-1 B-G-1 86.10 VT-1 10/29/98 11448-WMKS-RC-R-l.4 N-49 1-RC-R-1 B-G-1 B6.IO VT-1 10/29/98 MKS-RC-R-1.4 N-50 1-RC-R-l 8-G-I B6.IO VT-1 10/29/98 MKS-RC-R-1.4 N-51 I-RC-R-1 8-G-l 86.IO VT-1 10/29/98 11448-WMKS-RC-R-l.4 N-52 1-RC-R-1 B-G-1 86.10 VT-1 10/29/98 11448-WMKS-RC-R-l.4 N-53 1-RC-R-1 8-G-I 86.10 VT-1 10/29/98 11448-WMKS-RC-R-l .4 N-54 1-RC-R-1 8-G-I 86.10 VT-1 10/29/98 11448-WMKS-RC-R-l .4 N-55 1-RC-R-1 8-G-I 86.10 VT-1 10/29/98 11448-WMKS-RC-R-l.4 N-56 1-RC-R-1 8-G-I 86.10 VT-1 10/29/98 11448-WMKS-RC-R-l .4 N-57 1-RC-R-l 8-G-I 86.10 VT-1 10/29/98 11448-WMKS-RC-R-l.4 N-58 1-RC-R-1 8-G-l 86.10 VT-1 10/29/98 11448-WMKS-RH-E-18 1-801 1-RH-E-18 2 C-A Cl.20 UT 10/24/98 44"-88" 11448-WMKS-RH-E-l B 1-802 1-RH-E-18 2 C-A Cl.10 UT 10/24/98 44"-88" 11448-WMKS-RH-E-l B I-B03 1-RH-E-18 2 C-8 C2.33 VT-2 10/23/98 11448-WMKS-RH-E-IB I-B04 1-RH-E-IB 2 C-B C2.33 VT-2 10/23/98 11448-WMKS-RH-E-IB 1-B06 1-RH-E-18 2 C-8 C2.31 PT 10/23/98 Remarks Codes: A: Re-examination of a component that required corrective measures during a previous outage. ** Partial examination, (reduction in coverage is greater than 10% as allowed by Code Case N-460) relief will be requested by separate correspondence. Portion of weld scheduled for examination in relation to 'O' datum point. Page 4 of4

  • Zone l-SPM-082B-2-l l-SPM-082B l l-SPM-082B-2-2 l-SPM-082B-2-2 l-SPM-082B-2-3 I-SPM-082B-2-3 l-SPM-082B-2-4 1-SPM-082B-2-4 l-SPM-082B 7 l-SPM-082B-2-7 I-SPM-082B-2-8 l-SPM-082B-2-8 l-SPM-082B-2-9 I-SPM-082B-2-9 I-SPM-083B-3-3 l-SPM-086A-l-l l-SPM-086A-l-1 l-SPM-086A-l-l Abstract of Examinations Performed System Pressure Test Pro2ram Description

*---*

REACTOR COOLANT SYSTEM REACTOR COOLANT SYSTEM REACTOR COOLANT SYSTEM REACTOR COOLANT SYSTEM REACTOR COOLANT SYSTEM REACTOR COOLANT SYSTEM REACTOR COOLANT SYSTEM REACTOR COOLANT SYSTEM RHR DISCHARGE PIPING TO RHR HX AND HX BYPASS RHR DISCHARGE PIPING TO RHR HX AND HX BYPASS RCS HOT LEG SAMPLE PENETRATION

  1. 56 RCS HOT LEG SAMPLE PENETRATION
  2. 56 RCS COLD LEG SAMPLE PENETRATION
  3. 56 RCS COLD LEG SAMPLE PENETRATION
  4. 56 REACTOR COOLANT SYSTEM REACTOR COOLANT SYSTEM REACTOR COOLANT SYSTEM REACTOR COOLANT SYSTEM Page 1 of 7
  • Section XI Section XI Section XI Class Category Item Date --**---~-----~----------------*---

--B-P BlS.70 11/18/98 B-P BIS.SO 11/18/98 B-P B 15.50 11/18/98 B-P BIS.70 11/18/98 B-P BIS.70 11/18/98 B-P BIS.SO 11/18/98 B-P BIS.SO 11/18/98 B-P B15.70 11/18/98 2 C-H C7.70 10/26/98 2 C-H C7.30 10/26/98 2 C-H C7.30 10/19/98 2 C-H C7.70 10/19/98 2 C-H C7.30 11/18/98 2 C-H C7.70 11/18/98 ti en g " :,;-:i. ""' B-P BIS.SO 11/18/98 --;)> zz;;J';:: P~°8g. B-P BIS.70 I 1/18/98 u,-0003 C? "PO (1) NO "'+i::S 00 W N,... B-P BIS.30 I 1/18/98 0 00 -B-P BIS.60 11/18/98

  • *
  • Section XI Section XI Section XI Zone Description Class Category Item Date ----------------~--------

**-.

I-SPM-086A-I-I REACTOR COOLANT SYSTEM B-P B15.50 I 1/18/98 I-SPM-086A-1-2 REACTOR COOLANT SYSTEM B-P BI5.70 11/18/98 I-SPM-086A-l-2 REACTOR COOLANT SYSTEM B-P Bl5.50 11/18/98 1-SPM-086A-l-3 REACTOR COOLANT SYSTEM B-P B 15.50 11/18/98 l-SPM-086A-1-3 REACTOR COOLANT SYSTEM B-P B15.70 11/18/98 l-SPM-086A-l-4 REACTOR COOLANT SYSTEM B-P Bl5.70 I 1/18/98 l-SPM-086A-l-4 REACTOR COOLANT SYSTEM B-P BI5.50 11/18/98 I-SPM-086A-I-S REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 I-SPM-086A-I-S REACTOR COOLANT SYSTEM B-P B15.70 11 /18/98 l-SPM-086A l REACTOR COOLANT SYSTEM B-P BlS.30 11/18/98 l-SPM-086A l REACTOR COOLANT SYSTEM B-P B15.70 11/18/98 l-SPM-086A-2-1 REACTOR COOLANT SYSTEM B-P BIS.60 11/18/98 l-SPM-086A-2-l REACTOR COOLANT SYSTEM B-P B15.50 11/18/98 l-SPMc086A-2-2 REACTOR COOLANT SYSTEM B-P B15.50 11/18/98 I-SPM-086A-2-2 REACTOR COOLANT SYSTEM B-P BI5.70 I 1/18/98 l-SPM-086A-2-3 REACTOR COOLANT SYSTEM B-P B15.70 11/18/98 I-SPM-086A-2-3 REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 0 en g <> ;,,-::i. <> e. l-SPM-086A-2-4 REACTOR COOLANT SYSTEM B-P Bl5.50 11/18/98 z z '1:1~ 0 0 :. : . g. I-SPM-086A-2-4 REACTOR COOLANT SYSTEM B-P BIS.70 11/18/98 ?~i~ NO...,,:J 00 I..JJ N,.... 0 00 -l SPM-086A-2-5 REACTOR COOLANT SYSTEM B-P* BIS.70 11/18/98 I-SPM-086A-2-S REACTOR COOLANT SYSTEM B-P BIS.50 11 /18/98 Paie 2 of 7

  • Section XI Section XI Section XI Zone Description Class Category Item Date I-SPM-086A I REACTOR COOLANT SYSTEM B-P BIS.70 11/18/98 I-SPM-086A I REACTOR COOLANT SYSTEM B-P BlS.60 11/18/98 I-SPM-086A I REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 1-SPM-086A l REACTOR COOLANT SYSTEM B-P BlS.10 11/18/98 1-SPM-086A l REACTOR COOLANT SYSTEM B-P BlS.30 11/18/98 1-SPM-086A-3-2 REACTOR COOLANT SYSTEM 1 B-P BlS.70 11/18/98 1-SPM-086A-3-2 REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 I-SPM-086A-3-3 REACTOR COOLANT SYSTEM B-P BIS.70 11/18/98 I-SPM-086A-3-3 REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 I-SPM-086A-3-4 REACTOR COOLANT SYSTEM B-P BIS.70 11/18/98 l-SPM-086A-3-4 REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 l-SPM-086A-3-S REACTOR COOLANT SYSTEM B-P BIS.70 11/18/98 l-SPM-086A-3-S REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 I-SPM-086A-3-6 REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 l-SPM-086A-3-6 REACTOR COOLANT SYSTEM B-P BIS.70 11/18/98 1-SPM-086B-l -1 REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 1-SPM-086B-1-1 REACTOR COOLANT SYSTEM B-P BlS.70 11/18/98 Oc,, g " ~::i. 1-SPM-086B-l-1 REACTOR COOLANT SYSTEM B-P BIS.20 11/18/98 ll E. "t) ;i,. zz~::; 0 0 C1l tJ *
  • Cl .... -:r l-SPM-086B-1-2 REACTOR COOLANT SYSTEM B-P BIS.70 11/18/98 Ul\008 ? "PO (1l NO...,.,::, oo W N .-,. 000-....li,.,,1, l-SPM-086B-l-2 REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 l-SPM-086B-l-3 REACTOR COOLANT SYSTEM B-P BlS.70 11/18/98 Page 3 of 7 Section XI Section XI Section XI Zone Description Class Category Item Date ****---*--*-------

---* *----------------*--I-SPM-086B-l-3 REACTOR COOLANT SYSTEM B-P B JS.50 11/18/98 I-SPM-0868-1-4 REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 I-SPM-086B-l-4 REACTOR COOLANT SYSTEM B-P BIS.70 11/18/98 l-SPM-086B-l-S REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 l-SPM-086B-1-S REACTOR COOLANT SYSTEM B-P BIS.70 11/18/98 l-SPM-086C-1-1 REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 l-SPM-086C-l-1 REACTOR COOLANT SYSTEM 1 B-P BlS.70 11/18/98 J-SPM-086C-l-2 REACTOR COOLANT SYSTEM B-P BIS.70 11/18/98 l-SPM-086C-l-2 REACTOR COOLANT SYSTEM 1 B-P BIS.SO 11/18/98 l-SPM-086C-2-l REACTOR COOLANT SYSTEM B-P BIS.70 11/18/98 1-SPM-086C l REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 l-SPM-087 A-1-1 REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 l-SPM-087 A-1-1 REACTOR COOLANT SYSTEM B-P BIS.70 11/18/98 J-SPM-087 A-1-2 RHR DISCHARGE PIPING TO RHR HX AND HX 2 C-H C7.30 10/26/98 , BYPASS l-SPM-087 A-1-2 RHR DISCHARGE PIPING TO RHR HX AND HX 2 C-H C7.70 10/26/98 BYPASS l-SPM-087 A-1-3 1-RH-P-IA 2 C-H C7.70 10/30/98 0 en g (1 :,so ::i. l-SPM-087 A-1-3 1-RH-P-IA 2 C-H C7.50 10/30/98 !:.. "O ;)> tt~ s . , n .... -::r l-SPM-087A-l-3 1-RH-P-IA 2 C-H C7.30 10/30/98 ;-NO~::S oo W N,..,. 1-SPM-087A-1-4 000-l RH-P-lB 2 C-H C7.70 10/26/98 1-SPM-087A-1-4 1-RH-P-lB 2 C-H C7.30 10/26/98 Page 4 of 7

  • *
  • Section XI Section XI Section XI Zone Description Class Category Item Date ---*---------

~-~ -*--. -------** ---* -------------------

1-SPM-087 A-1-4 1-RH-P-IB 2 C-H C7.50 10/26/98 I-SPM-087A-l-5 REACTOR COOLANT SYSTEM B-P Bl5.70 11/18/98 I-SPM-087 A-1-5 REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 I-SPM-087 A-2-1 RHR DISCHARGE PIPING TO RHR HX AND HX 2 C-H C7.30 10/26/98 BYPASS l-SPM-087A-2-l RHR DISCHARGE PIPING TO RHR HX AND HX 2 C-H. C7.70 10/26/98 BYPASS l-SPM-087A-2-l RHR DISCHARGE PIPING TO RHR HX AND HX 2 C-H C7.l0 10/26/98 BYPASS l-SPM-087A-2-2 RHR TO RWST PIPING 2 C-H C7.70 10/30/98 l-SPM-087A-2-2 RHR TO RWST PIPING 2 C-H C7.30 10/30/98 l-SPM-087A-2-3 REACTOR COOLANT SYSTEM B-P Bl5.70 11/18/98 l-SPM-087A-2-3 REACTOR COOLANT SYSTEM B-P B15.50 11/18/98 l-SPM-087 A-2-4 REACTOR COOLANT SYSTEM B-P B15.70 11/18/98 l-SPM-087A-2-4 REACTOR COOLANT SYSTEM B-P Bl5.50 11/18/98 l-SPM-088A-3-2 BORATE FOR END OF CORE LIFE 2 C-H C7.70 9/28/98 l-SPM-088A-3-2 BORA TE FOR END OF CORE LIFE 2 C-H C7.30 9/28/98 I-SPM-088C-I-I REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 0(/J I-SPM-088C-I-I REACTOR COOLANT SYSTEM 8-P Bl5.70 11/18/98 g " ,,,. :l. !!~-o:i, l-SPM-088C-l-2 REACTOR COOLANT SYSTEM 8-P 815.70 11/18/98 s . . " .... -::r l-SPM-088C-l-2 REACTOR COOLANT SYSTEM B-P BIS.SO 11/18/98 NO"""i:, 00 W N,... 0 00 -.l -l-SPM-088C-l-3 REACTOR COOLANT SYSTEM B-P Bl5.70 11/18/98 Page 5 of 7

  • Section XI Section XI Section XI Zone Description Class Category Item Date **--*-------------** -----*----*------* -* I-SPM-088C-l-3 REACTOR COOLANT SYSTEM B-P BI5.50 I 1/18/98 l-SPM-088C-l-6 REACTOR COOLANT SYSTEM B-P Bl5.50 11/18/98 l -SPM-08 8C-I -6 REACTOR COOLANT SYSTEM B-P B15.70 11/18/98 l-SPM-088C-2-8 REACTOR COOLANT SYSTEM B-P B15.60 11/18/98 l -SPM-08 8C-2-8 REACTOR COOLANT SYSTEM B-P B15.50 11/18/98 l-SPM-088C-2-8 REACTOR COOLANT SYSTEM B-P B15.70 11/18/98 l-SPM-089A-2-5 LOW HEAD SAFETY INJECTION DISCHARGE PIPING TO MOY-2 C-H C7.30 11/10/98 1890C l-SPM-089A-2-5 LOW HEAD SAFETY INJECTION DISCHARGE PIPING TO MOY-2 C-H C7.70 11/10/98 1890C l-SPM-089B-l-l REACTOR COOLANT SYSTEM B-P Bl5.70 11/18/98 l-SPM-089B-I-I REACTOR COOLANT SYSTEM B-P Bl5.50 11/18/98 l-SPM-089B-l-3 REACTOR COOLANT SYSTEM B-P Bl5.50 11/18/98 l-SPM-089B-l-3 REACTOR COOLANT SYSTEM 1 B-P B15.70 11/18/98 1-SPM-089B-2-1 REACTOR COOLANT SYSTEM B-P Bl5.50 11/18/98 l-SPM-089B-2-1 REACTOR COOLANT SYSTEM B-P Bl5.70 11/18/98 1-SPM-089B-2-3 REACTOR COOLANT SYSTEM B-P Bl5.70 I 1/18/98 1-SPM-089B-2-3 REACTOR COOLANT SYSTEM B-P 815.50 11/18/98 tl (;/) g (1) X" ::i. l-SPM-0898-3-1 REACTOR COOLANT SYSTEM 8-P 815.50 I 1/18/98 ~.,, :i,. zz~;:; 0 0 ("t) .
  • 0 .... -::,-I-SPM-089B I REACTOR COOLANT SYSTEM 8-P 815.70 11/ 18/98 Vl\OW3 '?'Po ('1) NO '"""':i::, 00 vJ N,... 1-SPM-089B-3-3 REACTOR COOLANT SYSTEM 8-P 815.70 11/ 18/98 0 00 -...J -I-SPM-0898-3-3 REACTOR COOLANT SYSTEM 8-P Bl5.50 11/18/98 Page 6 of 7
  • Zone l-SPM-089B-4-l l-SPM-089B l Description REACTOR COOLANT SYSTEM REACTOR COOLANT SYSTEM
  • Section XI Class Page 7 of 7
  • Section XI Section XI Category Item Date B-P Bl5.70 11/18/98 B-P Bl5.50 11/18/98
  • *
  • Abstract of Examinations Snubber Program Attachment I Page 15 of27 Serial No.: 99-038 Docket No.: 50-280 During the Unit 1 Refueling Outage in October 1998, there were 20 snubbers selected for functional testing including 13 hydraulic snubbers, 6 mechanical snubbers and 1 large bore snubber. In addition, 14 hydraulic snubbers were selected for seal replacement.

All snubbers that were selected for functional testing or seal replacement were functional tested and no failure was found. Visual inspection was not required due to the extended inspection interval per T.S. 4.17. However, as-found and as-left visual inspections were performed for all snubbers which were removed for functional testing or seal replacement. Abstract of Examinations Eddy Current Examinations of Attachment l Page 16 of27 Serial No.: 99-038 Docket No.: 50-280 Nonferromagnetic Steam Generator Tubing In.service examination was performed on Steam Generator "B" In Steam Generator "B" 3334 tubes were inspected full length with bobbin probes to test for general degradation. The plan also consisted of the following:

1. 680 tubes hot leg top of tubesheet, rotating pancake coil (RPC) testing to detect cracking, 2. 19 tubes row 1 U-bend RPC testing to detect cracking;
3. 4 tubes plus point inspection for characterization of anomalous signals; and 4. 5 tubes ultrasonic (UT) inspection for characterization of anomalous signals. Steam generator "B" had eight (8) plugged tubes at the beginning of the inspection, and six (6) tubes were plugged as a result of this inspection.

Three tubes (Row I-Column 58, Row 1-Column 59, and Row I-Column 60) were preventively plugged due to restrictions. The following tubes (Row 32-Column 14, Row 32-Column 16, and Row 33-Column

16) were preventively plugged due to indications at the hot leg side baffle plate. The results of sizing of these indications, based on a qualified bobbin wear standard, shows all of these indications to be 21 %-26% through wall. indications were reported that are significant to tube integrity.

However, the following indications were eported during the inspection: Row Column Indication Location Remarks 8 4 MBM SC 12 5 MBM lH 13 6 MBM lH 15 6 MBM 4C 14 7 MBM lC 20 7 MBM BPH 23 7 MBM lH 8 8 MBM TSC

  • 8 9 MBM 5H Page 1 of 12 Attachment I Page 17 of27 Row ~olumn Indication Location Remarks Serial No.: 99-038 Docket No.: 50-280
  • 16 10 MBM IC 11 11 MBM 3H 14 11 MBM IH 22 11 MBM BPC 2 13 MBM 5H 4 14 MBM lH 4 14 DNT 7H 21 14 MBM 6H 14 15 MBM IC 21 15 MBM 5C 27 15 MBM TSC 8 16 MBM 5H 12 16 MBM 5C 33
  • 16 MBM 2C 33 16 26%TW BPH Preventively plugged 33 16 DNT 2H 33 16 DNT 2H 13 17 MBM 3H 13 17 MBM 5H 21 19 MBM BPC 33 19 MBM 2H
  • 35 19 MBM 6 Page 2 of 12 Attachment I Page 18 of27 Serial No.: 99-038 Row Column Indication Location Remarks Docket No.: 50-280 5 20 MBM 3 24 20 MBM 3H 27 20 MBM BPH 31 20 MBM BPH 35 20 MBM lH 17 22 MBM TSC 24 22 MBM *2H 35 22 MBM 2C 35 22 MBM BPC 17 22 MBM 3C
  • 17 23 MBM 3C 17 23 MBM 2C 24 23 MBM BP 24 23 MBM 4H 24 23 MBM 5H 30 23 MBM 2C 26 24 MBM 3H 33 24 MBM 6H 33 24 MBM 6H 39 24 MBM AV2 39 24 MBM AV2
  • 21 25 MBM 5H Page 3 of 12 Attachment I Page 19 of27 Serial No.: 99-038 Row Column Indication Location Remarks Docket No.: 50-280 29 25 MBM 2C 9 26 MBM 4H 21 26 MBM BPC 3 27 MBM TSH 38 27 MBM IH 1 28 MBM TSC 19 28 MBM IC 22 29 MBM 5H 30 29 MBM 6H 13 30 MBM 5H 42 30 MBM IC 39 31 MBM 6C 8 32 MBM 3H 39 32 MBM AVI 3 33 MBM 5H 11 33 MBM TSH 11 33 MBM IH 25 33 MBM 3H 39 34 MBM 6H 42 34 MBM 2C 9 35 MBM 3C
  • 20 35 MBM 3H Page 4 of 12 Attachment I Page20 of27 Serial No.: 99-038 Row Column Indication Location Remarks Docket No.: 50-280 23 35 MBM BPH 31 35 MBM 2H 31 35 MBM 2H 22 37 MBM SH 39 37 MBM 2H 43 37 MBM 7H 24 38 MBM 6C 27 38 MBM 2H 27 38 MBM 4C 31 38 MBM 4H 42 38 MBM SC 34 39 MBM 3H 37 40 MBM 2H 43 40 MBM 3H 29 41 MBM SC 28 42 MBM 6C 29 42 MBM lH 7 43 MBM 3C 16 43 MBM AV3 32 43 MBM 3H 44 43 MBM BPH 42 44 MBM 6H Page 5 of 12 Attachment I Page 21 of27 Serial No.: 99-038 Row Column Indication Location Remarks Docket No.: 50-280 44 44 MBM 3H 24 46 MBM IH 25 46 MBM AV3 34 46 MBM BPC 4 47 MBM 5H 12 47 MBM TSC 42 47 MBM 3C 44 47 MBM IC 6 48 MBM 5C 6 48 MBM 4C 34 48 MBM 5H 28 49 MBM 5C 3 50 MBM 5C 5 50 MBM 4H 31 51 MBM 3C 19 52 MBM 5C 40 52 MBM AV4 6 53 MBM lH 12 53 MBM 3C 12 53 MBM TSC 21 54 MBM TSH 21 54 MBM lH Page 6 of 12 Attachment I Page 22 of27 Serial No.: 99-038 Row Column Indication Location Remarks Docket No.: 50-280
  • 21 54 MBM 4C 44 55 MBM 4C 35 56 MBM SC 34 57 MBM IC 37 57 MBM 2H 39 57 MBM AV4 45 57 MBM IH 45 57 MBM AV2 22 58 MBM SC 13 59 MBM IC
  • 26 59 MBM 5C 33 59 MBM 5H 33 59 MBM 5H 18 60 MBM 6C 5 63 MBM 2H 19 67 MBM 6C 26 68 MBM BPH 17 69 MBM BPH 19 70 MBM 6H 25 70 MBM TSH 28 70 MBM AVl
  • 39 70 MBM 5C Page 7 of 12 Attachment l Page 23 of27 Row Column Indication Location Remarks Serial No.: 99-038 Docket No.: 50-280
  • 6 71 MBM IC 31 72 MBM lH 26 73 MBM 6H 19 74 MBM 4C 19 75 MBM SC 34 76 MBM 6H 34 76 MBM 6C 34 76 MBM 6C 13 77 MBM 3H 23 77 MBM 6C 22 78 MBM 3H 30 78 MBM IC 29 80 MBM 3H 29 80 MBM 3H 29 80 MBM IC 29 80 MBM IC 29 80 MBM IC 7 81 MBM lH 7 81 MBM 3H 29 82 MBM 3C 31 82 MBM 2H
  • 3 83 MBM lC 21 84 MBM 6H Page 8 of 12 Attachment I Page 24 of27 Row Column Indication Location Remarks Serial No.: 99-038 Docket No.: 50-280
  • 19 85 MBM BPC 13 86 MBM lC 4 88 MBM BPC 21 88 MBM BPH 26 75 MBM TSH 26 75 DNT 2H 14 90 MBM IC 1 58 RST TSH Preventively plugged 1 59 RST TSH Preventively plugged 1 60 RST TSH Preventively plugged 32 14 . 22%TW BPH Preventively plugged
  • 32 16 21%TW BPH Preventively plugged 9 2 DNT 6H 16 4 DNT AV4 18 5 DNT QV4 18 5 DNT 6C 18 5 DNT 6C 1 6 DNT 7C 19 7 DNT 6C 4 12 DNT 7H 9 14 DNT SC
  • 31 14 DNT 6C 8 15 DNT 7H Page 9 of 12 Attachment I Page 25 of27 Row Column Indication Location Remarks Serial No.: 99-038 Docket No.: 50-280
  • 2 17 DNT 7H 7 21 DNT 6C 11 22 DNT 7H 4 29 DNT 6H 15 32 DNT 6C 45 41 DNT QV4 42 43 DNT BPH 11 49 DNT 6C 10 49 DNT 7H 11 50 DNT 7H 19 51 DNT 4H
  • 19 51 DNT 6H 19 51 DNT IC 43 54 DNT 2C 1 58 DNT TSC 17 58 DNT 2H 1 59 DNT TSC 10 60 DNT TSH 10 60 DNT IC 6 63 DNT 3H 6 67 DNT 4C
  • 4 68 DNT IC 34 69 DNT 3H Page 10 of 12 Attachment I Page26 of27 Row Column Indication Location Remarks Serial No.: 99-038 Docket No.: 50-280 36 70 DNT AV2 21 76 DNT IC 1 78 DNT 7H 27 80 DNT 6H 4 83 DNT 7H 20 83 DNT 2H I 87 DNT 7H 20 87 DNT 2H 18 89 DNT 7C 19 89 DNT 7C 20 89 DNT 7C 20 89 DNT 7C 4 90 DNT 6H 16 90 DNT 7C 17 90 DNT lH 17 90 DNT 7C 18 90 DNT 7C 18 90 DNT 7C 15 91 DNT 7C 16 91 DNT 7C 16 91 DNT 7C 4 92 DNT 7H Page 11 of 12 MBM: RST: %TW: Glossary of Terms Attachment I Page 27 of27 Serial No.: 99-038 Docket No.: 50-280 Dent -A tube deformation resulting in a non-circular tube shape with areas of reduced diameter.

Manufacturing Buff Mark -A shallow tube wall loss due to manual buffing of minor surface imperfections during steam generator construction. Restricted tube Percent through wall reduction of tube Row-Column: Tube identifier numbers based on an X-Y coordinate system. Location: The location (in the tube) of the indication. Examples of locations are as follows: AV ( l through 4) H ( l through 7) C ( I through 7) TSH TSC THE TEC BPH PC Anti-vibration bars located on the top radius of the tubes Tube support plates on the hot leg of the steam generator. Tube support plates on the cold leg of the steam generator. Top of tube sheet on the hot leg of the steam generator. Top of tube sheet on the cold leg of the steam generator. Tube end on the hot leg of the steam generator. Tube end on the cold leg of the steam generator. Baffle plate on the hot leg of the steam generator Baffle plate on the cold leg of the steam generator Page 12 of 12

  • * ~-/ -Attachment 2 Surry Power Station Unit 1 Inservice Inspections Repairs and Replacements NIS-2 Forms
  • Repair and Replacements Attachment 2 Page I of77 Serial No.: 99-038 Docket No.: 50-280 Repairs and replacements completed during this refueling outage were performed in accordance with Section XI of the ASME Boiler and Pressure Vessel Code, 1989 Edition. The following paragraphs and the attached NIS-2 Forms represent those repairs and replacements performed on Class 1 and Class 2 systems: RR# 97-235, replace valve 1-CS-MOV-102B.

This replacement was performed on work order 00378524-01, and completed on 11-16-1998. RR# 98-017, overhaul valve l-SI-MOV-1869A. This replacement was performed on work order 00385298-01, and completed on 11-4-1998. RR# 98-019, repair valve l-SI-145. This repair was performed on work order 00365452-01, and completed on 3-25-1998. RR# 98-020, repair valve 1-RC-PVC-1456. This repair was performed on work order 00365790-01, and completed on 3-25-1998. RR# 98-021, repair valve 1-RC-PCV-1455C. This repair was performed on work order 00368301-01, and completed on 3-25-1998. RR# 98-022, replace pressurizer manway, l-RC-E-2. This repair was performed on work order 00364933-01, and completed on 3-26-1998. RR# 98-028, replace fasteners 1-SI-130. This replacement was performed on work order 00386551-01, and completed on 3-24-1998. RR# 98-029, repair valve 1-RC-PCV-1455C. This repair was performed on work order 00368301-01, and completed on 3-25-1998. RR# 98-030, repair through wall leak on 12"-RH-19-602. This repair was performed on work order 00386554-01, and completed on 3-29-1998. RR# 98-032, replace fasteners 1-RH-FE-1605. This replacement was performed on work order 00386554-02, and completed on 3-29-1998. RR# 98-038, replace pipe and flange, 1.5"-CH-93-1502. This replacement was performed on work order 00389205-01, and completed on 5-15-1998. RR# 98-039, replace flange fasteners, l.5"-CH-93-1502. This replacement was performed on work order 00389205-02, and completed on 5-15-1998 . Page 1 of 5

  • Attachment 2 Page 2 of77 Serial No.: 99-038 Docket No.: 50-280 RR# 98-041, replace valve l-RC-6. This replacement was performed on work order 00389419-01, and completed on 5-22-1998.

RR# 98-050, replace valve body l-CH-280. This replacement was performed on work order 00385550-02, and completed on 10-27-1998. RR# 98-057, replace valve l-CS-MOV-102B. This replacement was performed on work order 00378524-03, and completed on 11-11-1998. RR# 98-058, replace valve l-CS-MOV-102A. This replacement was performed on work order 00345557-03, and completed on 11-10-1998. RR# 98-059, replace valve 1-MS-182. This replacement was performed on work order 00371542-03, and completed on 11-2-1998. RR# 98-060, replace valve l-MS-178. This replacement was performed on work order 00371542-02, and completed on 11-2-1998. RR# 98-061, replace valve 1-MS-176. This replacement was performed on work order 00371542-01, and completed on 11-2-1998. RR# 98-062, replace valve stem 1-CH-HCV-1186. This replacement was performed on work order 00389563-01, and completed on 10-31-1998. RR# 98-063, repair valve 1-CH-FCV-1114A. This repair was performed on work order 00364451-01, and completed on 11-3-1998. RR# 98-067, replace trim assembly 1-CH-FCV-1160. This repair was performed on work order 00381710-01, and completed on 10-25-1998 .. RR# 98-084, replace fasteners l-RH-11. This repair was performed on work order 00389658-01, and completed on 11-2-1998. RR# 98-086, overhaul valve l-SI-243. This repair was performed on work order 00390395-01, and completed on 11-5-1998. RR# 98-087, replace fasteners 1-SI-229. This repair was performed on work order 00362345-01, and completed on 11-2-1998. RR# 98-088, replace fasteners 1-SI-228. This repair was performed on work order 00362346-01, and completed on 11-2-1998. RR# 98-089, inspect/repair check valve 1-SI-147. This repair was performed on work order 00365453-01, and completed on 11-1-1998. Page 2 of 5

  • *
  • Attachment 2 Page 3 of 77 Serial No.: 99-038 Docket No.: 50-280 RR# 98-091, replace valve 1-RC-107.

This replacement was performed on work order 00395654-01, and completed on 11-11-1998. RR# 98-092, replace valve body l-CH-280. l-CH-1200A, B & C. This replacement was performed on work order 00378715-02, and completed on 11-3-1998. RR# 98-093, replace valve 1-MS-196. This replacement was performed on work order 00263047-01, and completed on 11-20-1998. RR# 98-094, Fabricate supports. This replacement was performed on work order 00378715-01, and completed on 11-04-1998. RR# 98-097, replace trim set 1-MS-PVC-102A. This repair was performed on work order 00382372-01, and completed on 11-2-1998. RR# 98-098, replace trim set l-MS-PVC-102B. This repair was performed on work order 003 82374-01, and completed on 11-2-1998. RR# 98-101, replace fasteners 1-RC-SV-1551 A. This repair was performed on work order 00381884-01, and completed on 11-14-1998 . RR# 98-102, replace fasteners 1-RC-SV-1551 B. This repair was performed on work order 00381885-01, and completed on 11-08-1998. RR# 98-103, replace fasteners l-RC-SV-155 IC. This repair was performed on work order 00381886-01, and completed on 11-08-1998 RR# 98-104, replace pipe 14" -WFPD-13-60 I. This replacement was performed on work order 00376326-07, and completed on 11-3-1998. RR# 98-105, overhaul valve 1-RC-PCV-1456. This replacement was performed on work order 00365790-04, and completed on 10-31-1998. RR# 98-106, replace valve bonnet l-RC-TV-1519. This replacement was performed on work order 00384333-01, and completed on 11-11-1998. RR# 98-107, replace pipe 12"-RH-19-602. This replacement was performed on work order 00391924-01, and completed on 11-5-1998. RR# 98-112, cut and reinstall pipe 2"-CH-216-152. This replacement was performed on work order 00377092-01, and completed on I 1-03-1998. RR# 98-122, overhaul valve l-CS-MOV-1 OJA. This replacement was performed on work order 00365785-01, and completed on 11-5-1998. Page 3 of 5

  • Attachment 2 Page 4 of77 Serial No.: 99-038 Docket No.: 50-280 RR# 98-131, repair thermowell 1-RC-P-lB.

This repair was performed on work order 00386708-05, and completed on 10-31-1998. RR# 98-132, inspect check valve 1-CS-127. This replacement was performed on work order 00381746-01, and completed on 10-29-1998. RR# 98-133, install trunnion 1-WFPD-HSS-15 & 16. This replacement was performed on work order 00399355-01, and completed on 11-13-1998. RR# 98-134, replace secondary manway bolts 1-RC-E-lB. This replacement was performed on work order 00380019-03, and completed on 11-3-1998. RR# 98-135, overhaul valve 1-CH-HCV-1310A. This replacement was performed on work order 00399484-01, and completed on 11-6-1998. RR# 98-138, replace valve 1-SI-185. This replacement was performed on work order 00362350-03, and completed on 11-6-1998. RR# 98-140, replace relief valve 1-CH-RV-1203. This replacement was performed on work order 00384251-02, and completed on 11-3-1998. RR# 98-143, replace fasteners 1-FW-61. This replacement was performed on work order 00399726-01, and completed on 11-3-1998. RR# 98-144, replace cap fasteners 1-FW-62. This replacement was performed on work order 00399729-01, and completed on 11-3-1998. RR# 98-145, replace handhole gasket 1-RC-E-lC. This replacement was performed on work order 00399072-01, and completed on 11-10-1998. RR# 98-146, replace snubber l-BD-MSS-10. This replacement was performed on work order 00384505-01, and completed on 11-6-1998. RR# 98-147, replace snubber 1-RC-MSS-lOC. This replacement was performed on work order 00384511-01, and completed on 11-6-1998. RR# 98-150, replace fasteners 1-MS-SV-lOlA. This replacement was performed on work order 00381846-01, and completed on 11-14-1998. RR# 98-151, replace fasteners 1-MS-SV-101B. This replacement was performed on work order 00397914-01, and completed on 11-14-1998. RR# 98-152, replace fasteners 1-MS-SV-lOlC. This replacement was performed on work order 00381848-01, and completed on 11-14-1998. Page4 of5

  • *
  • Attachment 2 Page 5 of 77 Serial No.: 99-038 Docket No.: 50-280 RR# 98-153, replace inlet flange fasteners l-MS-SV-102A.

This replacement was performed on work order 00381849-01, and completed on 11-14-1998. RR# 98-154, replace fasteners l-MS-SV-102B. This replacement was performed on work order 00397915-01, and completed on 11-14-1998. RR# 98-155. replace fasteners 1-MS-SV-I02C. This replacement was performed on work order 00381851-0 I. and completed on 11-14-1998. RR# 98-156, replace inlet flange fasteners l-MS-SV-103A. This replacement was performed on work order 00381852-01, and completed on 11-14-1998. RR# 98-157, replace fasteners 1-MS-SV-103B. This replacement was performed on work order 00397916-0 I. and completed on 11-14-1998. RR# 98-158. replace fasteners l-MS-SV-103C. This replacement was performed on work order 00381854-01. and completed on 11-14-1998. RR# 98-159, replace inlet flange fasteners l-MS-SV-I04A. This replacement was performed on work order 00381855-01, and completed on 11-14-1998 . RR# 98-160. replace fasteners 1-MS-SV-104B. This replacement was performed on work order 00397917-01. and completed on 11-14-1998. RR# 98-161. replace fasteners 1-MS-SV-104C. This replacement was performed on work order 00381857-01. and completed on 11-14-1998. RR# 98-162. replace fasteners 1-MS-SV-105A. This replacement was performed on work order 00381858-01. and completed on 11-14-1998. RR# 98-163. replace fasteners 1-MS-SV-105B. This replacement was performed on work order 00397918-01. and completed on 11-14-1998. RR# 98-164. replace fasteners 1-MS-SV-105C. This replacement was performed on work order 00381860-0 I. and completed on 11-14-1998 . Page 5 of 5

  • Attachment 2 Page 6 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 12/15/98 Virginia Electric and Power Co. 1. Owner __________

.,.,... ___________ _ Date ___________________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant __________ .,..,... __________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed by _________________ _ Name Same as above Addre;s 1 1 One Unit-------------------- wo#00378524-o1, RR#97-235 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ NA Authorization No.--------------- Expiration Date ___ N_A ___________ _ 4. Identification of System ____ c_o_n_t_a_i_n_m_en_t_s_p_r_a_y ____________________________ _ B31 1 55 NA N-1 through N-13 5. (a) Applicable Construction Code

  • 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) ~...t1,rf~r ,i:, 8 3/4" Nuts Mackson, Inc. NA NA 1-cs-Mov-102}'.

NA Replacement No BW/IP tJ Valve International E138A-1-2 NA 1-CS-MOV-102f VA Replacement No Replace valve. Code Case N-416-1 applies(Complet~d 11/16/98). 7, Description of Work ________________________________________ _ 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 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 8Ya in. x 11 in., (2) 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 REPRINT 12/91 ?o:t/ BNT-467650 FORM NIS-2 (Back) (nuts), CNT-555934 (valve) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement 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/] .. £~ ;:z:s:z:: ~6w6&i Date __ ~/_?....,.L~/.~'.L ___ ,19 ~~mar or~'s Deslgnae, 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 and I Co* of Hartford, Ct. ~ins&ed the components described

/ 'r,t./ re and state that I I to the best of my knowledge and belief, the Owner has performed examinations and ~aken 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. )~L -/ / _ ----+**_ //J_-:::.>""""'-"~~=~--,---......,~------Commissions _______ v_a_. __ 8_8_3 ___________ _ National Board, State, Province, and Endorsements Date, __ ___./'--',?---<<--+-b_,?----'-/ __ 19 ? 3"' I -*

  • Attachment 2 Page 7 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI ,. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 2. Plant Surry Power Station Name 5570 Hog Island Rd., Surry, Va. 23883 Addr1111 3. Work Performed by_v_i_rg_i_*

n_i_a_P_o_w_e_r __________ _ Name Date_l_l...;./_2_5...;./_9_8 ___________ _ Sheet __ l ___ of __ l ___________ _ Unit One W0#00385298-0l, RR#98-017 Repair Org11nlz11tlon P.O. No., Job No., etc. Type Code Symbol Stamp ___ N_A _______ _ Authorization No. __ N:.::A:.:_ __________ _ Expiration Dete __ ~i..------------

4. Identification of System ___ _.s:.::a::f""e_,.t,.....I..,n.:..*

... e:.::c:.::t""io.:,ne:....... ____________________________ _ 5. (a) Applicable Construction Code B31.l 19~Edition,_N;;..;A:,:_ _____ Addenda, N-1 through N-1:Code Casa (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19__.a,_,9,___

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) ~-**--*-T--, .. , .. .. ,., ... _-----_ ...............

... --. Nuts Mackson Inc. NA NA 1-SI-MOV-1869A NA Renlacement No 7. Description of Work . ....::cov..:..e:::r:.:h~a::.:ua::l'----'v-=a~lv..:..e::..:.....

8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY.a in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered end the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT-467650 (studs), BNT-467064 (nuts) 9. Remarks--------------------------------------------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ .;cN.c:A-"------------------------------- Certificate of Authorization No. ___ ...=N..;;:A"'------------Expiration Date ____ N_A __________ _ Signe!] <' _r Sr 4J4u!<f£1& Date ___ l,...,.'/+f. ........ .r_* --, 19 98"' ~wner ~r's Deslgnee, 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 and I Co* of Hartford, Ct. ~~ted the components described

/ , 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 exami.nations 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-.::-i. -/-J -., Va. 883 -----+--'*_.,.-*.-.......,,~~'-,-'-EJ""'~-------Commissions ____________________ _ Inspector's Signature National Boerd, State, Province, and Endorsements Date. __ _____,_/_fJ----1/~~f---19 9c{ * *

  • Attachment 2 Page 8 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant-----------:-:-------------

N11me 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________ _ Name. Same as above Addre11 Date_s_/_2_2_/_9_8 ___________ _ Unit _O_n_e ________________ _ W0#00365452-0l, RR#98-019 Aepelr Organlzetlon P.O. No., Job No., etc. NA Type Code Symbol Stamp ___________ _ Authorization No. __ NA ___________ _ Expiration Date __ ......,.__ __________ _ 4. Identification of System ___ ...;S;;_;ac;:f:...:e:...:t ......... =.;In;.;;...;' e;;.:c:...:t;;::i.:con:.;;._ ____________________________ _ 5. (al Applicable Construction Code 831

  • 1 19_55 __ Edition,_NA

______ Addenda, N-l through N-1 code Case (bl Applicable Edition of Section* XI Utilized for Repairs or Replacements 19_s .... Q.___ 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) BW/IP Stock# Disk International 20501390 NA l-SI-145 NA Reolacement No Studs Mackson, Inc. NA NA l-SI-145 NA Replacement No ' Nuts Mackson, Inc. NA NA 1-SI-145 NA Replace~ent No 7. Description of Work_R-'ep"-a_i_*

r_v_a_l_v_e_.

8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (2) 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. (12/82) This Form (E00030) may be obtained from the Order Dept,, ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) CNT-558594 (disk), BNT-467650 (studs & nuts) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that ttie statements made in the report are correct and this replaced conforms to the rules of the ASME Code, Sectia'n XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ NA NA Certificate of Authorization No. _______________ Expiration Date---------------- Signed (2~£o-. Tit-!r:£ 461.116~,.f., Date __ =s:..,jv_.....,. ________ , 19 97 CERTIFICATE OF INSERVICE INSPECTION I, the undersignefy holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of irginia and employed by

  • HSBI and I Co* of Hartford, Ct. -------------------------,:--ir-----.-=-=-----:aye in!jP,ec~

-the components described in this Owner's Report during the period to ~!..!l'b__ , and state that to the best of my knowledge and belief, the Owner has performed examinati,ons and taken corrective measures described in this Owner's Report in accordance with the requirements of the ASME Code, Section XL 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. /'J[) ~-'_-;j Va. 883 -----~~-'"'L,1'"""""--'-'-~....<....~r<-=-....c..--------Commissions _____________________ _ ~,;pee~ National Board, State, Province, and Endorsements ' Date---~£;-+--"/,g.~c:( __ 19~ * * *

  • Attachment 2 Page 9 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant __________

..,.,.. __________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by _________________ _ Name Same as above Addre11 Date_S_/_2_2_/_9_8 ___________ _ Unit _o_n_e ________________ _ W0#00365790-0l, RR#9B-020 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp ___________ _ Authorization No. __ NA ___________ _ Expiration Date __ --""";;1,,_ __________ _ 4. Identification of System ____ R_e_a_c_t_o_r_co_o_l_a_n_t _____________________________ _ 5. (a) Applicable Construction Code 331'1 19_55 __ Edition,_NA ______ Addenda, N-l through N-1 code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_8"'9"---

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National ', Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Part# ~rim Assemblv (olua) Cooes-Vulcan 141703 NA 1-RC-PCV-1456 NA Renlacement No 7. Description of Work_R_:ep=-a_i_r_v_a_l_v_e_.
8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D 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) 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 REPRINT 12/91 FORM NIS-2 (Back) CNT-552053

9. Remarks------------------------------------------------

Applicable Manufacturer's Data Reports to be attached ~CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _______________________________ _ CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~, holding ii valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . virgin1a HSBI and I Co. or Province of and employed by of Hartford, Ct. h,ie insljlec~ the components described in this Owner's Report during the period "3 to '> P %/9':6.,_ , and state that to the best of my knowledge arid 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"""'"---.1.' -~--L-....s.J;..=->."'-------Commissions _______ v_a_. _s_s_* _3 __________ _ Inspector's Signature National Board, State, Province, and Endorsements Date _____ .,.:..._-,. f-/1.Lr}:___;:'b=----19 zf{ i * * *

  • *
  • Attachment 2 Page 10 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Ow Virginia Electric and Power Co. 1. ner -----------------------

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant __________ -:-:------------ Name 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________ _ Name Same as above Addre11 Date_s_/_2_2_/_9_8 ___________ _ 1 1 Sheet _____ of _____________ _ One Unit ___________________ _ W0#00368301-0l, RR#98-021 Repair Organization P.O. No., Job No., ate. NA Type Code Symbol Stamp ___________ _ Authorization No. __ N_A ___________ _ Expiration Date ___ N'""A'-'-------------

4. Identification of System ____ R_e_a_c_t_o_r_c_o_o_l_a_n_t

_____________________________ _ 5, (a) Applicable Construction Code 83 1.1 19_55 __ Edition,_NA ______ Addenda, N-l through N-1 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_8:..:9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Part# rim Assembly (plug) Copes-Vulcan 141703 NA l-RC-PCV-14SSC NA Replacement No Part# Bonnet Copes-Vulcan 130895 NA l-RC-PCV-14SSC NA Replacement No 7. Description of Work_R_ep_a_i_r_v_a_l_v_e_.

8, Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) 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 REPRINT 12/91 FORM NIS-2 (Back) CNT-552053 (trim), CNT-555625 (bonnet) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _______________________________ _ NA NA Certificate of Authorization No. _______________ Expiration Date _______________ _ Signed (2~,# -j LS'.:Z-Owner~~slgnee, Title C

  • I ,_/ .C.. d4 .,;.ve:L4 Date __ __._, L.~-1-='U,...=-----, 19 '7p CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~,, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State or Province of v irginia and employed by HSBI and I Co* of Harttord, Ct. ha191 in~ected the components described in this Owner's Report during the period to o/6' , 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.

~a-=-.....,zf2_r:::1=+-~~-'--f,--+v1

....... A_~~-~-----Commissions _______ v_a_. __ 8_8_3 ___________ _ ~nspect<>r~t~re National Board, State, Province, and Endorsements Date ____ ~-+-/._oJ.._~ __ 19 z'.'7$ , * * *

  • 1. 2. 3. 4. Attachment 2 Page 11 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Owner Virginia Electric and Power Co. Date 7 /02/98 Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Plant Surry Power Station Unit _o_n_e ________________

_ Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00364933-0l, RR#98-022 Addre11 Repair Organization P.O. No., Job No., etc. Work Performed by Virginia Power Type Code Symbol Stamp ___ N_A ______ _ Name Authorization No. -~N-A~----------- Expiration Date ______________ _ Addre11 Identification of System Reacto Coo 5. (a) Applicable Construction Code B31.1 .19_ss __ Edition,_NA ______ . Addenda, N-1 through N-11!:ode Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19--',......--

6. Identification of Components Repaired or Replaced and Replacement Components ASME Coda National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol M-r.,,..,.....,l,-.:

,. __ '" '" _'Oro .D ."J '" -., ~--...J .. -, Part # Studs Westinahouse 1873E97H01 NA 1-RC-E-2 NA Replaced No Part# Nuts ASTRO Nuclear 1873E97H02 NA 1-RC-E-2 NA Replaced No 7. Description of Work Replace pressurizer manway. 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure Other O 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) 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 REPRINT 12/91

  • i FORM NIS-2 (Back) PO# CNT-382243 (studs), CNT-537321 (nuts) 9. Remarks------------------------------------------------

Applicable Manufacturer's Data Reports to be attached The manway was removed from an old replaced steam generator and installed on l-RC-E-2. CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement 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 Q.t.~~ J$" :Z-L~4.,,r1c..~U Owner ornars Deslgnee, Title Date __ ___._7_.,./__.~L-.__ _____ , 19 9,Y 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 Virginia HSBI and I Co. or Province of and employed by of Hartford, Ct. i4e /~ the components described Z. 6, , 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. C: --#I-. Va. 883 -----r~=" ....... ~-'--*-~-~~~.,.~~~~------Commissions _____________________ _ Inspector's Signature National Board, State, Province, and Endorsements Date ___ 7-'---r--/ ~~-19L c( I *

  • *
  • Attachment 2 Page 12 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant __________

..,.,.. __________ _ N11me 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________ _ N11me Same as above Addre11 Date_6_/_s_/_9_B ____________ _ Sheet __ 1 ___ of ___ 1 __________ _ Unit _o_n_e ________________ _ W0#00386551-01, RR#98-028 Repair Org11nlz11tlon P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ Authorization No. __ N_A ___________ _ Expiration Date __ _,,."'------------

4. Identification of System ____ s_a_f_e_ty,__r_n-'j'-e_;c_;t.:;i.:;on:;_

____________________________ _ 5, (al Applicable Construction Code 831

  • 1 19_5_5 __ Edition,_N_A

______ Addenda, N-l through N-1 tode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19__,0'-'9'---

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 studs Mackson Inc. "A N" '-ST-130 " Renl~ced No 7. Description of Work_R_e....;p:...l_a_c_e_f_a_st_e_n_e_r_s_.

________________________________ _ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp, ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is BY.a in. x 11 in., (2) 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 REPRINT 12/91 FORM NIS-2 (Back) BNT-467650

9. Remarks------------------------------------------------

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement 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(}~~.-*~"" fSf ownerfr~lgnee, Title Date----aW: ....... t/: ______ , 19 9L CERTIFICATE OF INSERVICE INSPECTION I, the undersigne!'., holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and.the State . virginia HSBI and I Co. or Province of and employed by of Hartford, Ct. h9v~ jns??:d the components described in this Owner's Report during the period J to &, ('f(Z~ , 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.

t,.,...~--~o'""""------'~'--,1-'/A_.~c....:c..'"-=------Commissions

_______ v_a_. _8_8_3 __________ _ ~to~ature National Board, State, Province, and Endorsements Date 6 /a 19 P< *------'----#7--1-I-~-

  • *
  • Attachment 2 Page 13 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner-----------------------

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. N11me 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________ _ Name Same as above Addre11 5/22/98 . Date ___________________ _ Sheet __ 1 ___ of ___ 1 __________ _ One Unit-------------------- W0#00368301-0l, RR#98-029 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp ___________ _ Authorization No. __ NA ___________ _ Expiration Date __ ~N...,.A"-------------

4. Identification of System ____ R_e_a_c_t_o_r_c_o_o_l_a_n_t

_____________________________ _ 5. (a) Applicable Construction Code 831*1 19_55 __ Edition,_NA ______ Addenda, N-l through N-lbode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19--'8"-'9'---

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National
  • Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, Identification Built or Replacement or No) Studs & Nuts Mackson, Inc. NA NA 1-RC-PCV-1455C NA Replacement No 7. Description of Work_R...;ep:...a_i_r_v_a_l_v_e_.
8. Tests Conducted:

Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Tamp, ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) 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 REPRINT 12/91 FORM NIS-2 (Back) CNT-467650

9. Remarks------------------------------------------------

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _____________________________ _ ::~:~27:-<<-_z:j--;-~---?=&!-C_'l'i_<_~--'&-.-~-Expi::::_n_D_a_te~-1?,-~~~::~~-N-._A~~~~~~~~~-.- 1_9_7,_~---~ier or~ Designee, Title ""r'" 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 and I Co* of Hartford, Ct. h;r m the components described , and state that to the best of my knowledge and belief, the Owner has performed examinations and taken c~rrective 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/Jc-:? "'1T A-,, Va. 883 -----"'=,,...."+.,'4-.~-_.,""~_,_-...,.~~------Commissions _____________________ _ .Jspe7toi's~ National Board, State, Province, and Endorsements Date _____ 0-+--/~~'6' __ 19 '1?5 * *

  • Attachment 2 Page 14 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Ow Virginia Electric and Power Co. 1. ner -----------:-:--------------

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant __________ -c-,------------ Name 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________ _ Name Same as above Addra11 Date_4_/_1_4_/_9_s ___________ _ Sheet ___ 1 __ of ___ 1 __________ _ One Unit ___________________ _ W0#00386554-01, RR#98-030 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ Authorization No. __ N_A ___________ _ Expiration Date ___ N""A'-'-------------

4. Identification of System ____ R_e_s_i_d_u_a_l_H_e_a_t_R_e_mo_v_a_l

___________________________ _ 5, (al Applicable Construction Code 831 '1 19_55 __ Edition,_N_A_* _____ Addenda, N-l through N-1 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_Bc.:9;..__

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) Energy & Sockolet Process Coro. Ht. #171YNJ, 12"-RH-19-602 NA Replacement No Edgecomb Plug Metals Co. NA 12"-RH-19-602 NA Replacement No 7. Description of WorkRepair through wall leak. Code Case N-416-1 applies. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure lxJ 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) 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 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT563767 (sockolet), 43088 (plug) 9. Remarks------------------------------------------------

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symb.ol StamP----,----------------------------------- NA NA Certificate of Authorization No. _______________ Expiration Date---------------- ~'. _, (' . Signed~ilf--":-' ~"-£',t!Y;"r,G ... ~~,,.......-::------=J~J:'"::f~-~~Afl. ....... 41,,1.~6$$-e.""""" ____ Date_,c.A)L.,l"-""'&~!&...:e_--,,~/.,.,_~'------, 19 9T wneor ~o@fiinee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigne9 1.holdi.ng valid commission issued by the National Board of_Boiler and P.ressur1;t. Vessel Inspectors and the State virginia HSBI and 1 co. or Province of and employed by of Hartford, Ct. ------------------------:::---,1-c--=:7';==----~lfl'e i=:~ the components described in this Owner's Report during the period ;, {:P~ to '(// 5 /-~ , 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. 3?,~-~ -------t~="~~~-~-r-,...+-~'/(,A/~ ____ -___ Commissions _____________________ _ Inspector's Signature National Board, State, Province, and Endorsements Va. 883 Date * *

  • * * ' Attachment 2 Page 15 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant _____________________

_ Name 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed Name Same as above Addre11 Date_s_/_2_2_/_9_8 ___________ _ One Unit-------------------- W0#00386554-02, RR#9B-032 Repair Org11nlz11tlon P.O. No., Job No., ate. NA Type Code Symbol Stamp __________ _ Authorization No. __ NA ____________ _ Expiration Date __ ~N.,.A"'------------

  • 4. Identification of System ____ R_e_s_i_d_ua_l_H_e_a_t_R_e_m_o_v_a_l

__________________________ _ 5, (al Applicable Construction Code __ B 3_1_* 1 _____ 19_5_5 __ Edition,_NA ______ Addenda, N-l through N-1:Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19_8"'9'---

6. Identification of Components Repaired or Replaced and Replacement Components ASME *. .. Code . , ' *, :-Niitforia1

,_;,:*, ,. **1. .. Repaired,* Stamped Name of Name of Manufacturer Board Other Yea~ Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Studs & Nuts Mackson, Inc. NA NA 1-RH-FE-1605 NA Replacement No 7. Description of Work._R_epc...l_a_c_e_f_a_s_t_en_e_r_s_. ________________________________ _ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form . (12/821 This Form (E00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) BNT-467650

9. Remarks------------------------------------------------

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement 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 (?nt;~Jtrfne~ 4~ Date __ =n"74=~='-------, 19 9.JV 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 . Virginia HSBI and I Co. or Province of and employed by of Hartford, Ct. hz ins,ected the components described ;; % 9 'b° 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, /7/'J C"')_ 'II Va. 883 ____ __,G,U.._""'-'.._L< .. =-i.....,,_,_Y'k'J--"-J<-lo'",MAA/'::::.....,~;;._-----Commissions _____________________ _ Inspector's Signature National Board, State, Province, and Endorsements Date, _____ ?"-,+-/,_fil._~ __ 19 '.z <ts' * *

  • Attachment 2 Page 16 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Ow Virginia Electric and Power Co. 1. ner*----------.,..,..-------------

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant------------,-,------------- N11me 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________ _ Name Same as above Addre11 Date_6_/_1_6_/_9_B ___________ _ 1 1 Sheet _____ of ___________ _:_ __ One Unit-------------------- W0#00389205-0l, RR#98-038 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ Authorization No. __ N_A ___________ _ Expiration Date __ ....:N:.::A'"------------

4. Identification of System ____ c_h_e_m_i_c_al_&_v_o_l_um_e_c_o_n_t_r_o_l

________________________ _ 5, (a) Applicable Construction Code 831" 1 19_5_5 __ Edition,_NA ______ Addenda, N-l through N-1 toda Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19---'8~9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National ... Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Ht. # 1 1/2 11 Pine Guvon Allovs NSD1024 NA .5 11-CH-93-1502 NA Renlaced No Energy & Ht. # Flange Process Corp. 860XNE NA b..5 11-CH-93-1502 NA Replaced No 7. Description of Work Replace pipe and flange. Code Case N-416-1 applies. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Opereting Pressure 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) 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 ba obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) NS-31551 (pipe), CNT-570213 (flange) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement 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 __________ _ SignedQL .~ '-",4./ _T5T k~ Date--W ..... ~........,.P~----, 19 Owner or~; Designee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigne$1,, holding a valid commission issued by the National Board of Boiler and Pdressure Vessel Inspectors and the State . virginia HSBI an I Co. or Province of and employed by of Hartford, Ct. hav; ins~ted the components described in this Owner's Report during the period to tzjcil J'jYfC' , 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. --ft~ Va. 883 -----+-7"'-'lc-:l6:""""_.,~F-=.,.!.1AAA#:..,.,.<<-=---- -_____ commissions _____________________ _ '5f)8CtorsSlgn~ National Board, State, Province, and Endorsements

  • *
  • Attachment 2 Page 17 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Ow Virginia Electric and Power Co. 1. ner ----------..,.,..------------

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant------------=-,------------- N11me 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________ _ Name Same as above Addre11 Date_9_/_2_5_/_9_8 ___________ _ 1 1 Sheet _____ ot _____________ _ One Unit-------------------- W0#00389205-02, RR#98-039 Repair Org11nlz11tlon P.O. No., Job No., etc. NA Type Code Symbol Stamp ___________ _ Authorization No. __ N_A ___________ _ Expiration Date __ ~N=A-=------------

4. Identification of System ____ c_h_a_r=-gi_*

n....:ga..--------------------------------- 5, (a) Applicable Construction Code 531'1 19~Edition,_N_A ______ Addenda, N-l through N*ltode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19--'8°"9'----

6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National .. Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No, No. Identification Built or Replacement cir No) l "studs Mackson Inc. NA NA .50-CH-93-1502 NA Reolacement No l "Nuts Mackson, Inc. NA NA ,50-CH-93-1502 NA Replacement No 7. Description of Work Replace flange fasteners.
8. Tests Conducted:

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

  • F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (2) 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, 346 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT-467650 (studs & nuts) 9. Remarks--....,...------------------------------------------

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement 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 a~ /J . fr I Owner ~gnee, Title Date __ _,.zF--~....:;2...,..£.._ ____ , 19 9r 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 . Virginia HSBI and I Co. or Province of and employed by of Hartford, Ct. hav 7 in5P1ct~the components described in this Owner's Report during the period 5"". '/ 3 c; to 9,~Z:,~ Q_ , 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. //17 c")A_ ,c.fi /"'-' Va. 883 ------~-=~~'..,~-+-<~--------Commissions ____________________ _ :i;;;;;;;;tor~ National Board, State, Province, and Endorsements Date, __ -+--491o~~'1_!_19 re? l / l . . . '. ' * *

  • *
  • Attachment 2 Page 18 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant ___ ....:.. ______ ..,..,.. __________

_ N11me 5570 Hog Island Rd., Surry, Va. 23883 Addre11 W k P rf db Virginia Power 3. or e orme Y------------------- Name same as above Addre11 Date_7_;/_0_6_/'---9_8 ___________ _ Sheet ___ l __ of ___ l __________ _ Unit _O_n_e ________________ _ W0#00389419-01, RR#98-041 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ____ N_A _______ _ Authorization No. _ __::N.::.A=--------------- Expiration Date __ _,..._ ___________ _ 4. Identification of System ____ R::.e;:;.a,,.c:ct:coc..:r:......,Cc..:oc.=oc:l.=:a-'-'n.::.t ______________________________ _ 5. (a) Applicable Construction Code 831

  • 1 19_5_5_ Edition,_N_A

______ Addenda, N-1 through N-1*ode Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_...,,_ __ 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) Energy & Ht. # D~~o ---,""'°"'""' ,... ____ rn, "" 1 ,.,,...._,.. '" -., ,rl u~ Dubose Nat. Ht. Code RW Elbow Energy Serv. Ht. # 39125 NA 1-RC-6 NA Reolaced No Edwards s. 0. # Valve Valves 36-21332 NA l-RC-6 NA Replaced No 7. Description of Work Replace valve. Code Case N-416-1 applies. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure !&I Other O 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) 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 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-487834 (pipe), CNT-567357 (elbow), 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached SNT-351707 (valve) . CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol Stamp _____________________________________ _ NA NA Certificate of Authorization No. _______________ Expiration Date---------------- Date'-* __ _,,;>'-',~ ....... ~----,-19 9C: CERTIFICATE OF INSERVICE INSPECTION I, the undersigned,.holdjng iil valid commission issued by the National Board of Boiler and eressur.e Vessel Inspectors and the State Virginia HSB~ and~ co. or Province of Hartford, Ct . and employed by

  • of lljVe inspected the components described in this Owner's Report during the period to Z,!'2.."l;/9 8" , 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:a,,....."'-

... Q _ _....,~ ..... --,~~---------Commissions _______ v_a_._8_8_3 ___________ _

  • I nspactor's Signature National Board, State, Province, and Endorsements Date
  • Attachment 2 Page 19 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant ___ ~-------:-:------------

Name 5570 Hog Island Rd., Surry, Va. 23883 Addra11 Virginia Power 3. Work Performed by ________ ,..... _______ _ Name same as above Addra11 Date_1_2_/_1_/_9_B ___________ _ Unit _O_n_e ______ ....,,.,__,--.,..,,.._--+-~---- ,&o....-.n.... if:}$). r:1i11h.P '3~....,._.-,fl,. W0#00378715-02, RR#98-~ 0~--0 Aepelr Organization P.O. No., Job No., ate. NA Type Code Symbol Stamp ___________ _ Authorization No. __ N_A ____________ _ Expiration Date __ _......_ ___________ _ 4. Identification of System ___ ---"ch'"'"a"'r=-=i==n=------------------------------------

5. (a) Applicable Construction Code B 3 1.1 19_5_5 __ Edition,_NA

______ Addenda, N-l through N-ll:ode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19__,a"'9,...__

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) Edward Part# "-' .. -'(7~1

"'J,::"l'\r-1'\AA , .. ., _ ..... TT-"'"" , .. ---~ "-. Energy & 2" Elbow Process Corp. Ht. # 461886 NA 1-CH-280 NA Reolacement No Energy & 2" Pipe Process Corp. Ht. # 4313717 NA 1-CH-280 NA Replacement No 7, Description of Work Replace valve bodies. Code Case N-416-1 applies. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure IZ] 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) 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 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-571625 (valve), CNT-487834 (pipe), CNT-574420

9. Remarks------------------------------------------------

Applicable Manufacturer's Data Reports to be attached elbow) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement 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 ()_ t:... j} ;ZJ'f b/6Wc£.d:4 Date /~ , 19 9JY Owner~~. 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 and I Co. of Hartford, Ct. have i9spejed, jll-e* components described in this Owner's Report during the period to / :Z.? ~rr~ , 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. /J --¥-/--: ' Va. 883 --------t=-=1-nl----l(.A_e""c~t'"'o~r.-s'~sJYJ1,...,,,g,-.n-a""'t~u""'re~~~""'~---Commissions _____________________ _ National Board, State, Province, and Endorsements Date ;#/'& 19 I * * *

  • *
  • Attachment 2 Page20 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant __________

__,,......----------- Name 5570 Hog Island Rd., sur,:y, Va. 23883 Address Virginia Power 3. Work Performed by ____________ --'------Name Same as above Address Date __ 1_2_/_3_/_9_8 ___________ _ Unit __ O_n_*_e ________________ _ W0#00378524-03, RR#98-057 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ____ N_A _______ _ Authorization No. __ N_A ____________ _ Expiration Date __ ~~------------

4. Identification of System ___ ~c=o=n=t=a=in=m=e=n=t~S~p=r=a~y------------------------------
5. (al Applicable Construction Code B31.l 19~Edition,_N_A_*

_____ Addenda, N-1 through N-l~ode Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 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) Tioga 6" Elbow Pipe Supply NA NA l-CS-MOV-102B NA Replacement No -6" Pipe HUB, Inc. NA NA l-CS-MOV-102B NA Replacement No Consolidated 6" Flange Power supply NA NA l-CS-MOV-102B NA Replacement No Duoose National 6" Tee Energy Services NA NA l-CS-MOV-102B NA Replacement No 2" Elbow Frishkorn, Inc. NA NA l-CS-MOV-102B NA Replacement No 2" Elbow Frishkorn, Inc. NA NA l-CS-MOV-102B NA Replacement No 7. Description of Work ______ R_e_p_l_a_c_e_v_a_l_v_e_._c_o_d_e_c_a_s_e_N_-4_1_6_-_a_p_p_l_i_e_s_(_co_m_p_1_e_t_e_d_1_1_;_1_1_/_9_8_) _. ----------

8. Tests Conducted:

Hydrostatic D Pneumatic D Nominal Operating Pressure 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) 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 FORM NIS-2 (Back) PO# CNT-525150, CNT-447334, CNT-563651, CNT-558834, 9. Remarks---.----------------------------------------------- Applicable Manufacturer's Data Reports to be attached SSY-347633, CSY-341372 CERTIFICATE OF COMPLIANCE We ce*rtify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certific~ate of Au;~rization No. :. e .. Expiration Date / Signed -"£_

  • 2 S'f e:,,#{§@"'~

Date _ _./.:..c2._/L..-.. _____ _ wneror Oer'sDesignee, Title 1 NA 199;;/ 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 and I Co* of Hartford, Ct. h.7 ~r the components described in this Owner's Report during the period to /~ 7~ , and state that ~I 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. at2~ Commissions _______ V_a_._8_8_3 __________ _ Inspector's Signature National Board, State, Province, and Endorsements Date ____ /~.;2...-_ 1 ,,_/_,.__) __ 19 7 z[ * * *

  • *
  • Attachment 2 Page 21 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Date __ 1_2_/_3_/_9_8

___________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed by _________________ _ Name Same as above Address One Unit--------------------- W0#00378524-03, RR#98-057 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp ___________ _ Authorization No. __ N_A ____________ _ Expiration Date __ ~~------------

4. Identification of System ___ ---'c-"o""'n-'-t-'-'a""in"'m""e""'ncc.tc....csc.....crc.ca..._

_____________________________ _ 5. (a) Applicable Construction Code 83 1.1 19_5_5_Edition,_N_A ______ Addenda, N-l through N-i:tode Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 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) 2" Elbow HUB, Inc. NA NA 1-CS-MOV-102B NA Replacement No Replace valve. Code Case N-416-applies (Completed 11/11/98).

7. Description of Work __________________________________________

_ 8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure Other D Pressure ______ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY. in. x 11 in., (2) 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) PO # CSY-19-~---------------------------------
9. Remarks----------------------------------------------------

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. ___ _:cN.c.cA=------------- Expiration Date -----=N.c.cA=------------- Signe'd ()L~..e&b: .:rs~ Owner orOer's Designee, Title £.,,,4,4/e!"-!4 Date /~ .,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 State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. ha/; gd the components described in this Owner's Report during the period to / ? , 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-s-pe_c_t-io_n_._,,,,,. /7)=-*"-<...,,........_, -~-'-....L..--'--'--------Commissions _______ V_a_._8_8_3 __________ _ ~tor's Signature National Board, State, Province, and Endorsements Date, ___ -'-/-""-~__,/-+-'7_19 9K * *

  • *
  • Attachment 2 Page 22 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Date __ l_2_/_3_/_9_8

___________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Name Unit __ O_n_e ________________ _ 5570 Hog Island Rd., Surry, Va. 23883 W0#00345557-03, RR#98-058 Address Repair Organization P.O. No., Job No., etc. Virginia Power 3. Work Performed by __________________ _ Type Code Symbol Stamp ____ N_A _______ _ Name Authorization No. __ c.:Nc.:A:..._ __________ _ Expiration Date __ ___.L)la ___________ _ 4. Identification of System ___ _::C::c:o,_,n-"t"'a""in"'m""e"'n"-'t"----'s'--"-=r'-"a'-L._ _____________________________ _ 5. (al Applicable Construction Code B31.l 19_s_5_Edition,_N_A ______ Addenda, N-1 through N-1:Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 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) 6" Pipe HUB, Inc. NA NA l-CS-MOV-102A NA Replacement No Tioga 6" Elbow Pipe Supply NA NA l-CS-MOV-102A NA Replacement No Consolidated 6" Flange Power Supply NA NA l-CS-MOV-102A NA Replacement No Energy & 2" Branch Process Corp. NA NA l-CS-MOV-102A NA Replacement No conso.L1aacea 2" Elbow Power Supply NA NA l-CS-MOV-102A NA Replacement No .. Consolidated 2" Pipe Power Supply NA NA l-CS-MOV-102A NA Replacement No 7, Description of Work ______ R_e_p_l_a_c_e_v_a_l_v_e_. _c_o_d_e_c_a_s_e_N_-_4_1_6-_a_p_p_l_i_e_s_(_c_om_p_l_e_t_e_d_1_1_/_1_0_/_9_8_)_. _________ _ 8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure Other O 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) 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) PO# CNT-447334, CNT 525150. CNT-563251, CNT-563767.

9. Remarks-~-----------------------------------------------

Applicable Manufacturer's Data Reports to be attached SSY-355986, CNT-540879 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement 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 0 ft 4.4-....-..::Z::S:Z:- ~,N$ Date-~/.=~c...+--/j _______ , 19 ()?" ~e~as,gnee, Title 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 and I Co* of Hartford, Ct. have in~ected the components described in this Owner's Report during the period to /;i./~'9'(;; , 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.

/'7~4---'!Jbd"l--'~-L..__.L...!.'---'-

______ commissions_~ _____ V_a_._8_8_3 __________ _ Signature National Board, State, Province, and Endorsements Date ____ _,_/-"-~-+/_7,____19 ? c(' * *

  • Attachment 2 Page 23 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address 2. Plant Surry Power Station Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_v_i_r_g_i_n_i_a_Po_w_e_r

___________ _ Name Address Date __ 1_2_/_3_/_9_8 ___________ _ Sheet ___ 2 __ of ___ 2 __________ _ Unit __ O_n_e ________________ _ W0#00345557-03, RR#98-058 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ____ N_A _______ _ Authorization Expiration Date----,lffl:------------

4. Identification of System ___ -<:;:oti.t:.allll111eJit:--lSJ==L¥-------------------------------
5. (a) Applicable Construction Code B31.1 19_5_5_ Edition,__.u,._

_____ Addenda, N-J tbrougb N-J ;Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_..,.,. __ 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) John H. 2" Elbow Frischkorn, Inc. NA NA 1-CS-MOV-102A NA Replacement No 7. Description of Work Replace valve. Code Case N-416-applies (Completedll/10/98).

8. Tests Conducted:

Hydrostatic D Pneumatic D . Nominal Operating Pressure Other D Pressure psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8Y:z in. x 11 in., (2) 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 FORM NIS-2 (Back) PO CSY-341372

9. Remarks_....,,...---------------'---------------------------------

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ NA NA Certificate of Authorization No. _______________ Expiration Date----~----------- Sigoed Q~.Tpr D,<*--~"'~~~f~/r-~-----,19 FY CERTIFICATE OF INSERVICE INSPECTION I, the undersignei holding a valid commission issued by the National Board of*Boiler and Pressure Vessel Inspectors and the State or Province of irginia and employed by HSBI and I Co* of Hartford, Ct. ha' i/'.ected the components described / ;z.. 7'7 g" 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 Coae, 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. ~a. <~ Va. 883 ----i~c=_...__--=~~~-~-,....~~~-------Commissions _____________________ _ Inspector's Signature National Board, State, Province, and Endorsements Date /'9-../ 7 19 93' r J . '* . , * * ~-J i : * ..

    • Attachment 2 Page 24 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1* owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address 2. Plant Surry Power Station Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_v_i_r_g_i_n_i_a_P_ow_e_r

___________ _ Name Address Date __ l_2_/_4_/_9_8 ___________ _ Unit __ O_n_e _________________ _ 11;/,iha' W0#00371542-03)1'; RR#98-059 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ____ N_A _______ _ Authorization No. __ N_A ____________ _ Expiration Date __ ---i-------------

5. (al Applicable Construction Code B31.1 19_5_5_ Edition,__,_N=A,__

_____ Addenda, N-1 through N-1:Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19_....,. __ 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 Tioga 3" Elbow Pipe Supply NA NA 1-MS-182 NA Replacement No Model # 3" Valve Enertech 3"-600 ANS DRV-Z NA 1-MS-182 NA Replacement No Energy & 3" Elbow Process Corp. NA NA 1-MS-182 NA Replacement No Dubose Nat. 3" Pipe Energy Services NA NA 1-MS-182 NA Replacement No Dubose Nat. 3" Flange Energy Services NA NA 1-MS-182 NA Replacement No 7. Description of Work ______ R_e_p_l_a_c_e_v_al_v_e_. _c_o_d_e_c_a_s_e_N_-4_1_6_-_a_P_P_l_i_e_s_(_c_om_p_l_e_t_e_d_1_1_;_2_/_9_8_) _. ----------

8. Tests Conducted:

Hydrostatic D Pneumatic D Nominal Operating Pressure Other D 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., (2l 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. (12/82l '--This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CNT-576104 BNT-467650 CNT-558078 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ aceroent 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 Q~ ,;} e--.d...< I~:r ~(iu..-&~~ Date __ ___./,_..'L-=-,,,__H_,_ ____ , 19 Owner or Des\1inee, Title 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 State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct

  • have inspected the components described in this Owner's Report during the period to , 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.~*

~:fr-~ ----+~-=-""lc-7""""-'.,....,.*-~-'--+-~-"--'=-------Commissions ______ ~V~a~.~8~8~3 __________ _ Inspector's Signature National Board, State, Province, and Endorsements Date /if/7 19 I ** *

  • Attachment 2 Page 25 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2.

Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed Name Address Date __ 1_2_/_4_/_9_B ___________ _ Sheet ___ 2 __ of ___ 2 ___________ _ Unit __ O_n_e __________ ~-~-----lSiJJ. I ,.._1,((i<j W0#00371542-037, RR#98-059 Repair Organization P.O.No., Job No., etc. Type Code Symbol Stamp ____ N_A _______ _ Authorization No. __ N_A ____________ _ Expiration Date ___ .,,... ___________ _ 4. Identification of System ___ ~M=a=i=n_s=t=e=a=m~---------------------------------

5. (a) Applicable Construction Code B31.l 19_5_5_Edition,___cNcc.A'-------Addenda, N-1 through N-1:?(;ode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 es 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) 3/4" Nuts Mackson, Inc. NA NA 1-MS-182 NA Replacement No 3/4" Studs Mackson, Inc. NA NA 1-MS-182 NA Replacement No 7. Description of Work ______ R_e_p_l_a_c_e_v_a_l_v_e_.

_c_o_d_e_c_a_s_e_N_-4_1_6_-_a_P_P_l_i_e_s_(_co_m_p_l_e_t_e_d_1_1_;_2_/_9_8_) _. ---------- 8, Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8Y:z in. x 11 in., (2) 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 J FORM NIS-2 (Back) 9. Remarks------------------------------------------------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ aceroeot conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ -=-N-"'A"'---------------------------------- Certificate of Authorization No. NA Expiration Date ----~N=A~---------- Signed Q ./ ,/l "'L--7££ d;v(f.,,qtt£&'L Date __ /~?-;;4'-+-----, 19 fC 6wr£(;;~Designee, Title I 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 and I Co of Hartford, Ct. have/in};cted the components described / ;i... "") ~r; 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?'-~ W , ----~~>"'--~-~~~~~~~-------Commissions ______ ------'V_,a=....,_.___,8""8=3 __________ _ Inspector's Signature National Board, State, Province, and Endorsements Date __ __,/~~---1-/~7_19 f * *

  • 1. 2. 3. 4. Attachment 2 Page 26 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Owner Virginia Electric and Power Co. Date __ l_2_/_4_/_9_B

___________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet ___ l __ of ___ l __________ _ Address Plant Surry Power Station Unit __ O_n_e ________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00371542-02, RR#98-060 Address Repair Organization P.O. No., Job No., etc. Virginia Power Work Performed by NA Type Code Symbol Stamp ___________ _ Name Authorization No. ___ NA ____________ _ Same as above Expiration Date __ --'"""------------- Address Identification of System Main Steam 5. (a) Applicable Construction Code 83 1.1 19_5_5_ Edition,_N_A ______ Addenda, N-1 through N-1:Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 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) Tioga 3" Elbow Pipe Supply NA NA 1-MS-178 NA Replacement No Model # 3" Valve Enertech 3"-600 ANS: DRV-Z NA 1-MS-178 NA Replacement No Energy & 3" Elbow Process Corp. NA NA 1-MS-178 NA Replacement No J..J ......... ~*-3" Pipe Energy Service, NA NA 1-MS-178 NA Replacement No Dubose Nat. 3" Flange Energy Service, NA NA 1-MS-178 NA Replacement No Replace valve. Code Case N-416-applies (Completed 11/2/98).

7. Description of Work __________________________________________

_ 8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure I&] 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) 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) PO# CNT 575132. CNT 566425, CNT 550541, CNT 563042, 9. Remarks-~---------------------------------------------- Applicable Manufacturer's Data Reports to be attached CNT-576104 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement 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 Q;~r ~e, Ti-l""S:T b~qa,.1,,<f~ Date ___ ~/.~dt-+--+*------, 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 and I Co. of Hartford, Ct. have/i spe.9-tecifae components described in this Owner's Report during the period to / 1-/9 , and state that to the best of my knowledge and belief, the Owner has pe ormed 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. ,n -----ic....,, /"/1""""+-...,,,.Ld'~~ ~~-r__,.__. -..... -~ 1~ 77"~-.,.._L _ _., __ commissions _______ V_a_. _8_8_3 __________ _ National Board, State, Province, and Endorsements Date ___ --4-<o/..A"-+-/-+7 __ 19 9

  • *
  • 1. 2. 3. 4. Attachment 2 Page 27 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Owner Virginia Electric and Power Co. Date __ 1_2_/_4_/_9_B

___________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Plant Surry Power Station One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00371542-01, RR#98-061 Address Repair Organization P.O. No., Job No., etc. Virginia Power Work Performed by NA Type Code Symbol Stamp ___________ _ Name Authorization No. __ N_A ___________ _ Same as above Expiration Date __ ~~------------ Address Identification of System Main Steam 5. (a) Applicable Construction Code 83 1.1 19_5_5_Edition,_N_A ______ Addenda, N-1 through N-1:Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 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) 3/4 " Nuts Mackson, Inc. NA NA 1-MS-176 NA Replacement NO 3/4"Studs Mackson, Inc. NA NA 1-MS-176 NA Replacement No Model # 3" Valve Enertech 3"-600 ANSl DRV-Z NA 1-MS-176 NA Replacement No Energy & 3" Elbow Process Corp. NA NA 1-MS-176 NA Replacement No Duoose Nae. 3" Pipe Energy Services NA NA 1-MS-176 NA Replacement No Dubose Nat. 3" Flange Energy Services NA NA 1-MS-176 NA Replacement No Replace valve. Code Case N-416-applies (Completed 11/2/98).

7. Description of Work __________________________________________

_ 8, Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8Y:, in. x 11 in., (2) 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) Applicable Manufacturer's Data Reports to be attached CNT-563042, CNT-576104 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement 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_ J p :.,e,.. ¢_,,, f <:;,.T ~nMci'r ~es1gnee, 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 and I Co* of Hartford, Ct. havA&~ the components described //l.., 7. , 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. r), ----;<.-/7.,,,..""'t--,(~--~~ ....... '---.,__,"'~,,.-* -fr __ _____ Commissions _______ V_a_._8_8_3 __________ _ National Board, State, Province, and Endorsements Date ___ /,~°7--+--/--L-2_19 z<t: * *

  • *
  • Attachment 2 Page 28 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner ______________________

_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed by ________________ _ Name Same as above Address 12/15/98 Date ___________________ _ 1 1 Sheet _____ of _____________ _ One Unit __________________ _ W0#00389563-0l, RR#98-062 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Authorization No,-------------- Expiration Date ___ N_A ___________ _ 4. Identification of System ____ ch_a_r_g_i_n_g--------------------------------- B31 1 55 NA N-1 through N-13 5. (a) Applicable Construction Code

  • 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19, __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Trim Copes-Part #1327 Assemblv (Plug) Vulcan OMKD NA 1-CH-HCV-1186 NA Replacement No ' Replace valve stem. (Completed 10/3f98).
7. Description of

)1,'-, '"'"' 8, Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) 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 REPRINT 12/91 r FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ acerneot conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ 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 and I Co* of _______ H_a_r_t_. _f_o_r_d_,_C_t_. ______ -c::--,f-.,----,1==------have )nspe~ the components described in this Owner's Report during the period to /..2;/9 ~/7"t) , 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~'-c,,,--'-'%?~~'~--#'---/lr-

..... Au~~~---Commissions _____ v_a_._8_8_3 _______ _ -lnspe~s~ National Board, State, Province, and Endorsements Date ___ ~/~cJ-_,.,/_<9-_/_19 n .. * *

  • Attachment 2 Page 29 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Date _l_l~/_2_5_:/c..._9_8

___________ _ Name SOOD Dominion Blvd., Glen Allen, Va. 23060 Addre11 2. Plant Surry Power Station . N11me 5570 Hog Island Rd., Surry, Va. 23883 Addre11 3 W k P rf db Virginia Power . or e orme y ____ -----"e":""--------- Name Unit One W0#00364451-Dl, RR#98-063 Repair Orgenlz11tlon P.O. No., Job No., ate. Type Code Symbol Stamp ___ N_A _______ _ Authorization No. __ Expiration Date __ ~:.------------

4. Identification of System ___ '"'c"'-h=a=r=in~---------------------------------
  • 5. (a) Applicable Construction Code 83 1.1 19_s_s __ Edition,_N_A

______ Addenda, N-1 through N-1:Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19__.a"'9.___ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code Nah~niif Repaired, . Stamped Name of Name of Manufacturer Board Other Yaar Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Part# -*-~,... ... . **-' --"**' .,"l ....... ,.,. ,,. ., __ .... _---_...... " '" *--... .. -. 7. Description of Work_R::,.e=a:0.:i::.::r:....:vc::a:.:::l-"-v,,_e.;.. ______________________________ .:.._ ___ _ 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) Applicable Manufacturer's Data Reports.to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement 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~~ -JS::Z-~~gnae, Title Date ___ ~/_/~~~L.~$----,, 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State *or Province of Virginia and employed by HSBI and I Co. of _______ H_a_r_t_f_o_r_d_, __ C_t_. ---------,...----r-=---t-==,------have;, ir:is~! the components described in this Owner's Report during the period to l~L~LY._Q_ , 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?l(J.. , 1~ ----1-~~+-\~A-,---'-'-~_._----,_.. _________ Commissions _______ v_a_. __ 8_8_3 ___________ _ -nspector's Signature National Board, State, Province, and Endorsements Date __ ---+(-~-fr----+-7_19 % \ I * * *

  • *
  • 1. 2. Owner 5000 Plant Attachment 2 Page 30 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date __ l....:./_1_4....:./_9_9

___________ _ Name Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station Unit One Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00381710 RR#98-067 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by_v_i_r_g_in_i_a_Po_w_e_r ___________ _ Type Code Symbol Stamp ____ N_A _______ _ Name Same as above Authorization No. __ ....,N,,A"------------- Expiration Date ____ N_A ___________ _ Address Charging 4. Identification of System _________________________________________ _ B31.1 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components -ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Trim Copes-Ht. # Assembly (Plug) Vulcan 715571 NA 1-CH-FCV-1160 NA Replacemen No 7. Description of Work __ R_e_p_l_a_c_e_t_r_i_m_a_ss_e_mb_l_y _______________________________ _ 8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) 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) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this "'"Pl.o:emeata conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol StamP-----~~--------------------------------- Certificate of Authorization No. ---~i-----------Expiration Date----'--=------------ Signed() j> ff'£ C~(i ,:,vc't=-k.., Date-~L<.....;<&~d'------, 19 9f Owner or ~Designee, Title / T CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commissi~n issued by the National Board of Bo.iler and Pressure Vessel Inspectors and the State or Province of Vi rgi n i a and employed by HSBI and I Ca of Hartford Ct . .l)ave il:!S£ected the components described in this Owner's Report during the period to I jcl i:,-/'77' , 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. Ai?L~ ____ ___.CLLJ.-~_.Ld,_""'--"--~-'--:L...S..-"-'---------Commissions ______ .._,_....__,_"'"'--.,_ __________ _ Inspector's Signature National Board, State, Province, and Endorsements Date * **

  • *
  • 1. 2. 3. 4. Attachment-2 Page 31 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Owner Virginia Electric and Power Co. Date __ l~/'--1_1-'-/_9_9

___________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Sheet __ -=1'---_of __ __:1:..._ _________ _ Address Plant Surry Power Station Unit _ __:Oc.::n::.ce=------------------ Name 5570 Hog Island Rd., Sur:ry, Va. 23883 W0#00389658-0l, RR#98-084 Address Repair Organization P.O. No., Job No., etc. Work Performed by Virginia Power Type Code Symbol Stamp ____ N_A _______ _ Name Authorization No. __ ....,,.,,,_ __________ _ Same as above Expiration Date ____ N_A ___________ _ Address Identification of System Residual Heat Removal B31.1 55 NA N-1 through N-13 5. (al Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 89 __ 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) Studs & Nuts Mackson. Inc. NA NA 1-RH-11 NA Replacement No "'-7. Description of Work. _ __:R"-'e===l:..:a:..:c:..:e'--"fc::a:.=s..::t..::e:..:n.:ce=-r=-s-'-.

8. Tests Conducted:

Hydrostatic D Pneumatic D Nominal Operating Pressure 0 Other O Pressure ______ psi Test Temp. *o F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY:. in. x 11 in., (2) 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 j i ' *, ~* ?

  • FORM NIS-2 (Back) ------------~P~O..e#,._~B~N~T--'--"4""'6,_,7'-'6,-..5"-'0.,__+,( s..tud.~S...+)~,---'-C_.1,i...JT~~-

d-b~-C)...;;'----'~*'-'"'-+--------------------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this rs,.laesmsRt conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol StamP-----~~--------------------------------- Certificate of Authorization No. ___ ..,,_,a,._ __________ Expiration Date----'--=------------ Signed /7 .£ / '4:4,,L,,: ~ner or O~Designee, Title Date ___ ,._/,,_i...s.z.'I' ______ , 19 9 9'. 7 CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressure Yessel Inspectors and the State or Province of Virgin i a and employed by HSBI and I Co of Hartford Ct. ~v~ected the components described 9 , 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?. -----<=~-~"""""-"---'--,~-1-:-:+-+-"-':c.....=-------Commissions ______ .,__._...___,_Ll..L...,_ __________ _ Inspector's Signature National Board, State, Province, and Endorsements Date * * ' I. t' _L

  • Attachment 2 Page32 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address 2. Plant __

Name 5570 Hog Island Rd., Sur:ry, Va. 23883 Address 3. Work Performed by_v_i_r_g_i_n_i_a_Po_w_e_r ___________ _ Name Same as above Address Date __ l~/~l_l~/_9_9 ___________ _ Unit ---'0....:n..:.e..:.__ ________________ _ W0#00390395-01, RR#98-086 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ____ N_A _______ _ Authorization No.---"""------------- Expiration Date ____ N_A ___________ _ Safety Injection

4. Identification of System _________________________________________

_ B31.1 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, ________ Addenda, ________ Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 89 __ 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) Studs & Nuts Mackson. Inc. NA NA 1-SI-243 NA Replacemen No Serial # Disc Velan 6947 NA 1-SI-243 NA Replacemen No 7. Description of Work __ o_v_e_r_h_a_u_l_v_a_l_v_e_.

8. Tests Conducted:

Hydrostatic D Pneumatic D Nominal Operating Pressure D 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) 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) 1~--------------'"'-'"'--'--*NT=.4--9-2-385 (disc), BNT 467650 (nuts), CNT 567187 9. Remarks------------------------------------------------- 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::.,pbc;smsiat conforms to the rules of the ASME Code, Section XI. repair or replacement Type Cede Symbol Stamp _____ __..,_=---------------------------------- Certificate of Authorization No*---~~----------Expiration Date---~~----------- Signed Wt. j} .k'r' k Owner ~gnee, Title Date ___ ~l ..... tr~/.~'/~-----, 19 99 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 BSBI and I Co of Hartford Ct. h~e..,_i~pected the components described in this Owner's Report during the period to ///*99 , 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. ---+w-,~---7"~~n~ __ l_~~-~.,_~--------Commissions ______ ~~~~~----------- ~ct~ National Board, State, Province, and Endorsements Date * *

  • Attachment 2 Page33 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Ow Virginia Electric and Power Co. 1. ner ______________________

_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addreas Surry Power Station 2. Plant _____________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed by ________________ _ Name Same as above Address 12/15/98 Date ___________________ _ 1 1 Sheet__, ____ of _____________ _ One Unit-------------------- wo#00362345-ol, RR#98-087 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ NA Authorization N!>,--------------- Expiration Date __ ....;;.Nc.:A'-------------

4. Identification of System ____ sa_f_e_t_.y_I_n=-j e_c_t_i_o_n

____________________________ _ 5. (a) Applicable Construction Code B 3 l.l 19~Edition,_N_A ______ Addenda, N-l through N-13 Code Casa (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 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) Studs Mackson Inc. NA NA 1-SI-229 NA Replacement No Nova Nuts Machine Corp. NA NA 1-SI-229 NA Replacement No Replace fasteners. (Completed 11/2/98).

7. Description of Work-----------------------------------------
8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D OtherD Pressure _____ psi TestTemp. ______ °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 (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 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT 567187 (studs), SSY 419075 (nuts) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ areroent 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~---------- SignedQ ... r-/ /! '4,~,,,, ,:::Z:-52 b6,PU4: Date _ __,_/_..2__,....b....,,.r _____ , 19 Ow~~ Designee, Title 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 State or Province of Virginia and employed by HSBI and I Co. of Hartford, Ct. h~ in~ed the components described in this Owner's Report during the period to /.,:l.?'j~ -, 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. Date ___ /~¥"-+-',?~/_19f'.S::

  • *
  • Attachment 2 Page 34of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI . Virginia Electric and Power Co. 1. Owner ______________________

_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant _____________________ _ Name 5570 Hog Island Rd., Sur,:y, Va. 23883 Address Virginia Power 3. Work Performed Name Same as above Address 12/15/98 Date ___________________ _ 1 1 Sheet. _____ of------------~- One Unit-------------------- wo#00362346-o1, RR#98-088 Repair Organization P.O. No., Job No., ate. NA Type Code Symbol Sta'nf----------- Authorization No, ______________ _ Expiration Date ___ N_A ___________ _ 4. Identification of System ____ s_a_fe_t_y_r_n_j_e_ct_i_' o_n------------------------------ B31 1 55 NA N-1 through N-13 5. (al Applicable Construction Code

  • 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components

.. ' ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No, No, Identification Built or Replacement or Nol studs Mackson, . Inc . NA NA 1-SI~228 NA Replacement No Nova Nuts Machine Corp. NA NA 1-SI-228 NA Replacement No Replace fasteners. (Completed 11/2/98).

7. Description of Work-----------------------------------------
8. Tests Conducted:

Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (11 size is 8% In. x 11 in., (2) tion in items 1 through 6 on this report is in~luded 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 REPRINT 12/91 .I I FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this "ep,laeemcnt. conforms to the rules of the ASME Code, Section XI. repa r or replacement . Type Code Symbol Stamp _____ _,_.-=-------------------------------- Certificate of Authorization No. ---...uo.=----------- Expiration Date _______ .....,,__ _________ _ Signed /)_ i j) ~1k". fS°':C-~Q,ei1vcrt"d Date ___ /._',l..-+;;-'/'-.S--"'------, 19 ~tner or ~esignee, Title ' 9?" CERTIFICATE OF INSERVICE INSPECTION I, the undersigned, holding a valid commission issued by the National Board of Boiler and Pressur_e Vessel Inspectors and the State or Province of Virginia and employed by BSBI and I Ca of Hartford, Ct. have in,eecJe,l tlJI components described in this Owner's Report during the period to l',ijoZ (,ff 'b , 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.

r'--:

4}~""""'"-:-l-~-:........,.,_,~ ... ~"'c::'-. =--------Commissions _______ V~a~-~~8~8~3~----------- ~pector'sSign~ National Board, State, Province, and Endorsements

  • *
  • Attachment 2 Page 35 of77 Serial No.: 99-038 ,Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Ow Virginia Electric and Power Co. 1. ner -----------------------

Neme 5000 Dominion Blvd., Glen Allen, Va. 23060 Addreu Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Addr1111 Virginia Power 3. Work Performed Name eafet.y IUJ ecdotr s~at Af ,rJ{fey,f l Addreu Dete_l_l_/_2_4_/_9_8 ___________ _ 1 1 Sheet _____ of _____________ _ One Unit-------------------- wo#00365453-01, RR#98-089 Repair Organization P.O. No., Job No., ate. NA Type Code Symbol Stamp __________ _ Authorization No. __ NA ____________ _ Expiration Date __ -'NA=------------ ),/!.. 11/~tft -* 4. Identification of System ___ ~S1:a=a:::r~g:::i1'~11~S:,'.!!-9~:/"'.~"l'f"~11)!__.-d_ 1~N!.f.Z.Al'if~,!l.-'J2..lf"!:!!... ______________________ _ ; 5. (a) Applicable Construction Code_8_3_1_*_1 _____ 19_5_5 __ Edition,_NA _______ Addenda, N-l through N-1 1::ode Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19_8-'9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code .. . ' National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol Studs & Nuts Mackson, Inc. NA NA l-SI-147 NA Replacement No ,. 7. Description of Work Inspect/repair check valve. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D 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., (21 tion in items 1 through 6 on this report is included on each sheet, end (31 each sheet is numbered end the number of sheets is recorded et the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# BNT-476650 mar s--------------------------------------------- Appllcable Manufacturer's Data Reports to be attached . ' CERTIFICATE OF COMPLIANCE . We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol StamP-------------------------------------- Certificate of Authorization No. ____ N_A ___________ Expiration Date ____ N_A __________ _ Signed ([2 / . ::rs..r b{ivvEd Date /lb~ Owneror~?;rta;;ll"H, Title , 19 CERTIFICATE OF INSERVICE INSPECTION I, the undersigne~,,.holdjng p valid commission issued by the National Board of Boiler and dPressure Vessel Inspectors and the State . v1rg1n1a HSBI an I Co. or Province of and employed by of . Hartford, ct. haye i~cted the components described in th is Owner's Report during the period to /I'~ '1' 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 inspection. /?rJc:-) __ :-Tl""'_/ Va. 883 ----,~c....,4=~Ld.-..::L..1...** -~-"-.p...,~c.=-"'---------Commissions ______ ----,--------------- in~ National Board, State, Provines, and Endor11&ments Dat.,_e -----'-/~/,_/"'"",::;_y..____19 Z <ts' I *

  • Attachment 2 Page 36 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ___ ...::..-------:-:-------------

Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3 W k P rf d b Virginia Power . or e orme y __________________ _ Name Date_l_2_/_3_1_/_9_B __________ _ 1 1 Sheet _____ of _____________ _ One Unit--------------------- W0#00395654-0l, RR#98-091 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ Authorization No, __ N_A ____________ _ Expiration Date __ __,N,,,A~------------

4. Identification of System ___ ~R~e~a~c~t~o=r_C~o~occlcca=n~t

______________________________ _ 5. (a) Applicable Construction Code 53 1.1 19_5_5_Edition,_N_A ______ Addenda, N-l through N-1:Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 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) -* Edwards .. _ '**-'t7'~1 ... .-... "" Nll 1-RC-107 NA Reolacement No Energy & Ht. # D;ne Process Corn. 421377 NA 1-RC-107 NA Replacement No Energy & Ht. # Elbow Process Corp. RW NA 1-RC-107 NA. Replacement No Replace valve. Code Case N-416-1 applies. 7. Description of Work __________________________________________ _ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure @ Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SYa in. x 11 in., (2) 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 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT 575623 (elbow), CNT-487834 (pip@), 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CNT-571625 (valve) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ areroeot conforms to the rules of the ASME Code, Section XI.

  • repair or replacement Type Code Symbol Stamp _____ ~N=A~-----------------------------

---~N=A~----------Expiration Date ___ ~N=A~---------- -~L~~">'~---..c,J--1'+-/---, 19 qr 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 and I Co. of _______ H_a_r_t_f_o_r_d_,_C_t_. _______ ----,a,-b.--1.;;=sc=7'----hav.9' !~~~ed the components described in this Owner's Report during the period _______ -'~ ....... ~~-to l/.~L.77* , 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 examinatio*ns 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. __ _,_a_,,.<C...lc=* ... a""""' ....... -~+--++--"'--'"'---"'--""---------Commissions _______ V_a_. __ 8_8_3 ___________ _ ~1nspector'sSigna National Board, State, Province, and Endorsements Date

  • l 1,
1. 2. 3. Attachment 2 Page 37 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Owner Virginia Electric and Power Co. Date 12/1/98 Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Plant Surry Power Station Unit One N11me 5570 Hog Island Rd., Surry, Va. 23883 W0#00378715-02, RR#98-092 Addre11 Repair Organization P.O. No., Job No., etc. Work Performed by Virginia Power Type Code Symbol Stamp ___ N_A _______ _ N11me Authorization No. _ _e;:N!!Ac......

__________ _ Expiration Date __ -:.J.ill.------------

4. Identification of System ___ ~c=h=a=r=in~---------------------------------
5. (al Applicable Construction Code B 3 1.1 19~Edition,_NA

______ Addenda, N-1 through N-1:Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19*__,Sii.l9'--

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 Copes-9750-96330-1-CH-HCV-Valves Vulcan Tn,-. 1 -1 1-? IC. 1 -3 '" 1?0nh R <-C NA Renlacement No 1-CH-HCV-2" Pipe Hub, Inc. Ht. # 46188~ NA 1200A, B, & C NA Replacement No Energy & 1-CH-HCV-2" Pipe Process Corp. Ht. # 4313717 NA 1200A, B, & C Nl;, Replacement No *1. Description of Work Replace valve bodies. Code Case N-416-1 applies. 8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure 1XJ Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY.a in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030l may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) CNT-563957 (valves), CNT-487834 (pipe) CSY-321292

9. Remarks---------------------~--------------------------

Applicable Manufacturer's Data Reports to be attached i e CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ 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 and I Co. of Hartford, Ct. h~v~ insl}~tep the components described in this Owner's Report during the period to / CJC'S/~ , 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.~ C::::::-:,_ A , c'ff Va. 8 8 3 -----1~,---- ....... ,,....~ ..... -~~l-,.-~-~-------Commissions _____________________ _ National Board, State, Province, and Endorsements Date * *

  • Attachment 2 Page 38 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Date __ 1_2_/_4_/_9_8

___________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant __________ .....,.,,------------- Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed Name Same as above Address Sheet ___ 1 __ of ___ l ___________ _ One Unit--------------------- W0#00263047-0l, RR#98-093 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp ___________ _ Authorization No. __ N_A ____________ _ Expiration Date ___ ....,._ ___________ _ 4. Identification of System ____ M_a_i_n_st_e_a_m _________________________________ _ 5. (a) Applicable Construction Code 33 1.l 19~Edition,_N_A ______ Addenda, N-l through N*1:Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 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) Tioga 3" Pipe Pipe Supply NA NA 1-MS-196 NA Replacement No 3" Valve Crane C3946 NA 1-MS-196 NA Replacement No Replace valve. Code Case N-416-applies (Completed 11/20/98).

7. Description of Work __________________________________________

_ 8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) 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 q pipe) FORM NIS-2 (Back) CNT-438892 (valve) 9. Remarks--...----------------------------------------------- Appllcable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ 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 and I Co* of Hartford, Ct. hai ij~ the components described / P.. ~7 , 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.

r-7"'~--'-

... U~-~--~+-"--------Commissions _______ v_a_._8_8_3 __________ _ ~tor's~ National Board, State, Province, and Endorsements Date ___ ~/~(}_____,/~1 _19'('( * * *

  • *
  • Attachment 2 Page 39 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant __________

..,.,.. __________ _ Name 5570 Hog Island Rd., Sur,:y, Va. 23883 Address Virginia Power 3. Work Performed by ________ ..,.... ________ _ Name Same as above Address 1/4/99 Date ____________________ _ 1 1 Sheet _____ of _____________ One Unit--------------------- wo#00378715-01, RR#98-094 Repair Organization P.O. No., Job No,, etc. NA Type Code Symbol Stamp ___________ _ Authorization No. __ N_A ____________ _ Expiration Date __ ___:N:.::A:.:... ___________ _ 4. Identification of System ____ c_h_a_r=g_i_n=g-----------------------------------

5. (al Applicable Construction Code 33 1.l 19_5_5_Edition,_N_A

______ Addenda, N-l through N-13 Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol 1/4" Dubose. Nat. HT. # Pipe .,..,.c c:!ro.o.1 Rn*--* ~--* 662507 NA suooorts NA Replacement No 1/4" Consolidated Ht. # Pipe Tube Steel Power Suoolv A77174 NA supports NA Replacement No Consolidated Ht. # Pipe 1/2" Plate Power Supply C4286 NA Supports NA Replacement No 1/4" X 2" Consolidated Ht. # Pipe Flatbar Power Supply K8467 NA supports NA Replacemenl No 1/4" X 4" Consolidated Ht. # Pipe Flatbar Power Supply B54617 NA Supports NA Replacement No Fabricate supports.

7. Description of Work---------------------------------.,----------
8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (31 each sheet is numbered and the number of sheets is recorded at the top of this form. (12/821 This Form (E00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) ~~---~~-----~P~o~#11-----CbDwJ~T---a5~7~2~5~7~2:-------1(~t~uu:,,be-steel), CNT 564228 9. Remarks_------------------------------------------......,- Applicable Manufacturer's Data Reports to be attached CNT-5608 05 < J (2" pl a tel CNT-555935 (flatbar) CNT-546862 (flatbar) CERTIFICATE OF COMPLIANCE

  • We certify that the statements made in the report are correct and this repJ aceroeut 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'""------------ SignedW .£ / -...e,,,.d..-< fSh Owner or~ i:5'iislgnee, Title Date---1-/-)r...c.,if'--------, 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 and I Co. of Hartford, Ct. h7 :'.&!ected the components described / ,0 9 , 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 . . examinatii:ms 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;J;2_.,£.-+.>-4,,----~.....,,.__~,__,,'- .... "--------Commissions_--,-,---,----V_a--'-.--'8'--8'--'-3 __________ _ .Jnipe~ National Board, State, Province, and Endorsements

  • 1. 2. Owner 5000 Plant Attachment 2 Page 40 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date __ l-'-/_1_1....c./_9_9

___________ _ Name Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station Unit One Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00382372-0l, RR#98-097 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by_v_i_r_g_i_n_i_a_P_o_w_e_r ___________ _ Type Code Symbol Stamp ____ N_A _______ _ Name Authorization No. --~N=A~----------- Same as above Expiration Date ____ N_A ___________ _ Address Main Steam 4. Identification of System _________________________________________ _ B31.l 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 89 __ 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) Studs & Nuts Mackson. Inc. NA NA l-MS-PCV-102A NA Replacemen1 No Trim Set Part # (Plug) Fischer 17B6692X022 NA l-MS-PCV-102A NA Replacemen1 No 7, Description of Work __ R_e~p_l_a_c_e_t_r_im_s_e_t_. _________________________________ _ 8, Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D 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) 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) PO# CNT 556155 (p]ng), CNT 569504 (nuts) CNT 575958 9. Remarks------------------------------------------------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ aceroeot conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ _,,N,.,A--"------------------------------------ Certificate of Authorization No. ---~~----------Expiration Date---~~----------- Signed (2~ ;J g 4,c: X-~L Ow~r*;B"esignee, Title t' . / "°'4,n/6:~4.- Date---~1-,. 1 L.4--..,.,_/ ______ , 19~9_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 State or Province of Virginia and employed by HSBI and I Co of Hartford, Ct. 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. /?rJ Commissions Va. 883 --N-at_i_o_n-al_B_o_a~r~d~.~S-ta~t~e~, =P-ro_v_i_n_c-e,_a_n_d_E_n_d_o-rs_e_m_e_n_t_s_ Date * *

  • i
  • *
  • Attachment 2 Page41 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address 2. Plant_...cS=-u=r""r__.y

__ P=-.cco...c.wccec...cr=--"'S""t-'a"-t=-1cc.* Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_v_i_rcc.g_in_i_* Name Same as above Address Date_....:1::..,/....:1"--1"--/<--=-9-=--9 ___________ _ Sheet ___ l __ of ___ l __________ _ Unit_~O_n_e~---------------- W0#00382374-0l RR#98-098 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ____ N_A _______ _ Authorization No.--~~----------- Expiration Date ____ N_A ___________ _ Main Steam 4. Identification of System _________________________________________ _ B31.1 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 89 __ 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) Studs & Nuts Mackson. Inc. NA NA l-MS-PCV-102B NA Replacemen1 No Trim Set Part # (Plug) Fischer 17B6692X022 NA 1-MS-PCV-102B NA Replacemen 1 No " 7, Description of Work __ R_e_l_a_c_e_t_r_im_s_e_t_*---------------------------------- 8, Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY. in. x 11 in., (2) 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) PO# CNT 556155 (plng). CNT 569504 (rnits) CNT 575958 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ aceroeut conforms to the rules of the ASME Code, Section XI. re.pair or replacement Type Code Symbol Stamp _____ ~N~A.._ ______________________________ _ Certificate of Authorization No. ---~~----------Expiration Date ___ _.,...:.. __________ _ 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 and I Co of Hartford Ct. hi,it~;;, i'.}6~ected the components described in this Owner's Report during the period to tjl7Y7 , and state.that to the best of my knowledge and belief, the Owner has per ormed 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.

t~ /7-:r-"'='"o~--"~-,--:rc--,.

--* __ .... 1-;h. _____ '_commissions ______ V.,,_,_..._---"'"'"'"'"'-------------National Board, State, Province, and Endorsements Date I~ 19 9'7 --------~7,-...~--- ~>

  • ti* * *
  • Attachment 2 Page 42 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. owner Virginia Electric and Power Co. Date __ l_,/_6_,/'-'9'-'9

___________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address 2. Plant __ s_u_r'-'r~y~_P_o~w~e_r __ s_t_a_t_i_o_n _________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_v_i_r_g_i_n_i_a_P_o_w_e_r ___________ _ Name Same as above Address Unit _-..::0:..:n=e ________________ _ W0#00381884-0l, RR#9B-101 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ____ N_A ______ _ Authorization No. __ _w,_ __________ _ Expiration Date ____ N_A ___________ _ Reactor Coolant 4. Identification of System _________________________________________ _ B31.1 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19, __ 8_9 _ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs & Nuts Mackson. Inc. NA NA 1-RC-SV-1551A NA Replacemen No 7. Description of Work,_---'R=e~lccac..ccc...cec.......cfcc.acccs...ct...cec.cn_ecc.rc...s_.

8. Tests Conducted:

Hydrostatic D Pneumatic D 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) size is BY. in. x 11 in., (2) 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) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this .,-8 pho: 8 m 9"'t conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol StamP-----~~--------------------------------- ___ .ui..,,,_ __________ Expiration Date ___ ,....,_,=------------ Signed~~~""-'~goz.;;~~4"~-==-....L..eee::=:.......,=~,i!...:;=,:,c:;:;e.."'--- Date __ _.4,+L_.,.,_ _______ , 199)? 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 VirginiEl and employed by BSBI and I Co of Hartford Ct. haJ.:e, p,si:1ected the components described in this Owner's Report during the period to / /~? , 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.

+----7""---lcc=Q_q..---i1~~~-~~~--~----Commissions

______ ..,,_,_......___,_'--'-'-..._----------- ~s signature National Board, State, Province, and Endorsements Date ____ 1,,__/~?_19fz

  • Attachment 2 Page 43 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Date __ l--'-/_6'-'/--'9'--'9'-------------

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address 2. Plant_....;S=-u.=...cr~r~y~~P.c.o_w....;e~r"'-.c.S...ct....;a_tc..1_* .c.oc...n ________ _ Unit __ O_n_e _________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00381885-0l, RR#98-102 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by_v_i_r_g_in_ia_P_o_w_e_r ___________ _ Type Code Symbol Stamp ____ N_A _______ _ Name Authorization No.--~~----------- Same as above Expiration Date ____ N_A ___________ _ Address Reactor Coolant 4. Identification of System _________________________________________ _ B31.1 55 NA N-1 through N-13 5. (al Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 _ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs & Nuts Mackson. Inc. NA NA 1-RC-SV-1551B NA Replacemen No 7. Description of Work_---'R"'"'e'"""l'-'a'-'c'-'e'-=f-"a""s-'-t-'-en"'e;:.;r=cs::....:.....

8. Tests Conducted:

Hydrostatic D Pneumatic D Nominal Operating Pressure D Other O 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) 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) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this "e!!laeeme!'lis conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ _......._ ________________________________ _ Certificate of Authorization No. Expiration Date /~ Signe'42J~ .:Z::~ C~q,,~,;.4 Date __ _____..., 7.,_&._ _________ ,19 99 Own~r'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 Virginie and employed by HSBI and I Co of H r f rd Ct . hl}"e. ~ected the components described in this Owner's Report during the period to l 1/7pZ , 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.

Date ** * *

  • *
  • Attachment 2 Page 44 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address 2. Plant _ _.S"'""u"'r~r._y,,___.Pa..:o=w.,.e"'r~

.. S.,.t'""a""'t"""'i_,.o'-'-n..__ ________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed by_V_i_r=g_in_i_* a_P_o_w_e_r ___________ _ Name Same as above Address Date __ l=,...~6'--'--9~9~------------- Unit _ _,_'-'-n~----------------- WO#DD381886-D1 RP#98-103 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ___ ~N=A~------ Authorization No. __ .....,,._ __________ _ Expiration Date ____ N_A ___________ _ 4. Identification of System ____ R_e_a_c_t_o_r_c_o_o_l_a_n_t ______________________________ _ 5. (a) Applicable Construction Code 83 1.1 -19 __ 5_5_Edition, __ N_A ______ Addenda, N-l through N-lCode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 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) Studs & Nuts Mackson. Inc. NA NA 1-RC-SV-1551C NA Replacemen No 8. Tests Conducted: Hydrostatic O Pneumatic O Nominal Operating Pressure D Other O 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) 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) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this rei;,hsemeiat conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ ......._.::,._ ______________________________ _ Certificate of Authorization No. ___ ...... ,.,_ __________ Expiration Date ___ .......,-=----------- Signed /J_L._. ,I}_ -Ab f s.£"' ~4'-6 Date--~----, 19 P9 . 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 Virgj nj a and employed by HSBI and I Co of Hartford Ct. ha.Jc i'lpected the components described in this Owner's Report during the period to /,t"S,/P , 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 manrier for any personal injury or property damage or a loss of any kind arising from or connected with this inspection. 1/) . ./'/~LC"".::)_ ~Commissions __ --"-'-'----..u.u...,_ ___ _ ~or'~ National Board, State, Province, and Endorsements Dat .... e ___ "-____ l'__,/.__4,7 __ 19?2? I * **

  • Attachment 2 Page 45 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Date_l_2..;_/_2..;_/_9_8

___________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant ___ -=-------..,..,------------. Name Unit _O_n_e-----------,:-::=--:--r---r:=-- ()7 1iJrJ/'f'f" 5570 Hog Island Rd., Surry, Va. 23883 W0#00376326-.e-.!', RR#98-104 Addre11 Repair Organization P.O. No., Job No., etc. W k P rf d b Virginia Power 3. or e orme Y------------------ NA Type Code Symbol Stamp __________ _ Name Authorization No. _ _c.;NAc.:.... __________ _ Same as above Expiration Date __ _.._.__ __________ _ Addre11 4. Identification of System ___ ..:F..:e;.::e..::da.:.wa"'"t~e:;.:r=----------------------------------- 5, (a) Applicable Construction Code B 3 l. l 19_5_5 __ Edition,_N_A ______ Addenda, N-1 through N-1:t:ode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19__.a,_9.___

  • 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 Manu~acturer Serial No. No, Identification Built or Replacement or No) Energy & , .11.rr et *.* ~-----, .. ... " ---* ~---~ ... --,+-"~ . Energy &

  • ll.4" 120 Deqree Bend Process Coro. NA NA 4"-WFPD-13-601 NA Renlacement No Tioga Pipe 14" Pipe Supply NA NA 4"-WFPD-13-601 NA Replacement No -11 7. Description of Work Replace pipe. Code Case N-416-1 applies. 8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure 13] 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) 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 REPRINT 12/91 I FORM NIS-2 (Back) CNT-557531 (14" sweep & 120 degree bend) CNT-553709

9. Remarks------------------------------------------------

Applicable Manufacturer's Data Reports to be attached 14" i e CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement 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~---------- Date ___ ~/_2---+,4=~L~~---, 19 SignedW--~ P.,,,4---' f >.L c:..Svuuv&-ed Owner or() er's Deslgnee, 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 and I Co. of Hartford, Ct. havo/ insp~teg..-the components described in this Owner's Report during the period to !~L"6 , and state that 7 ( 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 ;ospectloo.~ Va. 883 Commissions _____________________ _ National Board, State, Province, and Endorsements Date /d-/ c£ 19 % -----~--,.(---

  • * *
  • * -* Attachment 2 Page46 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 2. Plant Surry Power Station Neme 5570 Hog Island Rd., Surry, Va. 23883 Addre11 3. Work Performed by_v_i_r_gi_*

n_i_* N11me Date_l_2..:.../_3..:.../_9_8 ___________ _ Unit _o_n_e ____ -r--r:-,:1------------. ?,.1,w* W0#0;65790-04, RR#98-105 Repair Org11nlz11tlon P.O. No., Job No., etc. Type Code Symbol Stamp ___ N_A _______ _ Authorization No. _ _=.;N;.;;A ___________ _ Expiration Date __ ....uA.------------

4. Identification of System ___ ~R=e=a=c=to=r~C=o=oc.=l=a""n=t-------------------------------

5, (al Applicable Construction Code B 3 1. i 19_5_5 __ Edition,_N_A ______ Addenda, N-1 through N-1:Code Case (bl Appliceble Edition of Section XI Utilized for Repairs or Replacements 19.__.9..,9.___

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 Part# ,_. . ., ... tn, -*--'1:7',,1 ., "" ---'" 1 T1,-._---_ .. A~, , .. n -.. --= 7. Description of Work Overhaul valve. (Completed 10/31/98).

8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D 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 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 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-576469

9. Remarks------------------------------------------------

Applicable Manufacturer's Date Reports to be attached l. CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement 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 _f ~.,< .:I.ST ¥wneror~r's Deslgnee, Title Date--~/.'-'~=-------, 19 ?JV 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 and I Co. of Hartford, Ct. hav/ins~cted the components described I rJ. "6 9'i(" and state that I 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. /--J(}~.-f-1 _ Va. 883 ----~~___,_.--,-_w ...... +-......,,_,..,...,,.._,~A/f/~-------Commissions _____________________ _ ~spector'sSlnature National Board, State, Province, end Endorsements

  • * *
  • Attachment 2 Page 47 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Date_1_2_/_1_/_9_8

___________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 P Surry Power Station 2. lant ___ -=-------------------- Unit _O_n_e ________________ _ N11me 5570 Hog Island Rd., Surry, Va. 23883 W0#00384333-0l, RR#98-106 Addresa Repair Organization P.O. No., Job No., etc. 3 W k P rf d b Virginia Power . or e orme Y---------,,-,---------- Neme NA Type Code Symbol Stamp ___________ _ Authorization No. --"'NA:;c_ ___________ _ Expiration Date __ -II'--------------

4. Identification of System ___ ..acR=e=a=ct=o=r~c=o~o=-l=an:.:.t=-------------------------------
5. (a) Applicable Construction Code B 3 1. i 19_5_5 __ Edition,_N_A

______ Addenda, N-1 through N-1:tode Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19__.a,._9.___

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) -... .. ... *----------*---.. -. ITT Eng. Drawing No. Bonnet u~1**--1 no co< ----,.. "n '-D'°-='-1 c, a> "' .... --,, _, --* ent No 7. Description of Work Replace operator/bonnet assembly.
8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure 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.>< 11 in., (2) 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 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-563390 (studs). B=-..--=._c;t.5,J_l_SL..)'-l../____µ,ll-U-J:>..J_-1--~u.-=_,,_,_.,__,,___.,_,_,_ ______________

1 Applicable Manufacturer's Data Reports to be attached (bonnet assembly)

CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair 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 and I Co* of Hartford, Ct. -----------------------::;;--cr.~----J-.=--;;,------have )nspp;.,ted the components described in this Owner's Report during the period----+--+~~+-+--b'---to /:Z./f,/t'?;': , 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. a.~-*,,~ Va. 883 /7( , a.~ Commissions _____________________ _ ~or~ National Board, State, Province, end Endorsements Date *

  • *
  • Attachment 2 Page48 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME.Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2.

Name 5570 Hog Island Rd., Surry, Va. 23883 Address 3. Work Performed Name Address Date __ 1_2_/_3_/_9_B ___________ _ Unit __ O_n_e _________________ _ W0#00391924-0l, RR#98-107 Repair Organization P.O. No., Job No., etc. Type Code Symbol Stamp ____ N_A _______ _ Authorization No. ___ NA ____________ _ Expiration Date ___ ..,., ___________ _ 4. Identification of System ___ ~R=e=s=i=du=a=l~H=e=a=t~R=e=m=o~v=a=l----------------------------

5. (a) Applicable Construction Code B31.1 19_5_5_ Edition,----'N""A'--

_____ Addenda, N-1 through N-1:Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19_......,. __ 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) Tioga 12" Flange Pipe Supply NA NA 12"-RH-19-602 NA Replacement No Energy & 12" Pipe Process Corp. NA NA 12 11-RH-19-602 NA Replacement No Tioga 3" Flange . Pipe Supply NA NA 12 11-RH-19-602 NA Replacement No Consolidated 3" Branch Power Supply NA NA 12 11-RH-19-602 NA Replacement No 3" Pipe Dubose Steel NA NA 12"-RH-19-602 NA Replacement No Radnor 12" Pipe Alloys, Inc. NA NA 12"-RH-19-602 NA Replacement No 7. Description of Work ______ R_e_p_l_a_c_e_p_ip_i_* n_g_._c_o_d_e_c_a_s_e_N_-4_1_6_-_a_P_P_l_i_e_s_(_co_m_p_l_e_t_e_d_1_1_/_5_/_9_8_)_. _________ _ 8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure Other D Pressure ______ psi Test Temp. ______ °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY. in. x 11 in., (2) 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) PO# CNT-567979. CNT 574JQ3, CNT 576661 CNT 575.Jli:Z, 9. Remarks-~---------------------------------------------- Applicable Manufacturer's Data Reports to be attached CSY-211480. CNT-576259 CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ aceroeot 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 ____ ,.,,...._ _________ _ Signed (2 £ ~4k _rr_-, Owner o~Designee, Title Date __ ,_,/ ?i=rJ__.,,_ _____ , 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 State or Province of Virginia and employed by HSBI and I Co of Hartford, Ct. have 0.spepec:l_,;fle components described in this Owner's Report during the period to /;;i..~i,?'6 , 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.

+--~-,IL--'":>"""--'=----'-'~-'-,/<--Jl-""-=--"------Commissions

______ ~V~a~*~8~8~3 __________ _ S~ National Board, State, Province, and Endorsements Date ___ __,_/..>e_~__,__/_~-=---19L<{' I * * *

  • *
  • Attachment 2 Page 49 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2.

Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed by ________________ _ Name Same as above Address 12/30/98 Date ___________________ _ 1 1 Sheet _____ of _____________ _ One Unit-------------------- W0#00377092-01, RR#9B-112 Repair Organization P.O. No., Job No., ate. NA Type Code Symbol Stamp __________ _ Authorization No. __ N_A ___________ _ Expiration Date __ __,_N'"'A'-------------

4. Identification of System ____ ch_a_r~g"--i_n_.g'----------------------------------
5. (al Applicable Construction Code B 3 1.i 19~Edition,_N_A

______ Addenda, N-l through N-lXode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 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 Dubose Nat. Ht. # p;l""I"" r'n11nl.: ............. o----"--.. 600562 NA 2"-CH-216-152 NA Renlacement No Cut and reinstall section of pipe. Code Case N-416-1 applies. 7. Description of Work ________________________________________ _ 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 'g] Other O Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is BY. in. x 11 in., (2) 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 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-576104 (couplings)

9. Remarks ____________________________________________

_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ arerneot 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_,,,Ac:..._ _________ _ Signed ;;} _/ ,/J._ ~'4-L :Z:9J c.~4~U-,. Date __ __,_,/A'""~c.-..l:2.e.._ ___ , 199L ~wn~r*s Dtrslgnee, 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 and I Co. of Hartford, Ct. h,6e£cted the components described 9 , 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""'--1-'!;7{)~__.C::,e-._*

'---+--"-A*-= W'--_A_ / ___ Commissions---,-,----,---,------V_a_._8_8_ 3 __________ _ National Board, State, Province, and Endorsements Date ______ ~l+-/~j, __ 19 f 9 * *

  • 1. 2. 3. 4. Owner SOOD Plant 5570 Attachment 2 Page 50 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date __ l~/_1_2_/_9_9

___________ _ Name Dominion Blvd., Glen Allen, Va. 23060 Sheet ___ l __ of ___ l __________ _ Address Surry Power Station Unit __ O_n_e _________________ _ Name Hog Island Rd., Surry, Va. 23883 WO#D0365785-0l, RR#97-122 Address Repair Organization P.O. No., Job No., etc. Work Performed by Virginia Power Type Code Symbol Stamp ____ N_A _______ _ Same as Identification of System Name above Address Containment Spray Authorization No. NA Expiration Date _______________ _ B31.1 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 89 __ 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) Nuts Mackson. Inc. NA NA 1-CS-MOV-101A NA Replacement No Posi-Seal Serial # Disc International 22462-0lA NA 1-CS-MOV-101A NA Replacement No 7, Description of Work __ o_v_e_r_h_a_u_l_v_a_l_v_e_. __________________________________ _ 8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) 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) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE

We certify that the statements made in the report are correct and this rsp1a.ie,.

8 R1; conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ ....,-=---------------------------------- Certificate of Authorization No. ___ ...,..c,_ __________ Expiration Date---~~----------- Signed /l. / e4,,£<' .;n:z--£<<?/P"'-~~4 Des,gnee, Title Date ___ ,_,¢~z..~----, 19~9'.~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 and I Co of Hartford Ct. ha9 ins~cted the components described in th is Owner's Report during the period to tjleil,/'9 9 , 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<-t"""'Q~_._,_~_,_---~~""'------Commissions

______ ~~~~~----------- ~tor~ National Board, State, Province, and Endorsements Date'---.<.-r~o;~t7"-_19 z?z * * *

  • Attachment 2 Page 51 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 AddreH 2. Plant Surry Power Station Name 5570 Hog Island Rd., Surry, Va. 23883 Addre11 3 W k P rf d b Virginia Power . or e orme Name Date _1_2....c./_2....c./_9_8

___________ _ Sheet __ l ___ of __ l ___________ _ Unit One W0#00386708-05, RR#98-131 Repair Organization P.O. No., Job No., ate. NA Type Code Symbol Stamp ___________ _ Authorization No. _ _:;.;N;;.:A'------------- Expiration Date __ _.... ___________ _ 4. Identification of System ___ -"R"'e""a""c""to=-r"--'C""o"'o"'l.,.a...._nt"------------------------------ 5, (al Applicable Construction Code B31.1 19~Edition,_N_A ______ Addenda, N-1 through N-1:Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19__,=---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'h---*-*-'1 .. . , '" '" _nr1_T">_ .. T"> '" *n *--.,_ 7. Description of Work..=Re=a""i""r'--"t:e.:h.::.erm=o"-'w""'e""l""l'-".---------------------------------

8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D 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., (2l 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 REPRINT 12/91 FORM NIS-2 (Back) None 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repair 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---f;~~IA:~~~:-tf:4-<~===,:-:-"'~:___~~J£J.U~=.~!l-'---Date ___ ~/_2..--"7'4~~~~----, 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 and I Co. of Hartford, Ct. h . d h d 'b d --------------------------,~-=---1:r=---- 1a~ :?=e t e components escn e in this Owner's Report during the period _____ __.c:.....,::.+I.L:..---'=cµ.--"',..._to / ~da 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 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.

fae--?l...;~"'-"--'L.r+c-"--'--------Commissions

_______ V_a_. _B_B_3 __________ _ Inspector's Signature National Board, State, Province, and Endorsements Date. ___ _____,_/_..2.---t/_<r;=* _19 zr:: *

  • Attachment 2 Page 52 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Ow Virginia Electric and Power Co. 1. ner -----------------------

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant----------,,.,------------ Name 5570 Hog Island Rd., SurJCY, Va. 23883 Addra11 Virginia Power 3. Work Performed by ________________ _ Name @en'ea!.1NG1a1it sgzay Addra11 Date_1_1_/_2_s_/_9_B ___________ _ One Unit-------------------- W0#00381746-0l, RR#98-132 Repelr Organization P.O. No., Job No., ate. NA Type Code Symbol Stamp __________ _ Authorization No. __ N_A ___________ _ Expiration Date ___ N.,A...__ __________ _ }1,,it,,/uhr

4. Identification of System ____ e_h_u_z;::.g_it-=*9'c.-_a,=,,r'~Z:.c.'2ie,f;.,~"'*""'"'tf

... ee:.:..l""_.:::>>Lt'.:::~~"9",Yi<------------------------

5. (al Applicable Construction Code 831" 1 19....::_Edition,_NA

_______ Addenda, N-l through N-ltode Cesa (bl Applicable Edition of Section XI Utilized for Repeirs or Replacements 19__:8:.:9;.___

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) order# Studs Velan P?-753'15-u" >Jn , _,...,_, 07 .,~ Renlacement No 7, Description of Work Inspect check valve. 8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be usad, provided (1) size is 8% in. x 11 in., (2) tion -in items 1 through 6 on this report is included on aach 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 REPRINT 12/91 J FORM NIS-2 (Back) PO# SY-343872

9. Remarks_--------------------------------------------

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPL.:IANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement NA Type Code Symbol StamP-------------------------------------- Certificate of Authorization No. NA Expiration Date ____ N_A __________ _ Signed~t: ~_TS'~ &6.,Pd'&/oate __ /.--'-t,'~........c.z.'-.s' ____ , 19 ")tf" Owner or Owner's D~e, Tltle ' CERTIFICATE OF INSERVICE INSPECTION I, the undersigne.d.,,,holdjng !I valid commission issued by the National Board of Boiler and Preuur11. Vessel Inspectors and the State v1rg1n1a HSBI and i co. or Province of and employed by of Hartford, Ct. have j.n,sp_lcted the components described in this Owner's Report during the period to /..L,L7!Yft' _ , 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 inspectio~/7t ----.,~=-""--'-.,.._~ ...... ~-~----~---------Commissions ____________________ _ Inspector's Signature Va. 883 National Board, State, Province, and Endorsements Date, ___ .£.../_~-f!~'l'-----19 ? g' . I, I *

  • *
  • Attachment 2 Page 53 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 0 Virginia Electric and Power Co. 1, wner __________

-:-:------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed by _________________ _ Name Same as above Address 12/4/98 Date ____________________ _ 1 1 Sheet _____ of _____________ One Unit--------------------- W0#00399355-01, RR#98-133 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp ___________ _ Authorization No. ___ NA ____________ _ Expiration Date __ ~N=A~------------

4. Identification of System ____ F_e_e_dw_*a_t_e_r

_________________________________ _ 5, (al Applicable Construction Code 53 1.1 19_5_5_Edition,_N_A ______ Addenda, N-1 through N~1:Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 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) . ~;* Consolidated 1-WFPD-HSS-15 & ~¥~* 6" Pipe Power Supply Ht # X6265E NA 1-WFPD-HSS-16 NA Replacement No Consolidated 1-WFPD-HSS-15 & 1/2" Plate Power Supply Ht # C4286 NA 1-WFPD-HSS-16 NA Replacement No Install trunnion. (Completed 11/13/98).

7. Description of Work __________________________________________

_ 8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. *o F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 8% in. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, and (3) 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) CNT-468417 6" i e CNT-56080 1 2" late 9. Remarks-~---------------------------------------------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI.

  • repair or replacement Type Code Symbol Stamp ______ N_A ______________________________

_ Certificate of Authorization No. ___ .........;N...cAc.::..... __________ Expiration Date _____ N_A __________ _ Signed Ci * / p <,4/ , ..Z: S Z:: ¥wnk~ Designee, Title L J/q t,~ Date __ __,_~-=2-.......,__, 1 ,_;¥-+----, 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 and I Co* of Hartford, Ct. in this Owner's Report during the period ______ ~/.~'/)~/-~_* _,z'~--to hav/ i~cted the components described / ;i. 7~ 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-:7"'_-U_~-'-~r--~.,,* ________ Commissions

_______ V_a_._8_8_3 __________ _ Inspector's Signature National Board, State, Province, and Endorsements Date /Jl-/? 197'z;' ------~---17-~--

  • *
  • 1. 2. Owner 5000 Plant Attachment 2 Page 54 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date __ l....:./_1_3-'/'--9_9

___________ _ Name Dominion Blvd., Glen Allen, Va. 23060 Sheet ___ l __ of ___ l __________ _ Address Surry Power Station Unit One Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00380019-03, RR#98-134 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by_v_i_r_g_in_i_* a_P_o_w_e_r ___________ _ Type Code Symbol Stamp ____ N_A _______ _ Name Authorization .I\Jo. --~N=A~----------- Same as above Expiration Date ____ N_A ___________ _ Address Reactor Coolant 4. Identification of System _________________________________________ _ B31.1 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Astro Nuclear Bolts Dynamics NA NA 1-RC-E-lB NA Replacement No 7. Description of Work __ R_e_p_l_a_c_e_se_c_o_n_d_a_ry __ m_a_n_w_a_y_bo_lt_s_.

8. Tests Conducted:

Hydrostatic D Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is 811:. in. x 11 in., (2) 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) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that*the statements made in the report are correct and this rel"laeemeHs

  • conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol StamP-----~~-------------------------------

Certificate of Authorization No. ---~~----------Expiration Date---~~----------- Signed ()~~ U..Z-Vt;i,&1U£c Date __ /,,,_&_? _____ , 19 99

  • Owner o~r'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 Vj rgj n j s and employed by HSBI and I Co of Hartford Ct. hi)e ~ected the components described in this Owner's Report during the period to I~ 7 {Z7' , 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-&-,..,;,...-""-"'---'~'---.~....,__..,,_..c.~.=_;;__

_____ commissions ____ --,--~~~~~----------- lnspector'sSlgnatu~ National Board, State, Province, and Endorsements Date ,/12 19 77

  • 1. 2. Owner 5000 Plant Attachment 2 Page 55 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. Date __ l--'/_1_3-'---/_9_9

___________ _ Name Dominion Blvd., Glen Allen, Va. 23060 Sheet __ -=l __ of __ --=1=------------ Address Surry Power Station Unit One Name 5570 Hog Island Rd., Sur,:y, Va. 23883 W0#00399484-0l, RR#98-135 Address Repair Organization P.O. No., Job No., etc. 3. Work Performed by_v_i_r_g_i_n_i_a_P_o_w_e_r ___________ _ Type Code Symbol Stamp ____ N_A ______ _ Name Authorization No.----"""------------ Same as above Expiration Date ____ N_A ___________ _ Address Charging 4. Identification of System--,----------------------------------------- B31.l 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9_ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) Studs & Nuts Mackson, Inc. NA NA l-CH-HCV-1310A NA Replacement No Trim Copes-Ht. # Assembly (Plug) Vulcan 62348 NA l-CH-HCV-1310A NA Replacemen No 7. Description of Work __ o_v_e_r_h_a_u_l_v_a_l_v_e_.

8, Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D 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) 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) 1------~~-~--~P~O~#'!...___CC~N~T-=---~5~7~3~3~5~3-'~n~u~t=s'--'---------'C=N~T~-~5~7~5=8=8~9~~n=u=t=s~~-SY-175881 9, Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached (trim assembly) CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this rep) acement 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 Q,t p 44£ rs.:z-Catt;,ll/EL4,, Date ___ '---,/,__6J_.,,_.,,.,___ _____ , 19 99 Owner o~Designee, Title 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 State or Province of Virginia and employed by HSBI and I Co, of Hartford, Ct . half. insw,:,t;d the components described in this Owner's Report during the period /0 3D to 7.ilf'FL , 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. /7 fl, (. ~mmissions _____ V.c....:::;;a.:..*.......::8--=8--=3'----------- ~-,:.,.Signature National Board, State, Province, and Endorsements Date ____ i,,___,//~f_19 7/ I

  • Attachment 2 Page56 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant ___ ...;;... ______ -=-:------------

N11me 5570 Hog Island Rd., Surry, Va. 23883 Addre11 W k P rf db Virginia Power 3. or e orme Y--------,...,....--------- N11me Same as above Addre11 Date_1_2....;./_1....;./_9_B_.:_*

Unit _O_n_e _______ ---'--------- W0#00362350-03, RR#98-138 Repair Org11nlz11tlon P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ Authorization No. __ NA ___________ _ Expiration Date __ -"""------------

4. Identification of System ___ -'s""a""f:..:ec:t.,___"'In"-'-'*

e:.:c:..:tc:i""o,.,n_.

5. (a) Applicable Construction Code B 3 1.1 19_5_5 __ Edition,_N_A

______ Addenda, N-l through N-1:Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19__.s~g,___

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 C.omponent Manufacturer Serial No. No. Identification Built or Replacement or No) Figure# ,,_, .. _ .. ---VS,-~<< ,D_< M~ ,,. < -"T_nc ,,. --,..,. ..... ,---lJn 7. Description of Work Replace valve. Code Case N-416-1 applies. 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure~ 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) 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 REPRINT 12/91 J FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair 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 and I Co* of Hartford, Ct. have )n2r the components described 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 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-CJ-....,.., 7 1--+-/J----"'"7F-+-C--::-+

...... ....,. -'""'" ;-1;{ __ P--' _____ Commissions _______ v_a_. __ 8_8_3 ___________ _ National Board, State, Province, and Endorsements Date / a--/q 19ri ------~--+.~----

  • Attachment 2 Page 57 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner ______________________

_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant----------.,...,....----------- Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed by _________________ _ Name Same as above Address 12/15/98 Date ___________________ _ 1 1 Sheet _____ of _____________ _ One Unit __________________ _ W0#00384251-02, RR#98-140 Repair Organization P.O. No., Job No., etc. NA Type Coda Symbol Authorization No.-------------- Expiration Date ___ N_A ___________ _ 4. Identification of System ____ R_e_l_i_* e_f_v_a_l_ve------------------------------- B31.1 55 NA N-1 through N-13 5. (a) Applicable Construction Coda 19 ___ Edition, _______ Addanda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) N72390-Relief Valve Crosby 00-0003 NA 1-CH-RV-1203 NA Replacement No ' Replace relief valve. (Completed 11/3/98).

7. Description of Work ________________________________________

_ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure lg) Other D Pressure ______ psi Test Temp, ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# SY-09865 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ Certificate of Authorization No. ----'N'""'"Ac..... __________ Expiration Date ____ N_A __________ _ SignedCJ.t j) ~&'. :rs.:z:-owner lfg;er's Deslgnee, Title Date--~~-1o<-b~-+?-----, 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 and I Co* of Hartford, Ct. h

  • t d th t d 'b d ---------------------;-r---t-=-::;;,,.....------::

la'?! m~ec e e componen s escn e in this Owner's Report during the period ____ ,___-,...~____.,,,_ ___ to /~t!z{,{!Z_ S , 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. /J(d~Commissions ___ Va_. 8_83 ___ _ Signature National Board, State, Province, and Endorsements Date __ -----'--/_P---F-i_c?-_,__/ _19 ? L 7

  • Attachment 2 Page 58 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner-----------------------

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plan~---------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed by ________________ _ Name Same as above Address 12/15/98 Date ___________________ _ 1 1 Sheet _____ of-------------'-~ One Unit-------------------- wo#00399726-ol, RR#98-143 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Authorization No.--------------- Expiration Date ___ N_A ___________ _ 4. Identification of System ____ F_e_e_d_w_a_t_er--------------------------------- B31.1 55 NA N-1 through N-13 5. (a) Applicable Construction Code 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components -. . ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or No) .. 5/8" NA Replacement No studs & Nuts Mackson, Inc. NA NA 1-FW-61 Replace fasteners. {Completed 11/3/98).

7. Description of Work ________________________________________

_ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D 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) 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 REPRINT 12/91 FORM NIS-2 (Back) nuts Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ aceroeut conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ ---=cN=-A=---------------------------------- Certificate of Authorization No. ___ ~N=A~----------Expiration Date ___ ~N=A~----------- Signed <f2n~~gn!'~"f /A(i,vcU& Date __ ~/.~:l.=7+1~£~-----, 19 9,C 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 and I Co. of _______ H_a_r_t_f_o_r_d_, __ C_t_. -------:-:--cr/--r=--==-----have )nspe9ted the components described in this Owner's Report during the period // /7 / 9R"" to ~/?-,;:ffZ:: , 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. VJ . , 77' ---~ /"/ __ Cd,,{.d___/~4----"-~-,1<-~I'-,....._.

'>~ .,,'/f./ __ ____ commissions

_______ V_a_._8_8_3 ___________ _ National Board, State, Province, and Endorsements Date * *

  • Attachment 2 Page 59 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI _ 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant ___ ..;;;... _________________

_ . Name 5570 Hog Island Rd., Surry, Va. 23883 Addre11 W k P rf d b Virginia Power 3. or e orme V--------,.,.---------- Name Same as above Addre11 Date_l_2_/_l_/_9_B ___________ _ Unit _O_n_e ________________ _ W0#00399729-0l, RR#98-144 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stemp ___________ _ Authorization No. __ N_A ____________ _ Expiration Date __ ~~-----------

4. Identification of System ___ ""'M""a""i""n'-=st""e"'a"'m"---------------------------------
5. (al Applicable Construction Code 53 1.i 19_5_5 __ Edition,_N_A

______ Addenda, N-l through N-1:tode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19__.e~9'---

6. Identification of Components Repaired or Replaced and Replacement Components

', ASME Code National Repl!ired,

  • Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No. Identification Built or Replacement or Nol .... .a.. * ...::1-r. ?I.T,~+-""'

M~~tr---~--"n ,,n 1 -1'W-~~ "n T"I-., ""--* ... -7. Description of Work Replace cap fasteners.

8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings mav be used, provided (1 I size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form (E00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-578078 (studs)

  • CNT-569504 (nllts) 9. Remarks------------------------------------------------

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A _______________________________ _ ____ N_A ___________ Expiration Date ____ N_A ___________ _ Signe~L;:J/..4;:,J[a;~~~:::_-~-,------------Date_~/_'2..._;{~------, 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 State or Province of Virginia and employed by HSBI and I Co* of ------------------------+---,.,,,_,-=-~----- ave JDSP~te t e components escn Hartford, Ct. h

  • h d "bed in this Owner's Report during the period // to /~/9,/Y , 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 iii 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.

701~ ---1-/7(....,..C-{---,VP,C....~~~....,..__,L...,< __________ commissions _______ v_a_. __ 8_8_3 ___________ _ GVi,;;pector's Signature National Board, State, Province, and Endorsements Date __ ~/ rry...._,/~~'.?_19?'6'

  • * *
  • Attachment 2 Page 60 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 Surry Power Station 2. Plant ______________________

_ Name 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed by ________________ _ Name Same as above Addre11 Date_l_l....:./_2_5....:./_9_8 ___________ _ Unit _o_n_e ________________ _ W0#00399072-01, RR#98-145 Aepalr Organlz11tlon P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ Authorization No. __ NA ___________ _ Expiration Date __ -"""------------

4. Identification of System ____ R_e_a_c_to_r_c_o_o.;;;;l.c.caccn.c..t

_____________________________ _ 5. (al Applicable Construction Code 831*1 19_5_5 __ Edition,_N_A ______ Addenda, N-l through N-ltode Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19__,s.._,9'---

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 Part# o~lt-~ ,. . ., __ ... .: --\..-.. .., ... e:::c:.1 .............. .,., .. 1 ,n , _o,.._,,_,,.. "" 0--1---"-7. Description of Work Replace handhole gasket. 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (21 tion in items 1 through 6 on this report is included on each sheet, and (3) each sheet is numbered and the number of sheets is recorded at the top of this form . (12/82) This Form IE00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N. Y. 10017 REPRINT 12/91 ' C, *J ;./** . *,' ,. ' ~* .. : .... , .: . -* FORM NIS-2 (Back) PO# SNT 392192 9. Remarks Applicable Manufacturer's Data Reports to be attached I CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp NA Certificate of Authorization No. NA Expiration Date NA Signed r:il-i~ _I~t LC..v~c_1,1~<' Date // /2,,,,s:-,19Pr:

  • Owner or ~ee, Title CERTIFICATE OF INSERVICE INSPECTION I, the undersigne-{y holding a valid commission issued by the National Board of Boiler and Pressure Vessel Inspectors and the State . irginia HSBI and I Co. or Province of and employed by of HarUora:, CE. have;n,cted the components described 11/6/9'b in this Owner's Report during the period to / ~' 0 y' 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 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.

<:£6.~ Va. 883 Commissions National Board, State, Province, and Endorsements Date L~L~ 19 rr:t I * ',-I:

  • Attachment 2 Page 61 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 0 Virginia Electric and Power Co. 1. wner ----------:-,-------------

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant----------,,..,..------------ Neme 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed by _________________ _ Name Same as above Address 12/15/98 Date __________________ _ 1 One Unit-------------------- W0#00384505-0l, RR#98-146 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ NA Authorization No.-------------- Expiration Date ___ N_A ___________ _ 4. Identification of System ____ B_l_o_w_d_o_wn ________________________________ _ 5. (a) Applicable Construction Code 831 '1 19_5_5_ Edition,_N_A ______ Addenda, N-l through N-13 Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 B9 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) Anchor/ Snubber Darlincr 1117 NA 1-BD-MSS-10 NA Replacement No Replace snubber. (Completed 11.(;'98).

7. Description of Work ________________________________________

_ 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp, °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) 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 REPRINT 12/91 FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ areroent conforms to the rules of the ASME Code, Section x I. repair or replacement Type Code Symbol Stamp _____ ~N=A~----------------------------~

"'"""-----------Expiration Date ___ ___.N"'A...._

_________ _ Signel;Lil"4---M~~~~~~---,,.~~~---"~~~~~:'...---Date ___ ~/~=-,,-~'J ____ , 19 'J'r 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 and I Co. of Hartford, Ct. ----* .~av,1-ins1.ected the components described in this Owner's Report during the period I I to / ~ff~ , 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. "'--/--/ ----r-/7'--=-=-... ~--~-'--~--~~-----Commissions _______ V_a_. __ 8_8_3 ___________ _ National Board, State, Province, and Endorsements Date __ -----$-/-=-cG)..-1-&'--"'cP::._:_/ _19 7' 15 7 * *

  • Attachment 2 Page 62 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 12/15/98 0 Virginia Electric and Power Co. 1. wner -----------------------

Date ___________________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant ______________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed Name Same as above Address One Unit-------------------- W0#00384511-01, RR#98-147 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ NA Authorization No,-------------- Expiration Date ___ N_A ___________ _ 4. Identification of System ____ R_e_a_c_t_o_r_c_o_o_l_a_n_t _____________________________ _ B31 1 55 NA N-1 through N-13 5. (al Applicable Construction Code

  • 19 ___ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 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 Anchor/ Snubber Darling 1383 NA 1-RC-MSS-lOC NA Replacement No Replace snubber. (Completed 11/6/98).
7. Description of Work ________________________________________

_ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is SY. in. x 11 in., (21 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 (E00030I may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) /'0:11: s:BY=-3_:ll.9..'.Z2_ _________________________ _ f--------~9c--.-----=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 repJ aceroent conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ ---=cNc::.A=--------------------------------- Certificate of Authorization No. -----'N=A=------------- Expiration Date ------'N'-"A=-=------------ Signe,Q_ s!,_ / '.L.--IJ'f ~61ve&4 Date __ --'-/=-~--'--~-~J"-------,19 9Y Ow~nee, 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 and I Co. of Hartford, Ct. have i9spec~ the components described in this Owner's Report during the period II to /~0,'.?Y'.8"." , 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. V) ---*-1*-**/A_,:;;,,""=::;;;,~---~~'--=~,..,..-,...--,-~*~~~---Commissions _______ v---,--a...,.,-----B-B_ 3 ___________ _ National Board, State, Province, and Endorsements Date, ___ .L.../.-'--cP----,<~'---cfl--"---/-19 '7 'b 7 * *

  • 1. 2. 3. 4. Attachment 2 Page 63 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Owner Virginia Electric and Power Co. 12/4/98 Date ___________________

_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 1 1 Sheet _____ of _____________ _ Address Plant Surry Power Station One Unit-------------------- Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00381846-0l, RR#98-150 Address Repair Organization P.O. No., Job No., etc. Virginia Power Work Performed by NA Type Code Symbol Stamp ___________ _ Name Authorization No. __ N_A ____________ _ Same as above Expiration Date __ ~N=A~------------ Address Identification of System Main Steam 5. (a) Applicable Construction Code 831

  • 1 19_5_5_ Edition,_N_A

______ Addenda, N-l through N-1:Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 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) Studs Mackson, Inc. NA NA 1-MS-SV-lOlA NA Replacement No Nuts Mackson, Inc. NA NA 1-MS-SV-lOlA NA Replacement No Replace fasteners. (Completed 11/14/98).

7. Description of Work __________________________________________

_ 8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY:. in. x 11 in., (2) 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 BNT-467064 (1 1 4" nuts FORM NIS-2 (Back) CNT-575889 1 1 4" s 9. Remarks-~-----------------------------------------------

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement 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 -~ -e.,.,,~,,, f S :C o/wner or ~s Des1gnee, Title Date--~L=~Cj'------;,__* ---, 19 f?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 employed by HSBI and I Co* of Hartford, Ct. hz ffected the components described / .;z. 7 7*cg; 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. /""?{l,~ ~iss s . Va. 883 ~r's Signature

___ Comm~-N-at_i_o_n-al_B_o_a_r_d_,_S_t-at_e_,-P-ro_v_i_n_c-e,-a-n_d_E_n_d_o_rs_e_m_e_n_t_s_

Date ___ ~/_dJ..----i,/~7---19 9C *

  • *
  • 1. 2. 3. 4. Attachment 2 Page 64 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Owner Virginia Electric and Power Co. Date __ 1_2_/_4_/_9_B

___________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Plant Surry Power Station Unit __ O_n_e _________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 W0#00397914-0l, RR#98-151 Address Repair Organization P.O. No., Job No., etc. Work Performed by Virginia Power NA Type Code Symbol Stamp ___________ _ Name Authorization No. __ N_A ____________ _ Same as above Expiration Date ___ ~------------ Address Identification of System Main Steam 5. (a) Applicable Construction Code B31.1 19~Edition,_N_A ______ Addenda, N-1 through N-1::Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 99 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) Studs Mackson, Inc. NA NA 1-MS-SV-101B NA Replacement No Nuts Mackson, Inc. NA NA 1-MS-SV-101B NA Replacement No Replace fasteners. (Completed 11/14/98).

7. Description of Work __________________________________________

_ 8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D 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) 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) BNT-467064 (1 1/4" nuts). Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement 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 () £ ;) -, .:z: 5"..Z.-~~6<<Jc/4 Date __ _./'--"Z..."',,f--'~----, 19 9L Owner or ~nee, Title I...¥-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 and I Co* of Hartford, Ct. in this Owner's Report during the period _______ l'_l-+-__ /_l ___ to hav/ in~ctKthe components described / t,... 7'9 and state that I I 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--

~~4-....,."4---'~.____,,_-+-+-"'-"""--=-----'*----Commissions _______ V_a_._8_8_3 __________ _ b-,~.~ National Board, State, Province, and Endorsements Date ____ ...,_/....::~----1/_7_,__19 I * * *

  • Attachment 2 Page 65 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner ______________________

_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant __________ ,_ _________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address . Virgiriia Power 3. Work Performed by ________________ _ Name Same as above Address 12/15/98 Date __________________ _ 1 1 Sheet _____ of ____________ ...;.._ . One Unit __________________ _ W0#0038184B-Ol, RR#98-152 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Sta'IJ.f---------- Authorlzation No, ______________ _ Expiration Date ___ N_A ___________ _ 4. Identification of System ____ M_a_i_n_s_t_e_am-------------------------------- 531 1 55 NA N-1 through N-13 5. (al Applicable Construction Code

  • 19 ___ Edition, _______ Addende, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components
  • .-. ' .. ... .. ,.-.' .. '. ASME Code National Repaired, Stamped Name of *Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, Identification Built .or Replacement or No) 1 1/4" NA Replacement No Studs & Nuts Mackson, Inc. NA NA 1-MS-SV-lOlC f Replace fasteners. (Completed 11/14/98).

7, Description of Work----------------------------------------- 8, Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psl Test Temp. ° F NOTE: Supplemental sheets 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 obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 FORM NIS-2 (Back) BNT-467064 (nuts), CNT-575889 (studs) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement 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<i]£cJJ '/ ::Z::S£ .kv&,~ Date_---'.,;.:;'-=~-F---'-'/b"-----,, 19 9Y Owner~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 and I Co* of Hartford, Ct. h . d h d "b d --------------------------f---,---J-.,=;-::::,,---- az m~ctee!___J e components escn e in this Owner's Report during the period II' to -;y'j C7~ , 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 inspe~tion.

,"l"--"7'"-""""'?."~*

~.,.*-~-:.I'"=:.,-,--:* -~" _______ Commissions _______ v_a_._8_8_3 ___________ _ 4nsi,ecto~ National Board, State, Province, and Endorsements Date, ___ -'-'/ o?;~/cJ."'---'-(_19 % *

  • Attachment 2 Page 66 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addra11 Surry Power Station 2. Plant ___ -'--------:-:------------

N11me 5570 Hog Island Rd., Surry, Va. 23883 Addre11 Virginia Power 3. Work Performed Neme Same as above Addre11 Date_l_2...:../_l...:../_9_B ___________ _ Sheet __ l __ of __ l ___________ _ Unit _O_n_e ________________ _ W0#00381849-0l, RR#98-153 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ Authorization No. __ N_A ___________ _ Expiration Date __ _......._ __________ _ 4. Identification of System ___ ""M'"'"a""iccn_sc..tc..ec...ca.cccm'---------------------------------

5. (a) Applicable Construction Code B 3 1.i 19~Edition,_N_A

______ Addenda, N-l through N-1:Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19~s,..9,___

6. Identification of Components Repaired or Replaced and Replacemeot 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) "'"""~ "' ~, .... " M--*----T--~Tn ~Tn 1 -M.C!-C!.'tT-1

"'"""' ~,n oe~lacement No 7. Description of Work Replace inlet flange fasteners.

8. Tests Conducted:

Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure _____ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1 I size is 8% in. x 11 in., (2) 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 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT 575813 (studs), BNT 467650 (nuts) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement 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 __________ _ Signedr;l, 'If:~ ,r 4-<: .J;}; :Z: e:.C:W4 ,Mc.<--~ Date __ ~/.~:..l..~/_; _____ , 19 2cF: ~ner or O~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 and I Co* of Hartford, Ct. h

  • d h d 'b d ------------------------r---,....---:=,-------

av; m;peSle t e components escn e in this Owner's Report during the period ______ /_lt----'--:f---~--tO / P-f'.;ff8 , 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. AC!~~ Va.883 _____ __,.c...dJ~-""=""Li_"'_-" ..... -~ ....... ~-'""'------Commissions _____________________ _ Inspector's Signature National Board, State, Province, and Endorsements Date. __ ~/_J---+-/__,_7_19 czi * * *

  • Attachment 2 Page 67 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------~------------

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre;s Surry Power Station 2. Plant _________ --e-,------------ Name 5570 Hog Island Rd., Surry, Va. 23883 Addreaa Virginia Power 3. Work Performed by ________________ _ Name Same as above Addreus 12/8/98 Date __________________ _ 1 1 Sheet ____ of ____________ _ One Unit _________________ _ W0#00397915-01, RR#98-154 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Authorization No,-------------- Expiration Data ___ N_A ___________ _ Main Steam 4. Identification of System---------------------------------------- B31, 1 55 NA N-1 through N-13 5. (a) Applicable Construction Code _______ 19 __ Edition, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components '. ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other . Year Replaced, (Yes (:omponent Manufacturer Serial No. No. Identification Built or Replacement or No) 1 3/8" Replacement No Studs & NUtfl Mackson, Inc. NA NA 1-MS-SV-102B NA , Replace fasteners. (Completed 11/14/98).

7. Description of Work-----------------------------------------
8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Ot~er 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) 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 REPRINT 12/91 BNT-467650 (nuts) FORM NIS-2 (Back) CNT-575813 (studs) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ ::~~~ca~?f 2iza~j N:-~---~-A_:£_J.. ____ L_~_tf:_ti_<".l_'l/._~-:::::_n_D_a_te:_--'/~-~ ... -=;-.,.h~N"'---.JY'..,"'---A_'-_-_-_-_-_-_-_-_-:.-,- 9 __ 9:_,,p/_ Wwner or O~esignee, 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 and I Co. of Hartford, Ct. -----------------------:-:--:f-:-;--7,;:;;:;;:::::::::----;-hav9 i:'=cted the components described in this Owner's Report during the period _____ ....c.../_/+--'---+-'- ...... ""--to /~L~L.2< , 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 Joss of any *kind arising from or connected with this i_n_s_p-ec-t-io_n_.-fa=--"'-.l..>Q_""_.,,,. __ ~~..,...'=+--L-.;._-------Commissions _______ V_a_. __ 8_8_3 ___________ _

  • Inspector's Signature National Board, State, Province, and Endorsements Date ____ /_t>-_1 1--/_ct"~*~-19 z:6': ** * *
  • *
  • Attachment 2 Page 68 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner_---------.,.,-------------

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre1s Surry Power Station 2. Plant __________ ..,.,... __________ _ Name 5570 Hog Island Rd., Surry, Va. 23BB3 Addre11 Virginia Power 3. Work Performed by ________________ _ Name Same as above Address 12/15/98 Date ___________________ _ 1 1 Sheet. _____ of _____________ _ One Unit __________________ _ W0#003B1B51-0l, RR#9B-155 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Authorlzation No,--------------- Expiration Date ___ N_A ___________ _ Main Steam 4. Identification of System------------------'------------------------ B31.1 55 NA N-1 through N-13 5. (a) Applicable Construction Coda 19 ___ Edition, _______ Addanda, Code Casa (b) Applicable Edition of Section XI Utilized for Repairs or.Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components .. ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No, No, Identification Built or Replacement or No) 1 3/B" 1-MS-SV-102C NA Replacemenl No Studs & Nuts Mackson, Inc. NA NA ' ' Replace fasteners. (Completed 11/14/9B). 7, Description of Work----------------------------------------- B. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D 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 (3) each sheet Is numbered and the number of sheets is recorded et the top of this form. (12/82) This Form (E00030) may be obtained from the Order Dept., ASME, 345 E. 47th St., New York, N.Y. 10017 REPRINT 12/91 f, FORM NIS-2 (Back) BNT-467650 nuts), CNT-575813 (stnds) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ aceroent 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 <i2£ A 15'_:r L,4,,.,cSM, Owner ~Tueslgnee, Title Date __ ~/.=ry~l ........ c ____ , 19 'zL 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 and I Co. of Hartford, Ct. have insp~ce components described /.,,2,,4:>~ , 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 t_his 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. ?/}'~ ----~,<;.., /'//,,,,..-b-'f A_.,_,__ '~--~-£---------Commissions _______ v_a_. _8_8_3 __________ _ ~or's Signature National Board, State, Province, and Endorsements Date ./,;2.RI 19'73 ------,-~..,/-~~--

:-.-,-

  • * * * .. *-
  • Attachment 2 Page 69 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 2* Plant Surry Power Station Name 5570 Hog Island Rd., Surry, Va. 23BB3 Addre11 3 W k P rf d b Virginia Power . or e orme Y--------,...,..----------

Name Date_1_2....:./_1....:./_9_8 ___________ _ Unit _o_n_e ________________ _ W0#003B1B52-01, RR#9B-156 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ Authorization No. -,---N~A;.;;.... __________ _ Expiration Date __ ...u.:.------------

4. Identification of System ___ _,_M"'a"'i'°'n'-=st""e"'a"'m"--------------------------------
5. (a) Applicable Construction Code B 3 1.i 19~Edition,_N_A

__ ___ Addenda, N-1 through N-1:Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19,__.a._,9,___

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) C!f,.,,,..:,.,..

t:'. ,.,, ....... M-. _, __ *--T--"" ,,. , -M~-~"-' n~ > "" 'n--, -"T~ 7. Description of Work Replace inlet flange fasteners.

8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D 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., (2) 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 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT 575813 (studs), BNT 467650 (nuts) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement 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 __________ _ 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 and I Co. of Hartford, Ct. have jnsp~~ the components described in this Owner's Report during the period to / P;/~,Ct& , 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-///,,,..-"'-t,;t2.,...'-t--'~~-.,...-~~------Commissions

_______ v_a_. __ 8_8_3 ___________ _ ~;:~ National Board, State, Province, and Endorsements Date, _____ _;_/_d---+/-+-f--19

  • *
  • Attachment 2 Page 70 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner __________

-:-:-------------- Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre;s Surry Power Station 2. Plant-----------:-:------------- Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed Name Same as above Addre11s 12/8/98 Date ___________________ _ 1 1 Sheet ____ ~of _____________ _ One Unit __________________ _ W0#00397916-0l, RR#98-157 Repair Orgenlzatlon P.O. No., Job No., etc. NA Type Coda Symbol Authorlzation No,-------------- Expiration Date ___ N_A ___________ _ 4. Identification of System ____ M_a_i_* n_s_t_e_am-------------------------------- B31 1 55 NA N-1 through N-13 5. (a) Applicable Construction Coda

  • 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 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 Menufactu rer Serial No, No. Identification Built or Replacement or No) 1 3/8" Studs & Nuts Mackson, Inc. NA NA 1-MS-SV-103B NA Replacement No Replace fasteners. (Completed 11/14/98) . 7. Description of Work*-----------------------------------------

8, Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D 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) tion In Items 1 through 6 on this report ls 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 REPRINT 12/91 i ~J FORM NIS-2 (Back) ,----------~BNT-467650 (nnts) CNT 5-1-5-813 (studs) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ acerne,at 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---~~~---------- Signed a~~-"'Ad fs_z;-~4~,vce""<<:,g Date __ ~/~"---+-..... Y~-----, 19 9C Ow~Deslgnee, 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 and I Co. of _______ H_a_r_t_f_o_r_d-'-,_C_t_. _________ 7_-r:=::,,-----havp in~ctjld the components described in this Owner's Report during the period II to /,P. L ~/'7'~ , 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.

11--?"'-->o~--..,..___\:.......,,-,,_..,..,__,_..::....

_______ commissions _______ V_a_._8_8_3 ___________ _ National Board, State, Province, and Endorsements Date __ ___,_J_.;.._/_~_19 7'6 I * * * ----~

  • *
  • Attachment 2 Page 71 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 12/15/98 Virginia Electric and Power Co. 1. Owner----------.,..,..------------

Date ___________________ _ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant _____________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed by ________________ _ Name Same as above Address One Unit __________________ _ W0#00381854-0l, RR#98-158 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ NA Authorization No,-------------- Expiration Date ___ N_A ___________ _ 4. Identification of System ____ M_a_1._* n_s_t_e_am---------~---------------------- B31 1 55 NA N-1 through N-13 5. (a) Applicable Construction Code

  • 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 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) 1 3/8" Studs & Nuts Mackson, Inc. NA NA 1-MS-SV-103C NA Replacement No Replace fasteners. (Completed 11/14/98).
7. Description of Work ________________________________________

_ 8. Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D 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) 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 REPRINT 12/91

  • FORM NIS-2 (Back) BNT-467650 (ru~1kt~s~)_,_~C~NLT~-~5i7L:::J.5b8~]~3~1__s:(::.UC.ls..-/---------------------------~

Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ ..:cNcc:A.c.... ____________________________ _ 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 and I Co* of Hartford, Ct. haz insp~ed the components described µ .A /71$' and state that I / , 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. ____ ...,.'--//.._....,,. ... '2-"'.___*_~,__-+-+~--~-----Commissions _______ v_a,-._8_8_3 ___________ _ b:£1n7i>ector'~ National Board, State, Province, and Endorsements Date / rJ-U-I 19 9r( I * *

  • *
  • Attachment 2 Page 72 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1. Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Addre11 2. Plant Surry Power Station Name 5570 Hog Island Rd., Surry, Va. 23883 Date 12/1/98 Unit One W0#00381855-01, RR#98-159 Addre11 Repair Organization P.O. No., Job No., etc. 3. Work Performed by_v_i_rg_i_*

Name Type Code Symbol Stamp ___ N_A _______ _ Authorization No. --"'NA,.,_ __________ _ Expiration Date __ 41,;,._ __________ _ Addre11 4. Identification of System ___ -"M"'a""i.,,,n_s"-t=e=a=m"---------------------------------

5. (al Applicable Construction Code B31.1 19_5_s __ Edition,_N;;..;;Ac.c..._

_____ Addenda, N-1 through N-1:Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19__.e~s'---

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) C!+-11~.r!!!

r:_ l\T,,~ ... M--1,,-T--"' '" '1 _Mo_---_ .. ,..,..,. ... -"-7. Description of Work Replace inlet flange fasteners.

8. Tests Conducted:

Hydrostatic Pneumatic D Nominal Operating Pressure D Other D 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., (2) 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 REPRINT 12/91 FORM NIS-2 (Back) PO# CNT-575813 (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 replacement 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 ___ ......cNc.c...A __________ _ Signed CJ-4 )_ -* ~./ L5k Lµ~tNc&a ~ate ILL Dwn'f-;;~e, Title __ _,_.-,=,..._,_ _______ , 19 Z 3"' 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 and I Co* of _______ H_a_r_t_f_o_r_d_, __ c_t_. ----------1--,.-,t=-=~----hav~ in~cted the components described in this Owner's Report during the period // to / :.i...;'fj't' r::; , 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.

+-/d~Q~~~V'MA.~~-*

_commissions __ v_a. _883 __ _ ~'eUsifuinature National Board, State, Province, end Endorsements Date __ -----+-/~d:-+-/-+-f __ ,/fS *

  • I .J
  • *
  • Attachment 2 Page 73 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------..,.,-------------

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant-----------:--:------------- Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed Name Same as above Addreaa 12/8/98 Date ___________________ _ 1 1 Sheet ____ ~of _____________ _ One Unit-------------------- wo#oo397911-01, RR#98-160 Repair Organization P.O. No., Job No., ate. NA Type Code Symbol Authorization No,-------------- Expiration Date ___ N_A ___________ _ 4. Identification of System ____ M_a_i_* n_s_t_e_a_m-------------------------------- B31 1 55 NA N-1 through N-13 5. (a) Applicable Construction Code

  • 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Yes Component Manufacturer Serial No. No, Identification Built or Replacement or No) 1 3/B" 1-MS-SV-104B NA Replacement No Studs & Nuts Mackson, Inc. NA NA Replace fasteners. (Completed 11/14/98).
7. Description of Work*-----------------------------------------
8. Tests Conducted:

Hydrostatic Pneumatic O Nominal Operating Pressure D 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) 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 REPRINT 12/91 FORM NIS-2 (Back) Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ arement 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~.,!:.....14..!....1Lg¥~~~::=:~~-i::;;,;,~~rd...C!~"t,.,._--Date __ __./_..l--+-h~r-------, 19 I 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 and I Co. of _______ H_a_r_t_f_o_r_d__;., __ C_t_. ___________ -+=---,,----have/. ins~ the components described in this Owner's Report during the period 11 to , 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. ,/// t~ Commissions _______ V_a_. __ 8_8_3 ___________ _ Signature National Board, State, Province, end Endorsements Date __ -+-/..IL.~--E--/-~..........__-19 ?3:' * *

  • j
  • Attachment 2 Page 74 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner-----------------------

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant _____________________ _ Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed Name Same as above Address 12/15/98 Date ___________________ _ 1 1 Sheet _____ of _____________ _ One Unit-------------------- wo#00381857-ol, RR#98-161 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp __________ _ NA Authorization No,-------------- Expiration Date ___ N_A ___________ _ 4. Identification of System ____ M_a_1_* n_s_t_e_am---------------------------------- B31 1 55 NA N-1 through N-13 5. (a) Applicable Construction Code

  • 19 ___ Edition, _______ Addenda, Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 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) 1 3/8 11 Studs & Nuts Mackson, Inc. NA NA 1-MS-SV-104C NA Replacement No Replace fasteners. (Completed 11/14/98).
7. Description of Work ________________________________________

_ 8. Tests Conducted: Hydrostatic Pneumatic O Nominal Operating Pressure 0 Other O Pressure ______ psi TestTemp. ______ °F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is BY. in. x 11 in., (2) informs* 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 REPRINT 12/91 FORM NIS-2 (Back) BNT-467650 (nuts), CNT-575813 (studs) 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this repJ aceroeot conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp ______ N_A ______________________________ _ _______________ Expiration Date ___ ---=N:..:.=.A=------------ Signed~,,,,.e.~o.Ll,~~~~~~~~-=.J.ZJ~;;:;,a:;~--Date __ ~/,~Z-c....+k-+-"'5"'~----, 19 ar 7 r 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 and I Co* of Hartford, Ct. 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.

'--/? __ C.,,,.t2.'-""'"---'-'-or--F-+-

AA~"=--7/"""'-~-____ Commissions _______ v_a_. __ 8_8_3 ___________ _ National Board, State, Province, and Endorsements I ' *

  • Attachment 2 Page 75 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner ______________________

_ Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant-----------,-,------------ Name 5570 Hog Island Rd., Surry, Va. 23883 Addresa Virginia Power 3. Work Performed Name Same as above Address 12/15/98 Date __________________ _ 1 1 Sheat _____ of_-,-__________ ....;.._ One Unit-------------------- wo#oo381858-01, RR#98-162 Repair Organization P.O. Ngj{ Job No., etc. . Type Code Symbol Sta'IJR---------- Authorization No. _____________ _ Expiration Date ___ N_A ___________ _ Main Steam 4. Identification of System---------------------------------------- 531.1 55 NA N-1 through N-13 5. (al Applicable Construction Coda 19 __ Edition, _______ Addenda, Coda Casa (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19 __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Year Replaced, (Vas Component Manufacturer Serial No. No. Identification Built or Replacement or No) . 1 3/8" 1-MS-SV-105A NA Replacement No Studs & Nuts Mackson, Inc. NA NA , Replace fasteners. (Completed 11/14/98).

7. Description of Work-----------------------------------------

8, Tests Conducted: Hydrostatic Pneumatic D Nominal Operating Pressure D 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) tion in items 1 through 6 on this report ls 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 REPRINT 12/91 FORM NIS-2 (Back) BNT-467650 (nuts), CNT-575813 (studs) 9. Remarks ____________________________________________

_ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this replacement conforms to the rules of the ASME Code, Section XI. repair or replacement Type Code Symbol Stamp _____ ..::cN.:.::A-=------------------------------ Certificate of Authorization No, ___ ...cN-"'A=------------Expiration Date ------=N.:.::A=------------- Signed /J.L LJ 44-< rs.c Date __ L...,/~-~_........c ___ ,19 9.7"" * ~er or ~slgnea, Title 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 State or Province of Virginia and employed by HSBI and I Co* of Hartford, Ct. hav;, insP9ctevhe components described in this Owner's Report during the period ______ ..,_/-'-1-+--'-~'-'-__,...._to /,;l.[!!!'-/ L9':£_ and state that I I , 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

...... '+-~*~~-,..---~--------Commissions ____ -,---_V_a_._ 8_8_3 __________ _ ~r's~ National Board, State, Province, and Endorsements Date ___ _,_/_...,_,~__,./c-'-'c;)---'/-19 <rC * *

  • *
  • Attachment 2 Page 76 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI 1_ Owner Virginia Electric and Power Co. Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2.

Name 5570 Hog Island Rd., Surry, Va. 23883 Address Virginia Power 3. Work Performed Name Same as above Address Date __ l_2_/_8_/_9_8 ___________ _ 1 1 Sheet _____ of _____________ _ One Unit-------------------- W0#00397918-0l, RR#98-163 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Stamp ___________ _ Authorization No. __ N_A ____________ _ Expiration Date __ ____,.,.,._ ___________ _ 4. Identification of System ____ M_a_i_n_S_t_e_a_m _________________________________ _ 5. (a) Applicable Construction Code 831

  • 1 19_5_5_ Edition,_N_A

______ Addenda, N-l through N-1:Code Case (b) Applicable Edition of Section XI Utilized for Repairs or Replacements 19 89 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) 1 3/8" Studs & Nuts Mackson, Inc. NA NA 1-MS-SV-105B NA Replacement No Replace fasteners. (Completed 11/14/98).

7. Description of Work __________________________________________

_ 8. Tests Conducted: Hydrostatic D Pneumatic D Nominal Operating Pressure D Other D Pressure ______ psi Test Temp. ° F NOTE: Supplemental sheets in form of lists, sketches, or drawings may be used, provided (1) size is SY. in. x 11 in., (2) 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 FORM NIS-2 (Back) BNT-467650 (nuts), CNT-575813 (studs) 9. Remarks-~----------------------------------------------- Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this . replacement 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 W, <{. _? -* .Z:ST Owner orŽ,nee, Title Date __ ~/.-~--~?'~----, 19 98"" 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 and I Co* of Hartford, Ct. -------------------------r----r.=-~----hav/ if"!s~_ectE;P-the components described in this Owner's Report during the period II to /,;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.

{-a~""'=-Q"""'--'--~-.L...-1--1'--"""'-

0--------Commissions _______ V_a_._8_8_3 __________ _ lnspe~ National Board, State, Province, and Endorsements Date * * *

  • Attachment 2 Page 77 of77 Serial No.: 99-038 Docket No.: 50-280 FORM NIS-2 OWNER'S REPORT FOR REPAIRS OR REPLACEMENTS As Required by the Provisions of the ASME Code Section XI Virginia Electric and Power Co. 1. Owner----------~-----------

Name 5000 Dominion Blvd., Glen Allen, Va. 23060 Address Surry Power Station 2. Plant-----------e-:------------ Name 5570 Hog Island Rd., Surry, Va. 23883 Addres1 Virginia Power 3. Work Performed by ________________ _ Name Same as above Addre1s 12/8/98 Dete ___________________ _ 1 1 Sheet ____ of ____________ _ One Unit*_----------------- wo#00381860-01, RR#98-164 Repair Organization P.O. No., Job No., etc. NA Type Code Symbol Sta'lJ.f----------- Authorlzation No. ______________ _ Expiration Dete ___ N_A ___________ _ Main Steam 4. Identification of System---------------,,--------------------------- 531.1 55 NA N-1 through N-13 5. (al Applicable Construction Code 19 __ Edltion, _______ Addenda, Code Case (bl Applicable Edition of Section XI Utilized for Repairs or Replacements 19, __ 8_9 __ 6. Identification of Components Repaired or Replaced and Replacement Components --ASME Code National Repaired, Stamped Name of Name of Manufacturer Board Other Vear Replaced, (Yes Component Manufacturer Serial No, No. Identification Built or Replacement or No) 1 3/8" NA Replacement No Studs & Nuts Mackson, Inc. NA NA 1-MS-SV-105C I Replace fasteners. (Completed 11/14/98).

7. Description of Work-----------------------------------------
8. Tests Conducted:

Hydrostatic Pnaumetic D Nominal Operating Pressure D Other D Pressure _____ psi Test Temp, °F NOTE: Supplemental sheets In form of lists, sketches, or drawings may be used, provided (1 I size is BY. In. x 11 in., (2) tion in items 1 through 6 on this report is included on each sheet, end (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. V. 10017 REPRINT 12/91 / BNT-467650 (nuts) FORM NIS-2 (Back) CNT-575813 (studs) \ I . 9. Remarks------------------------------------------------ Applicable Manufacturer's Data Reports to be attached CERTIFICATE OF COMPLIANCE We certify that the statements made in the report are correct and this rep) acement 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 <i) { ;J ..-: J5f h~,v6Ld, .. Date /~ Owner ~esignae, Title ,19 9-Y 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 and I Co* of _______ H_a_r_t_f_o_r_d_, _C_t_*----------t----t-=:-7----havJe in511ec~ the components described in this Owner's Report during the period ______ l_l-+--,__~..,_-to I;:;;._ 't,L!'t5 , 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 a __ 7"'""' 10 ,....,. _ _.._C).~,,_-P~~'-"'-=-*"'-'----Commissions _______ V_a_. _8_8_3 __________ _ ~or*~~ National Board, State, Province, and Endorsements Date I~/ ct 19 7<{ I * *}}

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