ML17332A613

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Rept of ISIs from 920702-941211.
ML17332A613
Person / Time
Site: Cook American Electric Power icon.png
Issue date: 03/03/1995
From:
INDIANA MICHIGAN POWER CO. (FORMERLY INDIANA & MICHIG
To:
Shared Package
ML17332A612 List:
References
NUDOCS 9503130327
Download: ML17332A613 (638)
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{{#Wiki_filter:INDIANAMICHIGANPOWERCOMPANYDONALDC.COOKNUCLEARPLANT,BRIDGMANMl.UNIT2COMMERCIAL SERVICEDATE7-1-1978NATIONALBOARDNUMBER1ReportofInservice Inspections FromJuly2,1992toDecember11,1994TABLEOFCONTENTSSection1Section2Section2ASection2BSection2CSection2DSection2ESection3Introduction NIS-1Inservice Inspection SummaryReportExamination ofClass1andClass2SystemsandComponents SteamGenerator EddyCurrentInspections andTubeRepairsReactorVesselClosureHeadPenetration Inspections andControlRodDrive/Thermocouple FunnelGuideInspections andRepairs,SystemPressureTestsNIS-2RepairandReplacement ReportsIndexNIS-2RepairandReplacement Reports9S03130327 950303PDRADODK05000310QPDR

INDIANAMICHIGANPOWERCOMPANYDONALDC.COOKNUCLEARPLANT,BRIDGMANMl.UNIT2COMMERCIAL SERVICEDATE7-1-1978NATIONALBOARDNUMBER1INTRODUCTION Thisreportsummarizes theInservice Inspection activities performed attheCookNuclearPlant,Unit2,fortheperiodofJuly2,1992throughDecember11,1994.Theseactivities wereperformedinaccordance withtherequirements oftheASMEBoilerandPressureVesselCode,SectionXI,RulesforInservice Inspection ofNuclearPowerPlantComponents. AsofJuly1,1986,thesecondten-yearinspection intervalbeganandtheapplicable codeforISIactivities thenbecamethe1983editionthroughthesummer1983addenda.Thepurposeofthisreportistosatisfytherequirements ofIWA-6000forthesubmittal oftheInservice Inspection SummaryReportatthecompletion ofeachrefueling outage.Examination andtestsconducted sincethepreceding summaryreport(July1,1992)areincludedinthisreport.Repairsandreplacements arealsoincludedinthisreportpertherequirements ofthe1983EditionofASMESectionXIIWA-6220(b) 10.Also,contained withinthisreportarethesupplemental information'equirements ofIWA-6220. Contentsofthisreporthavebeenreviewedandverifiedcorrectwithsupporting documentation available attheplantforreviewifrequired. THISREPORTCONSISTSOF65SUPPLEMENTAL PAGESFORMNIS-IOWNERS'ATA REPORTFORINSERVICE INSPECTION AsrequiredbytheProvisions oftheASMECodeRules1.Owner2.PlantIndianaMichianPowerCo.OneSummitSuareFt.WaneIN46802(NameanAressoOwner)DonaldC.CookNuclearPlantOneCookPlaceBridmanMi.49106(NameanAressoPant)3.PlantUnitTwo4.OwnerCertification ofAuthorization (ifrequired) 5.Commercial ServiceDate07/01/786.NationalBoardNumberforUnit1Mich.M-324232-M 7.Components inspected Component orAppurtenance Manufacturer orInstaller Manufacturer orInstaller SerialNo.StateorProvinceNo.NationalBoardNo.ReactorVesselSteamGen.¹1SteamCen.¹2SteamCen.¹3SteamCen.¹4Pressurizer Regenerative HtExchanger RCP¹1RCP¹2RCP¹3VolumeControlTankWestRHRHeatExchanger WestCTSHeatExchanger ChicagoBridgeandIronWestinghouse Westinghouse Westinghouse Westinghouse Westinghouse Westinghouse Westinghouse Westinghouse Westinghouse JosephOats&Sons,Inc.Engineers andFabricators, Inc.YubaMMGL11444MMGL11445MMGL11446MMGL114471231183'I-7-I I524-618J800-C01-9525-618J800-G01-9526-618J800-G01-91787-3BS-15586-D 69-C-226-1D M-324232-M M-324234-M M-324235-M M-324236-M M-324237-M M-324233-M 373839406894430Note:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeusedprovided(1)sizeis8.5in.x11in.(2)information initems1through6onthisdatareportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.

FORMNIS-1(back)8.Examination Dates07/02/92to12/11/949.Inspection Intervalfrom07/01/86to07/01/9610."AbstractofExaminations. Includealistofexaminations andastatement concerning statusofworkrequiredforcurrentinterval. SeeAttached11.Abstractofconditions noted.SeeAttached12.AbstractofCorrective MeasuresRecommended andTakenSeeAttachedWecertifythatthestatements madeinthisreportarecorrectandtheexaminations andcorrective measurestakenconformtotherulesoftheASMECode,SectionXI.1983Editionw/Summer1983AddendaDateFebrua211999SignedindianaMichlanPowerCo.ByC~OwnerC.AFreerCertificate ofAuthorization No.(ifapplicable) N/AExpiration DateN/ACERTIFICATE OFINSERVICE INSPECTION I,theundersigned, holdingavalidcommision issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyArkwrihtMutualIns.Co.*ofNorwoodMass.haveinspected thecomponents described inthisOwner'sReportduringtheperiod07/02/92to12/11/94andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheinspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Date~is.~~/,*-FactoryMutualEngineering Association Inspector'gna reCommissions @11araoo5,z~.keaserncMrs rt/ZNatonaBoar,State,Province, anEnorsements INDIANAMICHIGANPOWERCOMPANYDONALDC.COOKNUCLEARPLANT,BRIDGMANMl.UNIT2COMMERCIAL SERVICEDATE7-1-1978NATIONALBOARDNUMBER1EXAMINATION OFCLASS1ANDCLASS2COMPONENTS Inservice examinations wereperformed duringtheperiodofJuly2,1992throughDecember11,1994.Allexaminations wereinaccordance withASMESectionXI,1983Editionthrough1983SummerAddenda.Examinations werescheduled andperformed according totheSecondTen-YearLongTermInservice Examination andTestingPlanforClass1,2and3SystemsandComponents forDonaldC.CookNuclearPlant,Unit2.Thisisthecurrently approvedISIexamination plan,whichidentifies specificactivities tobeperformed onarefueling outagebasis.Nondestructive examinations wereperformed bySouthwest ResearchInstitute (SwRI),MQSInspections andIndianaMichiganPower(IMP)personnel inaccordance withprocedures whichwereapprovedforuseattheCookNuclearPlant.SwRIperformed therequiredvolumetric ultrasonic examinations andsurfaceexamination if.onewasneededinadditiontothevolumetric examination. MQSandIMPpersonnel performed allothersurfaceandvisualexaminations. Therecordable indications foundbysu'rfaceandvolumetric examinations wereevaluated bytheallowable standards providedinASMESectionXI.Aliquidpenetrant indication thatexceededallowable indication standards forsurfaceindications wasfoundonavalvetoelbowpipewel'd(2-SI-78-01). Inaccordance withIWB-3514.3, thesurfaceindication wasexaminedbyavolumetric (ultrasonic) examination and.foundtobeacceptable withnorecordable indications. 'nubberexaminations andfunctional testingwereperformed inconjunction withmaintenance procedures fortechnical specification surveillance ofsnubbers. IMPpersonnel performed VT-3/VT-4 visualexaminations onISIcomponent supports. Designsketchnonconformances andotherdiscrepancies foundwereevaluated byAEPSCNuclearEngineering DesignSection.Alldiscrepant pipesupportsandassociated systemsmetoperability limits.However,someofthepipesupportswererepairedormodifiedtobeinaccordance withtheoriginaldesignintent.Thesummarypagesinthissectionliststheexaminations, testsperformed andresults.Inthefollowing summarypages,"NOREC"isnorecordable indications, "GEOM"isgeometric indications, and"OTHER"areindications other'han geometric indications. Page1

INDIANAMICHIGANPOWERCOMPANY,DONALDC.COOKNUCLEARPLANT,BRIDGMANMI.UNIT2COMMERCIAL SERVICEDATE:07/01/78; NATIONALBOARDNUMBER1DATE:02/21/95REVISION: 0COOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS1COHPONENTS PAGE:2REACTORPRESSUREVESSELANDCLOSUREHEADSUHHARYEXAHINATION AREANUHBERIDENTIFICATION ASHESEC.XICATGYEXAHITENNOHETHODPROCEDURE N.00GTREHE0EREMARKSCHR**CALIBRATION BLOCK*<<CLOSUREHEADHERIDIONAL 'WELDSFIGNOA-20017052-CHH-078-AUTOLHERIDIONAL WELDAT334DEG."81.22UTOMUT45UT45TUT60UT60TDCC-UT150/2/1/0 X--SMRI-LIHITEDEXAHDUETOHEADSHROUDX--ANDCONFIGURATION ~XXX--<<<<RV-2<<<<XCLOSUREHEADTOFLANGEMELDFIGNOA-20019002-CHC-01HEADTOFLANGEB-AB1.40HTUTOLUTOMUT45UT45T.UT60UT60TDCC-HT1/0/0/0 DCC-UT150/2/1/0 XXXXX--<<<<RV-2<<<<XXSMRI-EXAHINED33KOFMELD.LIHITEOEXAHDUETOFLANGECONFIGURATION ANDLIFTINGLUG.CLOSURESTUDS0045002-RPV-STUD 1THROUGH54B-G-1MT86.30UT60UT88DCC-HT2/0/1/0 X--SMRI-EXAHINEDSTUDSNOS.37THRU54.DCC-UT18/2/1/0 XX**7-.750-8-CS-10-DCC** CLOSURENUTS0046002-RPV-NUT 1THROUGH548-G-1HT86.10DCC-HT2/0/1/0 SMRI-EXAHINEDNUTSNOS.37THRU54.SCRATCHES ORTOOLMARKSNOTEDONSIXNUTSMERENOTDETRIMENTAL TOFUTURESERVICE.SEECNF-001AND002.VESSELFLANGETHREADS004?002-RPV-FLANGE THREADS1THROUGH54B-G-1UTO86.40DCC-UTS/2/1/0 X--SMRI-EXAMINEDFROHSTUDHOLES37THRU54.**7-.750-8-CS-10-DCC*<< INDIANAMICHIGANPOWERCOMPANY,DONALDC.COOKNUCLEARPLANT,BRIDGMANMl.UNIT2COMMERCIAL SERVICEDATE:07)0117S; NATIONALBOARDNUMBER1DATE:02/21/95REVISION: 0COOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS1COHPONENTS PAGE:3REACTORPRESSUREVESSELANDCLOSUREHEADSUHHARYEXAHINATION AREANUHBERIDENTIFICATION ASHESEC.XICATGYEXAHITENNOHETHODPROCEDURE N.00GTREHE0EREHARKSCHR**CALIBRATION BLOCK"*CLOSUREWASHERS0048002-RPV>>'llASHER 1THROUGH54B-G-1B6.50VT-1'TDCC-VT7/0/0/0 DCC-HT2/0/1/0 XXSWRI-EXAHINEDWASHERS37THRU54.WASHERNO.46HADNICKONOUTSIDEEDGENOTDETRIHENTAL TOFUTURESERVICE.SEECNF-003.

INDIANAMICHIGANPOWERCOMPANY,DONALDC.COOKNUCLEARPLANT,BRIDGMANMI.UNIT2COMMERCIAL SERVICEDATE:07/01/78; NATIONALBOARDNUMBER1DATE:02/21/95REVISION: 0PRESSURIZER FIGUREA-4COOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS1COHPONENTS PAGE:4SUHHARYEXAHINATION AREANUHBERIDENTIFICATION ASHESEC.XICATGYEXAHITENNOHETHODPROCEDURE N00GTREHE0EREHARKSCHR*~CALIBRATION BLOCK*>>NOZZLETOSHELLANDSHELLTONOZZLEUELDS0069204'-2-RC-28 UPPERHEADTOSPRAYNOZZLE8-D83.110UTOLUTOI/UT45UT45TUT60UT60TDCC-UT49/2/1/0 DCC-UT15/3/0/0X>>-SIIRI-LIHITEOEXAHDUETONOZZLEX--CONFIGURATION. XXX--~~PL-3.0"CSCL-4 DCC**XNOZZLEINSIDERADIUSSECTIONS0070004'-2-RC-28-IRS UPPERHEADTOSPRAYNOZZLE8-DUT1983.120DCC-UT11/2/0/0 X--SIIRI"~IR-CSCL-24-DCC~~ NOZZLETOSAFE-ENDANDSAFE<<ENDTONOZZLELIELDS0080002-PRZ-21NOZZLETOSAFE-END8-F85.40PTUT45UT45TUT45RLUT45RLTDCC-PT1/0/0/0 DCC-UT31/2/0/0 XXXXXSI/RI~*3378028 (6-SS-160-.71)

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INDIANAMICHIGANPOWERCOMPANY,DONALDC.COOKNUCLEARPLANT,BRIDGMANMl.UNIT2COMMERCIAL SERVlCEDATE:07101I78; NATIONALBOARDNUMBER1DATE:02/21/95REVISION: 0STEAMGENERATOR NO.24FIGUREA-5COOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS1COHPONENTS PAGE:5SUMHARYEXAHINATION AREANUMBERIDENTIFICATION ASMESEC.XICATGYEXAMITEHNOMETHODPROCEDURE N00GTREHE0EREHARKSCMRi*CALIBRATION BLOCK**CIRCUHFERENTIAL WELDS011300STM-24-01 LOWERHEADTOTUBESHEETB-BUTOWDCC-UT49/2/1/0 XB2.40UT45DCC-UT15/3/0/0 UT45TXUT60UT60TSWRI-LIMITEDEXAMDUETOWELDEDXINSULATION PADS.45AND60DEGREEINDICATIONS ARECODEACCEPTABLE. XX~~RV-3/DCC-41~~ DATE:02/22/95EVISION:0REACTORCOOLANTSYSTEHINDIANAMICHIGANPOWERCOMPANY;DONALDC.COOKNUCLEARPLANT,BRIDGMAN, MI.UNIT2COMMERCIAL SERVICEDATE07N1/78;NATIONALBOARDNUMBER1COOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS1COHPONENTS ~PAGE:6SUHHARYEXAHINATIONAREANUHBERIDENTIFICATIOHASHESEC.XICATGYEXAHITEHNOHETHODPROCEDURE N00GTREHE0EREHARKSCtlR~*CALIBRATION BLOCK**LINE2-Rc-18FIGNOA-7A0175602-RC-18-06-LU-I LONGITUDINAL SEAM8-JPTDCC-PT1/0/0/0 X--SMRI-EXAHINED12INCHESOFMELO89.12UT45DCC-UT33/2/0/0 X--LENGTH.UT45TX**37;CCSS-X-3.0-9-DCC~* 0175802-RC-18-06-LU-0 LONGITUDIHAL SEAN8-JPTDCC-PT1/0/0/0 X--SMRI-EXAHINED12INCHESOFMELD89.12UT45DCC-UT33/2/0/0 X--LENGTH.UT45TX~~37-CCSS-X-3.0-9-DCC** 0176002-Rc-18-06 ELBOMTOPIPE8-JPTDCC-PT1/0/0/0 X--SMRI89.11UT45DCC-UT33/2/0/0 XUT45TX**37-CCSS-X-3.0-9-DCC~~ 0178002-Rc-18-05N 2-IN.NOZZLE(BRANCHCONNECTION) 8-JPT89.3212SHP5050NDE001 X--J.O.C18446/07 0180002-RC-18-08 ELBOllTOPUHP8-JPTDCC-PT1/0/0/0 X-SMRI-l.IHITEDEXAHDUETOPUHP89.11UT45DCC-UT33/2/0/0 "X,CONFIGURATION UT45TX**37-CCSS-X-3.0-9-DCC** LINE2-RC-18FIGNOA-780181002-RC-18-09 PUHPTOPIPE8-JPTDCC-PT1/0/0/0 X--SMRI-LItlITEDEXAHDUETOPUtlP89.11UT45DCC-UT33/2/0/0 X--CONFIGURATION ANDBRANCHCONNECTION. UT45TX*~37-CCSS-X-3.0-9-DCC** LINE2-RC-19FIGNOA-8A020600*2-RC-19-07 PIPETOELBOlt8-JPTDCC-PT1/0/0/0 X--SMRI89.11UT45DCC-UT33/2/0/0 XUT45TX**37-CCSS-X-3.0-9-DCC*~ INDIANAMICHIGANPOWERCOMPANY,DONALDC,COOKNUCLEARPLANT,BRIDGMANMI.UNIT2COMMERCIAL SERVICEDATE:07/01/78; NATIONALBOARDNUMBER1DATE:02/21/95REVISION: 0REACTORCOOLANTSYSTEHCOOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS1COHPONENTS PAGE7SUHHARYEXAMINATiON AREANUHBERIDENTIFICATION ASHESEC.XICATGYEXAMITEHNOHETHODPROCEDURE N00GTREHE0ECHRREHARKS*~CALIBRATION BLOCK'*LINE2-RC-19FIGNOA-BA0206202-RC-19-07-LD-I LONGITUDINAL SEAH8-J89.12PTDCC-PT1/0/0/0 X--SURI-EXAHINED12INCHESOFMELDUT45DCC-UT33/2/0/0 X--LENGTH.UT45TX*~37-CCSS-X-3.0-9-DCC~~ 0206402-RC-19-07-LD-0 LONGITUDINAL SEAH8-J89.12PTDCC-PT1/0/0/0 X--SWRI-EXAHINED12INCHESOFIIELDUT45DCC-UT33/2/0/0 X--LENGTH.UT45TX~~37-CCSS-X-3.0-9-DCC** LINE2-RC-19FIGNOA-8B0215502-RC-'l9-10N 1-1/2-IN. NOZZLE(BRANCHCONNECTION) 8-JPT89.3212SHP5050NDE001 X--J.O.C18446/07 LINE2-RC-22FIGNOA-110263002-RC-22-07 REDUCERTOPIPE8-J89.11PTUT45UT45TUT60DCC-PT1/0/0/0 DCC-UT31/2/0/0 XXXXSURI**3378027 (4-SS-120-.430)** 0268332-RC-22-01N 3-IN.NOZZLE(BRANCHCONNECTION) 8-JPT89.3212SHP5050NDE001 X--J.O.C18446/07 LINE2-RC-23FIGNOA-120275002-RC-23-01 TEETOPIPE8-JPT89.2112SHP5050NDE001 X--J.O.C18446/07 INDIANAMICHIGANPOWERCOMPANY,DONALDC.COOKNUCLEARPLANT,BRIDGMANMl.UNIT2COMMERCIAL SERVICEDATE:07/01/78; NATIONALBOARDNUMBER1DATE:02/21/95REVISION: 0REACTORCOOLANTSYSTEHCOOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS1COHPONENTS PAGE:8SUHHARYEXAHINATION AREANUHBERIDENTIFICATION ASHESEC.XICATGYEXAHITEMNOHETHODPROCEDURE N00GTREHE0EREHARKSCHR**CALIBRATION BLOCK**LINE2-RC-24FIGNOA-130283002-RC-24-02 PIPETOPIPEB-JPT89.2112SHP5050NDE001 X--J.O.C18446/07 LINE2-RC-25FIGNOA-140288002-RC-25-02 ELBOWTOPIPE8-JPTDCC-PT1/0/0/0 X--SWRI89.11UT45DCC-UT31/2/0/0 -XUT45TX*~3378028 (6-SS-160-.71)** LINE2-RC-26FIGNOA-150297002-RC-26-02 ELBOWTOPIPE8-JPT89.11UT45UT45TDCC-PT1/0/0/0 X--SWRIDCC-UT31/2/0/0 XX**3378028 (6-SS-160-.71)**'INE 2-RC-27FIGNOA-160307002-RC-27-03 PIPETOELBOW8-JPT89.11UT45UT45TDCC-PT1/0/0/0 X--SWRIDCC-UT31/2/0/0 XX**3378028 (6-SS-160-.7'I)** 0312002-RC-27-09 PIPETOFutNQE8-JPT89.11UT45UT45TDCC-PT1/0/0/0 X--SWRIDCC-UT31/2/0/0 -XX~~3378028 (6-SS-160-.71)*~ 0313002-RC-27-09-FB FLANGEBOI.TING8-G-2VT-187.5012SHP5050NDE006 X--J.O.C18446/07 d INDIANAMICHIGANPOWERCOMPANY,DONALDC.COOKNUCLEARPLANT,BRIDGMANMl.UNIT2COMMERCIAL SERVICEDATE:07/01/78; NATIONALBOARDNUMBER1DATE:02/21/95REVISION: 0REACTORCOOLANTSYSTEHCOOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1{1994),THIRDPERIOD,SECOHDINTERVALCLASS1COHPONENTS PAGE:9SUHHARYEXAHINATION AREANUHBERIDENTIFICATION. ASHESEC.XICATGYEXAHITEHNOHETHOOPROCEDURE N,00GTRE,HE0EREHARKSCHR~~CALIBRATION BLOCK~~LINE2-RC-28FIGNOA-1?0315002-RC-28-02 ELBOWTOPIPE8-JPT89.11UT45UT45TDCC-PT1/0/0/0 X--SWRIDCC-UT31/2/0/0 XX**33?8027 (4-SS-120-.430)~* 0338002-RC-28-18 PIPETOTEE8-JPT89.11UT45UT45TUT60DCC-PT1/0/0/0 DCC-UT31/2/0/0 X-SWRI-LIHITEDEXAHDUETOTEEX--CONFIGURATIOH. XX**337802? (4-SS-120-.430)~~ 0342002-RC-28-22 PIPETOTEE8-JUT45DCC-UT31/2/0/0 89.11UT45T.UT60X--SWRI-LIHITEDEXAHDUETOTEEX--CONFIGURATION. AUGHENTED EXAH'NX-RESPONSETONRCB88-08.*~33?8027 (4-SS-120-.430)~* 0343002-RC-28-23 TEETOPIPE8-JUT4589.11UT45TUT60DCC-UT31/2/0/0 XXXSWRI-LIHITEDEXANDUETOTEECONFIGURATION. AUGHENTED EXANINRESPONSETONRCB88-08.**3378027 (4-SS-120-.430)** 0344002-RC-28-24 PIPETOELBOW8-JUT4589.11UT45TUT60OCC-UT31/2/0/0 X--SWRI-AUGHENTEO EXAHINRESPONSETOX--NRCB88-08.X*~33?8027 (4-SS-120-.430)

    • 0348002-RC-28-28 PIPETOELBOW8-J89.11PTUT45UT45TUT60UTBSRLDCC-PT1/0/0/0 DCC-UT31/2/0/0 SWRI-UT2/1/1/0 XXXXXSWRI*~33?8027

{4-SS-120-.430)** 03?8002-RC-28-51 ELBO'WTOSAFE-END8-JPT'9.11UT45UT45TDCC-PT1/0/0/0 X--SWRIDCC-UT31/2/0/0 XX**3378027 (4-SS-120-.430)** U INDIANAMICHIGANPOWERCOMPANY,DONALDC.COOKNUCLEARPLOLNT,BRIDGMANMI.UNIT2COMMERCIAL SERVICEDATE:07/01/78; NATIONALBOARDNUMBER1DATE:02/21/95lREVISION: 0REACTORCOOLANTSYSTEHCOOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS1COHPONENTS PAGE:10SUHHARYEXAHINATION AREANUHBERIDENTIFICATION ASHESEC.XICATGYEXAHITEHNOHETHODPROCEDURE N,00GTREHE0EREHARKSCHR~~CALIBRATION BLOCK~~LINE2-RC-29FIGNOA-180379002-RC-29-01 BRANCHCONNECTION TOELBOW8-JPT89.1'IUT45UT45TDCC-PT1/0/0/0 X--SWRILIIIITEDEXAHDUETOBRANCHDCC-UT31/2/0/0 -X-CONNECTION. X**3378027 (4SS-120-.430)** 0397002-RC-29-16 PIPETOELBOWB-JPTUT45UT45TUT60DCC-PT1/0/0/0 DCC-UT31/2/0/0 X--SWRIXXX~~3378027 {4-SS-120-.430)

    • LINE2RC-30FIGNOA-190413002-RC-30-06 PIPETOTEE8-JUT45DCC-UT31/2/0/0 X89.11UT45TXUT60XSWRI-LIHITEDEXAHDUETOTEECONFIGURATION.

AUGHENTED EXAHINRESPONSETONRCB88-08.*<<3378027 (4-SS-120-.430)*< LINE2-RC-31FIGNOA-20A0457002-RC-31-16-FB FLANGEBOLTING8-G-2VT-187.5012SHP5050NDE006 X--J.O.C18446/07 LINE2-RC-34FIGNOA-23A0562002-RC-34-12-FB FlANGEBOLTINGB-G-2VT-1B7.5012SHP5050NDE006 X--J.O.C18446/07 LINE2-RC-513FIGNOA-250649002-RC-513-21-FB FLANGEBOLTING8-G-2VT-187.5012SHP5050NDE006 X--J.O.C18446/07 DATE:02/22/95EVISION:0REACTORCOOLANTSYSTEHINDIANAMICHIGANPOWERCOMPANY;DONALDC.COOKNUCLEARPLANT,BRIDGMAN, Ml.UNIT2COMMERCIAL SERVICEDATE07101/78; NATIONALBOARDNUMBER1COOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS1COHPONENTS PAGE:11SUNHARYEXAHINATION AREANUHBERIDENTIFICATION ASHESEC.XICATGYEXAHITENNOHETHODPROCEDURE N00GTREHE0EREHARKSCHR>>*CALIBRATION BLOCK>>>>LINE2-RC519FIGNOA310853002-RC-519-21-FB FLANGEBOI.TING8-G-2VT-187,5012SHP5050NDE006 X--J.O.C18446/0? LINE2-RC-525FIGNOA-320862002-RC-525-03 TEETOPIPE8-JPT89.4012SHP5050NDE001 X--J.O.C18446/07 69002-RC-525-06 PIPETOELBOW8-JPT89.4012SHP5050NDE001 --XJ.O.C18446/07 -PTINDICATION OF.125'SWITHINALLOWABLE STANDARDS OFIUS-3514.3.

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INDIANAMICHIGANPOWERCOMPANY,DONALDC.COOKNUCLEARPLANT,BRIDGiVAAN Ml.UNIT2COMMERCIAL SERVICEDATE:07(01/78; NATIONALBOARDNUMBER1DATE:02/21/95REVISION: 0REACTORCOOLANTSYSTENCOOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS1COMPONENTS PAGE:41SUHHARYEXAHINATION AREANUHBERIDENTIFICATION ASHESEC.XICATGYEXANITEHNOHETHODPROCEDURE N00GTREHE0EREHARKSCHR~*,CALIBRATION BLOCK~*LINE2-RC-29FIGNOA-186015002-GRC-R-504 PIPESUPPORTCOHPONENT F-BVT-3F2.0012SHP5050NDE006 X--J.O.C18446/07 LINE2-RC-31FIGNOA-20A6024002-GRC-R-535 PIPESUPPORTCOMPONENT F-CF3.00VT-312SHP5050NDE006 --XJ.O.C18446/07 -CONDITION REPORT94-1870;DESIGN/AS-FOUND DISCREPANCY. EVALUATED ANDFOUNDTOBEACCEPTABLE PERAEPSC/NECP. 6055402-GRC-R-571 PIPESUPPORTCOHPONENT F-BVT-3~12SHP5050NDE006 X--J.O.C18446/07 F2.00 IP INDIANAMICHIGANPOWERCOMPANY,DONALDC.COOKNUCLEARPLANT,BRIDGiVAAN MI~UNIT2COMMERCIAL SERVICEDATE:07/01/78; NATIONALBOARDNUMBER1DATE:02/21/95REVISION: 0EMERGENCY CORECOOLINGCOOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS1COHPONENTS PAGE:42SUHHARYEXAHINATION AREANUHBERIDENTIFICATION ASHESEC.XICATGYEXAHITEHNOHETHODPROCEDURE N.00GTREHE0EREHARKSCHR**CALIBRATION BLOCK~*LINE2-SI-78FIGNOA-336059002-GSI-V-604PIPESUPPORTCOHPONENT F-CVT-3F3.00VT-412SHP5050NDE006 X--J.O.C18446/07 XLINE2-SI-76FIGNOA-346061002-GSI-V-670PIPESUPPORTCOHPONENT F-CF3.00VT-3VT-412SHP5050NDE006 X--J.O.C18446/07 XLINE2-SI-568FIGNOA-433%4002-GSI-R-700 PIPESUPPORTCOHPONENT F-8VT-312SHP5050NDE006 X--J.O.C18446/07 F2.006085002-GSI-V-699 PIPESUPPORTCOHPONENT F-CF3.00VT-3VT-412SHP5050NDE006 X--J.O.C18446/07 x--LINE2-SI-569FIGNOA-446091002-GSI-R-703 PIPESUPPORTCOHPONENT F-8VT-312SHP5050NDE006 X--J.O.C18446/07 F2.00

INDIANAMICHIGANPOWERCOMPANY,DONALDC.COOKNUCLEARPLANT,BRIDGMANMl.UNIT2COMMERCIAL SERVICEDATE:07/01/78; NATIONALBOARDNUMBER1DATE:02/21/95REVISION: 0'EACTORCOOLANTPUHPSCOOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS1COHPONENTS PAGE:43SUHHARYEXAHINATIONAREANUHBERIDENTIFICATION ASHESEC.XICATGYEXAHITEHNOMETHODPROCEDURE N.00GTREHE0EREHARKSCHR~*CALIBRATION BLOCK~*PUHPSUPPORTS609610RCPUHPNO.22F-BVT-312SHP5050NDE006 X--J.O.C18446/07 F2.00 I INDIANAMICHIGANPOWERCOMPANY,DONALDC.COOKNUCLEARPLANT,BRIDGMANMl.UNIT2COMMERCIAL SERVICEDATE:07/01/78; NATIONALBOARDNUMBER1DATE:02/21/95REVISION: 0REGENERATIVE HEATEXCHANGER FIGURE8-5COOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS2COHPONENTS SUHHARYEXAHINATION AREANUHBERIDENTIFICATION ASHESEC.XICATGYEXAHITENNOHETHODPROCEDURE N00GTREHE0EREHARKSCHR~*CALIBRATION BLOCK~iSUPPORTCOHPONENT 700050CS-5BRACKETF-CVT-312SHP5050NDE006 X--J.O.C18446/07 F3.00700060CS-6BRACKETF-CVT-312SHP5050NDE006 X--J.O.C18446/07 F3.00 INDIANAMICHIGANPOWERCOMPANY,DONALDC.COOKNUCLEARPLANT,BRIDGMANMl.UNIT2COMMERCIAL SERVICEDATE:07/01/78; NATIONAI. BOARDNUMBER1DATE:02/21/95RHRHEATEXCHANGER RESTFIGUREB-8ACOOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS2COHPONENTS PAGE:45SUHHARYEXAHINATION AREANUHBERIDENTIFICATION ASHESEC.XICATGYEXAHITENNOHETHODPROCEDURE N00GTREHE0EREHARKSCHR~~CALIBRATION BLOCK**SUPPORTCOHPONENT 700170W-RHRHEX-SC-1 F-8VT-312SHP505QNDE006 X--J.O.C18447/07 F2.00

INDIANAMICHIGANPOWERCOMPANY,'ONALD C.COOKNUCLEARPLANT,BRIDGMANMLUNIT2COMMERCIAL SERVICEDATE:07/01/78; NATIONALBOARDNUMBER1DATE:02/21/95REVISION: 0BORONINJECTION TANKFIGUREB-9COOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS2COHPONENTS N0PAGE:46SUHHARYEXAHINATIONAREANUHBERIDENTIFICATION ASHESEC.XICATGYEXAHITEHNOHETHODPROCEDURE 0GTREHE0EREHARKSCHR*~CALIBRATION BLOCK~~SUPPORTCOHPONENT 7002102-BIT-CS-3 F-BVT-312SHP5050NDE006 X--J.O.C1844?/07 F2.00 I INDIANAMICHIGANPOWERCOMPANY,DONALDC.COOKNUCLEARPLANT,BRIDGMANMl.UNIT2COMMERCIAL SERVICEDATE:07/01/78; NATIONALBOARDNUMBER1DATE:02/21/95REVISION: 0EHERGENCY CORECOOLINGCOOKNUCLEARPIANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS2COHPONENTS PAGE47SUHHARYEXAHINATION AREANUHBERIDENTIFICATION ASHESEC.XICATGYEXAHITEHNOHETHODPROCEDURE N00GTREHE0EREHARKSCHR*~CALIBRATION BLOCK**LINE2<<SI-FIGNOB-107100202-GSI-L-110 PIPESUPPORTCOHPONENT F-BVT-312SHP5050NDE006 X--J.O.C18447/0? F2.00LINE2-SI-BFIGNOB-117104802-GRH-L-37 PIPERESTRAINT COHPONENT F-CF3.00VT-312SHP5050NDE006 --XJ.O.C18447/07 -CONDITION REPORT94-1470;DESIGN/AS-FOUND DISCREPANCY. EVALUATED ANDFOUNDTOBEACCEPTABLE PERAEPSC/NECP. LINE2-SI-9FIGNOB-12?107252-GSI-L-40 PIPERESTRAINT COHPONENT F-CF3.00VT-312SHP5050NDE006 --XJ.O.C18447/0? -CONDITION REPORT94-1567;DESIGN/AS-FOUND DISCREPANCY. EVALUATED ANDFOUNDTOBEACCEPTABLE PERAEPSC/NECP. 7108002-GSI-V-41PIPESUPPORTCOHPONENT F-CVT-3F3.00VT-412SHP5050NDE006 X--J.O.C1844'7/07 X7109002-GSI-R-43 PIPESUPPORTCOHPONENT F-BVT-3F2.0012SHP5050NDE006 X--J.O.C18447/07 7110002-GSI-R-42 PIPESUPPORTCOHPONENT F-BVT-3F2.0012SHP5050NDE006 X--J.O.C18447/07 LINE2-SI-62FIGNOB-19SB-2?116102-GSI-R-555 PIPESUPPORTCOHPONENT F-BVT-3F2.0012SHP5050NDE006 X--J.O.C18446/07 II INDIANAMICHIGANPOWERCOMPANY,DONALDC.COOKNUCLEARPLANT,BRIDGMANMl.UNIT2COMMERCIAL SERVICEDATE:07l01/78; NATIONALBOARDNUMBER1DATE:02/21/95REVISION: 0EHERGENCY CORECOOLINGCOOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECOHDINTERVALCLASS2COHPONENTS PAGE:48SUHHARYEXAHIHATIOH AREANUHBERIDENTIFICATION ASHESEC.XICATGYEXAHITENNOHETHODPROCEDURE N.00GTREHE0EREHARKSCHR'+~CALIBRATION BLOCK*~LINE2RH-14FGNOB-267'130902-GRH-R-19 PIPESUPPORTCOMPONENT F-CF3.00VT-312SHP5050NDE006 J.O.C18447/07 -CONDITION REPORT94-1805;DESIGN/AS-FOUND DISCREPANCY. EVALUATED ANDFOUNDTOBEACCEPTABLE PERAEPSC/NECP. LINE2RH-15FIGNOB-277132002-GRH-L-1 PIPESUPPORTCOHPONENT F-BVT-312SHP5050NDE006 X--J.O.C18447/07 F2.00133002-GRH-R-11 PIPESUPPORTCOHPONENT F-CVT-312SHP5050HDE006 X--J.O.C18447/0'7 F3.00LINE2RH-16FIGNOB-287133702-GRH-R-5 PIPESUPPORTCOHPONENT F-8VT-312SHP5050NDE006 X--J.O.C18447/07 F2.007133802-GRH-R-4 PIPESUPPORTCOHPONENT IF-BVT-312SHP5050NDE006 X--J.O.C18447/07 F2.00LINE2-RH-17FIGNOB-297134002-GRH-L-805 PIPESUPPORTCOMPONENT F-CVT-312SHP5050NDE006 X--J.O.C18447/07 F3.007134102-GRH-R-804 .PIPESUPPORTCOHPONENT F-BF2.00VT-312SHP5050NDE006 --XJ.O.C18447/07 -CONDITION REPORT94-1516;DESIGN/AS-FOUND DISCREPANCY. EVALUATED ANDFOUNDTOBEACCEPTABLE PERAEPSC/HECP. lV;'(,h INDIANAMICHIGANPOWERCOMPANY,DONALDC.COOKNUCLEARPLANT,BRIDGMANMI.UNIT2COMMERCIAL SERYICEDATE:07101/78; NATIONALBOARDNUMBER1IDATE:02/21/95REVISION: 0EHERGENCY CORECOOLINGCOOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS2COHPONENTS SUHHARYEXAHINATION AREANUHBERIDENT!FICATION ASHESEC.XICATGYEXAHITEHNOHETHODPROCEDURE N.00GTREHE0EREHARKSCHR~*CALIBRATION BLOCK**LINE2-RH-20FIGNO8-32?144702-GSI-L-72PIPESUPPORTCOHPONENT F-CVT-312SHP5050NDE006 X--J.O.C18447/07 F3.007145402-GSI-R-73 PIPESUPPORTCOHPONENT F-8VT-312SHP5050NDE006 X--J.O.C18447/07 F2.N7145602-GSI-L75PIPESUPPORTCOHPONENT F-8VT-312SHP5050NDE006 X--J.O.C18447/07 F2.00?145652-GSI-L-76 PIPESUPPORTCOHPONENT F-BVT-312SHP5050NDE006 X--J.O.C18447/07 F2.00LINE2-RH-21FIGNOB-337147552-GSI-R-64 PIPESUPPORTCOHPONENT F-CVT-312SHP5050NDE006 X--J.O.C18446/07 F3.00LINE2-RH-22FIGNOB-34~?148602-GRH-R-32 PIPESUPPORTCOMPONENT F-BVT-312SHP5050NDE006 X--J.O.C18447/07 F2.007148902-GRH-R-31 PIPESUPPORTCOHPONENT F-BVT-312SHP5050NDE006 X--J.O.C1844?/07 F2.00

INDIANAMICHIGANPOWERCOMPANY,DONALDC.COOKNUCLEARPLANT,BRIDGMANMI~UNIT2COMMERCIAL SERVICEDATE:07/01/78; NATIONALBOARDNUMBER1DATE:02/21/95EHERGENCY CORECOOLINGCOOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS2COHPONENTS SUHHARYEXAHINATIONAREANUMBERIDENTIFICATION ASHESEC.XICATGYEXAHITENNOHETHODPROCEDURE N.00GTREHE0EREHARKSCHR*~CALIBRATION BLOCK**LINE2-RH-22FIGNOB-347148952-GSI-R-90 PIPESUPPORTCOHPONENT F-CVT-3F3.00VT-412SHP5050NDE006 X--J.O.C18447/07 LINE2-RH-31FIGNOB-378B-37153402-GRH-R-501 PIPESUPPORTCOHPONENT F-8VT-312SHP5050NDE006 X--J.O.C18446/07 F2.00

INDIANAMICHIGANPOWERCOMPANY,DONALDC.COOKNUCLEARPLANT,BRIDGMANMI.UNIT2COMMERCIAL SERVICEDATE:0?f01/?8; NATIONALBOARDNUMBER1DATE:02/21/95REVISION: 0CONTAINHENT SPRAYSYSTEHCOOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS2COHPONENTS SUHHARYEXAHINATION AREANUMBERIDENTIFICATION ASHESEC.XICATGYEXAHITENNOHETHODPROCEDUREN,00GTREHE0EREHARKSCHR**CALIBRATION BLOCK*"LINE2-CTS-10FIGNOB-447156352-GCTSV-4PIPESUPPORTCOHPONENT F-CF3.00VT-3VT-412SHP5050NDE006 X--J.O.C18447/07 X7156502-GCTS-V-5 PIPESUPPORTCOHPONENT F-CVT3F3.00VT-412SHP5050NDE006 X--J.O.C18447/07 XLINE2-CTS-14FIGNOB-48~7165502-GCTS-R-18 PIPESUPPORTCOHPONENT F-BVT-312SHP5050NDE006 X--J.O.C1844?/07 F2.007166302-GCTS-R-19 PIPESUPPORTCOHPONENT F-CVT-312SHP5050NDE006 X--J.O.C18447/07 F3.007166702-GCTS-L-26 PIPESUPPORTCOHPONENT F-8F2.0012SHP5050NDE006 X--J.O.C18477/07 7166952-GCTS-R-28 PIPESUPPORTCOHPONENT F-8VT-312SHP5050NDE006 X--J.O.C18447/07 F2.00 1P' DATE:02/22/95REVISION: 0FEEDUATER SYSTEHINDIANAMICHIGANPOWERCOMPANY;DONALDC.COOKNUCLEARPLANT,BRIDGMAN, Ml.UNIT2COMMERCIAL SERVICEDATE07/01/78; NATIONALBOARDNUMBER1COOKNUCLEARPLANTUNIT2SUMMARYOFNONDESTRUCTIVE EXAMINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS2COMPONENTS PAGE:52SUHHARYEXAHINATION AREANUMBERIDENTIFICATION ASMESEC.XICATGYEXAHITEHNOHETHODPROCEDURE N00GTREHE,0ECHRREMARKS*~CALIBRATION BLOCKi~LINE2-FU-71FIGNOB-517510002-GFV-V-875 PIPERESTRAINT COHPONENT F-CVT-3F3.00VT-412SHP5050NDE006 XXJ.O.C18447/07 -CONDITION REPORT94-1886;DESIGN/AS-FOUND DISCREPANCY. EVALUATION REVEALEDSUPPORTHETOPERABILITY LIHITSBUTUASREPAIREDTONEETTHEORIGINALDESIGNINTENT.7512002-FW-71-HANGER PIPERESTRAINT COMPONENT F-BVT-312SHP5050NDE006 X--J.O.C18447/07 F2.00LINE2-FU-73FIGNOB-53PIPERESTRAINT COHPONENT F-BVT-312SMP5050NDE006 X--J.O.C18447/07 F2.00 I DATE:02/21/95REVISION: 0AINSTEANSYSTEHINDIANAMICHIGANPOWERCOMPANY,DONALDC.COOKNUCLEARPLANT,BRIDGMANMI.UNIT2COMMERCIAL SERVICEDATE:07/01/78; NATIONALBOARDNUMBER1ICOOKNUCLEARPLANTUNIT2SUHHARYOFNONDESTRUCTIVE EXAHINATIONS OUTAGE1(1994),THIRDPERIOD,SECONDINTERVALCLASS2COHPONENTS PAGE:53SUHHARYEXAHINATION AREANUMBERIDENTIFICATION ASHESEC.XICATGYEXAHITEHNOHETHODPROCEDURE N00GTREHE0EREHARKSCHR**CALIBRATION BLOCK~~LINE2-HS-95FIGNOB-687615002-HSH-4PIPESUPPORTCOHPONENT F-CVT-312SHP5050NDE006 X--J.O.C18446/07 F3.00VT-4XLINE2-HS-96FIGNOB-697619M2-HS-96-06S-PS PIPESUPPORTCOHPONENT F-BVT-312SHP5050NDEDM X-J.O.C18447/07F2.CO INDIANAMICHIGANPOWERCOMPANYDONALDC.COOKNUCLEARPLANT,BRIDGMANMl.UNIT2COMMERCIAL SERVICEDATE7-1-1978NATIONALBOARDNUMBER1Technical Specififcation/Inservice Inspection SnubberExaminations andTestsVisualexamination ofsnubbersareseparated intothree(3)categories: Grinnell"Inaccessible", and"SteamGenerator". Thefunctional testsurveillances areseparated intotwo(2)categories: "Grinnell" and"SteamGenerator". Listsofthosesnubbersclassified as"Accessible", "Inaccessible", and"SteamGenerator" areattached. VisualExaminations Categorya.Grinnell "Accessible" b.Grinnell "Inaccessible" c.SteamGenerator Com1.Date05-08-9409-12-9410-27-9409-20-9410-28-9410-03-9410-27-94CommentsResultsallacceptable allacceptable allacceptable allacceptable allacceptable allacceptable allacceptable Functional TestsCategorya.Grinnell b.SteamGenerator 09-29-9410-18-94sixteentested,allacceptable, seeattachedsheetfourtested,allacceptable, seeattachedsheetCom1.DateCommentsResultsNote:Thefive(5)ISI/Non-Tech. Spec.snubbersthatarelistedontheattachedsheetswereinspected perProcedure No.**12MHP4030.STP.004 withtheAs-FoundGrinnell"Accessible" snubberinspections. Page54 INDIANAMICHIGANPOWERCOMPANYDONALDC.COOKNUCLEARPLANT,BRIDGMANMl.UNIT2COMMERCIAL SERVICEDATE7-1-1978NATIONALBOARDNUMBER1SnubberFunctional TestSurveillances SnubberMarkNo.2-GRC-S555 2-GRC-S573 "*2-GRC-S598 2-GRC-S611 2-FW-S4(U)2-FW-S52-FW-S8(U) 2-GBD-S568 2-GCCW-S274 2-GCCW-S320 2-GCCW-S843

  • 2-MSS-1*2-MSS-52-MSS-72-GCTS-S115(N) 2-GCTS-S115(S) 2-OME-3-3-HSD-3L 2-OME-3-3-HSD-3U 2-OME-3-3-HSD-L1 2-OME-3-4-HSD-3L DateTested09-22-9409-22-9409-24-9409-22-9409-26-9409-21-9409-26-9409-14-9409-22-9409-22-9409-19-9409-28-9409-26-9409-28-9409-15-9409-16-9410-02-9410-02-9410-05-9410-18-94As-FoundPassPassPassPassPassPassPassPassPassPassPassPassPassPassPassPassPassPassPassPass*Snubbersthatweretestedduetofunctional failuresattheprevioustestingperiod(lastoutage).Page55

INDIANAMICHIGANPOWERCOMPANYDONALDC.COOKNUCLEARPLANT,BRIDGMANMl.UNIT2COMMERCIAL SERVICEDATE7-1-1978NATIONALBOARDNUMBER1Unit2Grinnell"Accessible" SnubbersTech.S4142.434445464748495051525357585960616373747576787980818283848586ISILonec.TermMarkNumber2-GBD-S563(L) 2-GBD-S563(U) 2-GBD-S569(L) 2-GBD-S569(U) 2-GBD-S568 2-GRH-S62-GRH-S72-GRH-S24 2-GRH-S25 2-GCCW-S274 2-GCCW-S308 2-GCCW-S317 2-GCCW-S320 2-GCCW-S838 2-GCCW-S839 2-GCCW-S840 2-GCCW-S843 2-GCCW-S306 2-GCS-S637 2-GSI-S47 2-GSI-S51 2-GSI-S575 2-GSI-S657 2-GCTS-S61 2-GCTS-S113(E) 2-GCTS-S113(W) 2-GCTS-S114(N) 2-GCTS-S114(S) 2-GCTS-S115(N) 2-GCTS-S115(S) 2-GCTS-S116(E) 2-GCTS-S116(W) PlanSnubbers2-GFW-S868 2-GFW-S869 2-GFW-S873 2-GFW-S885 2-GFW-S891 Azimuth2752752752752647265185Elevation 607608607608608581581581580621610621610621621620620596608573573598610579582582582582579579579579617616616606602Page56 INDIANAMICHIGANPOWERCOMPANYDONALDC.COOKNUCLEARPLANT,BRIDGMANMl.UNIT2COMMERCIAL SERVICEDATE7-1-1978NATIONALBOARDNUMBER1Unit2Grinnell"Inaccessible" SnubbersTech.Sec.123456789101112131415161718192021222324252627282930313233343536373839405455566264656667686970717277MarkNumber2-GRC-S537 2-GRC-S538 2-GRC-S555 2-GRC-S562 2-GRC-S564 2-GRC-S566 2-GRC-S573 2-GRC-S575 2-GRC-S582 2-GRC-S592 2-GRC-S594 2-GRC-S596 2-GRC-S598 2-GRC-S599 2-GRC-S609 2-GRC-S611 2-GRC-S623 2-GRC-S624 2-GRC-S626 2-GRC-S629 2-GRC-S630 2-GRC-S632 2-GRC-S631 2-GRC-S587 2-FW-S12-FW-S2U2-FW-S32-FW-S4U2-FW-S52-FW-S62-FW-S72-FW-S8U2-FW-S92-FW-S10(L) 2-FW-S10(U) 2-FW-S11'-FW-S12 2-GCCW-S519 2-GCCW-S521 2-GCCW-S550 2-GCS-S634 2-GCS-S729 2-MSS-12-MSS-22-MSS-32-MSS-42-MSS-52-MSS-62-MSS-72-MSS-82-GSI-S707 254114115431733122320820828229129227928928329427724728428329129129126031262620155155163157204200'00194334334330343132132308299234817172165191184349356221610614614610614610614610617683683682671672689681682615692687672669670622634633636629637641634629634633636629634636634629623624619613617639635639635635639635639608AzimuthElevation Page57 INDIANAMICHIGANPOWERCOMPANYDONALDC.COOKNUCLEARPLANT,BRIDGMANMl.UNIT2COMMERCIAL SERVICEDATE7-1-1978NATIONALBOARDNUMBER1Unit2SteamGenerator SnubbersSteamGenerator No.S/Gg21ComonentNo.2-OME-3-1-HSD-1L 2-OME-3-1-HSD-1U 2-OME-3-1-HSD-3L 2-OME-3-1-HSD-3L SerialNumber25.12620.007-18 25.12620.007-29 25.12620.007-30 25.12620.007-17 S/GN222-OME-3-2-HSD-1L 2-OME-3-2-HSD-1U 2-OME-3-2-HSD-3L 2-OME-3-2-HSD-3U 25.12620.007-32 25.12620.007-28 25.12620.007-25 25.12620.007-26 S/GN232-OME-3-3-HSD-1L 2-OME-3-3-HSD-1U 2-OME-3-3-HSD-3L 2-OME-3-3-HSD-3U 25.12620.007-24 25.12620.007-27 25.12620.007-22 25.12620.007-21 S/G5242-OME-3-4-HSD-1L 2-OME-3-4-HSD-1U 2-OME-3-4-HSD-3L 2-OME-3-4-HSD-3U 25.12620.007-23 25.12620.007-20 25.12620.007-21 25.12620.007-31 Page58

INDIANAMICHIGANPOWERCOMPANYCOOKNUCLEARPLANT,BRIDGMAN, MICHIGANUNITONECOMMERCIAL SERVICEDATE07-01-1978 NATIONALBOARDNUMBER1STEAMGENERATOR IN-SERVICE INSPECTION EddyCurrentinspection oftheUnit2steamgenerators wasperformed duringOctoberof1994.Approximately 6.5%ofthetotalnumberoftubesinS/Gs22and23wereinspected withaneddycurrentbobbincoilprobeinaccordance withTechnical Specifications. Inaddition, duetoobservedtubedamageinthetubelanesofS/Gs22and23,108tubesineachgenerator wereinspected from3"abovetheflowdistribution baffle(FDB)totheendofthetubeonthehotandcoldlegs.Tubedamagewasattributed tomechanical interaction betweenthetubesandequipment usedtoperformPressurePulseCleaning(PPC)onthesecondary sideofthesteamgenerators. Asummaryoftheinspection scopeislistedinthefollowing table.SummaUnit2SteamGenerator InsectionScoeDescription S/G22S/G23TOTALInspected FullLengthInspected fromtheseventhsupportplateonthecoldleg(7C)totubeendhot(TEH)(Selected atrandom)LowRowTubesInspected 7CtoTEHTubesinspected FDB+3"totubeendhotandtubeendcoldinthetubelaneregionTOTAL6715414108343671541410834313430828216686Noimperfections werefoundasaresultoftheTechnical Specification eddycurrent*inspection. However,basedontheresultsofthespecialeddycurrentmaintenance inspection formechanically damagedtubes,atotalofthreetubesinS/G22andsixtubesinS/G23werepluggedandremovedfromservice.Noneofthetubesinspected duringthespecialeddycurrentmaintenance inspection exhibited signsofserviceinduceddegradation. Alistingofthetubespluggedandremovedfromserviceislistedinthetablebelow:S/G22Row1Column92Row1Column5Row1Column93Row1Column6Row1Column94Row1Column7S/G23Row1Column92Row1Column93Row1Column94Page59

'NDIANAMICHIGANPOWERCOMPANYDONALDC.COOKNUCLEARPLANT,BRIDGMANMI.UNIT2COMMERCIAL SERVICEDATE7-1-1978NATIONALBOARDNUMBER1ReactorVesselClosureHead.Inspections RVClosureHeadPenetration InsectionsAneddycurrentinspection wasperformed on71of78reactorvesselclosureheadpenetrations. Onepenetration wasfoundtoexhibitcrack-like indications. Asupplemental forward-scatter-timeofflightultrasonic examination wasperformed onthispenetration andusedtocharacterize theindications asthreeaxialcrackswhichhaveamaximumdepthof6.8mm.Whileallindications werewithintheNEIscreening

criteria, theNRCwascontacted forconcurrence thatanyrepairsmaybedeferreduntilasubsequent outage'VControlRodDriveThermocou leGuideFunnelInsectionsReairsAmanualinspection wasperformed onthe53ReactorVesselCRDthermalsleeveguidefunnelsandthefive(5)guidefunnelsthatareinstalled onthethermocouple columns.Forty-two (42)oftheCRDthermalsleeveguidefunnelswerefoundtoexhibitsomedegreeofmovementwhentheyweremanuallyrotated.Themaximumradialmovementnotedonanyoftheguidefunnelswasapproximately

.100inches.Nomovementwasdetectedonanyoftheguidefunnelsinstalled onthethermocouple columns;however,oneguidefunnelwasfoundnottohaveitsanti-rotation pinsinstalled. Adesignchange(MM-580)wasgenerated torestoretheguidefunnelstoacondition equivalent totheoriginaldesign.Theforty-two (42)CRDthermalsleeveguidefunnelsthatexhibited movementandthethermocouple guidefunnelthatdidnothaveitsanti-rotation pinsinstalled wereattachedtotheiradjoining components bytheuseoffilletwelds.Page60 INDIANAMICHIGANPOWERCOMPANYDONALDC.COOKNUCLEARPLANT,BRIDGMANMI.UNIT2COMMERCIAL SERVICEDATE7-1-1978NATIONALBOARDNUMBER1SystemPressureTestsInservice Inspection SystemPressureTestswereperformed duringtheFall1994UnitTwoRefueling Outage.Thesetestswereinaccordance withtherequirements ofASMESectionXIArticlesIWA-5000,IWB-5000, IWC-5000, andIWD-5000asapplicable. Atotaloftwenty-one (21)hydrostatic testswereperformed duringtheoutage.2-0HP5070.ISI.012 (ExcessLetdownHeatExchanger) whichfailedwithaweldleak,wasrepairedandretestedsatisfactorily. Theremaining testswerewithinallowable acceptance criteria. Thetestsperformed were:PROCEDURE

    • 2-OHP5070.ISZ.009 DESCRIPTION Component CoolingWaterEastandWestTrainsNUMBEROFTESTSCOMPLETED
    • 2-OHP5070.ISI.010 Component CoolingWaterMisc.SupplyReturnHeaders**2-OHP5070.ISI.012 Component CoolingWaterPipingHeatExchanger, RCPThermalBarriers, RCPOilCoolers**2-OHP5070.ISI.016
    • 2-OHP5070.ZSZ.029 ControlRoomA/CCircWaterSZPumpMini-flow PipingtoRWST**2-OHP5070.ZSI.030 CVCS;LetdownPipingandComponents
    • 2-OHP5070.ISI.031 VolumeControlTankandAssociated Piping**2-OHP5070.ISI.032 RCPSealWaterPipingSupply/Leakoff Inadditionsystemfunctional, inservice andleakagetestswereconducted onClass1,2and3systems.'his includedtheentireReactorCoolantSystemandassociated pipingpertherequirement ofIWB-5221.

Theresultsofthesystemfunctional, inservice andleakagetestswereallwithinallowable acceptable range.Allprocedures satisfythetestinganddocumentation requirements setforthinASMESectionXI,1983,Summer1983AddendumforClass1,Class2,andClass3components andsystemsforCookNuclearPlant.Alprocedures weresatisfactorily completed byIndianaMichiganPowerCompany,ISIHydroTesting,QualityControlandNDEpersonnel. Page61 INDIANAMACHIGANPOWERCOMPANYD.C.COOKNUCLEARPLANTUNIT2;COMMERCIAL SERVICE7/1/1978NATIONALBOARDNUMBER1JobComponent OrderActivitUNITIdentification CodeClassDateWorkedTeofReairorRelacementC01238,C04197C04452C04828C06091C08309C09008C09659C09946C09961C09962C09981C09989C10100C10178C10596C10644C10723C10777C11199C11199C11202C11366C11742C11743C11872C12062C12062C12062C12062C13676C13677C14079C14079C14196C14331C14331C14331C14331C14689C15292C15292C15292C15292C17096112101325233334216834311311262328223125111112222102GSI-V8392IMO-1102MRV-2132MRV-2432DCR-3102MRV-2232GFW-S8852QRV-4512NRV-1642QRV-1622IMO-3162IMO-3252NRV-1642IMO-3152NMO-1512MRV-2212RH-104E2OME-42SI-169-L1 2MMO-2402MMO-2402RH-109W2MRV-2332RH-108W2RH-108E2RC-104-L2 2ACS-L9542ACTS-R818 2GSF-L542GSI-R1A2MRV-2212MRV-2112MRV-2232MRV-2232BD-103-42CS-797¹92-212CS-797¹92-262CS-798¹92-202CS-798¹92-222CS-3532ASI-L9132ASI-L9142GSI-L1092GSI-L111A 2MRV-22321222222122111122110/21/93INSTALLMISSINGNUT11/18/94REPLACEWEDGE7/18/92MACHINEVALVEPLUG11/13/92REPLACEPLUG/REPAIR SEAT8/13/92REPLACEBONNET/PLUG/NUT 11/4/92REPLACEPLUG/CAGE REPAIRBODY10/6/92REPLACESNUBBER10/15/92REPLACESTUDSANDNUTS7/6/92REPLACEBONNETSTUDS7/6/92REPLACESTUDS8/13/92REPLACESTUDSANDNUTS8/8/92REPLACESTUDSANDNUTS9/28/94REPLACEVALVEINTERNALS 9/30/94REPLACEBOLTING10/12/94REPLACEWEDGE8/8/92REPLACEPLUGANDSTEMASSEMBLY9/24/92REPLACESTUDSANDNUTS8/6/92REPLACEMANWAYANDBOLTINGREPAIRMANWAYBYMACHINING 8/11/92REPAIRINBODYSEATINGSURFACE10/23/94REWELDTHEBODYRINGSEAL11/8/94REPLACEPOPPET(PLUG)3/8/93REPAIRINBODYSEATINGSURFACE9/9/92REPLACEPLUGANDSTEMASSEMBLY9/19/92REPLACEBOLTING9/21/92REPLACEBOLTING9/28/94REPLACEVALVEANDPIPE6/30/93MODIFYSUPPORT10/5/93MODIFYSUPPORT6/29/93MODIFYSUPPORT6/17/93MODIFYSUPPORT1/8/93REPLACEPLUG,STEM&SEATRING1/29/93REPLACEPLUG,STEM&SEATRING5/12/93REPLACEPLUG;MACHINEBONNET7/10/93REPLACEPLUG;MACHINEBODY11/19/94REPLACEVALVEANDPIPE10/11/93MODIFYSMALLBORESUPPORT10/11/93MODIFYSMALLBORESUPPORT10/11/93MODIFYSMALLBORESUPPORT10/11/93MODIFYSMALLBORESUPPORT3/24/93REPAIRINBODYSEATINGSURFACE10/9/94HANGERMODIFICATION 10/9/94HANGERMODIFICATION 10/9/94MODIFYSUPPORT10/9/94MODIFYSUPPORT9/10/93REPLACEVALVEPage62

INDIANAMACHIGANPOWERCOMPANYD.C.COOKNUCLEARPLANTUNIT2;COMMERCIAL SERVICE7/1/1978NATIONALBOARDNUMBER1JobComponent OrderActivitUNITIdentification CodeClassDateWorkedTeofReairorRelacementC17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441C17441555555555555551111111111111111111111111112GCTS-R500 2GCTS-R505 2GCTS-R520 2GCTS-R535 2GCTS-R540 2GCTS-R554 2GCTS-R558 2GCTS-R568 2GCTS-R573 2GCTS-R574 2GCTS-R575 2GCTS-R580 2GCTS-R583 2GCTS-R597 2GCTS-R629 2GCTS-R630 2GCTS-R633 2GCTS-R637 2GCTS-R641 2GCTS-R643 2GCTS-R646 2GCTS-R647 "2GCTS-R649 2GCTS-R651 2GCTS-R655 2GCTS-R655 2GCTS-R657 2GCTS-R659 2GCTS-R661 2GCTS-R663 2GCTS-R665 2GCTS-R667 2GCTS-R668 2GCTS-R669 2GCTS-R671 2GCTS-R673 2GCTS-R675 2GCTS-R677 2GCTS-R679 2GCTS-R681 2GCTS-R682 2GCTS-R685 2GCTS-R687 2GCTS-R688 2GCTS-R689 2GCTS-R691 2.22.2210/26/9410/26/9410/26/9410/20/9410/26/9410/26/9410/26/9410/26/9410/26/9410/26/9410/26/9410/26/9410/26/9410/26/945/26/945/26/945/26/945/26/945/26/945/26/945/26/945/26/945/26/945/26/949/21/945/26/945/26/945/26/945/26/945/26/945/26/945/26/945/26/945/26/945/26/945/26/945/26/945/26/945/26/945/26/945/26/945/26/945/26/945/26/945/26/945/26/94MODIFYSUPPORTMODIFYSUPPORTMODIFYSUPPORTREPLACEFIG.137MODIFYSUPPORTMODIFYSUPPORTMODIFYSUPPORTMODIFYSUPPORTMODIFYSUPPORTMODIFYSUPPORTMODIFYSUPPORTMODIFYSUPPORTMODIFYSUPPORTMODIFYSUPPORTNONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT RINGHEADER SUPPORTSNONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT NONWELDED REPLACEMENT Page63 IkI INDIANAMACHIGANPOWERCOMPANYD.C.COOKNUCLEARPLANTUNIT2;COMMERCIAL SERVICE7/1/1978NATIONALBOARDNUMBER1JobComponent OrderActivitUNITIdentification CodeClassDateWorkedTeofReairorReIacement'0C17441C17441C17441C17441C17441C17441C17441C17441C17454C17829C18664C19300C19471C19472C19474C19475C19629C19862C19864C19866C19869C19875C19877C19880C19886C19888C19889C19924C19924C19924C19927C19927C19927C19930C19930C19942C20029C20030C20640C20993C21013C21313C21425C21432C21542C21917551115514324444611I111118338338311131833722GCTS-R693 2GCTS-R697 2GCTS-R704 2GCTS-R708 2GCTS-R710 2GCTS-R713 2GCTS-R721 2GCTS-V724 2GSI-L702CS-328-L4 2IMO-3252GCTS-R700 2FW-70DETD2FW-71DETD2FW-72DETD2FW-73DETD2QRV-1112GRC-S5552GRC-S5732GRC-S5982FW-S4-U2FW-S52FW-S8-U2GBD-S5682MSS-12MSS-52MSS-72MMO-2102MMO-2102MMO-2102MMO-2202MMO-2202MMO-2202MMO-2302MMO-2302NoComponent¹ 2GCTS-S115-N 2GCTS-S115-S 2QFR-312CONOSEALS 1-2VCR-2072IMO-3162BD-101-12QRV-1622MRV-2412SV-1B-422222222211222221111222222222222'2222.222122222210/26/94MODIFYSUPPORT10/26/94MODIFYSUPPORT5/26/94NONWELDED REPLACEMENT 5/26/94NONWELDED REPLACEMENT 5/26/94NONWELDED REPLACEMENT 10/26/94MODIFYSUPPORT5/26/94NONWELDED REPLACEMENT 10/26/94MODIFYSUPPORT9/20/93MODIFYSUPPORT9/27/94REPLBODYTOBONNETBOLTS9/29/94REPLACEBOLTING10/17/94MODIFYSUPPORT10/7/9414"SPOOLINSTALLATION 10/6/9414"SPOOLINSTALLATION 10/4/9414"SPOOLINSTALLATION 10/5/9414"SPOOLINSTALLATION 10/26/94REPLACETRIMASSEMBLY9/27/94UPGRADEOFCONTROLVALVE'/27/94UPGRADEOFCONTROLVALVE9/27/94REPLACEVALVEBLOCK9/30/94UPGRADEOFCONTROLVALVE9/24/94UPGRADEOFCONTROLVALVE9/30/94UPGRADEOFCONTROLVALVE9/15/94UPGRADEOFCONTROLVALVE9/30/94UPGRADEOFCONTROLVALVE9/30/94UPGRADEOFCONTROLVALVE9/30/94MATERIALUPGRADEMM-30011/1/94REWELDSEALANDTACKWELD11/1/94REPLACEB/BSTUDS11/1/94REPLACEPOPPET11/1/94REWELDTHEBODYRINGSEAL11/1/94REPLACEBOLTING11/1/94REPLACEPOPPET11/1/94REWELDTHEBODYRINGSEAL11/1/94REPLACEB/BSTUD8NUT9/6/94INSTALL4FEEDWATER PORTS9/18/94SNUBBERUPGRADE...MM300 9/17/94SNUBBERUPGRADE...MM300 10/31/94REPLACEBOLTING11/1/94REPLACETHERMOCOUPLE NOZ10/14/94REPLACEBOLTING11/21/94REPLACEBOLTING1/24/94WELDREPAIRTHRUWALLDEFECT1/24/94REPLACESTUDSANDNUTS2/21/94REPL'ACESEATRINGANDPLUG10/11/94REPLACEVALVEDISCPage64 N' INDIANAMACHIGANPOWERCOMPANYD.C.COOKNUCLEARPLANTUNIT2;COMMERCIAL SERVICE7/1/1978NATIONALBOARDNUMBER1JobComponent OrderActivityUNITIdentification CodeClassDateWorkedTeofReairorRelacementC23011C23787C24544C24817C24817C25993C26042263111C260533C261582C261622C26408C26430C26434C26497C26507C26508C26546C26590C26852C27211R09655R09656R12537R22608R22733R22843R24359R25802R25813R25826R25831R25994R26005R26006R26084R26086R26087R26088R26093R26094R26095R27507R27508R29750R313092RC-102-L3 2MS-135-22IMO-3122WCR-9582WCR-9582SV-1A-22QMO-2252QMO-2262CCR-4602CCR-4622OME-3-32CCM-4582OME-3-32QMO-2012GFW-S8732QCR-3012SI-151EPIPE2QMO-2002QMO-4202OME-3-3~2SV-45A2SV-45C2MSS-1.2SV-45B2GRC-S5552GBD-S5682MSS-72CTS-103W2FW-118-42SV-522SV-1072DCR-3102DCR-3302DCR-3202QCR-3012QRV-512MRV-2122MRV-2112MRV-2322MRV-2312MRV-2222CS-451-22CS-451-32SV-52'SI-10110/26/94REPLACESTEMANDDISC1.1/18/94 REPLACEVALVEANDPIPE10/10/94REPLACEBACKSEATRET.RING10/2/94ROTATEVALVEFORCPN7110/2/94REPLACESTUDS10/13/94REPLACEDISC10/7/94REPLACEPLUG10/7/94REPLACEPLUG10/1/94REPLACESTUD10/4/94REPLACEPLUG10/15/94MACHINESSMANWAY10/13/94REPLACEVALVEANDBOLTING10/25/94REPLACESTUDANDNUT10/10/94REPLACEWEDGEANDSTUDS10/16/94REPLACERESERVOIR 10/15/94REPLACETRIMASSEMBLY10/23/94REMOVEARCSTRIKE10/15/94REPLACEWEDGE10/31/94REPLACEVALVE11/28/94REPLACEMANWAYSTUDSNUTS10/5/94REPLACEVALVE10/5/94REPLACEVALVE10/17/94REPLACETAPEREDLOADPIN10/5/94REPLACEVALVE10/7/94REPLACELOADPIN9/22/94REPLACETAPEREDLOADPIN10/4/94REPLACELOADPIN9/16/94REPLACENUTSANDSTUDS10/13/94REPLACEB/BSTUDS10/7/94REPLACEFASTENERS 10/22/94REPLACEBOLTING10/25/94REPLACEPLUG10/24/94REPLACEVALVEINTERNALS 10/29/94REPLACEBONNET,PLUG,BOLT10/4/94REPLACETRIMASSEMBLY9/27/94REPLACEVALVETRIMASSY10/13/94REPLACEPLUG/SEAT RING10/13/94REPLACEPLUG/SEAT RING9/23/94REPLACEPLUGANDSEATRING10/11/94REPLACEPLUG/SEAT RING10/11/94REPLACEPLUGANDSTEMASSEMBLY9/27/94REPLACESTUDSANDNUTS9/28/94REPLACESTUDSANDNUTS9/22/94REPLACEFASTENERS 9/19/94REPLACEDISCPage65 FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXIl.OwnerINDIANAMICHIANPWEROMPANYNameP.OBox60FortWaneIN46801AddressDate10-21-3sheet1of2.PlantD.C.COOKNULEARPOWERPLANTNameUnitOnCokPlacBrinMI4106Address12-12-GSI-V-8 HANGERRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenanCe DartmentNameSeas2AddressExpiration DateNA4.ZdentificationofSystemAFETYINJECTION SYSTEM(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983ummr1Addnd6.Identification ofComponents RepairedorReplacedandReplacement Components DameofComponent 2-GSZ-V-839 NUTName'fManufacturer CARDINALINDUSTRIAL PRODUCTSINC.Manuf..Seri.alNo.N/ANat.BoardNo.N/AOtherIdenti-ficationN/ASA194GR2HME30-046623 ASPP13276 YearBui.ltN/AN/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTASME.CodeStamped(YesorNo)NONO7.Description ofWorkSee.Remarks 8.TestConducted: Hydrostati.c Pneumati.c NominalOperating PressureN/AXOther.PressuresiTestTemp.oF'INOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsi.srecordedatthetopofthi.sform. Page2of2FORMNIS-2(Back)9.RemarksINSTALLED MISINGNUTONHANGER2-GSI-V-8 Applicable Manufacturer's DataReportstobeattachedRf.0:12-1File.2-GI-V-83II:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNACertifica oAzationNo.NAExpiration DateNASigngdFanPisskMaint.En.SuervisorOwnerorOwner'sDesignee, TitleDate-/CERTIFICATE OFINSERVICE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod~l--s~7andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherecpxirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalin)uryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions dioA.drCJAN.~)Inspect'sSignature NationalBoard,State,Province, Endorsements Date19/+*FACTORYMUTUALENGINEERING ASSOCIATION

PORMNZS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI'wnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801AddressDate10-06-94Sheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106UnitC4197-12-IMO-110 AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenanCe DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemACCUMULATOR TANKINJECTION (b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-IMO-110 N/AN/AN/AN/AN/AREPAIREDNOWEDGEN/AN/ASA-182TYPEF304M&E30044155ASPg8509N/AREPLACE-MENTNO'17.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AOtherPTPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportis'ncludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.

FORMNZS-2(Back)Page2of29.RemarksREPLACEDCRACKEDWEDGEDUETOOVERTHRUSTING WHILESETTINGVALVEApplicable Manufacturer's DataReportstobeattachedLIMIT.NEWWEDGEWASMACHINEDPRIORTO'INSTALLATION TOASSUREPROPERFIT.PTEXAMWASPERFORMED ANDACCEPTEDAFTERMACHINING. Ref.JO:C4197-1File:2-IMO-110 ISI1CBRTZFZCATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNAExpiration DateSignedFranxsarskMaint.En.SuervisorDate0IOwnerorOwner'sDesignee, Title19NACERTZFICATE OFZNSERVICE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateor'rovince ofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodtoandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisinfromorconnected withthisinspection.

  • GeZHACommissions M<4ops5E'v~Inspector's ignureNationalBoard,State,Province, Endorsements
  • FACTORYMUTUALENGINEERING ASSOCIATION X99Date

PORMHIS-2OWNER'SREPORTFORREPAIRSORREPLACZKEKZS AsRequiredbytheprovisions oftheASMECodeSectionXZOwnerINDIANAMICHIGANPOWERCOMPANYNameDate07-18-2P.O.Box60FortWaneIN461AddressSheet1of'2.PlantDOOKLEARPWERPLANTNameUnitOneCookPlaceBridanMI4164452-2112-MRV-213 6"VLV.AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMintenance DeNameSameas2rtmnAuthori.zation No.NAExpiration DateNAAddress4.ZdentificationofSystemMAINSTEAM(b)Applicable EditionofSecti.onXIUtilizedforRepairsorReplacements 1983Summr183Addnda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-MRV-213 NameofManufacturer FISHERCONTROLSManuf.'SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-.ficationEXISTINGCOMPONENT YearBuiltN/ARepai.red ReplacedorReplace-mentREPAIREDASMECodeStamped~(YesorNo)NO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostati.c Pneumatic ,NominalOperating PressureN/A'therPTPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsXsrecordedatthetopofthisform. 4 Page2of2FORMNIS-2(Back)9.RemarksMACHINEDTHEVALVEPLUGTOREMOVESURFACEANOMALIES. PTEXAMWASApplicable Manufacturer's DataReportstobeattachedPERFORMED WITHNORELEVANTINDICAT1ONS NOTEDPER.C4452-11RefJO:442-2File:2-MRV-21ISI2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisREPAIREDconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNACertifica oAizationNo.Sigqed.FrankPirskMaint.En.SueOwnerorOwnerssDesignee, TitleExpiration Date(19NACERTIFICATE OFINSERVZCE INSPECTION Igtheundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerbyARKWRZGHT MUTUALINS.CO.*ofNORWOODMASS.have'p~tdthecomponents described inthisOwner'sReportduringtheperiod-/andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commi'ssioos Inspector's ignatureNationalBoard,State,Province, Endorsements Date*FACTORYMUTUALENGINEERING ASSOCIATION 197 YJl FORMNXS-2OWNER'SREPORTFORREPAIRSORREPLACEM22FZS AsRequiredbytheProvisions oftheASMECodeSectionXZ'~OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWanIN4601AddressPlantD..OKNULEARPWERPLANTNameDate11-13-2Sheet1ofUnitOnokPlacBridnMI41642-10Se112-MRV24nVLVAddressRepairOrg.P.O.No.,JobNo.",etc3~WorkPerformed byMaintnanDeartmentNameSameas2AddressAuthorization No.NAExpiration DateNA4.Identification ofSystem'AINTEAM"""HSummr1Adnd6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.Other.Identi-fication, YearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-MRV-243 N/AN/AN/AN/AN/AREPAIREDNOVALVEPLUGFZSHERCONTROLS. N/AN/ASA-479M&E30040030 ASPP15282 N/AREPLACE-MENTNOVALVEBODYSEATINGSUFACEFISHERCONTROLSN/AN/ASA-216GR.WCBCASTINGN/AREPAIREDNO7.Description ofWorkeRerks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AOtherXPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.xllin.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. I Page2of2FORMNZS>>2(Back)9.RemarksBUILTUPVALVEBDYSEATINQSURFACEWITHWELDMETALPER.Applicable Manufacturer's DataReportstobeattachedJ.O.C-4828 ACT.10MACHINEDANDPREFROMED FINALSURFAEEXAMNEATINSURFACEALSOREPLACEDVALVEPLPER-42-11-482-111Fil~2-MRV-24CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisREPAIREDconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateSignedFrnkPsrskMaint.En.SuervisorDateOwnerorOwner'sDesignee, Title19NACERTIFICATE OFINSERVZCE INSPECTION Commissions Hi~loss-hvPNNationalBoard,State,Province, Endorsements Inspector's ignre*FACTORYMUTUALENGINEERING ASSOCIATION Date-'c'9I,the.undersigned, holdingavalidcommission issued'bytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents descrihed inthismoner'sReportduringtheperiod~i@~ra)toandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations.and takencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed in.thisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. / II PORNNIS-2OWNER'SREPORTRORREPAIRSORREPLACHKKXTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMIHIANPWERMPANY~~~NameP.O.Box60FortWaneIN46801AddressDate0-13-2Sheet1of2.PlantD.COOKNUCLEARPWERPLANTNameOnook.PlacBridnMI4106Unit1-12-DR-312"VALVEAddressRepair3.WorkPerformed byMaintennDrmntNameSamas2AddressOrg.P.O.No.,JobNo.,etcExpiration DateNA4.Identification ofSystemBLWDWNer1Adnda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplaced'orReplace-mentASMECodeStamped(YesorNo)2-DCR-310 BONNETN/AHAMMELDAHLINC.N/AN/A'/AN/AN/ASA-182GR.F5AMGE30040710 ASPÃ13893** N/AN/AREPLACE-MENTNOREPAIREDNOPLUGCLAMPNUTNELES-JAMESBURY NELES-JAMESBURY N/AN/AN/AN/AASTMA582GR.416MGE30040938 ASPP13822 A-105GR.HR-1035MGE30040855 ASPP11110 N/AN/AREPLACE-MENTREPLACE-MENTNONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureXN/AOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. E~J-4~ Page2of2FORMNZS-2(Back)9.RemarksREPLACEDPLUGEeCLAMPNUT**BONNETASSYPART174AAWASApplicable Manufacturer's DataReportstobeattachedREEIPTINSPETEDANDASSINEDP814LEAKFFLINEWTHENPLEDANDWELDEDANDRESINGEDP1R1-1Fil:2-DR-310II:2CERTZFZCATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration Datele&-CD~SignedFrankPisarskMaint.En.SuervisorDate.tOwnerorOwner'sDesignee, TitleNACERTIFICATE OFINSERVICE INSPECTION I,the.undersigned, holdingavalidcommission'ssued bytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinsectedthecomponents described inthisOwner'sReportduringtheperiodto'-"'-<',andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commfssioos >C/>6,!Znspec'sSignature NationalBoard,State,Province, Endorsements Date*FACTORYMUTUALENGINEERING ASSOCIATION .g-k'h>.r FORMNIS"2OWNER'SREPORTFORREPAIRSORREPLACHMZXTS AsRequiredbytheProvisions oftheASMECodeSectionXZ,1.OwnerINDIANAMIHIANPWEROMPANYNameBxFrWnN4681AddressDate11-4-2Sheet1of2.PlantD.COOKLEARPOWERPLANTNamenkPlaBrinMI410Unit0-2-MRV-22"VALVEAddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byintenanDearmentNameBIllB2Address4.Identification ofSystemMAINTEAMr1AdnExpiration DateNA6.Identification ofComponents RepairedorReplacedandReplacement Components ~NameofComponent 2-MRV-223 PLUGNameofManufacturer N/AN/AManuf.SerialNo~N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationN/ASA-479WITHSTELLITEP6YearBuiltN/AN/ARepairedReplacedorReplace>>mentREPAIREDREPAIREDMACHINZNG ASMECodeStamped(YesorNo)NONOCAGESEATINGSURFACEVALVEBODYN/AN/AN/AN/AN/AN/A17-4PHHARDFACING SA-216GRWCBN/AN/AREPAIREDMACHINING REPAIREDMACHINING NONO7.Description ofWorkRrk8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AOtherPT*PressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided~~~(1)sizeis8-1/2in.xllin.,(2)information initems1through6onthisreportisincluded, oneach'heet-, and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.

Page2of29.RemarksFORMNZS-1(Back)MACHININWASPERFRMEDNTHEVALVEBDYPLUANDAEEATApplicable Manufacturer's DataReportstobeattachedTREMVETEAMUTSMAHINEDFAEWEREP*AEPTABLEPRIRTREELINRf0Fil2-MRV-22II2CERTIFICATE OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisREPAIRconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNA-'"'"gpss'"'5"-"'" "'Expiration DateSignedFrankPisarsTMaint.En.SuervisorDate<&-OwnerorOwner'sDesignee, TitleNA,l9'tCERTIFICATE OFZNSERVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod-2-toandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalin)uryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions PA~~oosS~/AteInspector'ig ture"NationalBoad,Stae,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Date'v~~c.Z 4i FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACZKEKTS AsRequiredbytheProvisions oftheASMECodeSectionXI\1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-6-2P.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNULEARPOWERPLANTNameSheet1ofUnitOneCookPlaceBridanMI49106C9008-12-GFW-S-885 SNUBBERAddressRepairOrg.P.O.No.,JobNo.,etcNameama2Expiration DateNAAddress4.IdentificationofSystemFEEDWATER FW(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer183Addnda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GFW-S-885 NameofManufacturer N/AManuf.SerialNo.N/ANat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentREPLACEDASMECodeStamped(YesorNo)SNUBBERGRINNELLS/N31284N/AMGE30024690 ASP/11873 N/AREPLACE-MENTN/A7.Description ofWorkRrk8.TestConducted:

Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.OFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.

FORMNZS<<2(Back)Page2of29.RemarksREPLAEDSNUBBERWITHRINNELLFI2HYDRALISHOKANDApplicable Manufacturer's DataReportstobeattachedSWAYSTRUTSUPPESSOR ASSEMBLYSERIAL31284M&E30-024690 Rf:C-1Fil.2-FW-II:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateSignedankPisaskMaint.En.SuervisorDate-/5OwnerorOwner'sDesignee, TitleNACERTIFICATE OF.ZNSERVICE INSPECTION I,t;heundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerbyARKWRIGHT MUTUALZNS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodr'0g-Ctoandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Inspector's gtureDateW-IC19Commissions Wr=coos,E~~Per'ational Board,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION T

FORMNIS-2OWNER'REPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.'wnerINDIANAMIHIGANPOWEROMPANY~~NameP.OBox60ForWaneIN46801AddressDate10-1-2Sheet1of2.PlantD.C.COOKNUCLEARPWERPLANTNameUnitOneookPlaceBridnMI4106Address65-22-RV-4512"VALVERepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMainenaneDartmntNameSameas2Address4.Identification ofSystemBORONMAKEUPCSExpiration DateNA'NSummer183Addna6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 12-QRV451STUDSNameofManufacturer N/AITTENGINEERED VALVEManuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationN/AASMESA-453GR.660ME30-040576 ASP814879YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTASMECodeStamped(YesorNo)NONONUTSITTENGINEERED VALVEN/AN/AASMESA-194GR.8FME30-040562 ASP114879N/AREPLACE-MENTNO7.Description ofWorkSeRemrksI8..TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.DFtNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.xllin.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eathsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.

Page2of2FORMNIS-2(Back)"9.RemarksREPLACEDBODYTOBONNETBOLTINGTHATWERECORRODEDANDAPPEAREDApplicable Manufacturer's DataReportstobeattachedTOBEARBONSTEELWITHSTAINLESS STEEL.Ref.JO:C-65-2File:2-RV-451ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNANAExpiration Date~JZSignedankPiarskMaint.En.SueOwnerorOwner'sDesignee, TitleNACERTIFICATE OFINSERVZCE INSPECTION I,"theundersigned, holdingavalidcommission issuedby'heNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodItoandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. ~c.~M~c~Commissions Hi=aaorsInspector's gnaeNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION 199~Date~-/M FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACiRQWTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate07-06-92P.BoxFrt'WanIN41AddressSheet1of2~PlantD.C.COOKNUCLEARPOWERPLANTNameUnitOnookPlaceBridnMI410646-52-'NRV-164 4"VALVEAddress,RepairOrg.P.O.No.,JobNo.,etc"3.WorkPerformed byMaintenance DeartmentNameSameas2AddressExpirati.on DateNA4Identificati.onofSystemREACTOROOLANT(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983umm1Adend6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-NRV-164 BONNETSTUDSNameofManufacturer COPESVULCANCARDINALINDUSTRIAL PRODUCTSZNC.Manuf.~SerialNo.N/AN/ANat~BoardNo.N/AN/AOtherIdenti-ficationN/ASA-453GR.660M&E30030002 ASP/13888 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAZREDREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkSeeRemarks8.TestConducted:

Hydrostatic Pneumatic NominalOperating PressureN/AOtherVT1PressuresiTestTemp.OFNOTE:Supplemental sheetsinformofli.sts,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. Page2of2FORMNZS-2(Back)9.RemarksREPLACEDBONNETSTUDS.Applicable Manufacturer's DataReportstobeattachedPRfJO:4Fil.2-NRV-14II:1CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration Date~U~~SignedFrankPisarskMaint.En.SuervisorDateOwnerorOwner'sDesignee, Title19NACERTIFICATE OF,ZNSERVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.+ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodtoandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. /M+>>+/MCommissions ~=AZnspec'sSignature NationalBoard@State,Province, Endorsements Date19~/"FACTORYMUTUALENGINEERING ASSOCZATZON

PORNHIS-2OWNER'SREPORTPORREPAIRSORREPZACZÃZXTS AsRequiredbytheProvisions oftheASMECodeSectionXI~~1.OwnerINDIANAMIHIGANPWERCOMPANYNameP.OBox60FrWnIN4801Address2.PlantD..0KNULEARPWERPLANTNameDate07-06-2Sheet1ofUnitOneookPlaceBridnMI41061-22-RV-1622"VALVEAddressRepairOrg.P.O.No.,JobNo.,etcNameSameas2Expiration DateNAAddress4.Identification ofSystemLETDWNSummr1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo+Nat.BoardNo.Other,Identi.-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-QRV-162 STUDSN/ACARDINALINDUSTRIAL PRODUCTSINC.N/AN/A'N/AN/AN/ASTUD-SA-193 GR.B-7MQE30029005 ASPÃ13745 N/AN/AREPLACE-MENTNOREPAIREDNO7.Description ofWorkRmarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AOther~PressuresiTestTemp.oFCNOTE:Supplemental sheetsinformof.lists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)iinformation initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. Page2of2FORMNIS-2(Back)9.RemarksREPLACEDBODYTBNNETTUDSTHATWEREDEGRADEDSTUDSWEREAppicable Manufacturer's DataReportsToBeAttachedUPGRADEDTOL-FROML-4.Rf.:-1-2Fil:2-RV-162ISI2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNAExpiration DaternSigpedFanirskMaint.En.SuervisorDategpssOwnerrOwner'sDesignee, Title19NACERTIFICATE OFZNSERVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbythe'National BoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.havensectedthecomponents described in'thisOwner'sReportduringtheperiodandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sRepbrtinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. .48MCommissions 4.ZdIWInspector Signature NationalBoard,State,Province, Endorsements Date*FACTORYMUTUALENGINEERING ASSOCIATION +'--l9 jgS FORMNIS"2OWNER'REPORTRORREPAIRSORREPLACE5GXTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCMPANYNameDate08-13-2P.O.Bx60FortWanIN46801Address.2.PlantD.CCOKNUCLEARPWERPLANTNamenokPlaBridnMI4916Sheet1ofUnit2-2-IMO-16"VALVEAddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenanCe DeartmentNameSamas2Address4.Identification ofSystemExpiration DateNA(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer13Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.'SerialNo.Nat.BohrdNo.OtherIdenti-.ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-IMO-316 STUDSN/ANOVAPRODUCTSCORPCARDINALINDUSTRIAL PRODUCTSINC.N/AN/AN/AN/AN/AASMESA-193GR.B7ME30-028963 ASP113001ASP113301N/AREPLACE-MENTNOREPAIREDNONUTSNOVAPRODUCTSCORP.CARDINALINDUSTRIAL PRODUCTSZNC.N/AN/AASMESA-194GR.2HME30-028963 ASP$13001ASP/13301N/AREPLACE-MENTNO7.Description ofWorkRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. k Page2of2FORMNZS<<2(Back)9.RemarksREPLACED8SETSOFCORRODEDBONNETSTUDSANDNUTS5SETSWEREApplicable Manufacturer's DataReportstobeattachedFACTUREDBYNOVAMACHINEPRODUTSCORP.ASP130013SETSWEREMANUFACTURED BYCARDINALPRODUCTSINCASP13301Ref.JO:C-62-File:2-IMO-1ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNA'"""4"'"" "'Expiration DateISignednkPisarskMaint.En.SuervisorDateOwnerorOwner'sDesignee, Title19NAZnspectsSignature

  • FACTORYMUTUALENGINEERING ASSOCIATION DateCERTIFICATE OFINSERVZCE INSPECTION Igtheundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS~haveinsectedthecomponents described inthisOwner'sReport.duringtheperiod-/-andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection.

Commissions 4C~ddt"Ap~NaionalBoard,State,Province, Endorsements ~I PORNNIS-2OWNER'SREPORTFORREPAIRSORREPLACZKEÃTS AsRequiredbytheProvisions oftheASMECodeSectionXIl.OwnerINDIANAMlCHIANPOWERCOMPANYNameP.O.Bx60FortWaneIN46801AddressDate08-8-2Sheet1of"2.PlantD.C.COOKNUCLEARPOWERPLANTNameUnitOneookPlaceBridnMI4106C81-32-IMO-325 8"VALVEAddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenanCe DarmentNameas2AddressExpiration DateNA4.Identification ofSystemREATORLANTSYTEMSummer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent .NameofManufacturer Manuf.SerialNo.Nat.Bo'ardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-IMO-325 STUDSN/ANOVAPRODUCTSCORP.N/AN/AN/AN/AN/AASMESA-193GR.B7ME30-028963 ASPP13001 N/AN/AREPLACE-MENTNOREPAIREDNONUTSNOVAPRODUCTSCORP.N/AN/AASMESA-194GR.2HME30-028963 ASPP13001 N/AREPLACE-MENTNO7.Description ofWorkSeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.xllin.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.

Page2of2FORMNIS-2(Back)9.RemarksREPLAEDCORRDEDBONNETSTUDSANDNUTApplicable Manufacturer'.s DataReportstobeattachedRf.:C81-File:2-IM2II1CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateSigpedFankPisskMaint.En.SuervisorDategg)OwnerorOwner'sDesigneeg Title19NACERTIFICATE OFINSERVZCE INSPECTION Igtheundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALZNS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodandbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions /i'iX+~~!lid~+InspectosSignature NationalBoard,State,Province, Endorsements Date198*FACTORYMUTUALENGINEERING ASSOCIATION I~llii FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACZKE2FZS AsRequiredbytheProvisions oftheASMECodeSectionXl1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameDate09-29-94Sheet1ofUnitOneCookPlaceBridanMI49106C9989-34"VALVE2-NRV-164 AddressRepairOrg.P.O.No.,GobNo.,etc3.workPerformed byMaintenance DeartmentNameSameas2Address4.Identification ofSystemREACTORCOOLANTExpiration DateNA(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-NRV-164 N/AN/AN/AN/AN/AREAPIREDNOSTUDSSTUDSCARDINALINDUSTRIAL PRODUCTSINC.HARDWARESPECIALTY CO.TAXASBOLTCO.CARDINALINDUSTRIAL PRODUCTSCO.N/AN/AN/AN/AN/AN/AASMESA-453GRADE660M&E30047050 ASPQ14980 ASMESA-453GRADE660M&E30047040 ASPg9611&ASPN10508 ASMESA"194GRADE8FM&E30212140ASPN16474 N/AN/AN/AREPLACE-MENTREPLACE-MENTREPLACE"MENTNONONOSEEADDITIONAL SHEET7.Description ofWorkSeeRemars8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. R~h FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI(448zcI-3OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Date09-29-94sheetWofUnitC9989-34nVALVE2-NRV-164 AddressRepairOrg.P.O.No.,JobNo.,etc3.workPerformed byMaintenance DeartmentNameSameas2Address4.ZdentificationofSystemREACTORCOOLANTExpiration DateNA(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-NRV-164 TRIMASSY.BONNETEXTENSION .NameofManufacturer N/ANOVAMACH1NEPRODUCTSCORPCOPESVULCANZNC.COPESVULCANINC.'anuf.SerialNo.N/AN/AN/AN/ANat.BoardNo.N/AN/AN/AN/AOtherIdenti-ficationN/AASTMA-194GRADE8FAM&E30212142ASP¹15702 ASTMSA-564GRADE660M&E30036074 ASP¹13829 ASTMA-351GR.CFSMASP¹16066 YearBuiltN/A1/985N/AN/ARepairedReplacedorReplace-mentREAPIREDREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO,NO7.Description ofWorkSeeRemars8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureVT2N/AOtherVT1PressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided~~~~~~(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. ItI FORMNIS-2(Back)33Page3,ofg9.RemarksREPLACEDBONNETEXTENSION ANDTRIMASSEMBLYDUETOBONNETTOApplicable Manufacturer's DataReportstobeattachedBODYLEAK.ALSOREPLACEDSTUDANDNUTS.VT1EXAMWASPERFORMED FASTENERMATERIALPRIORTOINSTALLATION. Ref.JO:C9989-3File:2-NRV-164 ISIS1CBRTZFICATB OFCOMPLIANCE Wecertifythatthestatements, madeinthereportarecorrectandthisreplacement conformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration Date~lSignedFrankisarskMaint.En.SuervisorDateI~8OwnerorOwner'sDesignee, TitleNACERTIFICATE OPZNSBRVZCE ZNSPECTZON I,theundersigned, holding'validcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodto-3-9sandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty,. expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions W<<>oos5Er~67%zInspector'i tureNationalBoard,State,Province, Endorsements Datec~c~n199'5*FACTORYMUTUALENGINEERING ASSOCIATION J FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801AddressDate10-01-94Sheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106UnitC10100-32-IMO-315 AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformedbyMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemRESIDUALHEATREMOVAL(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-ZMO-315 N/AN/AN/AN/AN/AREPAIRED'O ALLTHREADSTUDSNOVAMACHINEPRODUCTSCORPN/AN/AASTMA-453.1986GRADE660M&E30029999 ASPg15076 REPLACE-MENTNOITTENGINEERED VALVESN/AN/AASMESA-194GRADE8FM&E30212090ASPQ11191 N/AREPLACE-MENTNO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. II Page2of2PORNN1S-2(Back)9.RemarksREPLACEDBONNETTOBODYBOLTINGMATERIALPER12-MM-574. Applicable Manufacturer's DataReportstobeattachedRef.JO:C10100-3File:2-IMO-315 ISI:1CERTIFICATE OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNANASignedFranPisarskMaint.En.SuervisorDate(C~&OwnerorOwner'sDesignee, TitleCERTIFICATE OPINSBRVICS INSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianand.employed byARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodto02(5.Vandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalin)uryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection, Commissions W(=4oo5~~.E~d'e'r~Inspector' ignreNationalBoard,State,Province, Endorsements DateO~~n~~19*FACTORYMUTUALENGINEERING ASSOCIATION iy PORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate-10-08-94P.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlace-BridmanMI49106Sheet1ofUnitC10178-42-NMO-151 AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenanCe DeartmentNameSameas2Address4.IdentificationofSystemCHARGINGCVCSExpiration DateNA(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer.1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent, 2-NMO-151 WEDGENameofManufacturer N/AVELANINC.Manuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationN/AASMESA-182GRADE316STELLZTEg6M&E30044145ASPg5209YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportis~~~includedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. Page2of2FORMNZS-2(Back)9.RemarksREPLACEDWEDGEPRIORTOINSTALLATION WEDGEWASMACHINEDTOApplicable Manufacturer's DataReportstobeattachedASSUREPROPERFIT.Ref.JO:C10178-4File:2-NMO-151 IS11CBRTIFZCATE OFCOMPLIANCE IWecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateNASignedFrirsvpMant.En.SuervisorDate<<t1tOwnerorOwner'sDesignee, TitleCERTZFZCATB OFZNSBRVZCB INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodTtoandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions WeAnuf'..hn/2WInspector's SiateNationalBoard,Stat.'e,Province, Endorsements +FACTORYMUTUALENGINEERING ASSOCIATION Date~<c.~be'r19 14 PORNNIS-2OWNER~SREPORTFORREPAIRSORREPLACEbG~S AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMIHIANPWERMPANYNameP0Bx0FortWanIN46801AddressDate0--2Sheet1of2.PlantDKLEARPOWERPLANTNameUnitneCokPlaceBridnMI4106Address-1-22-MRV-221 2"VALVERepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenanC DarmntNameAddress4.IdentificationofSystemMAINSTEAMExpiration DateNA(b)Applicable Edition'of SectionXIUtilizedforRepairsorReplacements 1983Summr19Addna6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-MRV-221 PLUG6STEMASSY.NameofManufacturer FISHERCONTROLSINT.FISHERCONTROLSINT.Manuf.SerialNo.N/ANat.BoardNo.N/AOther.Identi-ficationASTM,A582 TYPE416ME30-040005 ASPS12622YearBuilt1974RepairedReplacedorReplace-mentREPAIRREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkeRmarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincluded'oneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. 1 Page2of2FORMNIS-2(Back)9.RemarksREPLAEDVALVEINTERNALWHIHINCLUDETHEPLUGANDTEMApplicable Manufacturer's DataReportstobeattachedASSY.DCCPV702CNRf.J:C-1-2File:2-MRV-221 ISI2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateOwnerrOwner'ssDesignee, Title19NACERTIFICATE OFINSERVZCE INSPECTION I,the..undersigned, holdingavalidcommission issued'ytheNationalBoardofB'oilerbyAR16KIGHT MUTUALINS.CO.*ofNORWOODMASS.have~netedthecomponents described inthisOwner'sReportduringtheperiodandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReport'inaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions W>Ci'mZnspeor'sSignature NationalBoard,State,Province, Endorsements Date*FACTORYMUTUALENGINEERING ASSOCIATION 19/9 +ICis FORMHIS-2OWNER'SREPORTPORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIANPOWEROMPANY~~NameP.Box6PortWnIN4601AddressDate-24-2Sheet1of2.PlantD.C.KLEARPOWERPLANTNameOnookPlaceBridanMI4106UnitC-144-12-RH-104E 14"VALVEAddressRepairOrg.P.O.JobNo.,etc3.WorkPerformed byMaintnanCeDartmenNameamas2Address.Expiration Date~NA4.IdentificationofSystemRESIDUALHEATREMOVALRHRummr183Addnd6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)'-RH-104E STUDSNOVAMACHINEPRODUCTSN/AN/AASTM-A-453 GR.660QL5ASPfl2915 ME30-030001 N/AREPAIREDREPLACE-MENTNONUTSTEXASBOLTCO.N/AN/ASA-194-GR8F ME30-046906 ASPg4184N/AREPLACE-MENTNO7.Description ofWorkSeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. Page2of2FORMNZS-2(Back)9.RemarksREPLAEDCARBNTEELFASTENERWITHTAINLESTEELFASTENERApplicable Manufacturer's DataReportstobeattachedRf.J:-144-1File:2-RH-14EISI2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNACertifica oSignedrankrskOwnerorOwner'sDesignee, TitleExpi.ration DateNA-'2-1CERTIFICATE OFZNSERVICE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerbyARKWRZGHT MUTUALINS.CO.*ofNORWOODMASS.havenspectgpthecomponents described inthisOwner'sReportduringtheperiodandbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimpli.ed, concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheZnspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Ccmmi.ssicms ic.A7d'ns ctor'sSignature NationalBoard,State,Province, Endorsements Date*FACTORYMUTUALENGINEERING ASSOCIATION 'FP~19~~ 3l,' PORMHIS"2OWHER'REPORTPORREPAIRSORREPLACEMEHTS AsRequiredbytheProvisions oftheASMECodeSectionXZOwnerINDIANAMIHIGANPOWEROMPANYNameDate--2PBx6FrtWanIN46801AddressSheet1of2~PlantD.C.KNULEARPWERPLANTNameOneCookPlaceBridnMI4106Unit1723-62-OME-4PREURISERAddressRepairOrg.P.O.No.,JobNo.,etc3~WorkPerformed byMaintenanC DrtmntNameSameas2AddressAuthorizati.on No.NAExpiration DateNA4.Identification ofSystemPRESSIZERSummer13Addena6.Identification ofComponents RepairedorReplaced"and Replacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherkIdenti-fi.cation YearBuiltRepairedReplacedorReplace-mentASMECodeStamped(Yes"orNo)2-OME-4PRESSURIZER MANWAYMANWAYCOVERBOLTSWESTINGHOUSE WESTINGHOUSE N/AN/AN/AN/AEXISTINGSA-193GR.B7M&E30009772 ASPÃ95901965N/AREPAIRED'ESREPLACEDNOMANWAYCOVERWESTZNGHOUSE N/AN/ASA-533GR+AgCL-1 N/AREPLACEDNO7.Descri.ption ofWorkSeRemarkr8.TestConducted: Hydrostatic Pneumati.c NominalOperating PressureN/AOtherPT/VT-1PressuresiTestTemp.oFNOTE:Supplemental sheetsi.nformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisi.ncluded oneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.

Page2of2FORMNZS-2(Back)T2REPLAEDMANWAYVERANDBLTININADDITINTApplicable Manufacturer's DataReportsto.beattachedMACHININFTHEMANWAYGKETEATINGSURFACE0012"AND'~pqREAPPLIED THEPHNGRAPHIFINIHRf"172Fil'ME-4II'CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNA'"""'IIVQ'"""+Expiration DateSignedrnkPisarskMaint.En.SuervisorDateS+OwnerorOwner'sDesignee, Title19.NACERTIFICATE OFINSERVZCE INSPECTION I,theundersigned, holdingavalidcommission 'ssuedbytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod8'-3-zto<2'ndstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected wi-hthisinspection. Znspector's SigturDate,ZcCommissions ~i-4~~.rr.wi>iSw.NationalBoard,State,Province, Endorsements "FACTORYMUTUALENGINEERING ASSOCIATION 199Y

FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ'.OwnerINDIANAMICHIGANPOWERCOMPANYName.P.O.Box60FortWaneIN46801AddressPlantD.C.COOKNUCLEARPOWERPLANTNameOnCookPlaeBridmanMI4106Date08-11-92Sheet1ofUnitC10777-12-SI-16-L11"VLV.AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenanCe DeartmentNameSamea.s2AddressExpiration DateNA4.ZdentificationofSystemRESIDUALHEATREMOVALRHR(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-meatASMECodeStamped(YesorNo)2-SI-169-L1 N/AN/AN/AN/AN/AREPAIREDNOZNBODYSEATINGSURFACECONVALZNC.N/AN/ASTELLZTEN/AREPAIREDMACHINING NOr7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/>>]~XOr>>er((pressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)each'sheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.

FORMNZS-2(Back)Page2of29.RemarksTHEINBODYSEATINGSURFACEWASRECONDITIONED USINGACONVALApplicable Manufacturer's DataReportstobeattachedMANUALREFACEING TOOL.Ref.JO:C10777-1 File:2-SI-16-LlISI:1CERTZFZCATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisREPAIREDconformstotherulesoftheASMECode,SectionXZ~repairorreplacement TypeCodeSymbolStampNA"'""'K/W'" "-"SiggedFrankPisarskMaint.En.SuervisorOwnerorOwner'sDesignee, TitleExpiration Date19NAICERTIFICATE OFZNSERVZCE ZNSPECTZON Z.,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINSCO.*ofNORWOODMASShaveisptedthecomponents described inthisOwner'sReportduringtheperiodandstatethattothebestofmyknowledge ~andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReport'inaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neither'theInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions Inspecr'sSignature NationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION 19Date 40 0RAsRequiredbytheprovisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-23-94P.O.Box60FortWaeIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106UnitC11199-3Sc82-MMO-240 AddressRepairOrg.P.O.No.,JobNo.,etc3.workPerformed byMaintenance Deoartment NameSameas2Address4.Xdentification ofSystemMAINSTEAMExpiration DateNA(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-MMO-240 N/AN/AN/AN/AN/AREPAXREDNOPOPPETATWOODMORRILLN/AN/ASA-515GRADE70M&E23044491 N/AREPLACE-MENTNO7.Description ofWorkSeeRemars8.TestConducted:

Hydrostatic Pneumatic NominalOperating PressureVT2N/AOtherPTPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.

Page2of2FORNNZS-2(Back)9.RemarksTHEBODYRINGSEALWELDANDTHEPOPPETNUTTACKWELDWEREApplicable Manufacturer's DataReportstobeattachedREMOVEDTOFACILIATE VALVEINSPECTION. THEPOPPETWASREPLACEDANDTHEPOPPETNUTWASTACKWELDEDTHEBODYRINGSEALWASREWELDEDANDPTEXAMWASACCEPTED: Ref.JO:C11199-3 &:8File:2-MMO-240 ISI:2CBRTIFZCATB OFCONPLZANCB Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNACertificate orization No.NAExpiration DateNASignedFranksarsMaint.En.SuervisorDate1OwnerorOwner'sDesignee, TitleCBRTIFICATB OFZNSBRVZCB INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRZGHT MUTUALZNS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed 'inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neitherthe.Inspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanyk'ndarisingProm orconnected withthisinspection. /Co~issions ~JC>'~SrInspector's SiateNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Date~a.nvnr, "nI FORMHIS-2OWNER'SREPORTFORREPAIRSORREPLACZRKEXTS AsRequiredbytheProvisions oftheASMECodeSecti.onXZl.OwnerINDIANAMIHIANPWEROMPMYNamePBox6FrWan1N46801AddressDateSheet1of2.PlantD.COOKNULEARPWERPLANTNameUnitOnkPlacBridnMI410Address-1122-42-RH-1W4"VLVRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMainnanCDrmntNameBIll2AddressAuthorization No.NAExpiration DateNA4.Identifi.cation ofSystemREIDUALHEATREMOVRRll3r1Adn6.Identi.fication ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-RH-109W inbodyseatingsurfaceNameofManufacturer ConvalInc.Manuf.SerialNo.N/ANat.BoardNo.N/AOtherZdenti-ficati.on ASTM-A-732 GRADE21(STELLITE)

ASPP13403YearBuiltN/ARepairedReplacedorReplace-mentREPAIREDREPAIR:machining ASMECodeStamped(YesorNo)NO7.Descripti.on ofWorkRerk8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsi.nformoflists,sketches, ordrawingsmaybeused,provided(1)si.zeis8-1/2in.xllin.,(2)informati.on initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthi.sform. lt Page2of2FORMNZS-2(Back)9.RemarksThidainrfwasronditioninCnvalApplicable Manufacturer's DataReportstobeattachedrfin1Thli1DinPrrmnSfrthicpmnnt.DPV830CNRirdnME.III1sIIN-27hardfcinRf:1122-4Fil2-RH-1WISl'CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisREPAIR~conformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNACertifica oAurizionNo.NAExpiration DateNAOwnerorOwer'sDesignee, TitleCERTIFICATE OFINSERVICE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS~haveinspected thecomponents described inthisOwner'sReportduringtheperiodatoandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofankindarisinfromorconnected withthisinspection. ~l~Commissions ~cduos5'nspector's gnureNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION DateZ.-/c It PORNNIS"20%WER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMIHIANPNameP0Box60ForWaAddressRCOMPANYIN46801DateSheet1of2.PlantkplKLENameBRPLANTMI41UnithgAddress3.WorkPerformed byrlAddressNameRepairOrg.P.O.No.,JobNo.,etcExpiration DateNA4.Identification ofSystemTEAMR16..Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent.

2-MRV-233 PLUG&STEMASSY~NameofManufacturer IFISHERCONTROLSINT.FISHERCONTROLSINT.Manuf.SerialNoiN/ANat.Boaz;dNo.N/AOtherIdenti-..ficationSA479S31603COCR/-AME30-040030 ASP/15164 YearBuiltRepairedReplacedorReplace-mentREPAIRREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkRer8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.opNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.xllin.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberoisheetsisrecordedatthetopofthisform. k~~l Page2of29.Remarks'ORM NIS-2(Back)ALWHHINApplicable.Manufacturer's DataReportstobeattachedYDV72sRfFil'-V-2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateSignedFrisasMaint.En.SuervisorDate-17Qk@Ownerorer'sDesignee, TitleNACERTIFICATE OFZNSERVICE INSPECTION I,the.undersigned, holdingavalidcommission iss'uedbytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodandbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherecpairements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheZnspector norhisemployershallbeliableinanymannerforanypersonalin$uryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Coom1ssloos ~rio.Add+/As~InspectosSignature NationalBoard,State,Province, Endorsements Date19~F*FACTORYMUTUALENGINEERING ASSOCIATION s~~ss II PORNNZS-2OWNER'SREPORTFORREPAIRSOR'REPLACEbG~S AsRequiredbytheProvisions oftheASMECodeSectionXIOwnerINDIANAMICHIANPOWEROMPANYNameDate0-1-22.P.O.Box6FortWaneIN46801AddressPlantD'.C.COOKNUCLEARPOWERPLANTNameOnookPlaceBridnMI4106Sheet1ofUnit11742-12-RH-18W8"VALVEAddressRepairOrg.P.O.No.,JobNo.,etc3~WorkPerformed byMaintenanCe DeartmenNameSameas2AddressExpiration DateNA4.Identification ofSystemREIDUALHEATREMOVALRHR""~"JL'ummer1Addnd6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-.ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-RH-108W STUDS=N/ADUBOSESTEELINC.N/AN/AN/AN/AN/AASMESA453GR.660CL-BM&E30030000 ASPÃ11944 N/AN/AREPLACE-MENTNOREPAIREDNO7.Description ofWorkRemark8,TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.DFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthe"numberofsheets'srecordedatthetopofthisform. r FORMNIS-2(Back)Page2of29.RemarksREPLACEDVALVETOVALVEOVERSTUDS~sApplicable Manufacturer's DataReportstobeattachedRef.JO:C11742-1 Pile.2-RH-108W IS1:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereport,arecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateSignedFranPisarskMaint.En.SuervisorDateBlOOwnerorOwner'sDesignee, Title19NACERTIFICATE OFZNSERVICE INSPECTION .I,theundersigned, holdingavalidcommission issued.bytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveispectedthecomponents described inthisOwner'sReportduringtheperiod-/-P'2,toandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalin)uryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions bsJ.FKIAS'WInspectosSignature NationalBoard,State,Province, Endorsements Date*FACTORYMUTUALENGINEERING ASSOCIATION -19'~

PORREPAIRSORREPLACEMENTS AsRequiredbytheProvi.sions oftheASMECodeSectionXIl.OwnerINDIANAMIHIANPWERMPANYNameDate-21-2P.O.Box60FortWaeIN4801Sheet1of2.PlantDAddressKLEARPWEPLANTUnitNameOneokPleBridnMI410Address1174-12-RH-18E"VALVERepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byintennCeDearmentNamea2AddressExpiration DateNA4.Identification ofSystemRESIDUALHEATREMOVAL"""""II3Ser183Aend6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-RH-108E STUDSNameof'anufacturer DUBOSESTEELINC.Manuf.Serial.NoN/AN/ANat.BoardNo,N/AN/AOtherIdenti-ficationN/ASA453GR660ME30-030000 ASPÃ11944 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTASME~CodeStamped(YesorNo)NONO7.Description ofWorkRrk8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeuse'd,provided(1)sizeis8-1/2in.xllin.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.

Page2of2FORMNIS-2(Back)9.RemarksREPLACEDBFASTENERS WlTHSTAINLESS STEELSTUDSApplicable Manufacturer's DataReportstobeattachedRef.JO:C11743-1 File:2-RH-108E 1S1:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration Date(AU~<SignedFrŽankPisarskMaint.En.SuervisorDateOwnerorOwner'sDesignee, Title19NACERTIFICATE OFINSERVICE INSPECTION Inspector'ignature I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalin)uryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions r.+886APKNationalBoard,State,Province, Endorsements Date*FACTORYMUTUALENGINEERING ASSOCIATION

FORMNIS-2OWNER'SREPORTPORREPAIRSORREPLACEMENTS AsRequiredbytheprovisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801AddressDate09-28-94Sheet1of2~PlantD.C.COOKNUCLEARPOWERPLANTNameUnitOneCookPlaceBridmanMI49106AddressC11872-32-RC-104-L2 RepairOrg.P.O.No.,GobNo.,etc3.WorkPerformed byMaintenance Deartment"NameSameas2AddressExpiration DateNA4.IdentificationofSystemREACTORCOOLANT(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-RC-104-L2 'NameofManufacturer CONVALZNC.Manuf.SerialNo.N/A,Nat.BoardNo.N/AOtherIdenti-ficationSA-182TYPEF316MEE30035210 ASPN13491 YearBuiltN/ARepairedReplacedorReplace-mentREPLACE-MENTASbgCodeStamped(YesorNo)NO2"SCH.160FLANGEALBERTPIPESUPPLYN/AN/ASA-182TYPEF304ME(E30022521

    • ASPNSEEREMARKSREPLACE-MENTNO2"SCH.160PIPERADNORALLOYSINC.N/AN/AASMESA-376TYPE304MEcE30019310 ASPN14295 N/AREPLACE-MENTNO7.Description ofWorkSeeRemarks8.TestConducted:

Hydrostatic XPneumatic

  • NominalOperating PressureN/AOtherPTPressure2520siTestTemp.AMBIENT4F~~NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.

tl~g Page2of2PORNNZS-2(Back)9.RemarksREPLACEDVALVEANDADJACENTPIPINGANDFLANGE.PTEXAMWASApplicable Manufacturer's DataReportstobeattachedPERFORMED ONALLWELDSANACCEPTED. HYDRO.EXAMWASPERFORMED ANDACCEPTED.

    • FLANGEWASPURCHASED L"4ANDISSUEDASP620.PRIORTOINSTALLATION THEFLANGEWASUPGRADEDTOL-5ANDISSUEDANEWASPNUMBEROF17355Ref.JO:C11872-3File:2-RC-104-L2 ISI:1CERTZPZCATE OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNA"""'-"sI'"""-"'Q'Expiration DateSignedFrank%'Ra MainK.En.SuervisorDate4'L8OwnerorOwner'sDesignee, TitleNACBRTIPZCATE OPINSBRVICE ZNSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodtoI-I~-e~andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanyindaris'fromorconnected withthisinspection.

r-4r.Commissions Ws>S6'~7KInspector'zp8i atureNationalBoard,State,Province, Endorsements r*FACTORY. MUTUALENGINEERING ASSOCIATION Date<u~u~r

FORMNXS-2OWNERiSREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANY~~~Name'.O.Box60FortWaneIN46801Address2~PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3-'orkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressDate6-30-93Sheet1of2UnitJ.O.C-12062-11 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.ZdentificationofSystemCHEMICALANDVOLUMECONTROL*AEPSpecifications /MDSStandards /ANSZB31.1-83/AZSC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofsectionXXUtilizedforRepairsorReplacements 19~83W81983ADDENDA6.Zdentification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-ACS<<L954 NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherZdenti.-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)1/8"X3"FLATBARN/AN/AN/AA570-90GR45ASP-14681 N/AREPLACE-MENTNO7.Description ofWorkINSTALLNEW18"X3"X312"SHIMTOELIMINATE THEEXCESSIVE LATERALGAPONTHEEXISTING4"CSPIPING.z&)TestConducted: Hydrostatic ~Pneumatic I-jNominalOperating PressureN/AIXIOtherPressuresiTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisncludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisecordedatthetopofthisform.NZS93-08 gl Page2of2FORMNIS-2(Back)9.RemarksINSTALLED NEW18"X3"X312"SHIMPLATETOELIMINATE 'EXCESSIVE Applicable Manufacturer's DataReportstobeattachedLATERALGAPBETWEENTHEEXISTING212"ANGLEANDTHE4"PIPE.SHIMINSTALLATION PERPERMDS-603REV.5.ASMECLASSIIISICLASSIIJ.O.C-12062-11 CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNASignedcI~~AC(JOwnerorwner'Designee, TitleExpiration DateDatet./NA:CERTIFICATE OFINSERVICE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodtoP-e-qsandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheZnspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalin)uryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions Hi"-4oos5Em/A)Inspector's gnareNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION DateuvIlsNIS93-08 4

FORMNIS-2OWNERSREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANY~~NameP.O.Box60FortWane-IN46801AddressDate6-29-93Sheet1of22.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL-33811AddressUnitZ.O.C-12062-23 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.'290-V4.Identification ofSystemSPENT*AEPSpecifications /MDSStandards 5.(a)Applicable Const.Code*(b)Applicable EditionofSection1983ADDENDAFUELPITCOOLING/ANSIB31~1-83/AISC19Ed.,Add.CodeCaseXZUtilizedforRepairsorReplacements 19~83W86.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GSF-L54 NameofManufacturer Manuf.SerialNo.Nat.BoardNo.otherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)1/8"X3"FLATBARN/AN/AN/AA570-90GR45ASP-14681 N/AREPLACE-MENTNO7.Description ofWorkINSTALLNEW18"X3"X4"LG.SHIMTOELIMINATE EXCESSlVE LATERALGAPONTHEEXISTING3"SFPIPING.8.TestConducted: Hydrostatic ~Pneumatic ~NominalOperating PressureN/AIXIOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportiseludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisecordedatthetopofthisform.NIS93-07 ! Page2of2FORMNZS-2(Back)9.RemarksINSTALLED NEW18"X3"X4"LG.SHIMPLATETOELIMINATE EXCES-Applicable Manufacturer's DataReportstobeattachedSIVELATERALGAPBETWEENTHEEXISTING3"ANGLEANDTHE3"PIPE.SHIMINSTALLATION PERPERMDS-603REV.5.ASMECLASSIIISICLASSIIJ.O.C-12062-23 CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement Expiration Dates&kzDate~ZDTypeCodeSymbolStampNACertificate ofAuthorization No.SignedOwnerrOwner'sDesignee, TitleNA,l993CERTIFICATE OFZNSERVICE INSPECTION I,the'undersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALZNS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod>-9o3toP-JM-andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalin)uryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. sr&wa>Air Commissions .~cXmasInspector's SignareNationalBoar,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION DateV~IIM19NIS93-07 I7 g3ro-i/FORMNIS-2OWNERSREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXIl.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801AddressDate100593Sheet1of22.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressUnitJ.O.C12062-26 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.IdentificationofSystemCONTAINMENT SPRAYSYSTEM*AEPSpecifications

/MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXZUtilisedforRepairsorReplacements 19~83W81983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2ACTS-R818 NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)1/8"PLATE37/8"X2"N/AN/AN/AA570-90GR45ASP.14681N/AREPLACE-MENTNO7.Description ofWorkINSTALLNEW18>>X378>>X2>>SHIMPLATETOREDUCETHEEXISTINGGAPBETWEENTHE212>>ANGLEANDTHE2>>CTSPIPING8.TestConducted: Hydrostatic ~Pneumatic C-jNominalOperating PressureN/AIXIOther+PressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.xllin.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisecordedatthetopofthisform.NIS93-29 ~>ta~ll Page2of2FORMNZS-2(Back)RemarksINSTALLED NEW18"X378"X2"SHIMPLATETOREDUCETHEEXIST.Applicable Manufacturer's DataReportstobeattachedGAPANDACHIEVETHEDESIGNCLEARANCE OF18ASMECLASSII'SICLASSIIZ.O.C12062-26 CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNACertificate ofAuthorization No.NASignedt=n.Ownerorwner'sDesignee, TitleExpiration DateDate/IINACERTIFICATE OFZNSERVICE INSPECTION Commissions <~t.aors'SignareNationalBoard,State,Province, Endorsements "FACTORYMUTUALENGINEERING ASSOCIATION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod-7-'9gtoandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations and'corrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Inspector's Date4'o~~~br19AZNIS93-29 I' FORMMIS-2OWEERISREPORTFORREPAIRSORREPLACEMENTS +37D"/WAsRequiredbytheProvisions oftheASMECodeSectionXZl.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801AddressDate6-17-93Sheet1of22.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressUnitJ.O.C-12062-28 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.Zdentification ofSystem'AFETYINJECTION SYSTEM*AEPSpecifications /MDSStandards /ANSIB31.1-83/AZSC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXlUtilizedforRepairsorReplacements 19~83WS1983ADDENDA6.Zdentification ofComponents RepairedorReplacedandReplacement Components NameofComponent -GSZ-R1ANameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherZdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)1/819X3"FLATBARN/AN/AN/AA570-90G45ASP-14681 N/AREPLACE-MENTNO7.Description ofWorkINSTALLNEW18"SHIMPLATETOELIMINATE EXSESSIVE LATERIALGAPONTHEEXISTING212"SIPIPING.8.TestConducted: Hydrostatic ~Pneumatic ~NominalOperating PressureN/AfX/otherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsiscordedatthetopofthisform.NZS93-04

Page2of2FORMNZS-2(Back)RemarksINSTALLED NEW18"X3"X4"LONGSHIMPLATETOELIMINATE EXCES-Applicable Manufacturer's DataReportstobeattachedSIVELATERIALGAPANDTORETURNSUPPORT2-GSI-R1A BACKTOITSDESIGNINTENT.SHIMINSTALLPERMDS-603REV.5.ASMECLASSIIISICLASSIIJ.O.C-12062-28 CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNACertificate ofAuthorization No.NASignedOwnerorOwner'sDesignee, TitleDateL,j117NA193CERTIFICATE OFINSERVZCE INSPECTION Igtheundersigned, holdingava1idcommissionissuedbytheNationa1BoardofBoi1erandPressureVesselInspectors andthe'State orProvinceof'MichianandemployedbyARKWRIGHT MUTUALINS.CO.*.ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodto7-s--andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions MiiA.EInspector's SnareNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Date3eelNIS93-04

FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEKEXTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerIANANameDatePBxFWIN41Sheet1of2.PlantD.AddressKLEARPWERPLANTNameUnitAddress3.WorkPerformed byintnnName2I4V-RepairOrg.P.O.No.,JobNo.,etcExpirat'on DateNAAddress4.Identification ofSystemMAINTEAM6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-MRV-221 PLUG6STEMASSYSEATRINGNameofManufacturer FISHERCONTROLSINTFISHERCONTROLSZNTFISHERCONTROLSINT.Manuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-'ication ASTMiA582 TYPE416ME30-040005 ASPP12622ASTM-A582 S41600ME30-040120 ASPP12803 YearBuilt1974N/ARepairedReplacedorReplace-mentREPAIRREPLACE-MENTREPLACE-MENTASMECode.Stamped(YesorNo)NONONO7.Description ofWorkRemark8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. 4~i4rr Page2of2FORMNZS-2(Back)9.RemarksDVIWHIHINLEPLANDTEMApplicable Manufacturer's DataReportstobeattachedYREPLAEDRINGEATDPV72Rf-17Pil:2-MRV-22CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateNASignedanPxrskMaint.En.SuervisorDateOwnerrOwner'sDesignee, Title19CERTIFICATE OFINSERVICE INSPECTION ~I,theundersigned, holdingavalidcommission issuedbytheNationalBoard'ofBoilerbyARKWRIGHT MUTUALINS.CO.*.ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodct3toandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASME,Code,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageor,alossofanykindarisingfromorconnected withthisinspection. oommiooioos WImomE~+>Inspector's ignareNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Date~~h FORMHIS-2OWNER'REPORTFORREPAIRSORREPLACERE2FZS AsRequiredbytheProvisions oftheASMECodeSectionXZMPANYIN468011.OwnerINDIANAMIHIANPWERNamePBox60FrWAddressDate1-2Sheet1of2.PlantD.KLEARPWERPLANTNameUnitkP1BriAddressMI41I'7-2-V-12"VALVERepairOrg.P.O.No.,JobNo.,etcName2Expiration DateAAddress4.Identification ofSystemMAINTEAMUSummer183Addnda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-MRV-211 PLUG6rSTEMASSY.SEATRINGNameofManufacturer FISHERCONTROLSINTFISHERCONTROLSZNT.FISHERCONTROLSINT.Manuf.SerialNo.N/AN/ANat,BoardNo.N/AN/A,OtherIdenti-ficationASTMiA582 TYPE416ME30-040005 ASPP12622ASTM-A582 S41600ME30-040120 ASPP12803 YearBuilt1974N/ARepairedReplacedorReplace-mentREPAIRREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.'escription ofWorkRmarkI8.TestConducted:

Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.

Page2of2FORMNZS-2(Back)9.RemarksREPLAEDVALVEINTERNALWHICHINLPLApplicable Manufacturer's DataReportstobeattachedYREPLAEDRINGSEATDCCPV702Ref.J-177File:2-MRV-211 II2CERTIFICATE OFCOMPLIANCE VWecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAg4Expiration DatergpQOwnerorOwner'sDesignee, TitleNACERTIFICATE OFZNSERVZCE INSPECTION I,theundersigned, holdingavalidcommission issued'by theNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodJ-0-9toandstatethat,tothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalin)uryo'rpropertydamageoralossofanykindarisingfromorconnected withthisinspection. /Commissions ~is.a&>P4'rZInspector's SiatuNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Date+eh/c.19

FORMNIS"2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801Address,Date05-12-3Sheet1of2.PlantD.C.OOKNUCLEARPWERPLANTNameUnitOnCookPlaceBridanMI4106AddressC14079-03 09102-MRV-223 RepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenanCe DeartmntName~Samea2AddressExpiration DateNA4.IdentificationofSystemMAINSTEAM(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer183Addenda6.Zdentification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-MRV-223 PLUGNameofManufacturer N/AFISHERCONTROLSManuf.SerialNo.N/AN/ANat.Board'o.N/AN/AOtherIdenti-ficationN/ASA-479TYPE316LYearBuiltN/AN/ARepairedReplacedorReplace-mentREPAIREDREPAIREDMACHINING ASMECodeStamped(Yesor,No)NONOBONNETGASKETSURFACEN/AN/AN/ASA-216GR.WCBN/AREPAIREDMACHZNING NO7.Description ofWorkSeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/APT*OtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportis~~~includedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. kI Page2of2FORMNIS-2(Back)9.RemarksVALVEBONNETGASKETSEATINGSURFACEWASBUILTUPBYWELDINGANDApplicable Manufacturer's DataReportstobeattachedMACHINEDTOVENDORTOLERANES.THEPLUGWASSTEAMCUTANDALSOMACHINED. Ref.JO:C1407-03010FILE:2-MRV-223 ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisREPAIRconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNAExpiration DateSignedFrnkPisarskMaint.En.SuervisorDateSOwnerorOwner'sDesignee, Title19NACERTIFICATE OFINSERVICE INSPECTION I,theundersigned, holdingavalidcommission issuedby'theNationa'1 BoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod~-il-'73to-v-erandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheZnspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingromorconnected withthisinspection. Inspector's gnareDate2ne719Commissions Hic.~coss.E~PA)Z>NationalBoard,Stte,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION

~I FORMNIS"2OWNER'REPORTFORREPAIRSORREPLACEMMZS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate07-10-3P.O.Box60FortWaneIN46801Address2.PlantD..COKNULEARPOWERPLANTNameSheet1ofUnitOneCookPlaceBridnMI49106147-121162-MRV-22AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenanCe DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemMAINSTEAM(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summr183Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofNameofComponent: Manufacturer Manuf.SerialNo."Nat~BoardNo.OtherIdenti,-"ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-MRV-223 PLUGBODYGASKETSURFACEN/AFISHERCONTROLSN/A'/AN/AN/AN/AN/AN/AN/ASA-479TYPE316LME$30040030ASPP15164 SA-216GR.WCBN/AN/AN/AREPAIREDREPLACE-MENTREPAIREDMACHINING NONONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/APT+OtherPressuresiTestTemp.oFMNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2),information initems1through6onthisreportis~~includedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.

Page2of2FORMNZS-2(Back)9.RemarksVALVEBODYGASKETSEATINGSURFACEWASBUILTUPBYWELDINGANDApplicable Manufacturer's DataReportstobeattachedMACHINEDTOVENDORTOLERANES.THEPLUGWALSOREPLACED. Ref.JO:C1407-121516FILE:2-MRV-223 ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisREPAIRREPLACEMENT conformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNA--"'i5'4""'+'- "'Expiration DateSignedFrankPisarskMaint.En.SuervisorDateOwnerorOwner'sDesignee, Title19NACERTIFICATE OFINSERVICE INSPECTION he.undersigned, holdingavalidcommission'ssued bytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO."ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodr-r/-9toandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheZnspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions Hr~jops55,.eInspector's igntureNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION 19Dateu~e.

A~ FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.Owner1NDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801Address,Date10-15-94Sheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameUnitOneCookPlaceBridanMI49106AddressC14196-52-BD-103-4 RepairOrg.P.O.No.,JobNo.,etc3.workPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemBLOWDOWN(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-BD-103-4 2"SCH.80PIPENameofManufacturer HENRYVOGTMACHINECO.TIOGAPIPESUOOLYCO.Manuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationASMESA-105M&E30044248 ASP¹15781 ASMESA-106GRADEBM&E30014981ASP¹13366 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTNOASME.CodeStamped(YesorNo)NO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureVT2N/AOtherMTPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided~~(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. ltU'pSl Page2of2FORMNZS-2(Back)9.RemarksDUETODEEPSCORINGVALVEANDADJACENTPIPINGWEREREPLACED. Applicable Manufacturer's DataReportstobeattachedMAGNETICPARTICLEEXAMOFWELDSWASPERFORMED ANDACCEPTED. Ref.JO:C14196-5 File:2-BD-103-4 ISI:2CERTIFICATE OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateSignedFranPi&arskMaint.En.SuervisorDateOwnerorOwner'sDesignee, Title19NACERTZF1CATE OFZNSERVZCE ZNSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodrO-tv-9Yto1-3-95andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwnersReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykin'darisifromorconnected withthisinspection. Commissions ~~"~c~~Inspector's gnreNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Date~c+van.19r5 4

+deaf'figFORMNIS-2OWNERSREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDNameOW0Date10P.O.Bo0FortWaneN680Addresssheet~of2.PlantD.C.COOKNUCLEARPOWERLANTNameOneCookPlaceBridanM9106Address3.WorkPerformed byNISCOName2830PARKWAYST~LAKELANDFL.33811AddressUnitJ.O.C431-0RepairOrg.P.o.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0-V4.IdentificationofSystemCHEMICALANDVOLUMECONTROL*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19EdefAddCodeCase(b)Applicable EditionofSectionXXUtilizedforRepairsorReplacements 19~83WS1983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent LOGS92-61-CS-7513/8"U-BOLT 2"FIGe137 LOGS92-71-CS-7503/8"U-BOLT 2"FIG.137 1/4"X3"FLATBARNameofManufacturer N/AN/AN/AManuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AOtherIdenti-ficationA36ASP-11875 A36ASP-11875 A36-90ASP-14900 YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.Description ofWorkREPAIRCLASSISMALLBOREPIPESUPPORTSPERTHEFINDINGOFTHESMALLBOREPIPEVERIFICATION PROGRAM.8.TestConducted: Hydrostatic ~Pneumatic ~NominalOperating PressurexiOther+PressuresiTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.xllinef(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS93-34 1+t FORMNIS-2OWNERisREPORTPORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSecti.onXI1.OwnerINDANAICHIGANPOWCOMPANNameDate101O.Bo6FortWeAddress68sheet~of2.PlantD~C.COOKNUCLEARPOWENameOneCookPlaceBridanMI49106Address3.Work.PerformedbyNISCOName2830PARKWAYST.LAKELANDFL.33811AddressUnitJ.O.C14331-0RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.Identificati.onofSystemCHEMICALANDVOLUMECONTROL*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Appli.cable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 19~83W81983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent LOGS92-81CS750&751 3/8"U-BOLT 2"FIG.137 LOGS92-91-CS-7503/8"U-BOLT 2"FIG.137 1/4"X3"FLATBARNameofManufacturer N/AN/AN/AManuf.Seri.alNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AOtherIdenti-ficationA36ASP-11875 A36ASP-11875 A36-90ASP-14900 YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.Descripti.on ofWorkSEEPAGE1FORDESCRIPTION THISPAGEISFORADDITIONAL COMPONENTS ONLY8.TestConducted: Hydrostatic ~Pneumatic ~NominalOperating PressureN/AIXIOtherI-jPressuresiTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11'in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheeti.snumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS93-34A I) ,~hFORMNIS-2OWNERiSREPORTFORREPAIRSORREPLACEMENT8 AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerNamePWCODate0.0Box0otWaeAddress2.PlantD.C.COOUCLEARPOWERPNTNameSheet3ofUnitOneCooklaceBridanAddress906J.OC433RepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressTypeCodeSymbolStampVAuthorization No.0290-V4.IdentificationofSystemCHEMICALANDVOLUMECONTROL*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXIUtilisedforRepairsorReplaceeents 19~83WE1983ADENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent LOGS92-101CS750&752 3/8"U-BOLT 2"FIGS137 1/4>>X3>>FLATBARLOGS92-111CS750,751&7521/4>>X3FLATBARNameofManufacturer N/AN/AN/AManuf.SerialNo.N/AN/AN/ANat~BoardNo.N/AN/AN/AOtherZdenti-ficationA36ASP-11875 A36-90ASP-14900 A36-90ASP-14900 YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.Description ofWorkSEEPAGE1FORDESCRIPTION THISPAGEISFORADDITIONAL COMPONENTS ONLY8.TestConducted: Hydrostatic ~Pneumatic ~NominalOperating PressureN/A/XOther~Pressuresi.TestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS93-34B "fII6P PORNNIS2OWNERiSREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXIl.Owner0CGPOWERCONameWaneN4AddressDate101193Sheet~of2~Plant.C.COOCLEAROWERPLANName0eokaceBridanM9106Address3.WorkPerformed byNISCOName2830PARKWAST.LAKELANDFL.33811AddressUnitZ.O331-0RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.090-V4.Identificati.onofSystemCHEMICALANDVOLUMECONTROL*AEPSpecificati.ons /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 19'~1983ADDENDA6.Identification ofComponents Repai.red orReplacedandReplacement Components NameofComponent LOGS92-111CS750,75167523/8"U-BOLT 2"FIG.137 LOGS92-121-CS-7523/8"NUTSHEAVYHEXLOGS92-131-CS-752NameofManufacturer N/AN/AManuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationA36ASP-11875 A194GR2HASP-15294 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkSEEPAGE1FORDESCRIPTION THISPAGEISFORADDITIONAL COMPONENTS ONLY8.TestConducted: Hydrostatic I-jPneumatic t-jNominalOperating PressureN/AIXIOtherr-jPressuresiTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.xllin.,(2)information ini.tems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS93-34C ' FORMNZS-2OWNERiSREPORTPORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI,NameOWDate60WaneI4AddressSheet5of2~Plant.C.COOKULEARPOWERNameOneCookPlaceBidanMI49106Address3.WorkPerformed byNISCOName80PARKWYST.LAKELANDFL.33811AddressUnitJ.O.C1433-0Repai.rOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.020-V4.IderitificatioofSystemCHEMICALANDVOLUMECONTROL*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXZUtilizedforRepairsorReplaceeents 19~83W81983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 3/8"NUTSHEAVYHEXLOGS92-141-CS-7523/8"NUTSHEAVYHEXLOGS92-151-CS-7493/8"NUTSHEAVYHEXNameofManufacturer N/AN/AN/AManuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AOtherIdenti-ficationA194GR2HASP-15294 A194GR2HASP-15294 A194GR2HASP-15294 YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.Description ofWorkSEEPAGE1FORDESCRIPTION THISPAGEISFORADDITIONAL COMPONENTS ONLY8.TestConducted: Hydrostatic ~Pneumatic ~NominalOperating PressureN/AiXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provt.ded (1)sizeis8-1/2in.x11in.,(2)information i.nitems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS93-34D

BORMNZS-2,0%tlERiS REPORTBORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerDate.02.PlantCtWaeIN6AddressEARPOWSheet~ofUnitNameOneCooklaeBrdanMI06,Address3.WorkPerformed byNISCOName23PST.LAKELANDL.38AddressJ.O.C1433RepairOrg.P.O.No.,JobNo.,etcAuthorization No.024.Identification ofSystemCHEMICALANDVOLUMECONTROL*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(h)Applicable EditionofSectionXlUtil!.sed forRepairsorReplacements 19~83W81983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent LOGS92-171-CS-7503/8"NUTSHEAVYHEXLOG/92-192-CS-7973/8"NUTSHEAVYHEXLOGS92-202-CS-798NameofManufacturer N/AN/AManuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationA194GR2HASP-15294 A194GR2HASP-15294 YearBuiltN/AN/ARepairedReplaced.orReplace-mentREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkSEEPAGE1FORDESCRIPTION THISPAGEISFORADDITIONAL COMPONENTS ONLY8.TestConducted: Hydrostatic ~Pneumatic ~NominalOperating PressureN/A/XiOther~PressuresiTestTemp.DFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS93-34E

PORNNIS-2OWNERSREPORTPORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerNameWECODate.0O0AddressneISheet~of2.Plant.C.COOKNUCEARPOWERLANNameUniteCoodaAddressO.CRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byISCOName30PARKWAYST.LAKELANDFL.33811AddressTypeCodeSymbolStampVAuthorization No.-V4.Identification ofSystemCHEMICALANDVOLUMECONTROL.*AEPSpecifications /MDSStandards /ANSIB31.1-83/AZSC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(h)Applicable EditionofSectionXXUtiliaedforRepairsorReplacements 19~83W81983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 3/8"U-BOLT 2"FIG.137 LOGS92-212-CS-7973/8"U-BOLT 2"FZG.137 LOGS92-222-CS-7983/8"U-BOLT 2"FIG.137 NameofManufacturer N/AN/AN/AManuf.SerialNo.N/AN/AN/ANat,BoardNo.N/AN/AN/AOtherIdenti-ficationA36ASP-11875 A36ASP-11875 A36ASP-11875 YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.Description ofworkSEEPAGE1FORDESCRIPTION THISPAGEISFORADDITIONAL COMPONENTS ONLY8.TestConducted: Hydrostatic ~Pneumatic ~NominalOperating PressureN/AIXIOtherI-jPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.xllin.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NZS93-34F 'f14 PORMNIS2OWNERSREPORT7ORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerNameOWER0Date.O.Bo6tWaneIN4680AddressSheet8of92.Plant.C.OOCNamePOWEPUnh.tOneCookPl'aceBrdanMI49106AddressJ.O.C3-0RepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed by280AddressISCONameS.LAKELANDF~8Authorization No.02-V4~Identifh.cath. onofSystemCHEMICALANDVOUMECONTROL*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase~(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 19$3~W6.'dentification ofComponents RepairedorReplacedandReplacement Components NameofComponent LOGS92-262-CS-7973/8"U-BOLT 2"FIG.137 LOGS92-331CS751&752 3/8"U-BOLT 2"FIG.137 Name'fManufacturer N/AN/AManuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationA36ASP-11875 A36ASP-11875 YearBuiltN/AN/A=RepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkSEEPAGE1FORDESCRIPTION THISPAGEISFORADDITIONAL COMPONENTS ONLY8.TestConducted: Hydrostatic I-jPneumatic I-jNominalOperating PressureN/AIXIOther~PressuresiTestTemp.NOTEsSupplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sireis8-1/2h.n.x11h.n.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS93-34G 'P Page9of9FORMNIS-2(Back)9.RemarksSApplicable Manufacturer's DataReportstobeattachedOXIMATCAT0ONPSO.WG.WOERFED&CSGNEWASNERE0TONSHT.SMCCSICERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNASignedIl~WCOwnerorner'sDesignee, TitleExpiration DateDate19NCERTIFICATE OFINSERVICE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodtoIuandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindaxisngfromorconnected withthisinspection. Commissions i~Aoof5Stoic&MInspector's igtureNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION DateNIS93-34 4IpAQ.4~r0 PORNHIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXIi.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801Date03-24-3Sheet1of2.PlantDAddressKLEARPWERPLANTNameUnit3~OneCookPlacBridnMI4106AddressWorkPerformed byMaintnanCe

DeartmntNameSameas2AddressC-14-12--1"VALVERepairOrg.P.O.No.,

JobNo.,etcExpiration DateNA4.Identification ofSystemCHEMIALSeVLUMECNTRLSYTEMCS"ll3ummr1Adn6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-CS-353inbodyseatingsurfaceNameof,Manufacturer N/AConvalInc.Manuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationN/AASTM-A-732 GRADE21(STELLITE) YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAIREDREPAIR!machining ASMECodeStamped(YesorNo)NONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportis~~~includedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. 14IIIJ FORMNIS-2(Back)Page2of2,9.RemarksThiOdinrfawronditininanvlApplicable Manufacturer's DataReportstobeattachedmanualrefacintool.ThealicableDesinProcurement Sec.to,forthiscomonent:DCPV830CNReairdontoASMESec.IIIlaIIN-27harfinRfJO:C1468-1Fil~2-ISI2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthis'REPAIRconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNAExpiration DateOwnerorOwner'sDesignee, Title19NACERTIFICATE OFZNSERVICE INSPECTION Z,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspecteg thecomponents described inthisOwner'sReportduringtheperiod-9~E-andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalin)uryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Cammasstaas Inspect'sSignature NationalBoard,State,Province, Endorsements Date19FF*FACTORYMUTUALENGINEERING ASSOCIATION

FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXIl.OwnerINDIANAMICHIPWERCOMPANYNamePO.BoxFrWIN41AddressDateSheet1of2.PlantD.KLEARPOWERPLANTNameUnitkplBinAddress4162-02RepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byNIName2830PARKWAYTLAKELANDFL3311AddressTypeCodeSymbol,StampVAuthorization No.2-V4.Identification ofSystemAFEINTI*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.iAddCodeCase(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 19~WAS6;Identification ofComponents RepairedorReplacedandReplacement Components NameofCp2-GSI-~L111A3/8"PLATE)(48"X96"2-ASI-L913Z NameofManufacturer N/AManuf.SerialNo.N/ANatoBoardNoN/AOtherIdenti-ficationA36-90ASP-16047 7YearBuiltN/ARepairedReplacedorReplace-mentREPLACE-MENTASMECodeStamped(YesorNo)NO1/8"X1"gFLATBAR2-ASI-L914$ SEESHT+2N/AN/AN/ASA479-T304 PASP-128904 N/AREPLACE-MENTNO7.Description ofWorkDIYPPRTFRIT2ABLDNUPPRTPERDEINDRAWINScRELVANTDR'NDPERR8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.xllin.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisecordedatthetopofthisform.NIS94s/~~ rg~)1'IN FORMNIS-2OWNER'SREPORTFORREPAIRSORREPIACEXEXTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMIHIANPOWERCOMPANYNameP.Box60FortWeIN46801AddressDateSheet042of32.PlantD..OKLEARPWERPLANTNameUnitOnokPlBrianMI416AddressJ.22-02RepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byNIName230PARKWAYTLAKELANDFLAddressTypeCodeSymbolStampVAuthorization No.20-V4.IdentificationofSystemAFETYINETIN*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 19~8~W6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 1/8"X3".FLATBAR2-GSI-L109 ~NameofManufacturer N/AManuf.SerialNoiN/ANat.BoardNo.N/AOtherIdenti-ficationA570-92GR45 ASP-16652 4YearBuiltN/ARepairedReplacedorReplace-mentREPLACE-MENTASMECodeStamped(YesorNo)NO1/4"X6"gFLATBARN/AN/AN/AA36-90~ASP-16147 4'/AREPLACE-MENTNO7.Description ofWorkEEPAE1FORDERIPTIONCOMPONENTS NLYPAEFRADDITINAL8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94

Page3of3FORMNZS-2(Back)9.RemarksPPORTSMDIFIEDTMEETTHEIRDEINIREUIREMENTS ANDApplicable Manufacturer's DataReportstobeattachedBINWEFARLVT-PETINPERRMEDEPLEAMECDELAIIIIDELA.IIJ122-2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthiselaeconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNACertificat ofAutrizationNo.NASigned~C>i>OwnerOwner'sDesignee, TitleDateNACERTIFICATE OFINSERVICE ZNSPECT1ON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNOROODS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodr~andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherecpxirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisifromorconnected withthisinspection. ICommissions eelor)S5~cYPC<Inspector's itureNationalBoardiState,Province, Endorsements ~,*FACTORYMUTUALENGINEERING ASSOCIATION DateNZS94 0C FORMNIS-2OWNER'REPORTPORREPAIRSORREPLAC1WENTS AsRequiredbytheProvisions oftheASMECodeSectionXIi.OwnerINDlANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801AddressDate0-10-Sheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameUnitneCookPlacBridnMI410AddressC170-102-MRV-2236"VALVERepairOrg.P.O.No.,JobNo.,etc3~WorkPerformed byMaintenanCe DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemMA1NSTEAM(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer183Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-MRV-223 VALVENameofManufacturer FISHERCONTROLSManuf.SerialNo.N/ANat~BoardNo.N/AOther.Identi-ficationSA-216GR.WCBME/30039735 ASP/4990YearBuiltN/ARepairedReplacedorReplace-mentREPLACE-MENTASMECodeStamped(YesorNo)NO7.Description ofWorkSeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureXS/A~Other~~SressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. 1 FORMNZS-2(Back)Page2of29.RemarksREPLACEDVALVEBYWELDINQINNEWVALVEANDPERFORMED AVT-2Applicable Manufacturer's DataReportstobeattachedINSERVICE EXAM.Ref.JO:C170-10FILE:2-MRV-223 ISI:2CERTZPZCATE OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisREPLACEMENT conformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNA"""TZK-'"'""4""xpiration DateSignedFrankPisarskMaint.En.SuervisorDateOwnerorOwner'sDesignee, Title19NACERTIPZCATE OP.INSERVZCE INSPECTION I,the.undersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'Reportduringtheperiod-93to-zi-9fandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalin)uryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Inspector's igureDateWaCommissions ewoos.sNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION 199'F FORMNXS-2OWNER'S.REPORT FORREPAIRSORREPLACEEGWZS AsRecpxired bytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMIHIANPOWERMPANYnameP.O.Box60FortWeIN46801AddressSheet1of4Date12042.PlantD.KNULEARPOWERPLANTNameUni.tOnkPlceBriAddressnMI4916J017441-RepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byNIName2830PARKWAYTLAKELANDFL11AddressTypeCodeSymbolStampVAuthorization No.20-V4.Identification ofSystemCNTAINMENT SPRAY*AEPSpecifi.cations

/MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXlUtilizedforRepairsorReplacements 19~83WE6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R5005/8'SX8.5'9XANCHOR1/4"TSA2"X2"7/8"PLATE12"X-12"1/2"X3"4FLATBARNameofManufacturer N/AN/AN/AN/AManuf.SerialNo.N/AN/AN/AN/ANat.BoardNo.N/AN/AN/AN/AOtherIdenti.-ficationHKBIIASP-14398 >A500-90GRBASP-14361 WA36-89ASP-13747 +A36-91~ASP-15946+ YearBuiltN/AN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONONO7.Descripti.on ofWorkMDIFYIT2LOWERONTAINMEPIPESUPPORTSPERDEINDRAWIN6RELEVANTDR'NDFORRF8.TestConducted: N/AXHydrostatic Pneumatic NominalOperati.ng PressureOther'PressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisecordedatthetopofthisform.NIS94 Jl FORMNZS-2OWNER'SREPORTFORREPAZRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1~ownerINDIANAMICHIGANPOWERCOMPANYNameDate10204P.O.Box60FortWaneIN46801AddressSheet2of42~PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI4106AddressUnitJ.O.C17441-05 RepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressTypeCodeSymbolStampVAuthorization No.020-V4.ZdentificationofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSZB31.1-83/AZSC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 19'~6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent I/2"X4FLATBAR3/4"PLATE12"X123/8"X5ANCIIORI/8X3"FLATBAR3/8"X4.25ANCIIOR2-GCTS-RSOS NameofManufacturer N/AN/AN/AN/AN/AManuf.SerialNo.N/AN/ANIANIANat.BoardNo.N/AN/AN/AN/ANIAOtherZdenti-ficationA36-90ASP-15201 A36-89ASP-13747 IKBIIASP-16096 A570-92GR45ASP-16652 IIKBIIASP-14398 YearBuiltN/AN/AN/ANIANIARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE.MENT~REPLACE-MENTREPLACE.MENTASMECodeStamped(YesorNo)NONONONONO3/4"PLATE12X12'I8X10ANCIIORS3/8X3FLATBAR,2-GCTS-R520 N/AN/AN/ANIANIANIANIANIAN/AA36-89ASP-13747 HKBIIASP-14398 A36-90ASP-16013 NIAN/ANIAREPLACE-MENTREPLACE-MENTREPLACFMENTNONONOI/OANGLE3"X3"2-GCTS-R535 N/AN/AN/AA36-90ASP-14944 N/AREPLACE-MENTNO3/8X2"FIG.137N/AINIAN/AGRINNELLASP-13582 NIAREPLACE-MENTNO I,W1 FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMZXTS AsRequiredbytheProve.sions oftheASMECodeSectionXZ1.OwnerINDIANAMIANPOWERMPANYNameP.O.Box60FortWeIN4681AddressDateSheet~ofd2.PlantDCCOOKNULEARPOWERPLANTNameOneCookPlacBrianMI4106Address3.WorkPerformed byNIName20PARKWAYSTLAKE~FL33811AddressUnitJ.O.17441-05RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.020-V4.Identification ofSystemONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSZB31.1-83/AZSC5.(a)Applicable Const.Code'19Ed.,AddCodeCase(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 19~83W86.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R540 1/2"PLATE48"X96"NameofManufacturer N/AManuf.SerialNoaN/ANat.BoardNo.N/AOtherIdenti-ficationA36-89ASP-13931'( YearBuiltN/ARepairedReplacedorReplace-mentREPLACE-MENTASMECodeStamped(YesorNo)NONIS94 v+ails;;-I'IIr Page4of4FORMNIS-2(Back)RemarksUPPORTSWEREMODIFIEDTOMEETTHEIRDEINBASISREIREMENTSApplicable Manufacturer's DataReportstobeattachedANDTBRINTHEMWITHINTHEFSARLIMITVT-3INPETIONSPERFORMED &ACEPTED.ASMECL.IIIICL.IIJ.C17441-05 CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNACertificate ofAuthorization No.NAsignea0.8~CHER&~OwnerorOwner'sDesignee, TitleDateNA19~4CERTZFZCATE OFZNSERVICE INSPECTZON Igtheundersigned, holdingava11dcommission issuedbytheNationalBoardofBoi1erandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodsz/RHtol--9HIandstatethattothebestofmyknowledge 'ndbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Inspector's SnateDateCommissions i=<.A<5E.od7nrXNationalBord,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION NIS94

FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACZ29 NTSAsRequiredbytheProvisions oftheASMECodeSectionXZ037o-811.OwnerINDIANAMICHIGANPOWERCMANYNameP.Box60FortWaeIN46801AddressSheet1of3Date12042~PlantD..COOKLEARPOWERPLANTNameUnitnCokpB'nMI4Address17441-05RepairOrg.P.O.No.,JobNo.,etc3.WorkPerformedbyNIName280PARKWAYSTLAKELANDFLAddressTypeCodeSymbolStampVAuthorization No.2-V4.Identification ofSystemINMENTP*AEPSpecificati.ons /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add~CodeCase(b)Applicable Editi.onofSectionXIUtilizedforRepairsorReplacements 19'~6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R5541/4"ANGLE2"X2"3/4"PLATEi12",X12"'/8"BOLT/5/8"NUT~UNZSTRUTNameofManufacturer N/AN/AN/A~N/AManuf.SerialNo.N/AN/AN/AN/ANat.BoardNo.N/AN/AN/AN/AOtherIdenti-ficationA36-93AASP-17202 ifA36-89ASP-13747.4 SA193-B7ASP-14271 YSPRINGTYPEASP-15102 4YearBui.ltN/AN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONONO7.Description ofWorkMDIFYIT2LOWERONTAINMENT PIPESUPPRTPERDEINDRAWINRELVANTDR'NDFRRFII8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresi.gTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2i.n.x11in.,(2)information i.nitems1through6onthi.sreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94-1

FORMNXS-2OWNER'SREPORTFORREPAIRSORREPEACEXEXTS AsRequiredbytheProvisions oftheASMECodeSectionXIOwnerINDIANAMICHIANPOWERCOMPANYNameDate10204Box0FWAddressIN4601Sheet2of3Plant.C.COKNULEARPWERPLANTNameOneCookPlceBridanMI4106AddressWorkPerformed byNI0Name20PARKWAYSTLAKELANDFL311AddressUnitZO.C17441-05 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.020-VIdentification ofSystemCONTAINMENT SPRAYAEPSpecifications /MDSStandards /ANSIB31.1-83/AISC{a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXZUtilixedforRepairsorReplacements ip~SWSADDENDAIdentification ofComponents RepairedorReplacedandReplacement Components Nameofonent2-S-R5581/8"X2"FLATBAR'2GCTS-R568 1/4"TS3ffX3ff1/4"ANGLE3ffX3ff1/4"ANGLE2"X2"1/4"PLATE48"X96"2-GCTS-R573 3/8"ANGLE3ffX3ff2-GCTS-R574 1/4ffTS3ffX3ANGLEX4"1/4"PLATE48ffX961/4"ANGLE2"X2"NameofManufacturer N/AN/A,N/AN/AN/AN/AN/AN/AN/AN/AManuf.SerialNoeN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ANatBoardNo.N/AN/AN/AN/AN/AN/AN/AN/AN/AN/AOtherIdenti-ficationA570-90ASP-14560 A500-GRBASP-8034A36-90ASP-14944 A36-93AASP-17202 A240-89BTYPE304ASP-12492 A36-90ASP-15971 A500-GRBASP-8034A36ASP-13905 A240-89BTYPE304ASP-12492 A36-93AASP-17202 YearBui.ltN/AN/AN/AN/AN/AN/AN/AN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped{YesorNo)NONONONONONONONONO V'P4lt1ClPPCIVaI.~ Page3of3FORMNIS-2(Back)RemarksPPRTWEEMDIIEDTMEETTHEIRDBAIREIREMENTApplicable Manufacturer's DataReportstobeattachedANDTBRINTHEMWITHINTHEFSARLIMITVT-INPETINPERFRMEDAEPTED.'ASMEL.IIILIIJ17441-05CERTIFZCATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNACertificate ofAuthorization No.NAExpiration DateNASignedDateOwnerorer'sDesgnee,TitleCERTIFICATE OFZNSERVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodtoandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions .i-l~.lJg7Inspector's~sign ureNationalBaird,Stae,Province, Endorsements

  • FACTORYMUTUALENGZNEERZNG ASSOCIATION Datehee8'99HNZS94-1

FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMERTTS AsRecuiredbytheProvisions oftheASMECodeSectionXIOwnerINDIANAMICHIGANPOWERCOMPANYNameDate10204P.O.Box60For@WayneIN46801AddressSheet1of2PlantD.C.COOKNUCLEARPOWERPLANTNameUnitOneCookPlaceBridcmanMI49106Address'pJorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressJ.O.C17441-05 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.020-Vfdentification ofSystemCONTAINMENT SPRAY.EpSpecifica" ions/MDSStandards /ANSIB31.1-83/AISC:a)Applicable Const.Code*19Eda9Add.CodeCaseit)applicatie RdirionofsectionxzUtilizedforRepairsorReplacements 19~83w3ADD-NDA6..dentificat'on ofComponents RepairedorReplacedandReplacement Components !!arneof=component I-OCTS-R575 /""PLATE'5'95"-ACTS-R530 '":~iONLY'.-ACTS-R583 .4"PLATEI~X96~~I-ACTS-R597 i:.'"DONLYNameofManufacture N/AN/AN/AN/AManuf.SerialNo.N/AN/AN/AN/ANat.BoardNo.N/AN/AN/AN/AOtherIdenti-ficationA240-89BTYPE304ASP-12492 A36(SHIM)ASP-EXIST A240-89BTYP304ASP-12492 A36ASP-EXIST YearBuiltN/AN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPAIREDREPLACE-MENTREPAIREDASMECodeStamped(YesorNo)NONONONODescription ofWorkMODIFYUNIT2LONERCONTAINMENT PIPESUPPORTSPER.'.<SIGNDRAWINGSJR:RELEVANTDCDR'SANDFORRFC-0813"'estConducted: Hydrostatic Pneumatic NominalOperating Pressure:J/AXOtherPressurezsigTestTemp.oFSupplemlen" alsheetsinformoflists,sketches, ordrawingsmaybeused,providedla(s'ze'-8-1/2in.x11in.,(2)information initems1through6onthisreportis'.:lude:I cne-chsheet,and(3)eachsheetisnumberedandthenumberofsheetsis:-~~comdeda"thetopofthisform.NIS94-2 llVI Page2of29.RemarksFORMNIS-2(Back),RWEEMDIEDTMEETTHEIRDEBAIEIREENTApplicable Manufacturer's DataReportstobeattachedANDTBRINTHEMWITHINTHEFSARLIMITVT-3INPETINSPERFORMED ACCEPTEDAMELIIIILIIJ17441-0CERTZFZCATE OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNACertificate ofAuthorization No.NASignedGisJOwnerorer'sDesignee, TitleDate/I>g19NACBRTZPZCATE OPZNSERVZCE INSPECTION Igtheundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODSS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodICsito--5andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. .ACommissions &~4osInspector's signureNationalBoard,Stae,Province, Endorsements DatelH19~m*FACTORYMUTUALENGINEERING ASSOCIATION NZS94-2 FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLAC2XEXTS AsRecpxired bytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANY'NameP.O.Box60FortWaneIN46801AddressSheet1ofDate1242.PlantDKLEARPOWERPLANTUnitNameOneCookPlac'eBridanMI49106Address3.WorkPerformed byNIS0Name280PARKWAYST.LAKELANDFL.AddressJ.O.C17441-RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.020-V4.Identification ofSystemCONTAINMENT SPRAY+AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditicnofSectionXZUtilizedforRepairsorReplacements 19~8WE6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R693 3/8"X2"AFLATBAR2-GCTS-R697> 1/4ffANGLE2ffX2ffNameofManufacturer N/AN/AManuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationA36-91ASP-15946< A36-93AASP-17202 ~YearBuiltN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONO3/4"PLATE12"X12"~2-GCTS-V724 ~WELDONLYN/AN/AN/AN/AN/AN/AA36-89ASP-13747+ A36ASP-EXIST N/AREPLACE-MWNTN/AREPAIREDNONO7.Description ofWorkMDIFYIT2LWERNTAINMPIPEPRTPER'DESINDRAWINRRELEVANTDR'SANDFORRFC-30818.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressurezsigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94-3 E'l FORMNZS-2OWNER'SREPORTFORREPAIRSORREPLACEMTME'S AsRecpxired bytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIANPOWERCOMPANYNameDate1204P.Bx0ForWAddressIN4801Sheet2of2.PlantD.COOKLEARPOWERPLANT'IjeNameUnitOneCokPlBrinMI4106AddressAT17441-5RepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byNIName283PARKWAYST.LAKELANDFL3311AddressTypeCodeSymbolStampVAuthorization No.02-V4.Identification ofSystemNTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISCS.(a)Applicable Const.Code*19Ed.fAdd.CodeCase(t)Applicatla EditionofSectionXIUtilizedforRepairsorReplacements 19~8WS6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R713 81/2"PLATE48"X96"NameofManufacturer N/AManuf.SerialNo.N/ANat,BoardNo,N/AOtherIdenti-ficationA36-89ASP-13931w'ear BuiltN/ARepairedReplacedorReplace-mentREPLACE-MENTASMECodeStamped(YesorNo)NONIS94-3 H Page3of3FORMNZS-2(Back)RemarksUPPORTSWEREMODIFIEDTOMEETTHEIRDEINBASISREIREMENTSApplicable Manufacturer's DataReportstobeattachedANDTOBRINTHEMWITHINTHEFARLIMTINPETISPERFRMEDAEPTEDAMELIII17441-0CERTIFICATE OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement Type.CodeSymbolStampNACertificate ofAuthorization No.NASignedCs>-COwnerOwner'sDesignee, TitleDate19NACERTZFZCATE OPZNSERVICE ZNSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodl2<P'oandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheZns'pector norhisemployershallbeliableinanymannerforanypersonalin)uryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions W.s&cAsInspector 'SigtureNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Date1Mr19NZS94-3

~4' FORMNIS-2OWNER.SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANY~~NameP.O.Box60FortWaneIN46801AddressSheet1of5Date0526942.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressUnitJ.O.C17441-01 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.IdentificationofSystemCONTAINMENT SPRAY,*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase~b)Rpp]feeble EditionofSectionEZUtilizedforRepairsorReplacements 19~83WS1983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R6891/2"HVYHEXNUT1/2"X4"U-BOLTSTD2-GCTS-R6911/2"HVYgHEXNUTNameofManufacturer N/AN/AN/AManuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AOtherIdenti-ficationA194(88A) GRADE2HASP-13381 FIG137ASP-7929A194(88A) GRADE2HASP-13381, YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(Yes,orNo)NONONONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic []Pneumatic ~NominalOperating PressureN/A/~/OtherC-jPressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94-77 tEIP% FORMNIS-2OWNERiSREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZownerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801AddressSheet2of5Date0526942.PlantD.C.COOKNUCLEARPOWERPLANT'ameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressUnitZ.O.C17441-01 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.Identification ofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSIB31.1-83/AZSC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXXUtilizedforRepairsorReplacements 19~E3WS1983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 1/2"X4"I/STDU-BOLT2-GCTS-R7081/2"PLATESTAINLESS 1/2"PLATE13/8"ANGLE421/2"LEGNameofManufacturer N/AN/AN/AN/AManuf.SerialNo.N/AN/AN/A.N/ANat.BoardNo.N/AN/AN/AN/AOtherIdenti-ficationFZG137ASP-7929A240(91A) yGRADE304ASP-15677 A36-90ASP-15485 SA36-A89ASP-14325 YearBuiltN/AN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodestamped(YesorNo)NONONONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic iiPneumatic ~NominalOperating PressureOtherPressuresigTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.xllin.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NZS94-77A 4~~V 370-d3FORMNIS-2OWNERSREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.ownerINDIANAMICHIGANPOWERCOMPANY~~~NameP.O.Box60FortWaneIN46801AddressSheet3of5Date0526942.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressUnitJ.O.C17441-01 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.Identification ofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSZB31.1-83/AZSC5.(a)Applicable Const.Code*19Ed.fAdd.CodeCase(b)Applicable EditionofSectionXlUtilizedforRepairsorReplacements 19~83W81983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R7042"X2"X3/8'Ž ANGLE2-GCTS-R7102"X2"X3/8"J ANGLE2-GCTS-R721NameofManufacturer N/AN/AManuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationA36-88CASP-11779 A36-88CASP-11779 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: .Hydrostatic iiPneumatic ~NominalOperating PressureN/Ai~iOtherPressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NZS94-77B <<rvlPD FORMNIS-2OWNERISREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXIOwnerINDIANAMICHIGANPOWERCOMPANYNameDate052694P.O.Box60FortWaneIN46801AddressSheet4of5'2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformedbyNISCOName2830PARKWAYST.LAKELANDFL.33811AddressUnitZ.O.C17441-01 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.IdentificationofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)applicable EditionofSectionEZUtilisedforRepairsorReplacements 19~83WE1983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 3/8"ANGLE3"X33/8"ANGLE21/2"LEG3/4"PLATE~NameofManufacturer N/AN/AN/AManuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AOtherIdenti-ficationA36-90ASP-15971 SA36-A89ASP-14325 A36-90ASP-14793 YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENT.REPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic iiPneumatic ~NominalOperating PressureN/AI~IOther+PressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94-77C

P~'I 437o-b3Page5of5FORMNZS-2(Back)9.RemarksApplicable Manufacturer's DataReportstobeattachedASMECLASSIIISICLASSIIJ.O.C17441-01 CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrect,andthisRelacement.conformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNACertificate ofAuthorization No.NASignedgd-OwnerorOwner'sDesignee, TitleExpiration DateDate'719NACERTIFICATE OFZNSERVZCE INSPECTION Inspector's igureI,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodg-JltoT-S-9Yandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection.

Commissions ~ic.lNationalBoard,State,Province, Endorsements Date~u)19*FACTORYMUTUALENGINEERING ASSOCIATION NIS94-75 "R'I't~ 437o-dFORMNXS-2OWNERiSREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate0526942.P.O.Box60FortWaneIN46801AddressrPlantD.C.COOKNUCLEARPOWERPLANTNameSheetUnit1of7OneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressZ.O.C17441-01 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.IdentificationofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /,ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19EdefAddCodeCase(n)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 18~83W81983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R6683/8"ANGLE3IIX3II3/8"ANGLE21/2"LEG~1/2"PLATE7/8"PLATENameofManufacturer N/AN/AN/AN/AManuf.SerialNo.N/AN/AN/AN/ANatBoardNo.N/AN/AN/AN/AOtherIdenti-ficationA36-90ASP-15971 SA36-A89ASP-14325 A36-90ASP-15309 A36-90ASP-15171 YearBuiltN/AN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081.8.TestConducted: Hydrostatic ))Pneumatic ~NominalOperating PressureOthert-jPressuresigTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94-76 'IV,V ~'Z-gFORMNIS-2OWNERiSREPORTFORREPAIRSORREPLACEMENTS AsRecyxired bytheProvisi.ons oftheASMECodeSecti.onXI1.ownerINDIANAMICHIGANPOWERCOMPANYNellieP.O.Box60FortWaneIN46801AddressSheet2of7Date0526942.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Addressr3.WorkPerformed byNISCOName2830PARKWAST.LAKELANDFL.33811AddressUni,tZ.O.C17441-01 RepairOrg.P.o.No.,JobNo.,etcTypeCodeSymbolStampVAuthori.zation No.0290-V4.Identi.fi.cati.on ofSystemCONTAINMENT SPRAY*AEPSpeci.fi.cations /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(t)Applicable EditionofSectionXXUtili.zed forRepairsorReplacanants 19~83W8983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R669NameofManufacturer Manuf.SerialNo.NatBoardNo.OtherIdenti-fi.cation YearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)3/8"PLATEN/AN/AN/AaA36-89ASP-13747 N/AREPLACE-MENTNJU5/8"X6"U-BOLTSTD5/8"HVYHEXNUT2-GCTS-R671N/AN/AN/AN/AN/AN/AFIG137NASP-16503 ~A194GR2HAASP-15215 N/AN/AREPLACE-MENTREPLACE-MENTNoNo7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8..TestConducted: Hydrostatic iiPneumati.c ~Nomi.nalOperating PressureN/AOther+Pressuresi.gTestTemp.oFNOTE:Supplemental sheetsinformofli.sts,sketches, ordrawingsmaybeused,provided(1)si.zeis8-1/2in.x11in.,(2)information initems1through6onthisreporti.si.ncluded oneachsheet',and(3)eachsheeti.snumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94-76A ~4 FORMNXS-2OWNERSREPORTFORREPAIRSORREPLACEMENTS AsReguiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANY~~NameP.O.Box60FortWaneIN46801AddressSheet3of7Date0526942.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressUnitZ.O.C17441-01 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.IdentificationofSystemCONTAINMENT SPRAY*-AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*'9Ed.,Add.CodeCaseapplicable EditionofsectionxlUtilizedforRepairsorReplacements 19~83W81983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 3/8"PLATEJ'/2"ANGLEJ4~I)(4II1/2"PLATEj'/2"PLATEJ1/2"PLATENameofManufacturer N/AN/AN/AN/AN/A'anuf.SerialNo.N/AN/AN/AN/AN/ANat.BoardNo.N/AN/AN/AN/AN/AotherIdenti-ficationA36-90ASP-16047 A36-89XASP-13931 A36-90ASP-14793 A36-90ASP-15309 A36-89ASP-15650 YearBuiltN/AN/AN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NoNoNONONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic i)Pneumatic ~NominalOperating PressureN/A(~iother~PressuresigTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94-76 4( wacko-SpFORMNIS-2OWNERSREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANY~~~NameP.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressDate052694Sheet4of7UnitJao.C17441-01 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.ZdentificationofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXXUtilitedforRapairaorReplacements 19~83WS1983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R6735/8asHVYHEXNUT5/8X6"4STDU-BOLT2-GCTS-R6753/8"PLATEJNameofManufacturer N/AN/AN/AManuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AOtherIdenti-ficationA194GR2HxASP-15215 FIG137NASP-16503 A36-90ASP-16047 YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONo7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic )(Pneumatic ~NominalOperating PressureN/Af~(Other~PressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NZS94-76C 'VC'iV 43>o-6gFORMNIS-2OWNERSREPORTFORREPAIRSORREPLACEMENTS AsRecpxired bytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYName~~~P.O.Box60FortWaneIN46801AddressSheet5of7Date0526942.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressUnitJ.O.C17441-01 RepairOrg.P.o.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.ZdentificationofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSZB31.1-83/AZSC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXXUtilizedforRepairsorReplacements 19~83W81983ADDENDAz6.Zdentification ofComponents RepairedorReplacedandReplacement Components NameofComponent 1/2"ANGLEy4"X4"10GA.SHEET METAL1/2"PLATEJNameofManufacturer N/AN/AN/AManuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AOtherZdenti-ficationA36-89ASP-13931 A570-90GRADE45ASP-14422 A36-89ASP-15650 YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO1/2"PLATEJN/AN/AN/AA36-89ASP-12781 N/A,REPLACE-MENTNO1/4"PLATEiN/AN/AN/AA36-89ASP-13747 N/AREPLACE-MENTNO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic (iPneumatic ~NominalOperating PressureN/A(~iOtherPressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NZS94-76D

FORMHIS-2OWNERiSREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANY~~NameP.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressDate052694Sheet6of7UnitTypeCodeSymbol'tamp VAuthorization No.0290-VZ.O.C17441-01 RepairOrg.P.o.No.,JobNo.,etc4.ZdentificationofSystem'CONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSZB31.1-83/AZSC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(n)Applicable EditionofSectionrlUtilizedforRepairsorReplacements 19~83WE1983ADDENDA6.Zdentification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R6775/8"HVYHEXNUT5/8"X6"STDU-BOLTNameofManufacturer N/AN/AManuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherZdenti-ficationA194GR2HASP-15215 FZG137NASP-16503 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NO.No7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic iiPneumatic ~NominalOperating PressureN/Ai~iOther~PressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NZS94-76E P4(t" gs7o-ePPage7of7I9.RemarksFORMNZS-2(Back)Applicable Manufacturer's DataReportstobeattachedASMECLASSIIISICLASSIIJ.O.C17441-Ol CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNACertificate ofAuthorization No.NAExpiration DateSignedDateOwnerorer'sDesignee, Title19NACERTIFICATE OFZNSERVZCE INSPECTION Inspector's SiateI9theundersigned, holding'avalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod~//to'F<-/andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherecuirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalin)uryorpropertydamageoralossofanykindarisingomorconnected withthisinspection. /Commissions MaoJ'4EArjNationalBoad,State,Province, Endorsements Date19'FACTORY MUTUALENGINEERING ASSOCIATION NZS94-75 II0'ilhr FORM'IS-2 OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressDate052694Sheet1of5UnitJ.O.C17441-01 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.Identification ofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXlUtilizedforRepairsorReplacements 19~83W81983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R6463"X3ssX3/8 "gANGLE1/2"PLATEef'-GCTS-R6475/8"HVYHEXNUTSNameofManufacturer N/AN/AN/AManuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AOtherIdenti-ficationA36-90XASP-15971 A36-89ASP-15650 ~A194GR2HvASP-15215 YearBuiltN/AN/AN/ARepairedReplacedorReplace>>mentREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic iiPneumatic ~NominalOperating PressureOther~PressuresigTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94-74 AV'tII 43/o-0SFORMNIS-2OWNERSREPORTFORREPAIRSORREPLACEMENTS AsRecyxired bytheProvisions oftheASMECodeSectionXIl.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate052694P.O.Box60FortWaneIN46801AddressSheet2of52.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressUnitJ.O.C17441-01 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.IdentificationofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXXUtilizedforRepairsorReplacements 19~83W81983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 5/8wX699~U-BOLT2-GCTS-R6493/8"PLATE45/8"HVYgHEXNUT5/8"X6"U-BOLTNameofManufacturer N/AN/AN/AN/AManuf.SerialNo.N/AN/AN/AN/ANat.BoardNo.N/AN/AN/AN/AOtherIdenti-ficationFZG137NASP-16503 A36-90ASP-16047 A194GR2HgASP-15215 FZG137NpASP-16503 YearBuiltN/AN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic )(Pneumatic ~NominalOperating PressureN/AOther+PressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NZS94-74A h'ITV FORMN1S-2OWNERiSREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXIl.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressDate052694Sheet3of5UnitZ.O.C17441-01 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.IdentificationofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionEZUtilizedforRepairsorReplacements 19~33WE1983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R651C4X5.4CHANNEL2-GCTS-R655NameofManufacturer N/AManuf.SerialNo.N/ANat.BoardNo.N/AOtherIdenti-ficationSA36-89ASP-14434 YearBuiltN/ARepairedReplacedorReplace-mentREPLACE-MENTASMECodeStamped(YesorNo)NO3"X4"Xl/4"JTUBESTEELN/A3"X3"Xl/4" /.N/ATUBESTEELN/AN/AN/ArN/AA500-90GR.BASP-14481 A500-90GRADEBASP-16756 N/AN/AREPLACE-MENTREPLACE-MENTNOrNO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic (iPneumatic ~NominalOperating PressureN/A(~iOtherPressuresigTestTemp.DFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmay-beused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94-74B

FORMNIS-2OWNERiSREPORTFORREPAIRSORREPLACEMENTS AsRecpxired bytheProvisions oftheASMECodeSectionXIl.ownerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801AddressSheet4of5Date0526942.PlantD.C.COOKNUCLEARPOWERPLANT,NameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressUnitZ.O.C17441-01 RepairOrg.P.o.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.ZdentificationofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSIB31.1-83/AZSC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionElUtilizedforRepairsorReplacements 19~S3WS1983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 1/2"PLATEJNameofManufacturer N/AManuf.SerialNo.N/ANat.BoardNo.N/AotherIdenti-ficationA36-89ASP-15309 YearBuiltN/ARepairedReplacedorReplace-mentREPLACE-MENTASMECodeStamped(YesorNo)NO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic IIPneumatic ~Nominaloperating PressureN/AI~lotherI-IpressuresigTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94-74C

>37o-&XPage5of5FORMNZS-2(Back)9.RemarksAppli.cable Manufacturer's DataReportstobeattachedASMECLASSIIISICLASSIIZ.O.C17441-01 CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNACertificate ofAuthoriration No.NAExpiration DateNASignedDateOwnerorOwner'sDesignee, Title19gcCERTIFICATE OFZNSERVZCE INSPECTION Inspector's gnare*FACTORYMUTUALENGINEERING ASSOCIATION DateufI,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod~-tI-95'o7-5-andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed i.nthisOwner'sReportinaccordance wi.ththerequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed i.nthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeli.ableinanymannerforanypersonalin)uryorpropertydamageoralossofanykindarisinfromorconnected withthisinspection. Commissions P1(c-~<PJ4~cP'A'NationalBoard,Stae,Province, Endorsements NZS94-74 IlC'r 437O-&IdFORMNIS-2OWNERSREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801AddressSheet1of6Date0526942.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressUnitZ.O.C17441-01 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.Identification ofSystemCONTAINMENT SPRAY+AEPSpecifications /MDSStandards /ANSZB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(t)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 19~83W81983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R6793/8"PLATE1/2"ANGLE4"X4"1/2"PLATE1/2"PLATEv'ameofManufacturer N/AN/AN/A'/AManuf..SerialNo.N/AN/AN/AN/ANat.BoardNo.N/AN/AN/AN/AOtherIdenti-ficationA36-90ASP-16047 gA36-89ASP-13931 +A36-89ASP-15309 ~A36-89ASP-15650 4YearBuiltN/AN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic [[Pneumatic ~NominalOperating PressureN/Ai~iOther~PressuresigTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NZS94-78 A~CIIfl4 437o-k4FORMNIS-2OWNERiSREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801AddressSheet2of6Date0526942.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressUnitZ.O.C17441-01 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.ZdentificationofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSIB31.1-83/AZSC5.(a)Applicable Const.Code*19Ed.pAdd.CodeCase(b)Applicable EditionofSectionXfUtilizedforRepairsorReplacements 19~83W81983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.NatBoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-GCTS-R6811/2"HVYHEXNUTJ1/2"X4"STDU-BOLT3/8"PLATEN/AN/AN/AN/AN/AN/AN/AN/AN/AA194(88A)GRADE2HASP-13381 WFIG137ASP-7929~A36-89ASP-13747 N/AN/AN/AREPLACE-MENTREPLACE-MENTREPLACE-MENTNONONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic iiPneumatic I-jNominalOperating PressureN/A/~/OtherPressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NZS94-78A

>3'-(PFORMNIS-2OWNERISREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate052694P.O.Box60FortWaneIN46801AddressSheet3of62.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressUnitJ.O.C17441-01 RepairOrg.P.o.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.IdentificationofSystemCONTAINMENT SPRAY*AEP~Specifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 19~83W81983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R6823/8"ANGLE3"X3"3/8"ANGLEg21/2"LEG2-GCTS-R685,1/2"HVYHEXNUTNameofManufacturer N/AN/AN/AManuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AOtherIdenti-ficationA36-90ASP-15971 (SA36-A89vASP-14325 A194(88A) GRADE2HASP-13381 YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081.. 8.TestConducted: Hydrostatic i[Pneumatic ~NominalOperating PressureN/A/~/Othert-jPressuresigTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsis.recordedatthetopofthisform.NIS94-78B l 437o-copFORMNIS-2OWNERISREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYEarnsP.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressDate052694Sheet4of6UnitJ-0-C17441-01 RepairOrg.P.o.No.,JobNo.,etcTypeCodeSymbolstampVAuthorization No.0290-V4.Zdenti.ficati.onofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSIB31.1-83/AZSC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXlUtilizedforRepairsorReplacements 19~93WS1983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 1/2"X4"STD'U-BOLT 2-GCTS-R6871/2"HEXHEXNUT1/2tlX4leSTDU-BOLT2-GCTS-R688NameofManufacturer N/AN/AN/AManuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AotherIdenti-ficationFZG137YASP-7929A194(88A) GRADE2HASP-13381 FZG137YASP-7929ŽYearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081-8.TestConducted: Hydrostatic iiPneumatic ~NominalOperating PressureN/AOtherPressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.xllin.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NZS94-78C I8hEIh 437o-DPFORMNIS-2OWNERiSREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate052694P.O.Box60FortWaneIN46801AddressSheet5of62.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Uni.tJ.O.C17441-01 Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDAddressFL.33811RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.IdentificationofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.iAdd.CodeCaseADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 3/8"ANGLE3nX3n3/8"ANGLEg21/2"LEG1/2"PLATE~NameofManufacturer N/AN/AN/AManuf.SerialNoN/AN/AN/ANat~BoardNo.N/AN/AN/AotherIdenti-ficationA36-90ASP-15971 SA36-A89ASP-14325 A36-90ASP-14793 YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERFC-3081. 8.TestConducted: Hydrostatic iiPneumatic f-jNominalOperating PressureN/A/~(Other~PressuresigTestTemp.oFNOTE:Supplemental sheets,informoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94-78D P'I gZ7o4(Page6of6FORMNIS-2(Back)9.RemarksApplicable Manufacturer's DataReportstobeattachedASMECLASSIIISICLASSIIZ.O.C17441-01 CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNACertificate ofAuthoizationNo.NAExpiration DateNASignedIOwneroOwner'sDesignee, TitleDateCERTIFICATE OFZNSERVZCE INSPECTION I,theundersigned,'olding avalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployed'byARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodV-)i-9etoT-9'-andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance with.therequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Inspector's igntDateICommissions Wi~oozeE'~reNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION 19NIS94-75

FORMNIS-2OWNERSSREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ'wnerINDIANAMICHIGANPOWERCOMPANYNameDate052694P.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameSheetUnit1of5OneCookPlaceBridanMI49106Address3.WorkPerformed by.NISCOName2830PARKWAYST.LAKELANDFL.33811AddressJaO.C17441-01 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.ZdentificationofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSZB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXlUtilizedforRepairsorReplacements 19~83W81983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R6292-GCTS-R6304"X4"Xl/2">ANGLE2-GCTS-R6331/8"FLAT~BARNameofManufacturer N/AN/AManuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AotherIdenti-ficationA36-90ASP-14208 A570-91GRADE45ASP-15946$ YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTREPLACE-MENTASMECodeStamped,(YesorNo)NoNONo7.Description o'fWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic iiPneumatic I-jNominalOperating PressureN/A/~/other~PressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,-provided (1)sizeis8-1/2in.xllin.f(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NZS94-73 4b~~<<lg0C ASwfp-@7FORMNIS-2OWNERPSREPORTFORREPAIRSORREPLACEMENTS AsRecpxired bytheProvisions oftheASMECodeSectionXZ~~1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName.2830PARKWAYST.LAKELANDFL.33811AddressDate052694Sheet2of5UnitJ.O.C17441-01 RepairOrg.P.O.No.,JobNoesetcTypeCodeSymbolStampVAuthorization No.0290-V4.IdentificationofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSIB31.1-83/AZSC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionElUtilizedforRepairsorReplacements 19~83WE1983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 3/8"PLATE~1/4"FLAT~BAR2-GCTS-R6373/8"PLATEi1/4"FLAT~BARNameofManufacturer N/AN/AN/AN/AManuf.SerialNo.N/AN/AN/AN/ANat.BoardNo.N/AN/AN/AN/AOtherXdenti-ficationA36-89ASP-13747~ A36-91ASP-16312 wA36-89ASP-13747+ SA36-A89ASP-13809 ~YearBuiltN/AN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic iiPneumatic ~NominalOperating PressureN/A(~iOther~PressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NZS94-73A J FORMNIS-2OWNERiSREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801AddressSheet3of5Date0526942.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressUnitJ.O.C17441-01 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.IdentificationofSystemCONTAINMENT SPRAY+AEPSpecifications /MDSStandards /ANSIB31.1-83/AZSC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofsectionXfUtilizedforRepairsorReplacements 19~83W81983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 1/8"FLAT+BAR2-GCTS-R6415/SwHVYHEXNUT+5/8"STDegU-BOLT2-GCTS-R643NameofManufacturer N/AN/AN/AManuf.SerialNo.N/AN/AN/ANat.BoardNo.N/A"N/AN/AOtherIdenti-ficationA570-91GR45ASP-15946 ~A194GR2HASP-15215 4FIG137NASP-16503 4YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic [)Pneumatic ~NominalOperating PressureOt'her+PressuresigTestTemp.oFaNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in..xllin.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NZS94-73B

A87o-fp7FORMNIS-2OWNERPSREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ,1.ownerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressDate052694Sheet4of5UnitAT.O.C17441-01 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.ZdentificationofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSZB31.1-83/AZSC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(t)Applicable EditionofSectionXXUtl.lized forRepairsorReplacements 19~83W81983ADDENDAP6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 5/8"HVYHEXNUT5/8"XU-BOLTSTDNameofManufacturer N/AN/AManuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherZdenti-ficationA194GR.2HASP-152158 FZG137NASP-16503 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)~NOaa,NO7~Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. z8.TestConducted: ~Hydrostatic [iPneumatic ~NominalOperating PressureOther+PressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflistsfsketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NZS94-73C rtII garo-d/Page5of5FORMNZS-2(Back)9.RemarksHANGER2-GCTS-R629 HADWELDREPAIRDONEONLYApplicable Manufacturer's DataReportstobeattachedASMECLASSIIISICLASSIIZ.O.C17441-01 CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNASignedC.gOwnerorer'sDesignee, TitleExpiration DateDate/<~c,/NA19'FCERTIFICATE OFINSERVZCE INSPECTION I,theundersigned," holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*of.NORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodto-8'-9sandstatethat,tothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherecpxirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingromorconnected withthisinspectS. on.Znspector's S'reDate19Commissions Wic4NationalBard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION NZS94-73
~e FORMNIS-2OWNER~SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXIl.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressDate052694Sheet1of6UnitZ.O.C17441-01 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.IdentificationofSystemCONTAINMENT SPRAY*AEPSpecifications

/MDSStandards /.ANSIB31.1-83/AZSC5.(a)Applicable Const.Code*19EdasAdd.CodeCase(b)Applicable EditionofSectionElUtiliredforRepairsorReplacements 19~83W81983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R6575/8's~HVYHEXNUT1/2"PLATE~STAINLESS 5/8-X6"JU-BOLT2-GCTS-R659NameofManufacturer N/AN/AN/AManuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AOtherIdenti-ficationA194GR2HASP-16503 A240(91A)~GRADE304ASP-15677 FIG137NASP-16503 YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic ((Pneumatic ~NominalOperating PressureN/AIIOtherPressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11ines(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NZS94-75 1~*4I FORMNIS-2OWNERiSREPORTFORREPAIRSORREPLACEMENTS AsRecpxired bytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801AddressSheet2of6Date0526942.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressUnitJ".O.C17441-01 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.Identification ofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 19~33WE1983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.NatBoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)3"X3"X1/4" JTUBESTEELN/AN/AN/AA500-90GR.BASP-14481 N/AREPLACE-MENTNO3"X4"X1/4"JTUBESTEEL3/8"PLATE~2-GCTS-R6615/8"HVYgHEXNUTN/AN/AN/AN/AN/AN/AN/AN/AN/AA500-90GR.BASP-16756 A36-90ASP-16047 A194GR2HASP-15215 N/AN/AN/AREPLACE-MENTREPLACE-MENTREPLACE-MENTNONONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081.8.TestConducted: Hydrostatic )(Pneumatic ~NominalOperating PressureN/AIIOtherPressuresigTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawings,may beused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94-75A jlvt cV7O-~SFORMNIS-2OWNERSREPORTFORREPAIRSORREPLACEMENTS AsRecpxired bytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate052694P.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameSheetUnit3of6OneCookPlaceBridanMI49106.-J.O.C17441-01 AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressTypeCodeSymbolStampVAuthorization No.0290-V4.IdentificationofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXZUtiliaedforRepairsorReplacements 19~83WS1983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 1/2"PLATESTAINLESS J5/8"X6"gU-BOLT2-GCTS-R6633"X3"Xl/4>>JTUBESTEEL4"X3"Xl/4"ITUBESTEELNameofManufacturer N/AN/AN/AN/AManuf.SerialNo.N/AN/AN/AN/ANat.BoardNo.N/AN/AN/AN/AOtherIdenti-ficationA240(91A)GRADE304gASP-15677 FIG137NASP-16503 ASOO-90GR.BASP-14481 ASOO-90GRADEBASP-16756 YearBuiltN/AN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONONo7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic [)Pneumatic t-jNominalOperating PressureN/AI1Other+PressuresigTestTemp.OFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94-75B C41,I FORMNIS-2OWNERiSREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801Address.Sheet4of6Date0526942.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressUnitZ.O.C17441-01 RepairOrg.P.O.NoafJobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.ZdentificationofSystemCONTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSZB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXXUtilizedforRepairsorReplacements 19~83E81983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 3/8"PLATEJ1/2"PLATE2-GCTS-R6655/8"HVYJHEXNUT5/8"X6"JU-BOLTNameofManufacturer N/AN/AN/AN/AManuf.SerialNo.N/AN/AN/AN/ANat.BoardNo.N/AN/AN/AN/AOtherIdenti-ficationA36-90ASP-16047 A36-89ASP-12781 ,A194GR2HASP-15215 ~PZG137NASP-16503 YearBuiltN/AN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NoNONONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPOTSPERRFC-3081. 8.TestConducted: Hydrostatic iiPneumatic t-jNominalOperating PressureN/AIIother+PressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94-75C 1~4' FORMNIS-2OWNERISREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801AddressSheet5of6Date0526942.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2830PARKWAYSTLAKELANDFL33811AddressUnitJ.O.C17441-01 RepairOrg.P.o.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.ZdentificationofSystemCONTAINMENT SPRAY+AEPSpecifications /MDSStandards /ANSZB31.1-83/AZSC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(n)Applicable EditionofSectionXlUtilizedforRepairsorReplacements 19~83W81983ADDENDA6.Zdentification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R6673/8"PLATE~1/2"ANGLEJ4alX4zt1/2"PLATE/1/4"PLATEiNameofManufacturer N/AN/AN/AN/AManuf.SerialNo.N/AN/AN/AN/ANat.BoardNo.N/AN/AN/AN/AOtherZdenti-ficationA36-90ASP-16047 A36-89Ad(ASP-13931 A36-89KASP-15650 A36-89y,ASP-13747 YearBuiltN/AN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NoNONONO7.Description ofWorkFABINSTALLU2UPPERVOLUMERINGHEADERSUPPORTSPERRFC-3081. 8.TestConducted: Hydrostatic iiPneumatic t-INomina'1Operating PressureN/AIIOtherPressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NZS94-75 Page6of6FORMNIS-2(Back)9.RemarksApplicable Manufacturer's DataReportstobeattachedASMECLASSIIISICLASSIIZ.O.C17441-01 CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNACertificate ofAuthorization No.NASignedH4i4~Ownerorer'sDesignee, TitleDate19CERTIFICATE OFZNSERVZCE INSPECTION Igtheundersigned, ho1dingava1idcommission issuedbytheNationa1BoardofBoilerandPressureVesselInspectors andtheStateorProvince.ofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodtoandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherecpxirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfrom.orconnected withthisinspection. Inspector's Signature Date19Commissions NationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION NZS94-75

PORNNZS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI'wnerINDIANAMIHIGANPWERCOMPANYNameDate-20-P..BxFrWaAddressIN461Sheet1of2~PlantD.CCOOKNULEARPWERPLANTNameUnitOnokPlacBridnMI410Address17454-12-I-L-7PPRTRepairOrg.P.O.No.,JobNo.,etc3~WorkPerformed bynnnDName2AddressrmnExpiration DateNA4.IdentificationofSystemAFETYINETINYSTEM83ummr1An6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.Serial'o. Nat.BoardNo.OtherIdenti-ficationn YearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-GSI-L-70 SHIMPLATEN/ADUBOSESTEELINC.N/AN/AN/AN/AN/AASTMA-36M&E30153201 ASP$13127N/A1989REPAIREDNOREPAIREDNO7.Description ofWorkSRmark8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. r Page2of2FORMNIS-2(Back)9.RemarksINTALLEDA"X"X1"HIMTREDUEEXEIVEAApplicable Manufacturer's DataReportstobeattachedBETWEENTHEWESTLANDADJAENT4"X13"BEAM-1744-1File2-I-L-7II2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisREPAIRconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateSigedFrnkPisaskaint.En.SuervisorDate4-4/OwnerorOwner'sDesignee, TitleNACERTIFICATE OFZNSERVZCE INSPECTION I,theundersigned, holding.a validcommission issuedbytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.havejetsecgthecomponents described inthisOwner'sReportduringtheperiodandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheZnspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions /OA'SF'Ae2~Inspect'sSignature NationalBoard,State,Province, Endorsements Date19l8*FACTORYMUTUALENGINEERING ASSOCIATION FORMNIS-2OWNER'SREPORT,POR REPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAIIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameDate09-27-94Sheet1ofUnitOneCookPlaceBridanMI49106C17829-42-CS-328-L4 AddressRepairOrg.P.O.No.,J'obNo.,etc3.WorkPerformed byMaintenanCe DeartmentNameSameas2Address4.Identification ofSystemCHARGINGCVCSExpiration DateNA(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.Seri.alNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-CS-328-L4 N/AN/AN/AN/AN/AREPAIREDNOALLTHKM)STUDSALLIEDNUTBOLTCO.CARDINALINDUSTRIAL PRODUCTSINC.N/AN/AN/AN/AASTMA435GRADE660M&E30047014 ASP¹15347 ASMESA-194GRADE8FM&E30212100 ASP¹17230 1986N/AREPLACE-MENTREPLACE-MENTNONO7.'Descripti.on ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AOtherVT1Pressuresi.TestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportis~-~includedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. i'P Page2of2FORMNZS-2(Back)9.RemarksREPLACEDBONNETTOBODYBOLTINGMATERIAL. Applicable Manufacturer's DataReportstobeattachedRef.JO:C17829-4 File:2-CS-328-L4 ISI1CBRTZFZCATB OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI'epairorreplacement TypeCodeSymbolStampNASignedFrankisarsMaint..gn errisernateOwnerorOwner'sDesignee, TitleExpiration DateNACERTIFICATE OFINSERVZCE ZNSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod9/acj's<toandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements of.theASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.,Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Inspector's Date-v~cai.2IureCommissions M~d-l->>~~L'~dPlvs'ational Board,State,Province, Endorsements

  • FACTORYMUTUALENGZNEERZNG ASSOCIATION ager

.I~4k4~~D4.ItI FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWae,IN46801AddressDate09-29-94Sheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106UnitC18664-32-IMO-325 AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemRESIDUALHEATREMOVAL(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-IMO"325STUDSNameofManufacturer N/ANOVAMACHINEPRODUCTSCORPITTENERGINEERED VALVESManuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AOtheridenti-ficationN/AASTMA-453GRADE660M&E30029999 ASP¹15076 ASMESA-194GRADE8FM&E30212090ASP¹11191 YearBuiltN/A1986N/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NoNONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AOtherVT1PressuresiTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. Page2of2FORMNZS-2(Back)I9RemarksREPLACEDCARBONSTEELBOLTINGMATERIALWITHSTAINLApplicable Manufacturer's DataReportstobeattachedsFASTENERS. Ref.JO:C18664-3File:2-IMO-325 ISI1CERTZPZCATE OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNACertificExpiration Date+.mSignedranksarskMaint.En.SuervisorDate<m>OwnerorOwner'sDesignee, Title19NACERTZPZCATE OPZNSERVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodtoro-2p-4aandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinany,mannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions r1'=>ooSInspector's ignureNationalBoard,State,Province, Endorsements DateOcv-nb>>s'Zd19*FACTORYMUTUALENGINEERINGASSOCIATION b40> /37'-r(FORMNIS"2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMIPWNameMPANYDate1174P..Box0FortWneIN46801AddressSheet1"of22.PlantD.CCKNULEARPWERPLANTNameOnAddressUnitRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byNITypeCodeSymbolStampVNameAuthorization 'No.2-VAddressP4.Identification ofSystemNTAINMENT SPRAY*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 19~~W6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-R7001/8"X3"FLATBARNameofManufacturer N/AManuf.SerialNo.N/ANat.BoardNo.N/AOtherIdenti-ficationA570-92GR45ASP-16652 YearBuiltN/ARepairedReplacedorReplace-mentREPLACE-MENTASMECodeStamped(YesorNo)NO7.Description ofWorkINTALLNEWSHIMPLATETOELILATERALABETWEENXIIN"PIPEANDETETHEEXEIVE2-T-R7008.TestConducted: Hydrostatic ~Pneumatic ~NominalOperating PressureN/AOther~PressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94 ES $32O-7(Page2of29.RemarksFORMNZS-2(Back)IFTNITBREIPEApplicable Manufacturer's DataReportstobeattachedIPPRTBKTITDEINBAIREENTANDBRINITWITHNFARLIMITAMECLAIIIILASII10-02CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisR1mconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampCertificate ofAuthorization No.NASigned4<rOwnerorwner'sDesignee, TitleDate19CERTZPZCATE OFZNSERVZCE ZNSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMihinandemployedbyARIofWhaveinspected thecomponents described inthisOwner'sReportduringtheperiodic-z~-00toandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty,, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamage.oralossofanykindarisingfromorconnected withthisinspection. Inspector'ommissions mi~o~APSigtureNationalBayard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION DateWo>i~19~<NIS94

'IW.K 0~l0~~~~~~~I0~~0~~I~~~0I~~~~~~Q0~~-~~'~0~0~~~~~0~0~~~~~~0~I~1~00~~~~00I0~~~~~0~~~0~~~~0~~'~0~0~~00~~~~0~0~~0~~~0000LR'~'~-~00~~~0~~~0~~~0~g0~~5.~~~~0~~~~~~0~~0~0i0~~~000 1~W Page2of2FORMNIS-2(Back)9.RemarksPERCODECASEN-416-SYSTEMNON-ISOLATABLE HYDROWILLBEApplicable Manufacturer's DataReportstobeattachedPERFORMED AT1331PSIGDURING10YEARISIHYDRO.VT-2PERFORMED AFTERSYSTEMWASINOPERATION ANDFOUNDTOBEACCEPTABLE. ASMECODECLASSNAISICLASSIICERTIFZCATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementReairconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNACertificate ofAuthorization No.SignedIOwnerorner'sDesignExpiration Datec-Wci~DateJZ~a/ee,Title19NACERTIFICATE OFINSERVICE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.+ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodtoI-s-9G-,andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheZnspector norhisemployershallbeliableinanymannerforanypersonalin)uryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Inspector's gnateDateJanvnRCommissions P1ieLAnNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION 19tG

~\hha4378-/EFORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801AddressDate10094Sheet1of22.PlantD.C.COOKNUCLEARPOWERPLANTNameUnitOneCookPlaceBridanMI4106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL3311AddressJ.O.C1472-04RepairOrg.P.O.~No.,JobNoesetcTypeCodeSymbolStampVAuthorization No.020-V4.IdentificationofSystemFEEDWATER

  • AEPSpecifications

/MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.N-416CodeCase(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 19~83WE6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)14"SCH80PIPESPOOLDalmineN/AN/ASA106GrBPOP64591-040-3HTP933804N/AREPLACE-MENTNO7.Description ofWorkINSTALLA14"PIPESPOOLWITHINSPECTION PORTINTALLEDBYOTHERSINTHEFEEDWATER YSTEM.8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureXN/AOtherPressuresiTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. l& Page2of2FORMNZS-2(Back)9.RemarksPERCODECASEN-416-SYSTEMNON-ISOLATABLE HYDROWILLBEApplicable Manufacturer's DataReportstobeattachedPERFORMED AT1331PSIGDURIN10YEARISIHYDRO.VT-2PERFORMED AFTERSYTEMWASINOPERATION ANDFOUNDTOBEACCEPTABLE. ASMECODECLASSNAISICLASSIICERTIFICATE OFCOMPLIANCE Wecertifythatthestat'ements madeinthereportarecorrectandthisRelacementReairconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNASigned-CiOwnerorOwnersDesignee, TitleExpiration DateDate19NACERTIFICATE OFINSERVZCE INSPECTION Inspector's S+natureDateV~evwrz19~5*FACTORYMUTUALENGINEERING ASSOCIATION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*'fNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodC.-)-toandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymanner.foranypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions Ac,4oa55&if7NationalBoard,State,Province, Endorsements

FORMHIS-2OWNER'REPORTFORREPAIRSORREPLAC22KlNTS ,AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANY~~NameP.O.Box60FortWaeIN4601AddressDate10094Sheet1of22.PlantD.C.COOKNUCL'EARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName'2830PARKWAYST.LAKELANDFL.33811AddressUnitJ.O.C1474-04RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.Identification ofSystemFEEDWATER

  • AEPSpecifications

/MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.N-416CodeCase(b)Applicable EditionofSectionXXUtilisedforRepairsorReplacements 19~83W36.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNosNat.BoardNo.otherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)14"SCH80PIPESPOOLDalmineN/AN/ASA106GrBPOP64591-040-3HTP933804N/AREPLACE-MENTNO7.Description ofWorkINTALLA14"PIPESPOOLWITHINSPECTION PORTINSTALLED BYOTHERSINTHEFEEDWATER SYTEM.8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureXN/AOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. 0I4~,o Page2of2FORMNZS-2(Back)9.RemarksPERCODECASEN-416-SYSTEMNON-ISOLATABLE HYDROWILLBEApplicable Manufacturer's DataReportstobeattachedPERFORMED AT1331PSIGDURING10YEARISIHYDRO.VT-2PERFORMED AFTERSYSTEMWASINOPERATION ANDFOUNDTOBEACCEPTABLE. ASMECODECLASNAISICLASSIICERTIFICATE OFCOMPLZANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementReairconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNACertificate ofAuthorization No.NASignedOwnerorOwner'sDesignee, TitleExpiration DateNADate/219CERTIFICATE OFZNSERVZCE INSPECTZON Inspector's gnatue*FACTORYMUTUALENGINEERING ASSOCIATION 19~$DateWc~uwI,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselZnspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodC-I-9Wtoandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. nCommissions ~'c-4ooG~&~MCNationalBoard,State,Province, Endorsements

FOIQiNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXIl.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10134P.O.Box60FortWaneIN46801AddressSheet1of22.PlantD.C.COOKNULEARPOWERPLANTNameOneCookPlaceBridanMI4106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.3311AddressUnitJ.O.C147-04RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.IdentificationofSystemFEEDWATER

  • AEPSpecifications

/MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.N-416CodeCase(t)Applicable EditionofSectionXXUti.lized forRepairs.orReplacements 19~83WS1983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)14"SCH,80PIPESPOOLDalmineN/AN/ASA106GrBPOP64591-040-3HTP933804N/AREPLACE-MENTNO7.Description ofWorkINSTALLA14"PIPESPOOLWITHINSPECTION PORTINTALLEDBYOTHERSINTHEFEEDWATER SYSTEM.8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureXN/AOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedand.thenumberofsheetsisrecordedatthetopofthisform. Page2of2FORMNZS-2(Back)9.RemarksPERCDECAEN-416-SYSTEMNON-ISOLATABLE HYDROWILLBEApplicable Manufacturer's DataReportstobeattached~ PERFORMED AT1331PSIGDURING10YEARISIHYDRO.VT-2PERFORMED AFTERSYSTEMWASINOPERATION ANDFOUNDTOBEACCEPTABLE. ASMECODECLASNAIILASSIICERTIFZCATE OFCOMPLZANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementReairconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNACertificat ofAuthorization No.NASignedOwnerorner'sDesignee, TitleDateNACERTIFICATE OFZNSERVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodI-RHtoi-+-q5"andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonal'injuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Inspector's gnareDateZenucwKI19Commissions H~c-4oopsErcA4XNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION

FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRecpxired bytheprovisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate09-30-94P.O.Box60FortWaeIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameiOneCookPlaceBridanMI49106UnitC19629-62-RV-111AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.IdentificationofSystemLETDOWNCVCS(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-QRV-ill TRI'MASSEMBLYNameofManufacturer N/ACOPES-VULCANINC.Manuf..SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationN/AASMESA-564GRADE630M6'cE30036150 ASP¹16921 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressureysiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. Page2of2FORMNZS-2(Back)9.RemarksVALVECAGEANDPLUGDIDNOTPASSBLUECHECKREPLACEDTRIMApplicable Manufacturer's DataReportstobeattachedASSEMBLYCONSISTING OF1CAGE1PIN1PLUGAND1STEM.Ref.JO:C19629-6 File:2-RV-111ISI1CERTIFICATE ORCOMPL'IANCB Necertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNAExpiration Date'-""'s~"'K" "'ignedFrankPisarskMaint.En.SuervisorDateOwnerorOwner'sDesignee, Title19NACBRTZPZCATE OPZNSBRVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKwRIGHT MUTUALINs.co.*ofNoRwooDMAss.haveinspected thecomponents described inthisOwner'sReportduringtheperiodD.-~~~iati'tOa'Z.--+4andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions ~=.4si-nspectorr's S'gnatuNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Date'I.i19 P~

FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate09-27-94P.O.Box60FortWaeIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameUnitOneCookPlaceBridanMI49106AddressC19862-12-GRC-S555 RepairOxg.P.O.No.,GobNo.,etc3.workPerformed byMaintenance DeartmentNameSameas2Address4.Identification ofSystemPIPINGSUPPORTExpiration DateNA(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GRC"S555 CONTROLVALVEBLOCK&RESERVOIR NameofManufacturer N/AGRZNNELLCORP'anuf. SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationN/AM&E30040550 ASPg16665 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.

FORMNZS-2(Back)Page2of29.RemarksREPLACEDEXISTINGHARDWAREWITHAGRINNELLCONFIGURATION "A"Applicable Manufacturer's DataReportstobeattachedKITWHICHCONSISTSOFACONTROLVALVEBLOCKANDRESERVOIR. Ref.JO:C19862-1File:2-GRC-S555 ISI:1CERTZPZCATE OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNANArSignedFraPisarskMaint.En.SuervisorDateuOwnerorOwner'sDesignee, Title44CERTZFZCATE OPINSERVICE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoiler'nd PressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*of.NORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodi'rŽig-93to/4-i-~Vandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measures'described inthisOwner'sReport.Furthermore, neithertheZnspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions H=!ooSWE~:gN-~Inspector 'ignareNationalBoad,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION 19~I fNI~'P FORMNIS-2OWNER'REPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate09-27-94P.O.Box60FortWaeIN46801AddressSheet1of2~PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106UnitC19864-12-GRC-S573 AddressRepairOrg.P.O.No.,GobNo.,etcworkPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.identification ofSystemPIPINGSUPPORT(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Xdentification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GRC-S573 CONTROLVALVEBLOCK&RESERVOER NameofManufacturer N/AGRXNNELLCORP.Manuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationN/AM&E30040551 ASPg17059 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkSeeRemarks8.TestConducted:

Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. FORMNZS-2(Back)Page2of29.RemarksREPLACEDEXISTINGHARDWAREWITHAGRINNELLCONFIGURAT1ON "A"Applicable Manufacturer's DataReportstobeattachedKITWHICHCONSISTSOFACONTROLVALVEBLOCKANDRESERVOIR. Ref.JO:C19864-1File:2-GRC-S573 ISI:1CBRTZPZCATB OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNA"""'w"'"-'-r;" ~Expiration DateNASigned84cxsarsMaint.En.SuervisorDatett19OwnerorOwner'sDesignee, TitleCERTZPZCATE OPZNSBRVZCB INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodtowc-"--9Yandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheZnspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisinfromorconnected withthisinspection. Commissions ~i~<AooSS.~n~l~~Z~Inspector's gnreNationalBoard,State,rovince,Endorsements Dateram*FACTORY, MUTUALENGINEERING ASSOCIATION 19~V' PORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate09-27-94P.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameSheet1ofUnitOneCookPlace'rid manMI49106AddressC19866-12-GRC-S598 RepairOrg.P.O.No.,J'obNo.,etc3.WorkPerformedbyMaintenance DeartmentNameSameas2Address4.identification ofSystemPIPINGSUPPORTExpiration DateNA(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-GRC-S598 N/AN/AN/AN/AN/AREPAIREDNOCONTROLVALVEBLOCK&RESERVOIR GRZNNELLCORP.N/AN/AM&E30040550 ASPg16665 N/AREPLACE-MENTNO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsis1recordedatthetopofthisform. I Page2of2FORMNIS-2(Back)9.RemarksREPLACEDEXISTINGHARDWAREWITHAGRINNELLCONFIGURATION "A"1Applicable Manufacturer's DataReportstobeattachedKITWHICHCONSISTSOFACONTROLVALVEBLOCKANDRESERVOIR. Ref.JO:C19866-1File:2-GRC-S598 ISI1CBRTIFICATB OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNA'9Expiration DateNASignedFrPisMai.En.SuervisorDate19OwnerorOwner'sDesignee, Title-1-CERTZFZCATB OFINSBRVICB INSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRZGHT MUTUALZNS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodtoI2-oL-i'1andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherecpxirements oftheASME'ode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisinfromorconnected withthisinspection. Commissions Pii;.l.ooSS.+'niY/Jr<Inspector' SignatVre NationalBoard,State,Province, Endorsements Datec999i~a19~S*FACTORYMUTUALENGINEERING ASSOCIATION gtg RORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate09-29-94P.O.Box60FortWaeIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106UnitC19869-12-FW-S4-U AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2Address4.Identification ofSystemPIPINGSUPPORTExpiration DateNA(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-FW-S4-U N/AN/AN/AN/AN/AREPAIREDNOCONTROLVALVEBLOCKRESERVOIR GRZNNELLCORP.N/AN/AM&E30040552 ASPQ17059 N/AREPLACE-MENTNO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,"and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. Page2of2PORNNZS-2(Back)9.RemarksREPLACEDEXISTINGHARDWAREWITHAGRINNELLCONFIGURATION "A"Applicable Manufacturer's DataReportstobeattachedKITWHICHCONSISTSOFACONTROLVALVEBLOCKANDRESERVOIR. Ref.JO:C19869-1File:2-FW-S4-U ISI:2CBRTIPICATB OPCOMPLIANCB Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairor,replacement TypeCodeSymbolStampNA""'"'EV"'""'"""Expiration DateNASignedFPxsarskMint.En.SuervisorDate19'fOwnerorOwner'sDesignee, TitleCBRTZPICATB OPZNSBRVICB ZNSPBCTZON I,.theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodi/X~I"l~3to'--I-Vv'ndstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withthe.recpxirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. /Commissions ~iMau55Wr//J'~Inspector' xgna'eNationalBord,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Date II FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate09-24-94P.O.Box60FortWaneIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridamanMI49106UnitC19875-12-FW-S5AddressRepairOrg.P.O.No.,JobNo.,etc3.workPerformed byMaintenance Deoartment NameSameas2AddressExpiration DateNA4.Zdentification ofSystemPIPINGSUPPORT(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Zdentification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.Otheridenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-FW-S5N/AN/AN/AN/AN/AREPAZREDNOCONTROLVALVEBLOCKRESERVOIR RESERVOZR GRZNNELLCORP.GRZNNELLCORPN/AN/AN/AN/AM&E30040551ASP¹17059 M&E30040552 ASP¹16465 N/AN/AREPLACE-MENTREPLACE-MENTNONO7.Description ofWorkSeeRemarks8.TestConducted:

Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. V~.s ~IPage2of2FORMNZS-2(Back)9.RemarksREPLACEDEXISTINGHARDWAREWITHAGRINNELLCONFIGURATION "A"Applicable Manufacturer's DataReportstobeattachedKITWHICHCONSISTSOFACONTROLVALVEBLOCKANDRESERVOIR RESERVOIR DIDNOTPASSSERVICEABILITY EXAMREPLACEDRESERVIOR. Ref.JO:C19875-1File:2-FW-S5ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNAExpiration Date"""'-"t"SignedFraisarskMaxnt.En.SuervisorDateOwnerorOwner'sDesignee, TitleNA19qCERTIFICATE OFZNSERVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodg-r~-9uto-3"~(5andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherecpxirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindaris'ngfromorconnected withthisinspection. Commissions Wi.-t-ops'nspector'i tureNationalBoard,Stae,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION 1995Date~~~ui~3 FORMNXS-2OWNER'SREPORTFORREPAXRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridmanMI49106Date09-27-94Sheet1ofUnitC19877-12-FW-S8-U AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemPIPINGSUPPORT(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-FW-S8-U CONTROLVALVEBLOCK&RESERVOIR NameofManufacturer N/AGRINNELLCORP.Manuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationN/AM&E30040551ASPN17059 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkSee'Remarks8.TestConducted:

Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. Page2of2FORMNZS-2(Back)9.RemarksREPLACEDEXISTINGHARDWAREWITHA'RINNELL CONFIGURATION "A"Applicable Manufacturer's DataReportstobeattachedKITWHICHCONSISTSOFACONTROLVALVEBLOCKANDRESERVOIR. Ref.JO:C19877-1File:2-FW-SS-U ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateQgl""SignedFrankPisarsMait.En.SuervisorDateOwnerorOwner'sDesignee, TitleNACERTZFZCATE OFZNSERVICE ZNSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardof'BoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodtoandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherecpxirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykidarisingmorconnected withthisinspection. Commissions Hi.ilu~rr&IP'Inspector's S'eNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGZNEERING ASSOCIATION Dater~~~ra.br~2-19 FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate09-14-94P.O.Box60FortWaeIN46801Address'.

PlantD.C.COOKNUCLEARPOWERPLANTNameSheet1ofUnitOneCookPlaceBridmanMI49106AddressC19880-12-GBD-S568 RepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2Address4.Identification ofSystemPIPINGSUPPORT~~Expiration DateNA(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent Manuf.,NameofSerialManufacturer No.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-GBD-S568 N/AN/AN/AN/AN/AREPAIREDNOCONTROLVALVEBLOCK&RESERVOIR GRZNNELLCORP.N/AN/AM&E30040550 ASP¹16665 N/AREPLACE-MENTNO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. >J~~'r Page2of2FORMNZS-2(Back)9.RemarksREPLACEDEXISTINGHARDWAREWITHAGRINNELLCONFIGURATION "A"Applicable Manufacturer's DataReportstobeattachedKITWHICHCONSISTSOFACONTROLVALVEBLOCKANDRESERVOIR. Ref.JO:C19880-1File:2-GBD-S568 ISI:2CERTZFZCATB OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNA"'"""K"""'"'"*Q'" "'Expiration DateSignedFr%aacPkarskMaint.En.SuervisorDateliOwnerorOwner'sDesignee, Title19NACERTZFZCATE OPZNSERVZCE INSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod///:f'-'Kctandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheZnspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. C~Commissions /.cJaeInspector's gnateNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION 19Date IIHlPl/

FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRecpxired bytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Date09-29-94Sheet1ofUnitC19886-12-MSS-1AddressRepairOrg.P.O.No.,GobNo.,etc3~WorkPerformed byMaintenance DeartmentNameSameas2Address4.Identification ofSystemPIPINGSUPPORTExpiration DateNA(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.~OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-MSS-1N/AN/AN/AN/AN/AREPAIREDNOCONTROLVALVEBLOCKRESERVOIR GRINNELLCORP.N/AN/APO005015-041-3ASP517059 N/AREPLACE-MENTNO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating Pressure,N/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. ~ggrN Page2of2PORNNZS-2(Back)9.RemarksREPLACEDEKISTINGHARDWAREWITHAGRINNELLCONFIGURATION "A"Applicable Manufacturer's DataReportstobeattachedKITWHICHCONSISTSOFACONTROLVALVEBLOCKANDRESERVOIR. Ref.JO:Cl886-1File:2-MSS-1ISI:2CERTIFICATB OFCOMPLZANCB Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNAExpiration DateNA9SignedankPxsarskint.En.SuervisorDate~tI19OwnerorOwner'sDesignee, TitleCERTIFICATE OFINSBRVICB INSPBCTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRZGHT MUTUALZNS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodiF'/i3to12-og-andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisinfromorconnected withthisinspection. Commissions ~r.:lc9~S-Sw-mfa'c~Inspector's ignureNationalBoard,State,Province, Endorsements Date~re~,oi*FACTORYMUTUALENGINEERING ASSOCIATION

FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNametP.O.Box60FortWaeIN46801AddressDate09-28-94Sheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106UnitC19888-12-MSS-5AddressRepairOrg.P.O.No.,GobNo.,etc3.workPerformed byMaintenance

Deartment,

NameSameas2AddressExpiration DateNAPIPINGSUPPORT4.Identification ofSystem(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo..OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-ment.ASMECodeStamped(YesorNo)2-MSS-5N/AN/AN/AN/AN/AREPAIREDNOCONTROLVALVEBLOCKRESERVOIR GRINNELLCORP.N/AN/AM&E30040552 ASPg17059 N/AREPLACE-MENTNO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. V-:t FORMNZS-2(Back)Page2of29.RemarksREPLACEDEXISTINGHARDWAREWITHAGRINNELLCONFIGURATION "A"Applicable Manufacturer's DataReportstobeattachedKITWHICHCONSISTSOFACONTROLVALVEBLOCKANDRESERVOIR. Ref.JO:C19888-1File:2-MSS-5ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNAExpiration DateSigned&%hnzsaskMaint.En.SuervisorDatelOwnerorOwner'sDesignee, Title19NA:CERTIFZCATE OFINSERVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod9Cl~i3to~</I19+andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindaris'ngfromorconnected withthisinspection. Commissions ~-ooSSE~rt/Inspector'i tureNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCZATION Date

FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZl.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801AddressDate09-29-94Sheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridmanMI49106UnitC19889-12-MSS-7AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenanCe Deaartment NameSameas2AddressExpiration DateNA4.Zdentification ofSystemPIPINGSUPPORT(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Zdentification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-MSS-7CONTROLVALVEBLOCK&RESERVOIR NameofManufacturer N/AGRZNNELLCORP.Manuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherZdenti-ficationN/AM&E30040552 ASP¹17059 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAZREDREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x13.in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. '4a4 Page2of2FORMNZS-2(Back)9.RemarksREPLACEDEXISTINGHARDWAREWITHAGRINNELLCONFIGURATION "A"Applicable Manufacturer's DataReportstobeattachedKITWHICHCONSISTSOFACONTROLVALVEBLOCKANDRESERVOIR. IRef.JO:C19889-1File:2-MSS-7ISI:2CERTIFZCATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisreplacement conformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNAExpiration DateniSignedFraPiarskMaint.En.SuervisorDateZ8OwnerorOwner'sDesignee, TitleNA,19S4.CERTZFZCATE OFINSERVICE INSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateozProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodfr-iS.9Dto/-z-.iSandstatethattothebestofmy'knowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheZnspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwnez'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Inspector'ig ureICommissions rf.-w.zi.<rLNationalB6ard,State,Province, Endorsements DateZcv>c~o19cS*FACTORYMUTUALENGINEERING ASSOCIATION

FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZOwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-24-94P.O.Box60FortWaeIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameUnitOneCookPlaceBridanMI49106AddressC19924-3&82-MMO-210 RepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemMAINSTEAM(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-MMO-210 BODYTOBONNETFASTENERS NameofManufacturer N/ACARDZNALINDUSTRIAL PRODUCTSManuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherZdenti-ficationN/ASTUDS:ASMESA-193GRB7M&E30211630 ASP¹15470NUTS:ASMESA-194GR2HM&E30211900 ASP¹15684 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTASMECodeStamped(YesorNo)NONOPOPPETATWOODMORRZLLN/AN/ASA-515GRADE70M&E23044491 N/AREPLACE-MENTNO7.Description ofWorkSeeRemars8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureVT2N/AOtherPTPressuresiTestTemp.oFINOTE:Supplemental sheetsinform'oflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.

Page2of2FORMNZS-2(Back)9.RemarksTHEBODYRINGSEALWELDANDTHEPOPPETNUTTACKWELDWEREApplicable Manufacturer's DataReportstobeattachedREMOVEDTOFACILIATE VALVEINSPECTION. THEPOPPETWASREPLACEDANDTHEPOPPETNUTWASTACKWELDEDTHEBODYRINGSEALWASREWELDEDANDPTEXAMWASACCEPTED. BODYTOBONNETSTUDSANDNUTSWEREREPLACED. IRef.JO:C19924-3 &8File:2-MMO-210 ISI:2CERTZFZCATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCode.SymbolStampNAExpiration DateSignedPrankisarskMaint.En.SuervisorDateOwnerorOwner'sDesignee, TitleNA19'ERTIFICATE OFZNSERVICE INSPECTION Z,theundersigned, holdingavalidcommission issuedbythe.NationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod/d'dptoandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisngfromorconnected withthisinspection. Commissions ~dAd~JJW~Pb'SWInspector' iatureNationalBoard,Ste,Province, Endorsements DateTd~v~w'9Pl*FACTORYMUTUALENGINEERING ASSOCIATION II FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXIOwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-22-4P.O.Box60FortWaeIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106UnitC19927-3&82-MMO-220 AddressRepairOrg.P.O.No.,JobNo.,etc3.workPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemMAINSTEAM(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-MMO-220 N/AN/AN/AN/AN/AREPAIREDNOBODYTOBONNETSTUDSCARDINALINDUSTRIAL PRODUCTSN/AN/ASTUDS:ASME SA-193GRB7ME<E30211630 ASPg15470N/AREPLACE-MENTNOPOPPETATWOODMORRILLN/AN/ASA-515GRADE70MGE23044491 N/AREPLACE-MENTNO7.Description ofWorkSeeRemars8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureVT2N/AOtherPTPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. 0I FORMNZS-2(Back)Page2of29.RemarksTHEBODYRINGSEALWELDANDTHEPOPPETNUTTACKWELDWEREApplicable Manufacturer's DataReportstobeattachedREMOVEDTOFACILIATE VALVEINSPECTION. THEPOPPETWASREPLACEDANDTHEPOPPETNUTWASTACKWELDEDTHEBODYRINGSEALWASREWELDEDANDPTEXAMWASACCEPTED. BODYTOBONNETSTUDSWEREREPLACED. Ref.JO:C19927-3 &8File:2-MMO-220 ISI:2CERTZFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateSignedFranPisarskMaint.En.SuervisorDaten,ioOwnerorOwner'sDesignee, TitleNACERTIFICATE OFZNSERVZCB INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodi'u-to-toandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheZnspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindaris$ngfromorconnected withthisinspection. Commissions W<<<A<<<JInspector'i atureNationalBoaid,State,Province, Endorsements Date~~~-~n'FACTORY MUTUALENGINEERING ASSOCIATION 19 tl' FORMNXS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequired-by theProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-22-94P.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridmanMI49106Sheet1ofUnitC19930-3Ke82-MMO-230 AddressRepairOrg.P.O.No.,GobNo.,etc3.workPerformed byMaintenance DeartmentNameSameas2Address4.Identification ofSystemMAINSTEAMExpiration DateNA(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-MMO-230 BODYTOBONNETFASTENERS NameofManufacturer N/ACARDINALINDUSTRIAL PRODUCTSManuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationN/ASTUDS:ASME SA-193GRB7M&E30211630 ASPQ15470NUTS:ASME SA-194GR2HM&E30211900ASP515684 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTASMECodeStamped(YesorNo)NONOPOPPETATWOODMORRILLN/AN/ASA-515GRADE70M&E23044491 N/AREPLACE-MENTNO7.Description ofWorkSeeRemarksoF8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureVT2N/AOtherPTPressuresiTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. J&S~lIIpV,(& Page2of2FORMNZS-2(Back)9.RemarksTHEBODYRINGSEALWELDANDTHEPOPPETNUTTACKWELDWEREApplicable Manufacturer's DataReportstobeattachedREMOVEDTOFACILIATE VALVEINSPECTION. THEPOPPETWASREPLACEDANDTHEPOPPETNUTWASTACKWELDED~THEBODYRINGSEALWASREWELDEDANDPTEXAMWASACCEPTED. BODYTOBONNETSTUDSANDNUTSWEREREPLACED. Ref.JO:C19930-3 &8File:2-MMO-230 ISI:2CERTIFICATE OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisreplacement conformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNASignedFrankMisarsk Maint.En.SuervisorDateOwnerorOwner'sDesignee, TitleExpiration DateNACERTZPZCATE OPZNSERVZCE INSPECTION Inspector's iure*FACTORYMUTUALENGINEERING ASSOCIATION Da'te3vnvare//I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*.ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodn-zY-19toandstatethattothebestof'yknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysign'ingthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisifromorconnected withthisinspection. rCommissions ~<<'~P<~<Nationaloard,State,Province, Endorsements ~~1t FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRecpxired bytheProvisions oftheASMECodeSectionXXP~1.OwnerINDIANAMICHlGAN'POWER COMPANYNameDate09-06-94P.O.Box60FortWaeIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameUnitOneCookPlaceBridmanMI49106AddressC19942-14FW-INSPECTION PORTSRepairOrg.P.O.No.,8'obNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemMAINFEEDWATER SYSTEM(b)Applicable EditionofSectionXXUtilizedforRepairsorReplacements 1983Summer1983Addenda6.XdentificationofComponents RepairedorReplaced,and Replacement Components NameofComponent INSPECTION PORTSFORFEEDWATER SYSTEMNameofManufacturer IGMPOWERManuf.SerialNo.N/ANat.BoardNo.N/AOtherIdenti-ficationN/AYearBuiltN/ARepairedReplacedorReplace-mentFABRICA-TIONOF4PORTSASMECodeStamped(YesorNo)NOSOCKOLET,

WELDOLET, FLANGEBERTSCHCOMP.N/AN/ASOCKOLETASTMA-105)WELDOLETASTMA-105,FLANGEASTMA-105N/AN/ANO14"PjPESCH.80VANLEEUWENpxpE6TUBEN/A=N/AASMESA-106GRADEBN/AN/ANO7.Description ofWorkSeeRemarks8.TestConducted:

Hydrostatic FPneumatic NominalOperating PressureN/AOtherMTPressuresiTestTempoFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. <'~~a Page2of29.RemarksFORMNZS-2(Back)FABRICATED FOURINSPECTION PORTSFROMSECTIONSOF14"PIPEWITHApplicable Manufacturer's DataReportstobeattachedABRANCHCONNECTION ANDFLANGE.ALL FOURASSEMBLIES WEREMACHINEDTOMEETTHEREUIREMENTS OFPLANTMOD1305.MAGNETIC PARTICLEEXAMSWEREPERFORMED ONALLWELDSASREUIREDANDACCEPTED. Ref.JO:C19942-1 File:FWINSPECTION PORTSISI:2CERTIFICATE OFCOMPLIANCE Wecertifythat.thestatements madeinthereportarecorrectandthisFABRICATION conformstotherulesoftheASMECode,SectionXI.repairorreplacement 'ypeCodeSymbolStampNAExpiration DateQrSignedFranksarMaint.En.SuervisorDate8OwnerorOwner'sDesignee, TitleNACERTIFICATE OFZNSERVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichiaanandemployedbyARKWRZGHT MUTUALZNS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodI-lc.-'9v'o~-s-~5andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector noxhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheZnspectox'or hisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. nCommissions Wt~4ePJ'SInspector' SignaeNationalBoard,Stat,Pxovince, Endorsements Datew>Wc.*FACTORYMUTUALENGINEERING ASSOCIATION 19~ I'15 FORMNIS-2OWNER'REPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Date09-17-94Sheet1ofUnitC20029-12-GCTS-S115-N AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Zdentification ofSystemPIPINGSUPPORT(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Zdentification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-S115-NCONTROLVALVEBLOCKRESERVOZR NameofManufacturer N/AGRZNNELLCORP.ManufeSerialNo.N/AN/ANat.BoardNo.N/AN/AOtherZdenti-ficationN/AMEcE30040551 ASP517059 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAZREDREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsis--recordedatthetopofthisform. 0~4-'8hfN1 /FORMNZS>>2(Back)Page2of29.RemarksREPLACEDEXISTINGHARDWAREWITHAGRINNELLCONFIGURATION "A"Applicable Manufacturer's DataReportstobeattachedKITWHICHCONSISTSOFACONTROLVALVEBLOCKANDRESERVOIR. Ref.JO:C20029-1File:2-GCTS-S115-N ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateNAPrSignedgsearstMaint.gn.SnervianrDateIl191OwnerorOwner'sDesignee, TitleCERTIFICATE OFZNSERVZCE INSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod/ZZIz-I-9Yandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherecpxirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisinfromor'onnected withthisinspection. Commissions Wi<<opsy8~ÃiVZnspector's ignreNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION DateDet.-~meRl19RY 20 FORMNIS2OWNERSREPORTPORREPAIRSORREPLACZRKNTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801AddressDate09-17-94Sheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTName,OneCookPlaceBridanMI49106AddressRepair3.WorkPerformed byMaintenance DeartmentNameSameas2AddressUnitC20030-12-GCTS-S115-S Org.P.O.No.,JobNo.,etcExpiration DateNA4.Zdentification ofSystemPIPINGSUPPORT(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GCTS-S115-SCONTROLVALVEBLOCKRESERVOIR NameofManufacturer N/AGRINNELLCORP.Manuf.,SerialNo.N/AN/ANat.BoardNo;N/AN/AOtherIdenti-ficationN/AM&E30040551ASPg17059 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkSeeRemarks8.TestConducted:

Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp,oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportis.,-includedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. 04IIi'r FORMNZS-2(Back)Page2of29.RemarksREPLACEDEXISTINGHARDWAREWITHAGRINNELLCONFIGURATION "A"Applicable Manufacturer's DataReportstobeattachedKITWHICHCONSISTSOFACONTROLVALVEBLOCKANDRESERVOIR. Ref.JO:C20030-1File'.2-GCTS-S115-S ISI:2CBRTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNA""'"'M-'C""-" -"Expiration DatecSignedFrPiPrsrcaint.En.SuervisorDateOwnerorOwner'sDesignee, TitleNA19'9CERTIFICATE OFINSBRVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUT(JALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod2-Z-+toiti-S'ndstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.By'igning thiscertificate neithertheZnspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport,Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisifromorconnected withthisinspection. Commissions rcptoaS5mA/Inspector's ignureNationalBoard,Stae,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Date 0

FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMIIANPOWERCOMPANYNameDateBER3114P.Bx60ForWaIN4601Sheet1of2Address2.PlantDCCOOKLEARPWERPLANTNameUnit'2OnAddressnI4RepairOrg.P.O.No.,JobNo.,etc3.WorkPerformedbyNICOName230PARKWAYSTLAKELANDFL3311AddressTypeCodeSymbolStampVAuthorization No.020-V4.Identification ofSystemREATOROOLANTPPEALWATERINCTIONLEAKOFF*AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase~DEEDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-QFR-31NameofManufacturer Manuf.SerialNo.Nat,BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-.mentASMECodeStamped(YesorNo)~h"XSgBOLTSN/AN/AN/ASA-453GR-660ASP-11944 >N/AREPLACE-MENTNO7.Description ofWorkSEEREMARKSFORDECRIPTION8.TestConducted: Hydrostatic ~Pneumatic ~NominalOperating PressureN/AIXIOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94-08B Page2of2FORMNZS-2(Back)9.RemarksRELAEDFAENERN2-FR-31WI'/a"I~A-4r66Applicable Manufacturer's DataReportstobeattachedBOLTAMECIIIILASII24-3CERTIFICATE OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNACertificate ofAuthorization No.NANASignedOwneroOwner'sDesignee, TitleDate195CERTIFICATE OPZNSERVICE ZNSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodt7-Z"9<toandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions ~<<l-oo55f-A/A/~Inspector's 8'ignreNationalBoardgState,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION DateHcr~~'c19NIS93-32

FORMNIS-2OWNER'REPORTFORREPAIRSORREPLACEMBFZS AsRecgxired bytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106AddressetcDate09-30-94Sheet1ofUnitC2093-1RXVESSELHEADRepairOrg.P.O.No.,JobNo.,3.WorkPerformed byWESTINGHOUSE PCINameSameas2AddressExpiration DateNA4.Identification ofSystemREACTORVESSEL(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addend6.Identification ofComponents RepairedorReplacedandReplacement Components .NameofComponent COREEXITTHERMO-COUPLENOZZLES1-5NameofManufacturer ABBCOMBUSTION ENGINEERING Manuf.SerialNo.N/ANat.BoardNo.N/AOtherIdenti-ficationASMESA479TYPE304TESTEDPERASTMA262ASPg16781 YearBuiltN/ARepairedReplacedorReplace-mentREPLACE-MENTSASMECodeStamped(YesorNo)NO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureVT2N/AOtherPT*PressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided~~~~~~~~~(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. 'P' FORMNZS-2(Back)Page2of29,RemarksWESTINGHOUSE CONOSEALFEMALEFLANGESWEREREPLACEDWITHCETNAApplicable Manufacturer's DataReportstobeattachedWELDEDNOZZLEASSEMBLIES ONTHERMOCOUPLE'S 1THRU5.*ALLPT'SREUIREDAREDOCUMENTED INTHEJOBORDERPACKAGE.VT-2EXAMSWEREPERFORMED ANDACCEPTED. Ref.JO:C20993-1 File:RXVESSELISI.1CBRTZFZCATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNACertificate SignedFranPisarskMaint.En.SuervisorDate8OwnerorOwner'sDesignee, TitleNACERTIFZCATE OFINSERVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRZGHT MUTUALZNS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sRepdrtduringtheperiod0/zZ/~<~to'=sIi~-andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Znspector' iDater-ureCommissions ~r~l.~~@-NationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGZNEERZNG ASSOCIATION Cp cd'70-'7/FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEbQBTTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMIHIGANPOWERCMPANYNamePO.Box60FortWanIN46801Address2~PlantD.COKLEPWERPLANTNameOneCookPlaceBridanMI4106Address3.WorkPerformed byNICOName2830PARKWAYSTLAKELANDFL311AddressDate10143Sheet1of2UnitJ.O:C21013-08 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.Identification ofSystemONTAINMEMT VENTILATI N"AEPSpecifications

/MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCaseADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-VCR-207 NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)1nX8nBOLTSN/AN/AN/ASA-193B-7ASP-15841 N/AREPLACE-MENTNO7.Description ofWorkREINSTALL VALVE2-VCR-207 ACTUATORUSINGPROCEDURE

    • 12MHP5021.028.004.

REPLACED12A307BOLTSWITH12A13B7BOLTS.8.TestConducted: Hydrostatic ~Pneumatic ~NominalOperating PressureN/A(XOther~PressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)~~~sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94-08B P4tl Page2of2FORMNIS-2(Back)9.RemarksREPLACEDPATENERSON2-VCR-207 WITH1"X""SA-13'Gr.B-7Applicable Manufacturer's DataReportstobeattachedBOLTS.BOLTWERETRIMMEDTOPROPERLENGTH.ASMECLAIIIILASSII21013-08CERTZFICATE OFCOMPLZANCE Wecertifythatthestatements madeinthereportarecorrectandthisRlamnconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNASignedA4Ownerorwner'sDesignee, TitleExpiration DateDateNACERTIFICATE OFZNSERVZCE INSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichiandemployedbyARKWRIHTALIN*ofNORWOODhaveinspected thecomponents described inthisOwner'sReportduringtheperiodxy/vtoit/<<I'twandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions WiooInspector' SinateNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Date~macII19~'JNIS93-32

FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN4680'1Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridmanMI49106Date09-30-94Sheet1ofUnitC21313-32-IMO-316 AddressRepairOrg.P.'O.No.,JobNo.,etc3.workPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemRESIDUALHEATREMOVAL(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement, Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-ment,ASMECodeStamped(YesorNo)2-ZMO-316 N/AN/AN/AN/AN/AREPAIREDNOALLTHREADSTUDSNOVAMACHINEPRODUCTSCORPN/AN/AASTMA-453GRADE660ME(E30029999 ASPQ15076 1986REPLACE-MENTNOITTENGINEERED VALVESN/AN/AASMESA-194N/AGRADE8FM&E30212090 ASPQ11191 REPLACE-MENTNO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. 44,~IIII"4 Page2of2FORMNIS-2(Back)9.RemarksREPLACEDBONNETTOBODYBOLTINGMATERIALPER12-MM-574. Applicable Manufacturer's DataReportstobeattachedRef.JO:C21313-3File:2-IMO-316 ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisreplacement conformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateSignedFrankPisarskMaint.Ena.Su ervisorDateJS0OwnerorOwner'sDesignee, TitleNA19~4CERTIFICATE OFZNSERVZCE INSPECTZON theundersigned, holdingavalidcommission issuedbytheNational@cardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod~lc9/'tsto/s/R<andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindaris'ngfromorconnected withthisinspection. Commissions Hic>ooS'9'.E.~d/JZInspector'i tureNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION 19

FORMNIS"2OWNER'SREPORTFORREPAIRSORREPLACEKE'XTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate01-24-4P.O.Box60FortWanIN4681AddressSheet1of2~PlantD.C.COOKNUCLEARPOWERPLANTNameUnitOneCookPlaceBridnMI4106C21425-32-BD-101-1 1"LINEAddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenanCe DeartmenNameSames2AddressExpiration DateNA4.Identification ofSystemBLOWDOWN(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer183Addnda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-BD-101-1 NameofManufacturer N/AManuf.SerialNo.N/ANpt.BoardNo.N/AOtherIdenti-ficationN/AYearBuiltN/ARepairedReplacedorReplace-mentREPAIREDBYWELD-INGASMECode.Stamped(YesorNo)NO7.Description ofWorkSeeRemark8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AOtherVT2PressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. Page2of2FORMNIS-2(Back)9~RemarksGROUNDOUTDEFECTWHERETHE1"LINETEE'INTOTHE2"STEAMApplicable Manufacturer's DataReportstobeattachedGENERATOR BLOWDOWNLINEDOWNSTREAM OF2-BD-101-1. REWELDEDDEFETEDAREA.Ref.JO.C2142-3File:2-BD-11-1ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisREPAIREDconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampSignedFrankPisarskMaint.En.SuervisorOwnerorOwner'sDesignee, TitleExpiration DateDate30NACERTIFICATE OF'INSERVICE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoard'fBoilerbyARKWRIGHT MUTUALINS.CO.*,ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodI"2v-9vto-zo-andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheZnspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Inspector's ignureDatenA19Commissions Willo~s'S'.b'ational Board,Sate,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION

'ItrC PORNNXS-2OWNER'SREPORTFORREPAXRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMIHIANPWERMPANYNameDate1-24-4P,Box0ForWAddressIN4601Sheet1of2.PlantD0KCLEARPWERPLANTNameUni.tkPlaBrinMI41Address-2142-72-RV-122"VALVERepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintnanceDeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemLETDWNCVCSr1An6.Identificati.on ofComponents RepairedorReplacedandReplacement Components NameofComponent. NameofManufacturer Manuf.SerialNo.Nat.Boar.dNo.OtherIdenti-;;. ficati.on YearBuilt,RepairedReplacedorReplace-mentASMECodeStamped(YesorNo).2-QRV-162. N/AN/AN/AN/AN/A"REPAIREDNOSTUD6NUTS~~1,~TEXASBOLTCOMPANY;'"N/AN/ASTUD-SA-193 GR.B-7NUTS-SA194, GR.2HMGE30029005 ASP/7863** ASPP16697~* N/AREPLACE-MENTNO'P7.,Des~iption ofWork,rk'.Test.Conducted: Hydrostatic-Pneumatic -'ominal. Operating Pressure,,~ rN/AOtherMTPressuresi-Test.Temp.,"-P~'>~~'>NOTE'Supplemental sheetsin'ormoflists,sketches, ordrawingsmay'-beused,provided(1)"size'is8-1/2in.x11in.,'2)information initems1through6onthisreportis~included-on eachsheet,and(3)eachsheetisnumberedandthenumber'of.sheetsis--recorded=at'he topof-thi.s.form; J~>~~>>>>n~.>r'>\ /44ttI FORMNZS-2(Back)Page2of29.RemarksRELAEDBDY-TBNNETSTHAApplicable Manufacturer's DataReportstoLEVEL4P76**.MAGNETI PARTILEWEREPbeattachedTETINFSEDALITY.WAPINTHEMTALITYLEVELPTHENASSIGNED. Rf-242-7Fil.2-RV-1CERTIFICATE OFCOMPLIANCE NAWecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration Date--SiedFnkPisrskMaint.En.SuervisorDate-AZ,199OwnerorOwner'sDesignee, TitleCERTIFICATE OFZNSERVZCE INSPECTION Igtheundersigned, ho1dingava1idcommissionissuedhytheNationa1BoardofBoi1erbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodandstatethattothehestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallheliableinanymannerforanypersonal" injuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. c.~imsi-. l~dd'Pdem)Znspor'sSignature NationalBoard,State,Province, Endorsements Date"1928*FACTORYMUTUALENGINEERING ASSOCIATION 'h1~J~t FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMIHIANPWEROMPANYNameDate02-21-4P0Bx0FrWanIN4801Sheet1of2.PlantDAddressKCLEARPWERPLANTNameUnitkPBinM41Address214-22-V-2412"VALVERepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byintnneDartmntNameSamas2AddressExpiration DateNA4.Identification ofSystemMAITEAMA6.Identification ofComponents RepairedorReplacedandReplacement Components PNameofComponent Name=ofManufacturer Manuf.SerialNo.Nat.BoardNo,OtherIdenti-.ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(Yesor.No)2-MRV-241 SEATRINGN/AFISHERCONTROLSN/AN/AN/AN/AN/AASTMA-582TYPE416MQE30040120 ASPP12289N/AN/AREPLACE-MENTNOREPAIREDNOPLUGANDSTEMASSY.FZSHERCONTROLSN/AN/AASTMA-582TYPE416M6rE30040005 ASPP12623N/AREPLACE-MENTNO7.Description ofWorkRrk8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTEsSupplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreport.isincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. ~IPI' Page2of2FORMNIS-2(Back)RemarksREPLAEDPLANDTEMASSEMBLYALREPLAEDEATRINDUEApplicable Manufacturer's DataReportstobeattachedTNORMALWEARRf.:-2142-2Fil2-MRV-241 I12CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration Date/2SigpedrankPgarsMaint.En.SuervisorDateD-'7OwnerorOwner'sDesignee, TitleNA199gCERTIFICATE OFINSERVICE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoiler~andPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASShaveinspected thecomponents described inthisOwner'sReportduringtheperiodandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalin)uryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. 4'+~Commissions Y/cg~ŽrAZg~Inspector'ignature NationalBoard,State,Province, Endorsements Date*FACTORYMUTUALENGINEERING ASSOCIATION M-A'/-19r"8 P FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZOwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-11-94P.O.Box60FortWaeIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106UnitC21917-12-SV-1B-4 AddressRepairOrg.P.O.No.,GobNo.,etc3.WorkPerformed byMaintenanCe DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemMAINSTEAM(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-SV-1B-4 N/AN/AN/AN/AN/AREPAIREDNODISCDRESSERINDUSTRIES N/AN/AASTMA-565GRADE616ME<E30037728 ASPg16182 N/AREPLACE-MENTNO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedat.thetopofthisform. ItIt'I Page2of2FORMNZS-2(Back)9.RemarksREPLACEDDISCDUETQNORMALWEAR.Applicable Manufacturer's DataReportstobeattachedRef.JQ:C21917-1File:2-SV-1B-4 ISI:2CBRTZFZCATE OFCOMPLZANCB Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateSignedFrapearekaint.gn.SnervieorDatene-OwnerorOwner'sDesignee, TitleNACBRTZFZCATB OPZNSBRVZCB INSPECTION Inspector's ignure*FACTORYMUTUALENGINEERING ASSOCIATION DateAlo~peeIt19~I,theundersigned; holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod3ICetoIi"Icandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions i=4sNationalBoard,State,Province, Endorsements t'IIa4INk4Vr,Q+kp'I FORMNIS-,2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridmanMI49106Date10-03-94Sheet.1ofUnitC23011-22-RC-102-L3 AddressRepairOrg.P.O.No.,JobNo.,etc3.workPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.ZdentificationofSystemREACTORCOOLANT(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-RC-102-L3 STEM&PLUGASSEMBLYN/ACONVALZNC.N/AN/AN/AN/AN/ASA-182TYPE316M&E30035574 ASP¹13759 N/AN/AREPLACE-MENTNOREPAIREDNO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. CVNeIV Page2of2FORMNIS-2(Back)9.RemarksREPLACEDSTEMANDPLUGASSEMBLYDUETOSCORING.Applicable Manufacturer's DataReportstobeattachedRef.JO:C23011-2File:2-RC-102-L3 ISI:1CERTIFZCATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration Date4.lSignedFankPisarskMaint.En.SuervisorDateIiI'OwnerorOwner'sDesignee, TitleNACERTZFZCATE OFZNSERVICE INSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALIN'O.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod~o~9Y)z-is-9gandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerfoianypersonalinjuryorpropertydamageoralossofanykindarisinfromorconnected withthisinspection. Commissions ~~c.crossInspector' ignareNationalBoard,State,Province, Endorsements DateDrri-ni.wee/s194+*FACTORYMUTUALENGINEERING ASSOCIATION S1 FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-16-94P.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridmanMI49106Sheet1ofUnitC23787-62-MS-135-2 AddressRepairOrg.P.O.No.,8'obNo.,'etc3.workPerformed byMaintenance Deaartment NameSameas2AddressAuthorization No.NAExpiration DateNA4.Identification ofSystemMAINSTEAM(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-MS-135-2 2"SCH.80PIPENameofManufacturer HENRYVOGTMACHINECO.RADNORALLOYSZNC.Manuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationASMESA-,105M&E30044248 ASPQ15781 ASMESA-106GRADEBM&E30014981 ASPQ14967 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureVT2N/AOtherPTPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. r4V1'4 Page2of2FORMNZS-2(Back)9~RemarksREPLACEDVALVEANDADJACENTPIPINGDUETOSTEAMCUTSINVALVEApplicable Manufacturer's DataReportstobeattachedINBODYSEATINGAREA.PTEXAMSWEREPERFORMED ONWELDJOINTSANDACCEPTED. Ref.JO:C23787-6 File:2-MS-135-2 ISI:2CERTIFICATE OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisreplacement conformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateSignedFrankPisarskMaint.Ena.Supervisor DatelOwnerorOwner'sDesignee, TitleNACERTIFICATE OPZNSERVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthis'Owner'sReportduringtheperiodrPIZ.to/-3tsandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions ~<<>c9c95<Inspector's gnaeNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION 19~

IIii1 RORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-10-94P.O.Box60PortWaeIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridmanMI49106UnitC24544-42-IMO-312 AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenanCe DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemRESIDUALHEATREMOVAL(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-ZMO-312N/AN/AN/AN/AN/AREPAIREDNOBACKSEATRETAINING RINGN/AN/AASTMA-564TYPES/S630M&E30044062 ASP¹14666 N/AREPLACE-MENTNO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. ~a4~~ Page2of2FORMNZS-2(Back)9.RemarksGROOVESFORREMOVINGRETAINERRINGWEREROUNDEDOFFDURINGApplicable Manufacturer's DataReportstobeattachedREMOVALREPLACEDRETAINERRING.Ref.JO:C24544-4File:2-IMO-312 ISI:2CBRTZFZCATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNAIN"'""4'"" ExpiationDateSignedFraPisaiskMaxnt.En.SuervisorDateOwnerorOwner'sDesignee, Title19NACBRTZFICATE OFZNSBRVICB INSPBCTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringthe,period'to2"landstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. RAPCommissions -~<-~,'>rInspector' S'nareNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Date>~-:wk~t19~/

~~ FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate'0-02-94 P.O.Box60FortWaeIN46801AddressK2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Sheet"1ofUnitC24817-1Ec.112-WCR-958 AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed by.Maintenance DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemNON-ESSENTIAL SERVICEWATER(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent EXISTING2-WCR-958 BONNETTOBODYSTUDSBONNETTOBODYNUTSNameofManufacturer N/AITTENGINEERED VALVESZTTENGINEERED VALVESManuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AOtherIdenti-ficationSA-351GRADECF8ASMESA-453GRADE660M&E30040583 ASPQ13953 ASMESA-194GRADE8M&E30040564 ASP513953 YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic XPneumatic NominalOperating PressureN/AOtherRTPressure138siTestTemp.AMBIENT4FNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided~~~(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. Page2of2FORMNZS-2(Back)9.RemarksEXISTINGVALVEWASCUTOUTANDREORIENTATEDTOACHIEVEDESIREDApplicable Manufacturer's DataReportstobeattachedACCESSIBILITY TO2-CPN-71. VALVEWASREWELDEDINANDX-RAYEXAMOFWELDSWEREACCEPTED. BODYTOBONNETFASTENERS WEREREPLACED. Ref.JO:C24817-1 811FILE:2-WCR-958 ISI:2CERTZFZCATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisREPAIRaREPLACEMENT conformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNAExpiration DateSignedFrPisarskMaint.En.SuervisorDateOwnerorOwner'sDesignee, Title19NACERTIFICATE OFZNSBRVICB INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodOgto(II49~(andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherecyxirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheZnspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions ri~"-<opsyInspector'i ureNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION wbaIDate

.4 FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASME.Code SectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWae1N46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Date10-13-94Sheet1ofUnitC25993-12-SV-1A-2 AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenanCe DeartmentNameSameas2AddressExpiration DateNA4.Zdentification ofSystemMAINSTEAM(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Zdentification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-SV-1A-2 DZSCNameofManufacturer N/ADRESSERZNDUSTRZES Manuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherZdenti-ficationN/AASTMA-565GRADE616M&E30037728 ASPg16182 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAZREDREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused",provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. ItI FORMNZS-2(Back)Page2of29.RemarksREPLACEDDISCDUETONORMALWEAR.Applicable Manufacturer's DataReportstobeattachedRef.JO:C25993-1File:2-SV-lA-2 ISI:2CBRTZRZCATB OFCOMPLZANCB Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNA'-""-"'tet'"ExpirataignedFrankraMaine.nn.SnerriaerDateOwnerorOwner'sDesignee, TitleonDateNA,Z99CERTIFICATE OFINSBRVZCB ZNSPBCTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod0-Ia-~~tosi-ic-RHandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Inspector'i DateCommissions icls'w-r8/d2.tureNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION 19'7/

FORMNIS"2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXIl.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-07-94P.O.Box60FortWaeIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI4106AddressRepair3.WorkPerformed byMaintenance DeartmentNameSameas2Address4.Identification ofSystemCHARGINGCVCSUnitC26042-42-MO-'225Org.P.O.No.,JobNo.,etcExpiration DateNA(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-QMO-225 VALVEPLUGNameofManufacturer N/AVELANINC.Manuf~SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationN/ASTELLITE¹6ME¹30043945 ASP¹15711 YearBuiltN/AN/ARepairedReplacedozReplace-ment.REPAIREDREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.xllin.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. P,~P4+~II~k FORMNIS-2(Back)Page2of29.RemarksVALVEPLUGWASREPLACEDDUETOCRACKINDICATINSFOUNDDURINGApplicable Manufacturer's DataReportstobeattachedPTEXAM.THEVALEPLUGWASCRACKEDDUETOOVERTHRUSTING OFVALVEDURINGM.O.V.TESTING.Ref.JO:C26042-4File:2-MO-225ISI:2CERTIFICATE OPCOMPLIANCB Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNA""'"""JXE -""'"'L""Expiration DateSignedFranPisarskMaint.En.SuervisorDateOwnerorOwner'sDesignee, TitleNACBRTZFZCATE OPZNSBRVZCB INSPBCTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodrO'o/I-)La>>-nddstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropeitydamageoralossofanykindarisingfromorconnected withthisinspection. rp(grZnspector's SignureDate~~~h.-tZ/CCommissions Hi=Iops'~~~~Wc~NationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Z994 IhN FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801AddressDate10-07-94Sheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridmanMI49106AddressRepair3.workPerformed byMaintenance

DeartmentNameUnitC26053-32-MO-226Org.P.O.No.,

JobNo.,etcSameas2AddressExpiration DateNA4.ZdentificationofSystemCHARGINGCVCS(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-QMO-226 VALVEPLUGNameofManufacturer N/AVELANINC.Manuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationN/ASTELLZTEN6MEN30043945 ASPQ15711 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. er,tIIIII FORMNZS-2(Back)Page2of29.RemarksVALVEPLUGWASREPLACEDDUETOCRACKINDICATIONS FOUNDDURINGApplicable Manufacturer's DataReportstobeattachedPTEXAM.THEVALEPLUGWASCRACKEDDUETOOVERTHRUSTING OFVALVEDURINGM.O.V.TESTING.Ref.JO:C26053-3File:2-MO-226ISI:2CERTZFZCATB OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesofthe,ASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateSignedFranisMaint.En.SuervisorDateOwnerorOwner'sDesignee, TitleNA199kCBRTZFZCATE OFZNSBRVZCE ZNSPBCTION

  • FACTORYMUTUALENGINEERZNG ASSOCIATION Date~ave'~hvar

/6199YI,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodr'Otorl-I<.'iYandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXl.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. /Commissions M<<>oO<~Inspector' ignreNati.onal Board,State,Province, Endorsements E1tklIIIK4l~4i FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Date10-01-94Sheet1ofUnitC26158-22-CCR-460 AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenanCe DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemCOMPONENT COOLINGWATER(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-CCR-460 EXISTINGBONNETN/ANELES-ZAMESBURY VALVESN/AN/AN/AN/AN/AN/ACASTSTEELN/AREPAIREDMACHINEDNOREPAIREDNOVALVEPLUGBONNETTOBODYSTUD:5/8"ALLTHREADNELES-JAMESBURY CONSOLIDATED POWERSUPPLYN/AN/AN/AN/AASTMA-582TYPE416ME¹30041007 ASP¹16206 ASMESA-193GRADEB7ME¹30028965 ASP¹13558 N/AN/AREPLACE-MENTREPLACE-MENTNONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AOtherPTPressuresiTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-3./2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. g~1I'IIfV FORMNIS-2(Back)Page2of29.RemarksBONNETGASKETSEATINGSURFACESWEREMACHINEDPERMANFACTURES Applicable Manufacturer's DataReportstobeattachedDRAWINGANDPTEXAMWASACCEPTABLE. PLUGWASREPLACEDDUETONORMALWEARBODYTOBONNETSTUDWASMISPLACED ANDREPLACED. Ref.JO:C26158-2File:2-CCR-460 ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisREPAIRconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNAZuP'xpiration DateQcSigned'saskMaxnt.En.SuervisorDate(o'L7OwnerorOwner'sDesignee, TitleNA,>99CERTIFICATE OFINSBRVICS INSPECTION

  • FACTORYMUTUALENGINEERING ASSOCIATION Date~mI~cZd"1999I,theundersigned, holdingavalidcommission issued-bytheNationalBoardofBoilerandPressureVesselInspectors andtheStateor,ProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodtor'n.cp-9sandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection.

Commissions Inspector's SateNationalBoard,State,Province, Endorsements \ FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDlANAMICHIGANPOWERCOMPANYNameDate10-04-94P.O.Box60FortWaneIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridmanMI49106UnitC26162-22-CCR-462 AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemCOMPONENT COOLINGWATER(b)Applicable EditionofSectionXIUtilized forRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-CCR-462 EXISTINGBONNETNameofManufacturer N/ANELES-JAMESBURYVALVESManuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationN/ACASTSTEELYearBuiltN/AN/ARepairedReplacedorReplace-mentREPAIREDREPAIREDMACHINEDASMECodeStamped(YesorNo)NONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AOtherPTPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. 1 Page2of2FORMNZS-2(Back)9.RemarksBONNETGASKETSEATINGSURFACESWEREMACHINEDPERMANFACTURES Applicable Manufacturer's DataReportstobeattachedDRAWINGANDPTEXAMWASACCEPTABLE. PLUGWASNOTREPLACEDASSTATEDONRRTRAVELRWRITTENON09-19-94.TRAVELER NOTUSEDRef.JO:C26162-2File:2-CCR-462 ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisREPAIRconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNA'"""'t'r"'"'"'~ Expiration DateSignedantisarsksaint.gn.SnervisnrDate(oOwnerorOwner'sDesignee, Title19NACBRTZPZCATB OPZNSBRVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodrP'/'fYtOr~APandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. ~>Hlc..7'ommissions /Aceo~ss.E~~dZnspector'i atureNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION DateOc.ro)~etzzgae~/

FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801AddressDate10-15-94Sheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridmanMI49106UnitC26408-22-OME-3-3 AddressRepairOrg.P.O.No.,JobNo.,etc3.workPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemSTEAMGENERATING (b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6~Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-OME-3-3 STEAMGENERATOR MANWAYMANWAYCOVERNameof.Manufacturer WESTINGHOUSE ELECTRICCO.WESTINGHOUSE ELECTRICCO.WESTZNGHOUSE ELECTRICCO.Manuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AOtherIdenti-ficationN/AASTMA-508CLASS2ASA-516GRADE70YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPAIREDREPAIREDMACHINEDREPAIREDMACHINEDASMECodeStamped(YesorNo)NONONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AOtherMTPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. Fg%ttlllJ' Page2of2FORMNZS-2(Back)9.RemarksMACHINEDGASKETSEATINGSURFACESOFMANWAYANDMANWAYCOVERApplicable Manufacturer's DataReportstobeattachedTOREMOVEPITTEDAREAS.MAGNETICPARTICLEEXAMSWEREPERFORMED ONALLMACHINEDAREASANDACCEPTED. Ref.JO:C26408-2File:2-OME-3-3 ISI:2CBRTZFZCATB OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisREPAIREDconformstotherulesoftheASMECode,SectionXZ.repairorreplacement ITypeCodeSymbolStampNACertifica e-'-jj--.~Expiration DateSignedFranPisrskMaVnt.En.SuervisorDate(lOwnerorOwner'sDesignee, TitleNA190CERTIFICATE OFXNSBRVZCE ZNSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodrarZ-/99ytorri'rc/ojyandstatethattothebestofmy,knowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherecpxirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. IrCommissions ~refoasz.E~:4rc/9MInspecor'signatureNationalBoard,Stte,Province, Endorsements

  • FACTORYMUTUALENGZNEERING ASSOCIATXON DateA/s~cmhc./c FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Date10-13-94Sheet1ofUnitC26430-72-CCM-458 AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Zdentificationof'SystemCOMPONENT COOLINGWATER(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.1dentification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer

.Manuf,Nat.SerialBoardNo.No.OtherZdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-CCM-458 BOLTSHENRYPRATTCO.NORTHCENTRALFASTENERS N/AN/AN/AN/AMEcE30042965 ASP¹14138 ASMESA-193GRADEB7MEE30046430 ASP¹3693N/AN/AREPLACE-MENTREPLACE-MENTNONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureVT2N/AOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. 'E Page2of2FORMNZS-2(Back)9.RemarksVALVEREPLACEMENT PARTSARENOTAVAILABLE REPLACEDVALVEANDApplicable Manufacturer's DataReportstobeattachedBOLTS.Ref.JO:C26430-7File:2-CCM-458 ISI:2CBRTZFZCATB OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateSignedPrankxsarsScMaint.En.SuervisorDateOwnerorOwner'sDesignee, Title19NACERTIFICATE OPZNSBRVZCE ZNSPBCTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodlgtoIz.-I-andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective, measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisifromorconnected withthisinspection. 4Commissions wiWtvPrt)Inspector's ignureNationalBard,Stae,Province, Endorsements DateDc.cc~'b~A/1995'FACTORY MUTUALENGZNEERZNG ASSOCIATION ,rI FORMNZS-'2OWNER'SREPORTFORREPAIRSORREPLAC22KEXTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAIHIANPWEMPANYDate24NameP~BxFrWI41Sheet1of22.PlantDAddressKLEARPOWERPLANTNameUnitOnCookPlBriAddressMI412434-0RepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byNIName230PARKWAYSTLAKELANDFL.3311AddressTypeCodeSymbolStampVAuthorization No.2-V4.Identification ofSystemTE*AEPSpecifications /MDSStandards 5.(a)Applicable Const.Code*(b)Applicable EditionofSectionENERATR/ANSIB31~1-83/AISC19Ed.,AddsCodeCaseXIUtilizedforRepairsorReplacements 19~~Wg6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-OME-3-3 NameofManufacturer Manuf.SerialNo,Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)17/8"STUDASSY.17/8"NUT&WASHERSN/AN/AN/AN/AN/AN/AMANWAYSTUD3CL13SA-193B7ASP-15386 MANWAYSTUD3HL13SA-193B7ASP-15386 N/AN/AREPLACE-MENTREPLACE-MENTNONO7.Description ofWorkWAHER.REPLA EPIYR711ANDYFR2PERE**2MHP02120058.'ZestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresigTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.xllin.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94 l~ Page2of2FORMNZS-2(Back)9.RemarksVERIFIDTNOFREINMATERIALENTEREDTHEHTORTHEApplicable Manufacturer's DataReportstobeattachedCOLDLEMAINTAINED LEVELILEANLINE.CHASED13BOLTHOLEPRIRTOREPLACING STUDIILAIC26434-05 CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacement"conformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateSigneducidccmDatei/Ownerorer'sDesignee, Title19NACERTIFICATE OFZNSERVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUINS.CO.*of-NOROODS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodtoandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingromorconnected withthisinspection. -Commissions MicJ<ASHivPA'Znspector 'SEgnatAreNationalBoar,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION DateWve~a19'ZS94 (li FORMNZS-2OWNER'SREPORTFORREPAIRSORREPLACEME2FZS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801AddressDate10-10-94Sheet1of22.PlantD.C.COOKNUCLEARPOWERPLANTNameUni'tOneCookPlaceBridmanMI49106AddressC26497-32-MO-201RepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2Address4.Identification ofSystemCHARGINGCVCSExpiration DateNA(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-QMO-201 3/4"STUDSALLKGuUQ)NameofManufacturer N/AVELANINC.CARDINALINDUSTRIAL PRODUCTSManuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationN/AASMESA-182GRADE316STELLITE¹6M&E30044145 ASP¹16278 ASMESA-453GRADE660ME¹30212295 ASP¹16300

,YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided~~(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. tlV>>ltrk.l~'CI Page2of2FORMNIS-2(Back)9.RemarksREPLACEDWEDGEANDBODYTOBONNETSTUDSPRIORTOINSTALLATION Applicable Manufacturer's DataReportstobeattachedCWEDGEWASMACHINEDTOASSUREPROPERFIT.Ref.80:C26497-3File:2-MO-201ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNA"""'"5l'xpiration DateSignedFranPxsarskMaint.En.SuervisorDateOwnerorOwner'sDesignee, TitleNACERTZFZCATE OFINSERVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodto)z-andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingromorconnected withthisinspection. Commissions tie4cr.s.GnMppr~Inspector's S'tNationalBord,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Dater-:n~>~-19 IIII0II FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Date10-16-94Sheet1ofUnitC26507-12-GFW-S873 AddressRepairOrg.,P.O.

No.,JobNo.,etc3.workPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemPIPINGSUPPORT(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Xdentification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-GFW-S873 NameofManufacturer GRZNNELLManuf.SerialNo.N/ANat.BoardNo.N/AOtherIdenti-ficationSNUBBERMGE30024691ASP¹14705 YearBuiltN/ARepairedReplacedorReplace-mentREPLACE-MENTASMECodeStamped(YesorNo)NO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. 0 Page2of2FORMNZS-2(Back)9.RemarksREPLACEDSNUBBERDUETOCRACKEDRESERVOIR. Applicable Manufacturer's DataReportstobeattachedRef.JO:C26507-1 File:2-GFW-S873 ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateK)SignedFraniarakMaintgn.anerviaerDate<(t&OwnerorOwner'sDesignee, TitleNA19+CERTIFICATE OPZHSERVZCE ZHSPECTZOH I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodr'C/C'ndstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty,. expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions H':.lonsE'~ieh'lWInspector's ignureNationalBoard,State,Province, Endorsements DateO~=r.~~a19~/*FACTORYMUTUALENGINEERING ASSOCIATION

FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-15-94P.O.Box60FortWaneIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameUnitOneCookPlaceBridmanMI49106C26508-12-CR-301AddressRepairOrg.P.O.No.,JobNo.,etc3.workPerformed byMaintenance Department NameSameas2AddressExpiration DateNA4.IdentificationofSystemLETDOWNCVCS(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components .NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-QCR-301 TRIMASSEMBLYN/ACOPES-VULCANINC.N/AN/AN/AN/AN/AASTMA-479TYPE410MGE30036070 ASPP17064 N/AN/AREPLACE-MENTNOREPAIREDNO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressuxeN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental, sheetsinformoflists,sketches, ordxawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumbex'ed andthenumberofsheetsisrecordedatthetopofthisform. 4,I Page2of2FORMNZS-2(Back)9.RemarksTRIMASSEMBLYWASORIGINALY REPLACEDON10-04-94PERApplicable Manufacturer'DataReportstobeattachedJOBORDERR26084-1.DURINGREASSEMBLING ANDTESTlNGPLUGWASROTATEDWHILESEATEDAGAINSTTHESEATRINGTHISGALLEDTHESEATINGSURFACES.REPLACEDTRIMASSEMBLYAGAINPERC26508-1Ref.JO:C26508-1File:2-CR-301ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.zepairorreplacement TypeCodeSymbolStampNAExpiration Date~tSignedFranPisarsScMait.En.SuervisorDateOwnerorOwner'Designee, TitleNACERTZFZCATE OFINSERVZCE ZNSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressuzeVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'Reportduringtheperiod105vto-Y~andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorzective measuresdescribed inthisOwner'Reportinaccordance withtherequirements oftheASMECode,SectionXZ~Bysigningthiscertificate neitherthe.Inspector norhisemployezmakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'Report.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerf'ranypersonalinjuryorpropertydamageoralossofanykindarisinfromorconnected withthisinspection. /~Commissions M~c4opsy'~AA'4'nspector' ignreNationalBoard,Stat,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Date-~a319~

FORMNIS"2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801AddressDate10-23-94Sheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridmanMI49106UnitC26546-1SEEREMARKSAddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemRESIDUALHEATREMOVAL(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)8"PIPEDOWNSTREAM OF2-SZ-151E N/AN/AN/ASA-376TYPE304N/AREPAZREDNO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AOtherPTPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. 0IIaI Page2of2FORMNZS-2(Back)9.RemarksREMOVEDARCSTRIKEBYFILINGANDPTEXAMOFAREAWASACCEPTED. Applicable Manufacturer's DataReportstobeattachedARCSTRIKEWASLOCATEDAPP.20'OWNSTREAM OF2-SI-151E ONTHE8"LINE.Ref.JO:C26546-1File:2-SI-151E ISI:2CBRTZFZCATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisREPAIRconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNA'"'4""'xpiration DateSignedFrankPiearakMaint.En.SnerviaerDateOwnerorOwner'sDesignee, Title19NACBRTZFZCATE OFZNSBRVZCE ZNSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod-jr-9<toil-IC-~iwandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions Wi=~>><>.S~+<>~Inspector' gnreNationalBoard,State,Province, Endorsements ~FACTORYMUTUALENGINEERING ASSOCIATION rt'L~h~g~ FORMNXS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-15-94P.O.Box60FortWaneIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridamanMI49106UnitC26590-32-MO-200AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2Address4.Identification ofSystemCHARGINGCVCSExpiration DateNA(b)Applicable Ed'itionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-QMO-200 WEDGEN/AVELANZNC.N/AN/AN/AN/AN/AASMESA-182GRADE316STELLZTE¹6MGE300443.45 ASP¹17168 N/AN/AREPLACE"MENTNOREPAIREDNO7.Description ofWorkSeeRemarks8.Test'Conducted: Hydrostatic Pneumatic NominalOperating PressureN/AOtherPTPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. AI FORMNIS-2(Back)Page2of2'.RemarksREPLACEDWEDGEPRIORTOINSTALLATION WEDGEWASMACHINEDTOApplicable Manufacturer's DataReportstobeattachedASSUREPROPERFIT.PTEXAMWASPERFORMED ONMACHINEDSURFACESANDACCEPTED. Ref.JO:C26590-3File:2-MO-200ISI:lCERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateNAISignedFrankPzarskvMain.En.Supervisor Date19OwnerorOwner'sDesignee, TitleCERTIFICATE OFINSERVZCE ZNSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALZNS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodgo-gu-)'ftoandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions ~>i.-Aoos$29~PNInspector'ig atureNationalBoard,State,Province, Endorsements Datea~u~z*FACTORYMUTUALENGINEERING ASSOCIATZON 19' I FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheprovisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-31-94P.O.Box60FortWavneIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameUnitOneCookPlaceBridamanMI49106AddressC26852-12-MO-420RepairOrg.P.O.No.,JobNo.,etc3.workPerformed byMaintenance Deoartment NameSameas2AddressExpiration DateNA4.Identification ofSystemBORONMAKEUPCVCS(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent Manuf.Nameof'erialManufacturer No.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-QMO-420 2"SCH.40PIPEINVENTORY MANAGEMENT CORP.CHICAGOMECHANICAL INC.1164N/AN/AN/AASMESA-182TYPEF316M&E30043630 ASP¹15936 A-312TYPE304M&E30016711 ASP¹13597N/A1989REPLACE-MENTREPLACE-MENTNONO903000¹ELBOWRADNORALLOYSINC.N/AN/AASMESA-182TYPEF304ME¹30016998 ASP¹15045 N/AREPLACE-MENTNO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic XPneumatic NominalOperating PressureN/AOtherPTPressure188siTestTemp.AMBIENTOFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.

Page2of2FORMNIS-2(Back)9.Remarks'REPLACED VALVEANDADJACENTPIPINGANDFITTINGS.Applicable Manufacturer's DataReportstobeattachedHYDRO.ANDPTEXAMWASPERFORMED ONALLWELDSANDACCEPTED. Ref.JO:C26852-1File:2-MO-420ISI:2CERTZFZCATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisreplacement conformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNA,Expiration DateSignedFrankPisarskvMaxnt.En.SuervisorDateOwnerorOwner'sDesignee, TitleI19N/ACERTZFICATE OFZNSERVICE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodc~toI/candstatethattothebestofmyknowledge andbeief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. ~PcCommissions Air=a~cs's'nspector's ignureNationalBoard,State,Province, Endorsements*FACTORYMUTUALENGZNEERING ASSOCIATION FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACZ292TTS AsRequiredbytheProvisions oftheASMECodeSectionXIl.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate11284P.O.Box60FortWaneIN46801Addresssheet1of22.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI4106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.33811AddressUnitJ.O.C27211-04 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.020-V4.Identification ofSystemSTEAM*AEPSpecifications /MDSStandards 5.(a)Applicable Const.Code*(b)Applicable EditionofSection1983ADDENDAGENERATOR /ANSIB31.1-83/AISC19Ed.,Add.CodeCaseXZUtilizedforRepairsorReplacements 19~83W86.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent SG8231-7/8"X16.11"MANWAYCLOSURESTUDS1-7/8"MANWAYCLOSURENUTSMANWAYCLOSURESPHERICAL WASHERSUPPER6LOWERNameofManufacturer N/AN/AN/AManuf.SerialNo.MA-49767-9MA-49767-9MA-49767-9Nat.BoardNo.N/AN/AN/AOtherIdenti-ficationn SA193Gr.B7ASP-15386 SA194Gr.7ASP-15386 SA-194Gr.7ASP-15386 YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONoNO7.Description ofWorkREPLACE1-78DIA.MANWAYSTUDNUTANDWASHERSINSTUDHOLENUMBER14FORSTEAMGENERATOR 238.TestConducted: Hydrostatic ~Pneumatic ~NominalOperating PressureN/AIXIOther+PressuresiTestTemp.OPNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. ~'aw~'C Page2of2FORMNZS-2(Back)9.RemarksASMECLASSIISICLASSIJ.O27211A4Applicable Manufacturer's DataReportstobeattachedREPLACED1-78".STUDNUTEcWASHERINSG23MANWAYUNIUEIDNUMBER23HL-14SERIALNUMBERMA-49767-9 CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateSigned~DateOwnerorner'sDesignee, TitleNACERTIFICATE OFZNSERVZCE ZNSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO-*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod/+~c(5toandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Inspector 'sWignMureCommissions i-o~;vPA/NationalBoard,Stat,Province, Endorsements Datencn1995*FACTORYMUTUALENGINEERING ASSOCIATION I*~Z FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60PortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlcBridanMI4106AddressI3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDPL.33811AddressDate100594Sheet1of2UnitJ.O.R655-05RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.0290-V4.IdentificationofSystemPRESSURIZER

  • AEPSpecifications

/MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.Code'Case(b(Applicable EditionofSectionXrUtilizedforRepairsorReplacements 19~83WS6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-SV-45ANameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)6X6SAFETYVLVCROSBYN5649900-0001N/ASTYLEHB-86-BPN/AREPLACEDNO6X6SAFETYVLV1"X61/2"STUDBOLTSCROSBYN/ARV-1-8010BN/AN/AN/ASTYLEHB-86-BPSA453-GR660 ASP17328N/AN/AREPLACE-MENTREPLACE-MENTNONO7.Description ofWorkREMOVETHEEXISTIN2-SV-45ASAFETYVALVEFORSET-POINTTETINGANDREPLACEWITHTHESPAREVALVEPER**12MHP5021.001.0 28.TestConducted: Hydrostatic Pneumatic NominalOperating PressureXN/AOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94 Page2of2FORMNIS-2(Back)9.RemarksREPLACEDALLOUTLETFLANGESTUDSA1BSWITHSA453GR660Applicable Manufacturer's DataReportstobeattachedAL0REPLACEDTHEINLETSTUDSWITHSA453GR660STUDS.PERFORMED VT-1VT-2&LEAKAGEINSPECTIONS ANDTHESEWEREFOUNDTOBEACCEPTABLE ASMECLASSIISICLASSIZ.O.R9655-05CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisR1mRirconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNASigned~nlGIrj~OwnerrOwner'sDesignee, TitleExpiration DateDateNACERTIFICATE OFINSERVICE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMihinandemployedbyARKWRZHMALI*ofNORWDMAhaveinspected thecomponents described inthisOwner'sReportduringtheperiodI-l-q<toandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingomorconnected withthisinspection. ~~7Commissions i.cl~osCErPA'Inspector's SnateNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Date19~fNIS94 I*e-n~ttII FORMNXS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXIl.OwnerINDIANAMIHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Address3.WorkPerformed byNISCOName2PARKWAYST.LAKELANDFL3811AddressDate100594Sheet1of3UnitJ.O.R66-05RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.020-V4.Identification ofSystem-PRESURIZER*AEPSpecifications

/MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXlUtilizedforRepairsorReplacements 19~83WS6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-SV-45CNameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)6X6SAFETYVLVCROSBYRV-2-8010CN/ASTYLEHB-86-BPN/AREPLACEDNO6X6SAFETYVLV1"X61/2"STUDBOLTS13/8"Xll"STUDBOLTSCROSBYN/AN/ARV-2-8010BN/AN/AN/AN/AN/ASTYLEHB-86-BPSA453-GR660 ASP17328SA453-GR660 ASP-13508 N/AN/AN/AREPLACE-MENTREPLACE-MENTREPLACE-MENTNONONO7.Description ofWorkREMOVETHEEXISTING2-SV-45CSAFETYVALVEFORSET-POINTTESTINANDREPLACEWITHTHESPAREVALVEPER**12MHP5021.001.0 2a8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureXN/AOtherPressuresiTestTemp.QFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94 wIIh FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI4106Address3.WorkPerformed byNISCOName2830PARKWAYST.LAKELANDFL.3311AddressDate10054Sheet2of3UnitJ.O.R9659-05RepairOrg.P.O.NoesJobNo.,etcTypeCodeSymbolStampVAuthorization No.020-V4.IdentificationofSystemPRESSURIZER +AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,Add.CodeCase(b)Applicable EditionofSectionXlUtilizedforRepairsorReplacements as~83WS1983ADDENDA6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 1nHEAVYHEXNUTSNameofManufacturer N/AManuf.SerialNo.N/ANat.BoardNo.N/AOtherIdenti-ficationSA194-GR8F ASP-117394 YearBuiltN/ARepairedReplacedorReplace-mentREPLACE-MENTASMECodeStamped(YesorNo)NO7.Description ofWorkSEEPAGE1FORDESCRIPTION THISPAEFORADDITIONAL COMPONENTS ONLYJ.O.R656-058.TestConducted: Hydrostatic Pneumatic NominalOperating PressureXN/AOtherPressuresigTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94 Page3of3PORMNIS-2(Back)9.RemarksREPLAEDALLOUTLET.FLANGESTUDSA13B8WITHSA45GR660Applicable Manufacturer's DataReportstobeattachedALSOREPLACEDTHEINLETSTUDSWITHSA453GR660STUDS.PERFORMED VT-1VT-2ScLEAKAGEINSPECTIONS ANDTHESEWEREFOUNDTOBEACCEPTABLE. ASMECLASSIISICLASSIJ.O.R656-05CERTIFICATE OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelacmnRairconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration Datei~/Signed-941-494'~DateOwneror0ner'sDesignee, Title19NACERTZPICATE OPZNSERVICE ZNSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMihinandemployedbyARKWRIHTMALIofNRWOODMAhaveinspected thecomponents described inthisOwner'sReportduringtheperiodI95toandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisinfromorconnected withthisinspection. Commissions i4o>sCtxPiv4'/Inspector's nareNationalBoard,State',Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCZATION Date~~~~uNZS94

~,4dIIg FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-17-94P.O.Box60FortWaeIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameUnitOneCookPlaceBridmanMI49106AddressR12537-12-MSS-1RepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2AddressExp'iration DateNA4.Identification ofSystemPIPINGSUPPORT(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-MSS-1TAPEREDLOADPZNNameofManufacturer N/AGRZNNELLCORP.Manuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationN/ASA-193GRADEB7M&E30024975 ASP¹10364 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTASMECodeStamped(YesorNo)NO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. II\>>414 Page2of2FORMNZS-2(Back)9.RemarksREPLACEDLOADPINDUETONORMALWEAR.Applicable Manufacturer's DataReportstobeattachedRef.JO:R12537-1File:2-MSS-1IS1:2CBRTZFZCATB OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNA""""VV""'"-4-""- Expiration DateSignedFrankxsarskMaint.En.SuervisorDateuOwnerorOwner'sDesignee, Title19NACERTIFICATE OFINSBRVICE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselinspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS~haveinspected thecomponents described inthisOwner'sReportduringtheperiodrv~.~F.r)'o~>>la~l~9andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions wi~-.~>o.-~JP'.Inspector's gnateNationalBoa'rd,State,Province, Endorsements Dates>~=.-~b<<oZ19~tH*FACTORYMUTUALENGINEERING ASSOCIATION gII &$70-/0/FORMNZS"2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI4106Address3.WorkPerformed byNISCOName2830PARKWAYSTLAKELANDFL.33811AddressDate10054Sheet1of2UnitJ.O.R22608-06 RepairOrg.P.O.No.,JobNo.,etcTypeCodeSymbolStampVAuthorization No.020-V4.Identification ofSystemPRESSURIZER +AEPSpecifications /MDSStandards /ANSIB31.1-83/AISC5.(a)Applicable Const.Code*19Ed.,'Add.CodeCase(b>Applicable EditionofSectionXIUtilizedforRepairsorReplacements 19~83WS6.identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-SV-45BNameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)6X6SAFETYVLV6X6SAFETYVLV1"X61/2"STUDBOLTSCROSBYCROSBYN/AN5649901-0007RV-1-8010AN/AN/AN/AN/ASTYLEHB-86-BPSTYLEHB-86-BPSA453-GR660 ASP17328N/AN/AN/AREPLACEDREPLACE-MENTREPLACE-MENTNONONO7.Description ofWorkREMOVETHEEXITING2-SV-45BSAFETYVALVEFORSET-POINTTESTINGANDREPLACEWITHTHESPAREVALVEPER**12MHP5021.001.0 28.TestConducted: Hydrostatic Pneumatic NominalOperating PressureXN/AOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.NIS94 Page2of2FORMNIS-2(Back)9.RemarksREPLACEDALLOUTLETFLANGESTUDSA13B8WITHSA453GR660Applicable Manufacturer's DataReportstobeattachedALSOREPLACEDTHEINLETSTUDSWITHSA453GR660STUDS.PERFORMED VT-1VT-2&LEAKAGEINSPECTIONS ANDTHESEWEREFOUNDTOBEACCEPTABLE. AMELASSIISICLASSI'.O.R22608-06 CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisRelamenReirconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNASignedOwneroOwner'sDesignee, TitleExpiration DateDatei>519NACERTIFICATE OFINSERVICE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvince'of MichianandemployedbyARKWRIGHT MALIN.0.*ofNRWDMAhaveinspected thecomponents described inthisOwner'sReportduringtheperiodi-s"r.Stoandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingGiomorconnected withthisinspection. Commissions W~~aors.Z~~PA'YiInspector's Siphature NationalBord,Stat'.e,Province, Endorsements //*FACTORYMUTUALENGINEERING ASSOCIATION Date19NIS94 l",<LIhI ~FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-07-94P.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Sheet1ofUnitR22733-12-GRC-S555 AddressRepairOrg.PRO.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.IdentificationofSystemPIPINGSUPPORT(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-GRC-SSSS TAPEREDLOADPZNN/AGRZNNELLCORP.N/AN/AN/AN/AN/ASA-193GRADEB7M&E30024975 ASP¹10364 N/AN/AREPAIREDNOREPLACE-MENT7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumbezedandthenumberofsheetsis-recoidedatthetopofthisform. Page2of2FORMNZS-2(Back)9.RemarksREPLACEDLOADPINDUETONORMALWEAR.Applicable Manufacturer's DataReportstobeattachedRef.JO:R22733-1File:2-GRC-S555 ISI:lCERTIFICATE OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNA""-"'"ll'Expiration DateNASignedFranisaaint.n.SuervisorDate(19OwnerorOwner'sDesignee, TitleCERTIFICATE OFZNSBRVZCB ZNSPECTZON I,theundersigned, holdingavalidcommission issuedbythe,NationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodre/c,'>'/toandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofankindariingfromorconnected withthisinspection. Commissions ArcspvJEn/P/8<~Inspector'i atureNationalBoard,Stae,Province, Endorsements Date)Dec-cn9rg197P'FACTORY MUTUALENGINEERING ASSOCIATION l FORMNZS<<2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate09-22-94P.O.Box60FortWaneIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106UnitR22843-12-GBD-SS68 AddressRepairOrg.P.O.No.,GobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2Address4.Identification ofSystemPIPINGSUPPORTExpiration DateNA(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-GBD-S568 TAPEREDLOADPINN/AGRINNELLCORP.N/AN/AN/AN/AN/ASA-193GRADEB7M&E30024975 ASP¹10364 N/AN/AREPAIREDNOREPLACE-MENT7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. FlI Page2of2FORMNZS-2(Back)9.RemarksREPLACEDLOADPINDUETONORMALWEAR.Applicable Manufacturer's DataReportstobeattachedRef.JO:R22843-1File:2-GBD-S568 ISI:2CBRTZFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNAExpiration DateSignedFrankPisarskMaint.En.SuervisorDate~i<I4OwnerorOwner'sDesignee, Title19NACBRTZFICATE OFZNSERVZCE ZNSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodtoandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherecpxirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisifromorconnected withthisinspection. Commissions rKZ~a.5"5~re.O'4Znspector's ignureNationalBoard,State,Province, Endorsements Date19*FACTORYMUTUALENGINEERING ASSOCIATION J' FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZOwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-14-94P.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridamanMI49106Sheet1ofUnitR24359-12-MSS-7AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemPIPINGSUPPORT(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent, 2-MSS-7LOADPZNNameofManufacturer N/ANOVAMACHINEPRODUCTSCORPCARDINALZNDUSTRIAL PRODUCTSINC.Manuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AOtherIdenti-ficationN/AASTMA-194GRADE7M&E30046553 ASP¹9861ASMESA-194GRADE2HM&E30211925 ASP¹15333 YearBuiltN/A1987N/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.

Page2of2FORMNZS-2(Back)9.RemarksFABRICATED ANEWLOADPINFROM1-14"BOLTALSOREPLACEDApplicable Manufacturer's DataReportstobeattachedNUT.Ref.JO:R24359-1File:2-MSS-7ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisreplacement conformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNA"""'"V"'"-""'"Expiration DateQrSignedFraPxsarskMaint.En.SuervisorDateOwnerorOwner'sDesignee, TitleNA,19/CERTIFICATE OFZNSERVZCE INSPECTION theundersigned, holdingavalidcommission i,ssuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringthepeiodrC-g.S-VytoI3andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtaken,corrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty; expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions Inspector's SgnaeNationalBoard,State,Province, Endorsements DateSa~mowg995*FACTORYMUTUALENGINEERZNG ASSOCIATION . FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate09-16-94P.O.Box60FortWaneIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameSheet1ofUnitOneCookPlaceBridanMI49106R25802-02 2-CTS-103W AddressRepairOrg.P.O.No.,JobNo.,etc3.workPerformed byMaintenance DeartmentNameSameas2Address4.Identification ofSystemCONTAINMENT SPRAYExpiration DateNA(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-CTS-103W NameofManufacturer N/ANOVAMACHINEPRODUCTSCORPManuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationN/AASTMA-194GRADE8FMGE30046903 ASP¹14876 YearBuiltN/A1990RepairedReplacedorReplace-mentREPAIREDREPLACE"MENT'ASMECodeStamped(YesorNo)NONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. I~ FORMNZS-2(Back)Page2of29.RemarksBODYTOBONNETNUTSWERENOTCONSISTENT SOMEWERESTANDARDApplicable Manufacturer's DataReportstobeattachedANDSOMEWEREHEAVYHEXNUT.REPLACEDALLBODYTOBONNETNUTSALSOCUTTWOBODYTOBONNETSTUDSTOPROPERLENGHT.Ref.JO:R25802-2 File:2-CTS-103W XSI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNAExpiration Date1SignedFranPisarskMaint.En.SuervisorDateOwnerorOwner'sDesignee, Title19NACERTZRICATE OFZNSSRVICB INSPECTION

  • FACTORYMUTUALENGINEERING ASSOCIATION DateOc<~h=i~ZJ19W9I,theundersigned, hOldingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWR1GHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodtoio-.~.z-O'Iandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherecpxirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection.

rCommissions ~'~onssInspector's SitureNationalBoard,State,Province, Endorsements l~4k.~.4a" FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Date10-13-94Sheet1ofUnitR25813-32-FW-118-4 AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenanCe DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemFEEDWATER (b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-FW-118-4 STUDSN/ACARDINALINDUSTRIAL PRODUCTSN/AN/AN/AN/AN/AASMESA-193GRADEB7M&E30029939 ASPg13033 M&E30211475ASPg17165 N/AN/AREPLACE-MENTNOREPAIREDNOCARDINALINDUSTRIAL PRODUCTSN/AN/AASMESA-194GRADE2HM&E30029939 ASPg13033 &M&E30046640 ASPg12730 N/AREPLACE-MENTNO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform.C Page2of2FORMNZS-2(Back)9.RemarksREPLACEDBODYTOBONNETSTUDSANDNUTSDUETONORMALWEAR.Applicable Manufacturer's DataReportstobeattachedRef.JO:R25813-3 File:2-FW-118-4 ISI:2CERTZFZCATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNAExpiration. DateSignedFrankPisarskMaint.En.SuervisorDate4IOwnerorOwner'sDesignee, Title19NACERTIFICATE OFZNSERVZCE ZNSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod.a.~w-".wtoandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions ~i.~w~;~z~Hr~PInspector'd Signatuz'e NationalBoard,State,Province, Endorsements Datec3c-.-r~.'iI9*FACTORYMUTUALENGINEERING ASSOCIATION Afl',Irll'I PORMNIS-2OWNER'SREPORTPORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-07-94P.O.Box60FortWaeIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameUnitOneCookPlaceBridanMI49106AddressR25826-12-SV-52RepairOrg;P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.IdentificationofSystemLETDOWNCVCS(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-SV-52ALLTHREADSTUDSNameofManufacturer .N/ANOVAMACHINE'PRODUCTS CORPNOVAMACHINEPRODUCTSCORPManuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AOtherIdenti-ficationn N/AASMEA-453GRADE660ME30-029999 ASP¹15076 ASMESA-194GRADE8FME30-046902 ASP¹15012 YearBuiltN/A1986N/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. %It4~ Page2of2FORMNZS-2(Back)9.RemarksREPLACEDUNIDENTIFIABLE BOLTINGWITHNEWSTUDSANDNUTSONApplicable Manufacturer's DataReportstobeattachedOUTLETFLANGECONNECTION. Ref.JO:R25826-01 File:2-SV-52 IS1:2CERTIFICATE ORCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNA"'"'"l8'"'"'""h"" "'Expiration DateNASignedFrnxsarskaint.En.SuervisorDateto19OwnerorOwner'sDesignee, TitleCERTIFICATE OPZNSERVZCB INSPECTION Z,theundersigned, holdingavali.dcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors and'heStateorProvinceofMichianandemployedbyARKWRZGHT MUTUALZNS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod9wro-a~-quandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate nei.thertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageor.alossofanykindarisingfromorconnected withthisinspection. Commissions ~i-.-~m556PiVInspector's itureNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGZNEERZNG ASSOCIATION Date0'oL><4P.F199H 4tiif'I FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-22-94P.O.Box60FortWaneIN46801Address2.PlantD.C.-COOKNUCLEARPOWERPLANTNameOneCookPlaceBridmanMI49106Sheet1ofUnitR25831-52-SV-107AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance Department NameSameas2Address4.Identification ofSystemCONTAINMENT SPRAYExpiration DateNA(b)Applicable EditionofSectionX1UtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)/072-SV~~~N/AN/AN/AN/AN/AREPAIREDNOALLTHREADSTUDNOVAMACHINEPRODUCTSCORPNOVAMACHINEPRODUCTSCORPN/AN/AN/AN/AASTMA-453GRADE660M&E30029999 ASP¹15076 ASMESA-194GRADE8FM&E30046902 ASP¹15012 1992N/AREPLACE-MENTREPLACE-MENTNONO7.Description ofWorkSeeRemarks8.TestConducted:

Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. Page2of2FORMNZS-2(Back)9.'emarks REPLACEDUNIDENTIFIABLE BOLTINGMATERIAL. Applicable Manufacturer's DataReportstobeattachedRef.JO:R25831-5File:2-SV-107ISI:2CERTIFICATE OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNAExpiration DaterSignedFkPxsarskMint.En.SuervisorDateOwnerorOwner'sDesignee, TitleNACERTIFICATE OPINSERVICE ZNSPECTION I,theundersigned, holdinga=validcommission issuedbytheNational.BoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRZGHT MUTUALZNS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod'~ctozz,-i5-9wandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Mr.m~Inspector's DateCommissions e"woars'.~~Jy<~ignreNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION

,<aft~eI FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWae.IN46801AddressDate10-25-94Sheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameUnitOneCookPlace'BridmanMI49106AddressR25994-22-DCR-310 RepairOrg.P.O.No.,JobNo.,etc3.workPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemBLOWDOWN(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-"mentASMECodeStamped(YesorNo)2-DCR-310 N/AN/AN/AN/AN/AREPAIREDNOPLUGNELESJAMESBURYN/AN/AASTMA"582TYPE416MQE30040938 ASP¹14557 N/AREPLACE-MENTNO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.NOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. Page2of2FORMNZS-2(Back)9.RemarksREPLACEDVALVEPLUGDUETOSTEAMCUTS.Applicable Manufacturer's DataReportstobeattachedRef.JO:R25994-2 File:2-DCR-310 lSI:2CBRTZFZCATS OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNASigned8@kxsarskMaint.En.SuervisorDateOwnerorOwner'sDesignee, TitleNA,.9e<CBRTIFICATB OFINSBRVZCS ZNSPBCTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselZnspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodro/9-Sr~5'o/--I--~andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. .~rigCommissions W=~ooSS,EgjVInspector' ignreNationalBoard,State,Province, Endorsements DateO~crufbe19~Y*FACTORYMUTUALENGINEERING ASSOCIATION If1~ FORMNIS-2OWNER'SREPORTPORREPAIRSORREPLACE'269ITS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801Date10-24-94Sheet1ofAddress2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106UnitR26005-22-DCR-330 AddressRepair3.workperformed byMaintenance DeartmentNameSameas2Address4.Identification ofSystemBLOWDOWNOrg.P.O.No.,JobNo.,etcExpiration DateNA(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents ReairedorReplacedandReplacement Components NameofComponent 2-DCR-330 BODY&BONNETPLUGBONNETBOLTINGMATERIALNameofManufacturer N/ANELESJAMESBURY CARDINALINDUSTRIAL PRODUCTSINC.NELESJAMESBURY Manuf.SerialNo.N/AN/AN/AN/ANat.BoardNo.N/AN/AN/AN/AOtherIdenti-ficationBODYSA-217GRADECSBONNETSA-182GRADEF5AASTMA-582TYPE416M&E30040938 ASP¹14557 STUDSA"193GRADEB7NUTSA-194GRADE2HM&E30028942 ASP¹14688 ASTMA-564GRADE630~M&E30040730 ASP¹13822 YearBuiltN/Apre/N/A1987RepairedReplacedorReplace-mentREPAIREDMACHINEDREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONONO7.Description ofWorkSeeRemars8.TestConducted: Hydrostatic Pneumatic VT2NominalOperating PressureN/AOtherPTPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. 'p~ee<fs.<<'-~s~aa Page2.of2FORMNZS-2(Back)9.RemarksMACHINEDVALVEBODYANDBONNETGASKETSEATINGSURFACESTOREMOVEApplicable Manufacturer's DataReportstobeattachedPITTING.PT EXAM.WASPREFORMED ONSEATINGSURFACESANACCEPTED. REPLACEPLUGANDCAGEDUETOSTEAMCUTS.ALSOREPLACEDBODYTOBONNETFASTENERS. Ref.JO:R26005-2 File:2-DCR-330 ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisREPAIRREPLACEMENT conformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNAExpiration Date+rSignedFraPisrskMaint.En.SuervisorDatetcoOwnerorOwner'sDesignee, Title19NACBRTIBZCATS OPZNSBRVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTt7ALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodo-5-5/to-C.-9Sandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersona'l injuryorpropertydamageoralossofanykindarisifromorconnected withthisinspection. Commissions ~<<-~ASSEivAInspector's ignat.'eNationalBoard,Stae,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION DateWo~vs~

FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS, AsRequiredbytheProvi'sions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-29-94P.O.Box60FortWaneIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameUnitOneCookPlaceBridamanMI49106R26006-22-DCR-320 AddressRepairOrg.P.O.No.,JobNo.,etc3.workPerformed byMaintenance Deaartment NameSameas2AddressExpiration DateNA4.Identification ofSystemBLOWDOWN(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-DCR-320 PLUGBONNETBONNETTOBODYBOLTWITHNUTNameofManufacturer N/ANELESJAMESBURY NELESJAMESBURY CARDINALINDUSTRIAL PRODUCTSINC.Manuf.SerialNo.N/AN/AN/AN/ANat.BoardNo.N/AN/AN/AN/AOtherIdenti-ficationN/AASTMA-582TYPE416M&E30040938 ASP¹14557 ASMESA-182GRADEF5AM&E30040710 ASP¹17154 STUDSA-193GRADEB7NUTSA-194GRADE2HM&E30028942 ASP¹14688 YearBuiltN/A19911992N/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTREPLACE-MENTREPLACE-MENTASMECodeStamped(Yesor.No)NONONONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureVT2N/AOtherPressuresiTestTemp.OoFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. II Page2of2FORMNIS-2(Back)9.RemarksREPLACEDVALVEBONNETANDPLUGDUETODETERIORATION ANDSTEAMApplicable Manufacturer's DataReportstobeattachedCUTS.ALSOREPLACEDBROKENBODYTOBONNETFASTENERS. Ref.JO:R26006-2 File:2-DCR-320 ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisreplacement conformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration DateIJ'wnerorOwner'sDesignee, TitleNACERTIFICATE OFZNSERVZCE INSPECTZON I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodreZS-'9Yto/-3-'(s-andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherecgxirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. ICommissions ~i~S.+os~W~XNcInspector'ign reNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION DateXcAvail19Ž~J PORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaneIN46801AddressI2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106IoDate(M.-04-84

<7'ISheet1ofUnitR26084-12-CR-301AddressRepairOrg.P.O.No.,GobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2Address4.Identification ofSystem'ETDOWN CVCSExpiration DateNA(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-QCR-301 N/AN/AN/AN/AN/AREPAIREDNOTRIMASSEMBLYCOPES-VULCAN'IN'/A N/AASTMA-479TYPE410M6cE30036070 ASPg16770 N/AREPLACE-MENTNO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. A~tP"'v Page2of2FORMNZS-2(Back)9.RemarksVALVECAGEANDPLUGAREP1TTEDREPLACEDTRIMApplicable Manufacturer's DataReportstobeattachedASSEMBLYCONSISTING OF1CAGE1PIN1PLUGAND1STEM.Ref.JO:R26084-1 File:2-CR-301ISI:2CBRTZPZCATB OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI~repairorreplacement TypeCodeSymbolStampNAExpiration DateSignednPisarskMaint.En.SuervisorDateulOwnerorOwner'sDesignee, TitleNACBRTZPICATE OPINSERVICE INSPECTION Inspector's Siatu*FACTORYMUTUALENGINEERING ASSOCIATION DateDee~b<<>Z19~4Z,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRZGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodyOSlotstL-o2andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfomorconnected withthisinspection. /.Pc.Commissions ~~">>Ss~~i>4'ational Board,State,Province, Endorsements l'y4$~~'RV'gg FORMNIS-2OWNER'SREPORTFOR.REPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYDate09-27-94P.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTName.Sheet1ofUnit'neCookPlaceBridan'ddressMI49106".R26086-22-RV-51RepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2Address4.Identification ofSystemCHARGING, CVCSExpiration DateNA\(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addendab6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent .NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-QRV-51N/AN/AN/AN/AN/AREPAIREDNOTRIMASSEMBLYCOPES-VULCANZNC.N/AN/AASMESA-564GRADE630MGE30036072 ASPg13329 N/AREPLACE-MENTNO7.Description ofWorkSeeRemarksv8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AOther'ressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportis~~~~includedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. r$/I~FORMNZS-2(Back)Page2of29.RemarksREPLACEDTRIMASSEMBLYDUETOHIGHRADIATION LEVELS.Applicable Manufacturer's DataReportstobeattachedRef.JO:R26086-2 File:2-RV-51ISI:1CERTIFICATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXX.repairorreplacement TypeCodeSymbolStampNASignedFrankPisarskMaint.En.Suaervisor OwnerorOwner'sDesignee, TitleExpiration DateDateNACERTXPZCATE OPXHSERVZCE XHSPECTXOH I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodtA~l~~to3andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherecgxirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanyindarisi+fromorconnected withthisinspection. Commissions ~clInspector'MSignature NationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGXHEERXHG ASSOCIATION Date FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-13-04P.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameSheet1ofUnitOneCookPlaceBridmanMI49106R26087-92-MRV-212 AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformedbyMaintenanCe DeartmentNameSameas2Address.Expiration DateNA4.Identification ofSystemMAINSTEAM(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherZdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-MRV-212 FISHERN/AN/AN/AN/AREPAIREDNOEXISTINGPLUG&SEATRINGFISHERN/AN/AASTMA-582TYPE416N/AREPAIREDMACHINEDNO7.Description ofWorkSeeRemarks8.TestConducted:

Hydrostatic Pneumatic NominalOperating PressureN/AOtherPTPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.,x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. Page2of2FORMNZS-2(Back)9.RemarksMACHINEDAPPROX..004OFFPLUGANDSEATRINGTOREMOVENORMALApplicable Manufacturer's DataReportstobeattachedPITTINGANDSTEAMCUTS.PTEXAMOFMACHINEDAREASWASPERFORMED ANDACCEPTED. Ref.JO:R26087-9File:2-MRV-212 ISI:2CBRTZFZCATB OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisREPAIRconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNA'""4".~Expiration Date~rSignedFrankPisaMaint.En.SuervisorDate(ltOwnerorOwner'sDesignee, TitleNACBRTZFZCATB OFZNSBRVZCB ZNSPBCTZON Z,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodpg~(VtoI/-i@.-andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions ~'~>>S<G~P~>/'nspector 'xgnareNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Date~a:rn'be4I&19 FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiiedbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-13-04P.O.Box60FortWaeIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameUnitOneCookPlaceBridmanMI49106AddressR26088-92-MRV-211 RepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Zdentification ofSystemMAINSTEAM(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Zdentification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-MRV-211 EXZSTZNGPLUG&SEATRINGNameofManufacturer FISHERFZSHERManuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherZdenti-ficationN/AASTMA-582TYPE416YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAZREDREPAZREDMACHZNEDASMECodeStamped(YesorNo)NONO7.Description ofWorkSeeRemarks8.TestConducted:

Hydrostatic Pneumatic NominalOperating PressureN/AOtherPTPressuresiTestTemp.INOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. IIf'I4 Page2of2PORNNIS-2(Back)9.RemarksMACHINEDAPPROX..004OFFPLUGANDSEATRINGTOREMOVENORMALApplicable Manufacturer's DataReportstobeattachedPITTINGANDSTEAMCUTS.PTEXAMOFMACHINEDAREASWASPERFORMED ANDACCEPTED. Ref.JO:R26088-9File:2-MRV-211 ISI:2CERTZFZCATE ORCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisREPAIRconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNA'ee'"""'Expiration Date'EJ~,SignedFrankisarskMaint.En.SuervisorDatetlOwnerorOwner'sDesignee, TitleNA,I99CERTIFICATE OPZNSERVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodro-'Ito//-rc.'jMandstatethattothehestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhis'mployershallheliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. rCommissions icla>~t5'.Z~PAMInspector'i tureNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION DateArIrI(19e'e' FORMNZS-2OWNER'REPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheprovisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate09-23-94P.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameSheet1ofUnitOneCookPlaceBridmanMI49106R26093-2-MRV-232 AddressRepairOrg.P.O.No.,GobNo.,etc3.WorkPerformed byMaintenanCe DeartmentNameSameas2AddressExpiration DateNA4.IdentificationofSystemMAINSTEAM(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-MRV-232 PLUGNameofManufacturer N/AFISHERCONTROLSManuf.SerialNo.N/AN/ANat.BoardNo.N/AN/AOtherIdenti-ficationN/AASTMA"582TP.S41600 ME(E30040005 ASPg12623 YearBuiltN/AN/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTASMECodeStamped(YesorNo)NONO7.Description ofWorkSeeRemarks8.TestConducted:

Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. Page2of2PORNNZS-2(Back)9.RemarksREPACEDPLUGDUETOSTEAMCUT.Applicable Manufacturer's DataReportstobeattachedRef.JO:R26093-9File:2-MRV-232 ISI:2CERTZPZCATB OPCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ.repairorreplacement TypeCodeSymbolStampNAExpiration DateSignednkisarskMint.En.SuervisorDateOwnerorOwner'sDesignee, TitleNACERTIFICATE OPINSBRVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselZnspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodg)"Vtoic-andstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheZnspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. sZwAcCommissions'~<.=>.~ S'r~~S'Inspector's igntureNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Datev"-rc~i.~~2S199'I FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-11-94P.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameSheet1ofUnitOneCookPlaceBridmanMI49106R26094-92-MRV-231 AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemMAINSTEAM(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf.SerialNo.Nat.BoardNo.OtherIdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-MRV-231 PLUGEcPLUGASSEMBLYN/AFISHERCONTROLSN/AN/AN/AN/AN/AASTMA-582TP.S41600 MfcE30040005 ASPg15863 N/AN/AREPLACE-MENTNOREPAIREDNOSEATRINGFISHERCONTROLSN/AN/AASTMA-582TP.S41600ASP512803 N/AREPLACE-MENTNO7.Descxiption ofWorkSeeRemarks8.TestConducted:

Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. JI Page2of2PORNN1S-2(Back)9.RemarksREPACEDPLUGANDSEATRINGDUETOSTEAMCUTS.Applicable Manufacturer's DataReportstobeattachedRef.JO:R26094-9File:2-MRV-231 ISI:2CBRTZFZCATE OFCONPLZANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAIIExpiration DateCSignedFraPisarskMant.En.SuervisorDatea4-OwnerorOwner'sDesignee, TitleNACERTIFICATE OFZNSERVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected'he components described inthisOwner'sReportduringtheperiod~/to/z"/-'PVandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherecpxirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheZnspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossotanykindarisingromorconnected withthisinspection. Commissions rAS8.PInspector's xgnateNationalBoard,State,Province, Endorsements Date~c-c.-Wrf'9c~*FACTORYMUTUALENGINEERING ASSOCIATION

FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate10-11-94P.O.Box60FortWaeIN46801AddressSheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106UnitR26095-92-MRV-222 AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenance Deaartment NameSameas2Address4.ZdentificationofSystemMAINSTEAMExpiration DateNA(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Zdentification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-MRV-222 PLUGEcSTEMASSEMBLYSEATRZNGNameofManufacturer N/AFZSHERCONTROLSFZSHERCONTROLSManuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AOtherZdenti-ficationN/AASTMA-582TP.S41600MGE30040005 ASPQ15863 ASTMA-582TP.S41600ASPQ12803 YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPAZREDREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. FORMNZS-2(Back)9.RemarksREPACEDPLUGANDSEATRINGDUETOSTEAMCUTS.Applicable Manufacturer's DataReportstobeattachedPage2of2Ref.JO:R26095-9File:2-MRV-222 ISI:2CERTZFZCATE OFCOMPLIANCE Wecertifythatthestatements madeinthereport.arecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNAExpiration Dater>SignedFra~sarskaint.En.SuervisorDate<<IOwnerorOwner'sDesignee, Title19NACERTZFZCATE OFINSBRVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodJn/'(i/3~ 'toi2-~-Iandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions ~r-.s~~=..-.~.~-P1nspector' gnareNationalBoard,State,Province, Endorsements Date"-..-~h~r2191H*FACTORYMUTUALENGINEERING ASSOCIATION I FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEKQFZS AsRecpxired bytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801Address2.PlantD.C.-COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Date09-27-94Sheet1ofUnitR27507-42-CS-451-2 AddressRepairOrg.P.O.No.,JobNo.,etc3.WorkPerformed byMaintenanCe DeartmentNameSameas2Expiration Date'NAAddress4.Identification ofSystemREACTORCOOLANTPUMPSEALWATERINJECTION LEAKOFF(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-CS-451-2 STUDS1"ALLTEGKADNameofManufacturer N/ACARDINALINDUSTRIAL PRODUCTSTEXASBOLTCO.Manuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AOtherIdenti-ficationN/ASA-453GRADE660M&E30029996 ASP¹17328 SA-194GRADE8PM&E30046905 ASP¹3855YearBuiltN/AN/AN/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTREPLACE"MENTASMECodeStamped(YesorNo)NONONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.pM4L~-WNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided~".~.(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreport'sincludedoneachsheet,and(3)eachsheetisnumberedandthenumberof.sheetsisrecordedatthetopofthisform. d~h FORMNIS-2(Back)9.RemarksREPLACEDUNIDENTIFIABLE FASTENERMAERIALApplicable Manufacturer's DataReportstobeattachedRef.JO:R27507-4File:2-CS-451-2 ISI:2CERTZFZCATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNA""'"W"'""'"""'xpiration DateNASignednkxsarskMaint.En.SuervisorDateI19OwnerorOwner'sDesignee, TitleCERTZFZCATE OPZNSBRVICE 1NSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod-~~$')9togz->s'-1vandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherecpxirements oftheASMECode,SectionXI'ysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindaisingfromorconnected withthisinspection. J'ommissions ~~<<>>~<Inspecto'sgnatureNationalBoard,State,Province, Endorsements

  • FACTORYMUTUALENGINEERING ASSOCIATION Date0~I<19~x 4I FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60FortWaeIN46801Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Date09-28-94Sheet1ofUnitR27508-42-CS-451-3 AddressRepairOrg.P.O.No.,GobNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemREACTORCOOLANTPUMPSEALWATERINJECTION LEAKOFF(b)Applicable EditionofSectionXZUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Zdentification ofComponents RepairedorReplacedandReplacement Components NameofComponent NameofManufacturer Manuf-SerialNo.Nat.BoardNo.OtherZdenti-ficationYearBuiltRepairedReplacedorReplace-mentASMECodeStamped(YesorNo)2-CS"451-3N/AN/AN/AN/AN/AREPAZREDNOSTUDS1"ALL'Q&EADCARDZNALZNDUSTRZAL PRODUCTSTEXASBOLTCO.N/AN/AN/AN/ASA-453GRADE660MGE30029996 ASPN3.7328 SA-194GRADE8FMQE30046905 ASPg3855N/AN/AREPL'ACE-MENTREPLACE-MENTNONO7.Description ofWorkSeeRemarks8.TestConducted:

Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. Page2of2FORMNXS-2(Back)9.RemarksREPLACEDUNIDENTIFIABLE FASTENERMATERIAL. Applicable Manufacturer's DataReportstobeattachedRef.JO:R27508-4File:2-CS-451-3 ISI:2CERTZFZCATE OFCOMPLIANCE Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXX.repairorreplacement TypeCodeSymbolStampNA'a")"'xpiration DateSignedFrankisarskMaint.En.SuervisorDateOwnerorOwner'sDesignee, TitleN19$'~"'P~"I,~*c'ateOe~..-~h<>/519~4~~'*~",)hQ',g).>>whap ~;<<C>>lit-~CERTZFXCATE OFINSERVZCE INSPECTZON ....,';~".-,.... i-;),'"-.t-~~="', theundersigned, holdingavalidcommission issuedbytheNational'Board ofBoiler'~------'---byARKWRIGHT MUTUALINS.CO.*ofNORWOODhaveinspected thecomponents described inthisOwner'sReportduring,=..We period.'>>"',,' 5-+H~Z.-t5-9eandstatethattothebest":of";my knowledge '<".andbelief,theOwnerhasperformed examinations andtakencorrective"'measures ="",described inthisOwner'sReportinaccordance withtherequirements, oftheASME,,~.-.) Code,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesany<~.),>:;:,,

warranty, expressed orimplied,concerning theexaminations andcorrective.',measuresw~,

described inthisOwner'sReport.Furthermore neithertheInspectornor 'his'~'<'~f>.';,=~ employershallbeliableinanymannerforanypersonalin$uryorpropeity, damage.",'or.'-.'!' lossofanykindarisingfromorconnected withthisinspection., ".;""';""=";"..""'.-~4'.,'..-" Commissions W~->>c<<&e>Inspector' gnapbreNationalBoard,State,Provine~.Endoxsementap r*FACTORYMUTUALENGZNEERZNQ'SSOCIATION! ~'~):~'.'.$.9~%PL't'iE,~@5'~'ypQT4~p+AC)I~+ 6IQ~~p~~qzp~)))LII:~~~'>)

FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXZ1.OwnerINDIANAMICHIGANPOWERCOMPANYNameP.O.Box60'ortWaeIN46801AddressDate09-22-94Sheet1of2.PlantD.C.COOKNUCLEARPOWERPLANTNameUnitOneCookPlaceBridanMI49106AddressR29750-92-SV-52RepairOrg.P.O.No.,J'obNo.,etc3.WorkPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.ZdentificationofSystemLETDOWNCVCS(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda.6.Identification ofComponents RepairedorReplacedandReplacement Components NameofComponent 2-SV-52ALLTHREADSTUDSNameofManufacturer N/ANOVAMACHZNEPRODUCTSCORPNOVAMACHZNEPRODUCTSCORPManuf.SerialNo.N/AN/AN/ANat.BoardNo.N/AN/AN/AOtherIdenti-ficationN/AASMEA-453GRADE660ME30-029999 ASP¹15076 ASMESA-194GRADE8FME30-046902 ASP¹15012 YearBuiltN/A1986N/ARepairedReplacedorReplace-mentREPAIREDREPLACE-MENTREPLACE-MENTASMECodeStamped(YesorNo)NONONO7.Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.xllin.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. I Page2of2FORMNZS-2(Back))9.RemarksREPLACEDUNIDENTIFIABLE BOLTINQWITHNEWSTUDSANDNUTSONApplicable Manufacturer's DataReportstobeattachedINLETFLANGECONNECTION. Ref.JO:R29750-09 File:2-SV-52 ISI:2CBRTZRZCATE OFCOMPLZANCB Wecertifythatthestatements madeinthereportarecorrectandthisrelacementconformstotherulesoftheASMECode,SectionXZ~repairorreplacement TypeCodeSymbolStampNA--""@Q"""'-"ll"" ~Expiration DateSignedFrankPxsarsk~ai t.En.SuervisorDate(owOwnerorOwner'sDesignee, Title19NACBRTZFZCATE OFZNSBRVZCE ZNSPECTZON Inspector's ignure*FACTORYMUTUALENGINEERING ASSOCIATION DateOc.vahe<>~19I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiod+7SZpvPn-.7P-9Vandstatethattothebestofmyknowledge. andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXI.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisigfromorconnected withthisinspection. Commissions Hic"cc'SSNationalBoard,State,Province, Endorsements FORMNIS-2OWNER'SREPORTFORREPAIRSORREPLACEMENTS AsRequiredbytheProvisions oftheASMECodeSectionXI1.OwnerINDIANAMICHIGANPOWERCOMPANYNameDate09-19-94P.O.Box60FortWaeIN46801,Address2.PlantD.C.COOKNUCLEARPOWERPLANTNameOneCookPlaceBridanMI49106Sheet1of-2UnitR31309-22-SI-101AddressRepairOrg.P.O.No.,JobNo.,etc3.workPerformed byMaintenance DeartmentNameSameas2AddressExpiration DateNA4.Identification ofSystemREFUELING WATERSTORAGETANKSUPPLY(b)Applicable EditionofSectionXIUtilizedforRepairsorReplacements 1983Summer1983Addenda6.Identification ofComponents RepairedorReplacedandReplacement Components Nameof'omponent 2-SZ-101NameofManufacturer N/AManuf.SerialNo.N/ANat.BoardNo..N/AOtherIdenti-ficationN/AYearBuiltN/ARepairedReplacedorReplace-mentREPAIREDASMECodeStamped(YesorNo)NODISCWALWORTHCO.N/AN/AASTMA-351GRADECF8MfcE30033681 ASPg32017~Description ofWorkSeeRemarks8.TestConducted: Hydrostatic Pneumatic NominalOperating PressureIN/AXOtherPressuresiTestTemp.oFNOTE:Supplemental sheetsinformoflists,sketches, ordrawingsmaybeused,provided(1)sizeis8-1/2in.x11in.,(2)information initems1through6onthisreportisincludedoneachsheet,and(3)eachsheetisnumberedandthenumberofsheetsisrecordedatthetopofthisform. 4sa'qr Page2of2FORMNZS-2(Back)9.RemarksREPLACEDDISCDUETOCHATTERMARKS.Applicable Manufacturer's DataReportstobeattachedRef.JO:R31309-2File:2-SI-101 ISI:2CERTIFICATE OFCOMPLIANCE Wecertifythat.thestatements madeinthereportarecorrectandthisREPLACEMENT conformstotherulesoftheASMECode,SectionXI.repairorreplacement TypeCodeSymbolStampNA'-""'O'V""'"-"'Q "~Expiration DateSignedFPankisarskMaint.En.SuervisorDate'ltOwnerorOwner'sDesignee, TitleNA,199CERTIFICATE OFZNSERVZCE INSPECTION I,theundersigned, holdingavalidcommission issuedbytheNationalBoardofBoilerandPressureVesselInspectors andtheStateorProvinceofMichianandemployedbyARKWRIGHT MUTUALINS.CO.*ofNORWOODMASS.haveinspected thecomponents described inthisOwner'sReportduringtheperiodCi4'oandstatethattothebestofmyknowledge andbelief,theOwnerhasperformed examinations andtakencorrective measuresdescribed inthisOwner'sReportinaccordance withtherequirements oftheASMECode,SectionXZ.Bysigningthiscertificate neithertheInspector norhisemployermakesanywarranty, expressed orimplied,concerning theexaminations andcorrective measuresdescribed inthisOwner'sReport.Furthermore, neithertheInspector norhisemployershallbeliableinanymannerforanypersonalinjuryorpropertydamageoralossofanykindarisingfromorconnected withthisinspection. Commissions ~~4~.E~k'.AlFrInspector'i atureNationalBoard,State,Province, Endorsements Datef)ee.;mL~e~*FACTORYMUTUALENGZNEERING ASSOCIATION Z&~M}}

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